Astrelis
Urban PPS hospital · Nashville, TN

SAINT THOMAS HOSPITAL FOR SPINAL SURGERY

CCN 440218DAVIDSON CountyVoluntary non-profit - OtherUrban (USDA RUCC)21 bedsLatest FY 2024
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read

A hospital in Nashville, TN. It ran an operating surplus of 42.9% in FY24 on $79.2M of operating revenue. It held 57 days of cash on hand (63rd percentile among Urban PPS hospitals on liquidity). Operating margin declined from 44.2% in FY20 to 42.9% in FY24, though it rose 2.1 points in the most recent year.

Operating margin · FY24
+42.9%
2.1 pts vs FY23
vs Urban PPS hospitals99th pctl of 2,562 (FY24)
Days cash on hand · FY24
57d
all sources
19.3 days vs FY23
vs Urban PPS hospitals63rd pctl of 2,354 (FY24)
Total operating revenue · FY24
$79.2M
5.5 $M vs FY23
vs Urban PPS hospitals17th pctl of 2,608 (FY24)
Total margin · incl. nonoperating · FY24
+43.6%
2.7 pts vs FY23
vs Urban PPS hospitals99th pctl of 2,563 (FY24)
Benchmarked within its own FY24 pool (n=2,562); the Urban PPS hospital cohort's current year is FY25.
One point of operating margin at SAINT THOMAS HOSPITAL FOR SPINAL SURGERY is about $792K per year (1% of FY24 total operating revenue).

Where SAINT THOMAS HOSPITAL sits among Urban PPS hospitals

Operating margin · FY24 pool · n = 2,562 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 +2.0%. Descriptive context only, not a ranking.

Benchmarked within its own FY24 pool (n=2,562); the Urban PPS hospital cohort's current year is FY25.
-20%-10%0%+10%+20%Urban PPS hospital median +2.027429837815152%SAINT THOMAS +42.94896321467221%-20%0%+20%Urban PPS hospital median +2.027429837815152%SAINT THOMAS +42.94896321467221%
One urban pps hospitalSAINT THOMASUrban 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.

Operating margin
+42.9% (FY24)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
+43.6% (FY24)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
57d (FY24)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
HCRIS WS G / G-3
Current ratio
3.80× (FY24)
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
72% (FY24)
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
35d (FY24)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line itemFY22FY23FY24
Patient revenue78,70284,69579,192
Other operating revenue310
Total operating revenue78,70584,69679,192
Total operating expenses47,74350,09245,180
Operating income30,96234,60434,012
Operating margin %+39.3%+40.9%+42.9%
Investment income71414
Other non-operating, net1514859
Net income30,98434,63234,885
Net income %+39.4%+40.9%+43.6%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY24 · FY20–21 may include COVID-era relief funding in nonoperating income
FY20, FY23, FY24 net patient A/R is not shown: gross A/R was not reported on the filing, making the derived net figure spurious (AR quality flag).

How it operates

quality & operational context · CMS public reporting

A 21-bed hospital at 25% occupancy 66% 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
25.0%
Verified fact2024
HCRIS WS S-3
Average daily census
5.26
Verified fact2024
HCRIS WS S-3
Staffed beds (acute)
21
Verified fact2024
HCRIS WS S-3
Annual discharges
1,170
Verified fact2024
HCRIS WS S-3
Average length of stay
1.6d
Verified fact2024
HCRIS WS S-3
Outpatient share of patient revenue
66.2%
Verified fact2024
HCRIS WS G-2 L28
Total FTEs
115.80
Verified fact2024
HCRIS WS S-3 Pt II
Contract labor share of labor cost
15.4%
Verified fact2024
HCRIS WS S-3 Pt V
Who it serves
Total unreimbursed & uncompensated care
$0.3M
Verified fact2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
Results cannot be calculated for this reporting period.; This measure was calculated using partial performance period data due to a CMS-approved exception.
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
14%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
Results are not available for this reporting period.
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
0.804872
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare

Trajectory

Cost-report basis · 5 reporting years
Operating margin
+44.2%+42.0%+39.3%+40.9%+42.9%FY20FY21FY22FY23FY24
Days cash on hand
35 days40 days26 days37 days57 daysFY20FY21FY22FY23FY24

The county this hospital serves

DAVIDSON County, TN · metro, 1M+ population
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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