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Short-term acute care hospital · Nashville, Tennessee · 99 beds · CMS certification number 440111

Metropolitan Nashville General Hospital

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended June 30, 2025, as submitted, stamped by CMS December 10, 2025. 29 years on file, every one shown below. Also on the 340B covered-entity register.

Fiscal 2025 at a glance

Net patient revenue
$62.4M
$62,361,372 · G-3 line 3
Operating expenses
$192.0M
$191,975,597 · G-3 line 4
Result from patient care
−$129.6M
−$129,614,225 · G-3 line 5
Margin on patient care
−207.8%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $31.8M in its first year on file (1997) to $62.4M in 2025.
  • Its result from patient care: $140.5M (2023), −$93.6M (2024), −$129.6M (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 13.7% of its inpatient days and Medicare for 3.5%.
  • METROPOLITAN GOVERNMENT OF NASHVILLE & DAVIDSON COUNTY 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
$31.8M
$53.9M
1998
settled with audit
$22.8M
$61.0M
1999
settled
$7.1M
$17.0M
2000
settled
$45.4M
$73.6M
2001
settled
$46.8M
$81.2M
2002
reopened
$50.6M
$85.4M
2003
settled
$54.6M
$93.7M
2004
reopened
$60.3M
$104.1M
2005
settled
$58.0M
$102.4M
2006
reopened
$51.3M
$109.9M
2007
reopened
$62.5M
$118.9M
2008
settled
$79.1M
$139.1M
2009
settled
$78.4M
$133.8M
2010
reopened
$71.1M
$123.7M
2011
reopened
$72.0M
$126.2M
2012
reopened
$71.6M
$130.0M
2013
reopened
$66.6M
$121.1M
2014
reopened
$70.2M
$126.3M
2015
reopened
$41.6M
$94.7M
2016
reopened
$74.8M
$133.3M
2017
reopened
$42.4M
$104.0M
2018
reopened
$40.8M
$103.7M
2019
reopened
$41.8M
$104.9M
2020
settled
$38.7M
$108.8M
2021
settled
$54.4M
$118.0M
2022
settled
$54.7M
$131.3M
2023
settled
$287.4M
$146.8M
2024
as submitted
$59.4M
$153.0M
2025
as submitted
$62.4M
$192.0M

Beside its peers

Short-term acute care hospitals in Tennessee with 50 to 99 beds, each on fiscal year 2025.

HospitalBedsNet patient revenueOperating expensesMargin
Metropolitan Nashville General Hospital99$62,361,372$191,975,597−207.8%
Cumberland Medical Center, Crossville82$98,307,527$100,783,950−2.5%
Livingston Regional Hospital, Livingston88$45,816,961$48,725,753−6.3%
Southern Tennessee Regional Health System Pulaski, Pulaski81$58,987,722$55,601,4255.7%
Southern Tennessee Regional Health System Lawrenceburg, Lawrenceburg89$90,122,587$78,419,55913.0%
Vanderbilt Tullahoma-Harton Hospital, Tullahoma86$97,685,367$108,722,243−11.3%

Patients and payers

Discharges
2,548
S-3 line 14, col 15
Inpatient days
9,820
S-3 line 14, col 8
Beds in use, on an average day
27.0
days ÷ days in year
Occupancy
27.2%
days ÷ bed days
Medicare share of days
3.5%
S-3 cols 6 ÷ 8
Medicaid share of days
13.7%
S-3 cols 7 ÷ 8

Who owns it

  • METROPOLITAN GOVERNMENT OF NASHVILLE & DAVIDSON COUNTY100%

Indirect owner: VERONICA ELDERS

Related organizations on its own cost report: NASHVILLE GOVER (100%).

Type of control on its cost report: governmental, city-county.

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 440111. 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 December 10, 2025.