Short-term acute care hospital · Nashville, Tennessee · 642 beds · CMS certification number 440161
Tristar Centennial Medical Center
Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended December 31, 2025, amended, stamped by CMS September 22, 2026. 30 years on file, every one shown below.
Fiscal 2025 at a glance
What stands out
- Net patient revenue rose from $227.1M in its first year on file (1996) to $1.3B in 2025.
- Its result from patient care: $320.5M (2023), $383.1M (2024), $439.3M (2025).
- 2 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.
- Medicaid paid for 1.4% of its inpatient days and Medicare for 16.9%.
- HCA HEALTHCARE INC holds 100% of it, on its Medicare enrollment.
Every statement is drawn from figures on this page; nothing is estimated.
30 years of filings
Net patient revenue against operating expenses, each year as filed.
as submitted
as submitted
as submitted
as submitted
as submitted
reopened
reopened
reopened
reopened
reopened
reopened
reopened
reopened
reopened
reopened
reopened
reopened
reopened
reopened
reopened
reopened
reopened
reopened
settled with audit
settled
settled with audit
amended
amended
amended
amended
Beside its peers
Short-term acute care hospitals in Tennessee with 400 and over beds, each on fiscal year 2025.
| Hospital | Beds | Net patient revenue | Operating expenses | Margin |
|---|---|---|---|---|
| Tristar Centennial Medical Center | 642 | $1,291,622,767 | $852,353,783 | 34.0% |
| Erlanger Medical Center, Chattanooga | 662 | $1,389,534,364 | $1,429,442,715 | −2.9% |
| Jackson Madison County General Hospital, Jackson | 588 | $790,867,999 | $711,282,486 | 10.1% |
| Johnson City Medical Center, Johnson City | 569 | $708,155,323 | $713,850,020 | −0.8% |
| Saint Thomas West Hospital, Nashville | 704 | $1,231,642,803 | $1,162,598,214 | 5.6% |
| University of Tennessee Medical Center, Knoxville | 698 | $1,408,485,754 | $1,658,527,958 | −17.8% |
Patients and payers
- Discharges
- 28,460S-3 line 14, col 15
- Inpatient days
- 160,510S-3 line 14, col 8
- Beds in use, on an average day
- 441.0days ÷ days in year
- Occupancy
- 68.5%days ÷ bed days
- Medicare share of days
- 16.9%S-3 cols 6 ÷ 8
- Medicaid share of days
- 1.4%S-3 cols 7 ÷ 8
Who owns it
- HCA HEALTHCARE INC100%
- HCA INC100%
- HEALTHSERV ACQUISITION LLC100%
- HEALTHTRUST INC - THE HOSPITAL COMPANY100%
- HERCULES HOLDING II20%
- FRISCO HOLDING II11%
Related organizations on its own cost report: HPG, purchasing grou; HCI, insurance; HCA, home office; PARALLON, ssc.
Type of control on its cost report: proprietary, corporation.
Owners of 5% or more, from CMS’s hospital ownership file (Medicare enrollment, October 1, 2026).
Follow this hospital, free
We send this record now and tell you when it files again.
More short-term acute care hospitals in Tennessee
From the publisher of Velarion Records
Velarion Intel
Independent Decision-Grade Intelligence
Compensation and corporate governance intelligence for advisors, investors and companies. Executive and board pay for public companies, benchmarked against peers.
Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2025.ZIP, form CMS-2552-10, filed under CMS certification number 440161. 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 HOSP10FY2025.ZIP, read September 22, 2026.