A hospital in Nashville, TN. It ran an operating surplus of 17.5% in FY25 on $164.4M of operating revenue. It held 28 days of cash on hand (52nd percentile among Urban PPS hospitals on liquidity). Operating margin declined from 23.6% in FY21 to 17.5% in FY25.
Operating margin · FY25
+17.5%
▼ 0.1 pts vs FY24
vs Urban PPS hospitals87th pctl of 1,475 (FY25)
Days cash on hand · FY25
28d
all sources
▼ 1.3 days vs FY24
vs Urban PPS hospitals52nd pctl of 1,386 (FY25)
Total operating revenue · FY25
$164.4M
▲ 8.7 $M vs FY24
vs Urban PPS hospitals34th pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
+17.6%
▼ 0.1 pts vs FY24
vs Urban PPS hospitals83rd pctl of 1,475 (FY25)
One point of operating margin at TRISTAR SOUTHERN HILLS MEDICAL CENTER is about $1.6M per year (1% of FY25 total operating revenue).
Where TRISTAR SOUTHERN HILLS sits among Urban PPS hospitals
Operating margin · FY25 pool · n = 1,475 of 2,681 filed
Each point is one Urban PPS hospital in the national distribution for this provider type, placed by operating margin. Facilities are not matched on size, case mix, or market — that is the matched-peer comparison in the paid benchmark. The Urban PPS hospital median is +1.3%. Descriptive context only, not a ranking.
One urban pps hospitalTRISTAR SOUTHERNUrban PPS hospital median
The money
$ thousands · HCRIS cost-report basis · as filed, QA-gated
Ratios tell you how this hospital is doing. Statements tell you what kind of organization it is, and where the money comes from. Every figure below traces to a public cost-report filing, shown as filed. A ratio renders only when every input is reported in the filing; a year missing its core lines is not shown; a year whose balance sheet does not reconcile is labeled. Not audited by Astrelis.
Not shown, balance sheet did not reconcile as filed
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
Not shown, balance sheet did not reconcile as filed
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
Not shown, balance sheet did not reconcile as filed
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line item
FY23
FY24
FY25
Patient revenue
145,231
154,667
163,564
Other operating revenue
906
1,033
878
Total operating revenue
146,137
155,700
164,442
Total operating expenses
121,467
128,324
135,701
Operating income
24,670
27,376
28,740
Operating margin %
+16.9%
+17.6%
+17.5%
Other non-operating, net
143
275
297
Net income
24,813
27,651
29,037
Net income %
+17.0%
+17.7%
+17.6%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY21–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income
How it operates
quality & operational context · CMS public reporting
A 96-bed hospital at 50% occupancy 58% of patient revenue is outpatient.
The metrics this hospital type is judged on: care quality, patient experience, and scale. Each is labeled by evidence class and public source; descriptive context only, never a ranking or adequacy claim.
Scale and flow
Occupancy
49.8%
Verified fact2025
HCRIS WS S-3
Average daily census
47.91
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
96
Verified fact2025
HCRIS WS S-3
Annual discharges
5,005
Verified fact2025
HCRIS WS S-3
Average length of stay
3.5d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
58.2%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
480
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
18.6%
Verified fact2025
HCRIS WS S-3 Pt V
How the care measures up
C. difficile infection (SIR)
0
Better than the National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
14.8%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
1.08
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
0.930946
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare
Trajectory
Cost-report basis · 5 reporting years
Operating margin
Days cash on hand
The county this hospital serves
DAVIDSON County, TN
Median household income
$75.7K
vs $82.1K US · $59.7K rural median
Poverty rate
13.9%
vs 12.5% US · 14.3% rural median
Uninsured
12.3%
vs 8.6% US · 8.4% rural median
Age 65+
12.7%
vs 16.8% US · 20.6% rural median
Fair or poor health
20.6%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 4.4% of county personal income is Medicare/Medicaid medical benefits; 10.5% arrives as government transfers (BEA, 2022).
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