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Short-term acute care hospital · Franklin, Tennessee · 337 beds · CMS certification number 440029

Williamson Medical Center

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended June 30, 2025, as submitted, stamped by CMS May 7, 2026. 29 years on file, every one shown below.

Fiscal 2025 at a glance

Net patient revenue
$307.0M
$307,033,273 · G-3 line 3
Operating expenses
$322.2M
$322,161,081 · G-3 line 4
Result from patient care
−$15.1M
−$15,127,808 · G-3 line 5
Margin on patient care
−4.9%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $50.0M in its first year on file (1997) to $307.0M in 2025.
  • Its result from patient care: −$8.9M (2023), −$8.1M (2024), −$15.1M (2025).
  • 4 of the 5 short-term acute care hospital peers below with a margin on file also report a loss on patient care for fiscal year 2025.
  • Medicaid paid for 5.4% of its inpatient days and Medicare for 26.2%.
  • WILLIAMSON COUNTY HOSPITAL DISTRICT holds 100% of it, on its Medicare enrollment.

Every statement is drawn from figures on this page; nothing is estimated.

29 years of filings

Net patient revenue against operating expenses, each year as filed.

Net patient revenueOperating expenses
1997
reopened
$50.0M
$45.0M
1998
reopened
$57.1M
$51.1M
1999
settled
$56.4M
$56.1M
2000
reopened
$67.6M
$63.5M
2001
settled
$72.9M
$72.2M
2002
reopened
$80.0M
$78.5M
2003
settled
$94.7M
$87.5M
2004
settled
$101.0M
$96.4M
2005
reopened
$112.3M
$105.1M
2006
settled
$115.8M
$117.4M
2007
reopened
$127.6M
$129.8M
2008
settled
$141.9M
$140.0M
2009
settled
$145.1M
$150.7M
2010
settled
$151.9M
$138.6M
2011
reopened
$153.1M
$139.6M
2012
reopened
$156.3M
$145.3M
2013
reopened
$151.4M
$152.9M
2014
reopened
$156.1M
$159.9M
2015
settled
$168.9M
$162.8M
2016
settled
$184.8M
$184.8M
2017
reopened
$195.9M
$195.7M
2018
reopened
$204.6M
$204.2M
2019
settled with audit
$219.6M
$222.9M
2020
settled
$228.8M
$234.8M
2021
settled
$246.1M
$248.1M
2022
settled
$263.9M
$265.9M
2023
settled
$271.4M
$280.3M
2024
settled
$285.6M
$293.6M
2025
as submitted
$307.0M
$322.2M

Beside its peers

Short-term acute care hospitals in Tennessee with 200 to 399 beds, each on fiscal year 2025.

HospitalBedsNet patient revenueOperating expensesMargin
Williamson Medical Center337$307,033,273$322,161,081−4.9%
Fort Sanders Regional Medical Center, Knoxville304$434,720,968$447,664,847−3.0%
Holston Valley Medical Center, Kingsport303$341,650,445$391,699,823−14.6%
Parkwest Medical Center, Knoxville357$461,127,531$482,825,525−4.7%
Saint Francis Hospital, Memphis340$278,887,378$307,996,175−10.4%
Tennova Healthcare, Knoxville293$438,905,406$382,083,85613.0%

Patients and payers

Discharges
8,421
S-3 line 14, col 15
Inpatient days
35,711
S-3 line 14, col 8
Beds in use, on an average day
98.1
days ÷ days in year
Occupancy
29.0%
days ÷ bed days
Medicare share of days
26.2%
S-3 cols 6 ÷ 8
Medicaid share of days
5.4%
S-3 cols 7 ÷ 8

Who owns it

  • WILLIAMSON COUNTY HOSPITAL DISTRICT100%

Type of control on its cost report: governmental, hospital district.

Owners of 5% or more, from CMS’s hospital ownership file (Medicare enrollment, October 1, 2026).

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Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2024.ZIP, form CMS-2552-10, filed under CMS certification number 440029. Patients and payers: worksheet S-3 Part I of the same filing. Ownership: CMS Hospital All Owners and Hospital Enrollments.

How this page was built: the CMS Medicare cost report, file HOSP10FY2024.ZIP, read May 7, 2026.