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Short-term acute care hospital · Murfreesboro, Tennessee · 408 beds · CMS certification number 440053

Ascension Saint Thomas Rutherford

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

Fiscal 2025 at a glance

Net patient revenue
$510.3M
$510,254,169 · G-3 line 3
Operating expenses
$471.6M
$471,637,207 · G-3 line 4
Result from patient care
$38.6M
$38,616,962 · G-3 line 5
Margin on patient care
7.6%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $73.6M in its first year on file (1997) to $510.3M in 2025.
  • Its result from patient care: $6.0M (2023), −$12.7M (2024), $38.6M (2025).
  • 3 of the 5 short-term acute care hospital peers below with a margin on file also report a gain on patient care for fiscal year 2025.

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
$73.6M
$75.7M
1998
reopened
$81.5M
$84.5M
1999
reopened
$84.0M
$86.7M
2000
settled with audit
$91.9M
$97.7M
2001
reopened
$104.7M
$105.6M
2002
reopened
$119.3M
$108.3M
2003
reopened
$126.5M
$119.9M
2004
reopened
$126.8M
$121.4M
2005
reopened
$129.3M
$125.5M
2006
reopened
$132.0M
$131.1M
2007
reopened
$141.1M
$140.6M
2008
reopened
$174.1M
$166.0M
2009
reopened
$184.8M
$177.5M
2010
reopened
$213.5M
$197.8M
2011
reopened
$240.4M
$264.2M
2012
reopened
$241.6M
$228.2M
2013
reopened
$255.2M
$230.0M
2014
reopened
$234.2M
$211.5M
2015
settled
$262.5M
$228.9M
2016
reopened
$282.4M
$250.4M
2017
settled
$295.8M
$255.7M
2018
reopened
$312.0M
$270.5M
2019
reopened
$343.9M
$280.6M
2020
settled
$357.6M
$309.4M
2021
settled with audit
$401.7M
$347.7M
2022
amended
$434.5M
$441.4M
2023
as submitted
$447.4M
$441.4M
2024
as submitted
$473.3M
$486.0M
2025
amended
$510.3M
$471.6M

Beside its peers

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

HospitalBedsNet patient revenueOperating expensesMargin
Ascension Saint Thomas Rutherford408$510,254,169$471,637,2077.6%
Jackson Madison County General Hospital, Jackson588$790,867,999$711,282,48610.1%
Johnson City Medical Center, Johnson City569$708,155,323$713,850,020−0.8%
Memorial Hospital/Memorial Hospital Hixson-CHI Memorial/ CHI Memorial, Chattanooga431$641,240,599$678,376,905−5.8%
Parkridge Medical Center, Chattanooga412$487,955,387$327,192,63033.0%
Tristar Centennial Medical Center, Nashville642$1,291,622,767$852,353,78334.0%

Patients and payers

Discharges
22,131
S-3 line 14, col 15
Inpatient days
109,720
S-3 line 14, col 8
Beds in use, on an average day
301.4
days ÷ days in year
Occupancy
75.6%
days ÷ bed days
Medicare share of days
21.4%
S-3 cols 6 ÷ 8

Who owns it

Indirect owners: ASCENSION HEALTH; SAINT THOMAS HEALTH

Related organizations on its own cost report: ST. THOMAS (100%), home office; ST. THOMAS (100%), physician services; ST. THOMAS (100%), laundry; ST. THOMAS (100%), home office.

Other hospitals with the same owner: Ascension St. Vincent's St. Clair (AL), Presence Saint Joseph Hospital - Chicago (IL), Alexian Brothers Medical Center (IL), St. Alexius Medical Center (IL), Alexian Brothers Behavioral Health Hospital (IL), Ascension St. Vincent Kokomo (IN), Ascension St. Vincent Hospital (IN), Ascension St. Vincent Anderson (IN), Ascension St. Vincent Evansville (IN), Ascension St. Vincent Heart Center (IN).

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

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

Community benefit, as filed

From IRS Form 990 Schedule H, Part I, filed by Saint Thomas Rutherford Hospital (employer identification number 620475842) for tax year 2022. The return lists this hospital as its one hospital facility.

FigureAs filedWhere it comes from
Total community benefit expense (line 7k)$53,497,690IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><NetCommunityBenefitExpnsAmt>
Financial assistance at cost (line 7a)$21,988,726IRS Form 990 Schedule H, Part I, <FinancialAssistanceAtCostTyp><NetCommunityBenefitExpnsAmt>
Medicaid (line 7b)$21,502,018IRS Form 990 Schedule H, Part I, <UnreimbursedMedicaidGrp><NetCommunityBenefitExpnsAmt>
Financial assistance and means-tested government programs (line 7d)$43,490,744IRS Form 990 Schedule H, Part I, <TotalFinancialAssistanceTyp><NetCommunityBenefitExpnsAmt>
Other benefits (line 7j)$10,006,946IRS Form 990 Schedule H, Part I, <TotalOtherBenefitsGrp><NetCommunityBenefitExpnsAmt>
Total, fraction of total expense (line 7k, column f)0.1208IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><TotalExpensePct>

E-file object id 202411329349300301. The IRS archive it was read from.

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Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2024.ZIP, form CMS-2552-10, filed under CMS certification number 440053. 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 September 30, 2026.