Velarion Records

Short-term acute care hospital · Nashville, Tennessee · 1,129 beds · CMS certification number 440039

Vanderbilt University 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. Also on the 340B covered-entity register.

Fiscal 2025 at a glance

Net patient revenue
$6.9B
$6,903,583,232 · G-3 line 3
Operating expenses
$7.7B
$7,717,249,847 · G-3 line 4
Result from patient care
−$813.7M
−$813,666,615 · G-3 line 5
Margin on patient care
−11.8%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $366.8M in its first year on file (1997) to $6.9B in 2025.
  • Its result from patient care: −$864.3M (2023), −$856.0M (2024), −$813.7M (2025).
  • 3 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 11.3% of its inpatient days and Medicare for 15.4%.

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
$366.8M
$396.0M
1998
reopened
$403.2M
$404.9M
1999
reopened
$443.1M
$449.9M
2000
reopened
$477.0M
$478.8M
2001
reopened
$532.8M
$523.9M
2002
settled
$623.6M
$614.9M
2003
reopened
$714.1M
$695.4M
2004
reopened
$811.2M
$792.8M
2005
reopened
$972.7M
$949.5M
2006
reopened
$1.1B
$1.1B
2007
reopened
$1.2B
$1.2B
2008
reopened
$1.3B
$1.3B
2009
reopened
$1.5B
$1.4B
2010
reopened
$1.6B
$1.6B
2011
reopened
$1.8B
$1.7B
2012
reopened
$1.9B
$3.5B
2013
reopened
$1.9B
$3.8B
2014
reopened
$2.0B
$3.8B
2015
reopened
$2.1B
$3.9B
2016
reopened
$1.5B
$1.7B
2017
reopened
$3.0B
$2.7B
2018
reopened
$3.4B
$4.0B
2019
settled with audit
$3.8B
$4.3B
2020
amended
$4.0B
$4.7B
2021
amended
$4.7B
$5.4B
2022
amended
$5.0B
$5.8B
2023
amended
$5.4B
$6.3B
2024
as submitted
$6.1B
$6.9B
2025
as submitted
$6.9B
$7.7B

Beside its peers

Short-term acute care hospitals in Tennessee with 400 and over beds, each on fiscal year 2025.

HospitalBedsNet patient revenueOperating expensesMargin
Vanderbilt University Medical Center1,129$6,903,583,232$7,717,249,847−11.8%
Baptist Memorial Hospital Memphis, Memphis804$1,130,546,642$1,059,324,3756.3%
Erlanger Medical Center, Chattanooga662$1,389,534,364$1,429,442,715−2.9%
Methodist Hospitals of Memphis, Memphis1,238$1,800,249,556$2,124,465,664−18.0%
Saint Thomas West Hospital, Nashville704$1,231,642,803$1,162,598,2145.6%
University of Tennessee Medical Center, Knoxville698$1,408,485,754$1,658,527,958−17.8%

Patients and payers

Discharges
65,248
S-3 line 14, col 15
Inpatient days
395,457
S-3 line 14, col 8
Beds in use, on an average day
1086.4
days ÷ days in year
Occupancy
97.6%
days ÷ bed days
Medicare share of days
15.4%
S-3 cols 6 ÷ 8
Medicaid share of days
11.3%
S-3 cols 7 ÷ 8

Who owns it

Related organizations on its own cost report: VUMC HO (100%), healthcare.

Type of control on its cost report: voluntary nonprofit, other.

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Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2024.ZIP, form CMS-2552-10, filed under CMS certification number 440039. Patients and payers: worksheet S-3 Part I of the same filing.

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