Velarion Records

Short-term acute care hospital · Nashville, Tennessee · 704 beds · CMS certification number 440082

Saint Thomas West Hospital

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended June 30, 2025, amended, stamped by CMS July 31, 2026. 29 years on file, every one shown below.

Fiscal 2025 at a glance

Net patient revenue
$1.2B
$1,231,642,803 · G-3 line 3
Operating expenses
$1.2B
$1,162,598,214 · G-3 line 4
Result from patient care
$69.0M
$69,044,589 · G-3 line 5
Margin on patient care
5.6%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $300.1M in its first year on file (1997) to $1.2B in 2025.
  • Its result from patient care: $2.4M (2023), −$25.1M (2024), $69.0M (2025).
  • 1 of the 5 short-term acute care hospital peers below with a margin on file also reports 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
$300.1M
$268.5M
1998
reopened
$298.7M
$282.2M
1999
reopened
$290.4M
$297.7M
2000
reopened
$284.3M
$288.8M
2001
reopened
$306.1M
$311.3M
2002
reopened
$333.5M
$338.0M
2003
reopened
$353.8M
$352.2M
2004
settled with audit
$371.0M
$372.0M
2005
settled
$377.5M
$367.4M
2006
settled with audit
$371.2M
$383.2M
2007
reopened
$363.3M
$369.4M
2008
reopened
$355.9M
$358.0M
2009
reopened
$385.9M
$371.9M
2010
reopened
$417.3M
$395.1M
2011
reopened
$447.0M
$432.7M
2012
reopened
$422.5M
$428.3M
2013
reopened
$407.2M
$404.7M
2014
reopened
$401.6M
$365.0M
2015
reopened
$405.7M
$375.1M
2016
reopened
$401.4M
$385.2M
2017
reopened
$419.1M
$403.3M
2018
reopened
$440.9M
$415.6M
2019
reopened
$448.1M
$427.0M
2020
settled with audit
$448.3M
$449.2M
2021
as submitted
$1.0B
$968.6M
2022
amended
$1.0B
$1.1B
2023
amended
$1.1B
$1.1B
2024
as submitted
$1.1B
$1.2B
2025
amended
$1.2B
$1.2B

Beside its peers

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

HospitalBedsNet patient revenueOperating expensesMargin
Saint Thomas West Hospital704$1,231,642,803$1,162,598,2145.6%
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%
University of Tennessee Medical Center, Knoxville698$1,408,485,754$1,658,527,958−17.8%
Vanderbilt University Medical Center, Nashville1,129$6,903,583,232$7,717,249,847−11.8%

Patients and payers

Discharges
39,684
S-3 line 14, col 15
Inpatient days
219,951
S-3 line 14, col 8
Beds in use, on an average day
604.3
days ÷ days in year
Occupancy
85.6%
days ÷ bed days
Medicare share of days
20.1%
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%), clinic; ST. THOMAS (100%), laundry; ST. THOMAS (100%), physician services; 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).

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Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2024.ZIP, form CMS-2552-10, filed under CMS certification number 440082. 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 July 31, 2026.