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Short-term acute care hospital · Hendersonville, Tennessee · 133 beds · CMS certification number 440194

Tristar Hendersonville Medical Center

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended August 31, 2025, amended, stamped by CMS September 28, 2026. 29 years on file, every one shown below.

Fiscal 2025 at a glance

Net patient revenue
$252.0M
$252,004,700 · G-3 line 3
Operating expenses
$143.7M
$143,684,745 · G-3 line 4
Result from patient care
$108.3M
$108,319,955 · G-3 line 5
Margin on patient care
43.0%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $35.0M in its first year on file (1997) to $252.0M in 2025.
  • Its result from patient care: $86.5M (2023), $95.3M (2024), $108.3M (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.
  • Medicaid paid for 5.7% of its inpatient days and Medicare for 20.7%.
  • HCA HEALTHCARE INC 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
as submitted
$35.0M
$32.7M
1998
as submitted
$29.3M
$31.4M
1999
as submitted
$32.3M
$29.5M
2000
as submitted
$37.0M
$33.1M
2001
settled
$39.6M
$36.7M
2002
settled
$49.0M
$44.2M
2003
settled
$52.0M
$48.2M
2004
reopened
$60.2M
$55.7M
2005
reopened
$66.1M
$60.9M
2006
reopened
$69.3M
$64.2M
2007
reopened
$91.6M
$84.3M
2008
reopened
$79.5M
$75.9M
2009
reopened
$85.1M
$73.5M
2010
reopened
$93.7M
$82.4M
2011
reopened
$93.1M
$78.7M
2012
reopened
$93.4M
$75.4M
2013
reopened
$101.6M
$79.8M
2014
reopened
$108.3M
$85.0M
2015
settled
$110.9M
$87.4M
2016
reopened
$122.2M
$93.6M
2017
reopened
$139.1M
$101.9M
2018
reopened
$142.9M
$104.2M
2019
settled
$168.2M
$119.7M
2020
settled
$158.4M
$103.1M
2021
settled
$200.4M
$121.8M
2022
settled
$205.2M
$133.7M
2023
settled
$208.6M
$122.1M
2024
settled
$219.7M
$124.5M
2025
amended
$252.0M
$143.7M

Beside its peers

Short-term acute care hospitals in Tennessee with 100 to 199 beds, each on fiscal year 2025.

HospitalBedsNet patient revenueOperating expensesMargin
Tristar Hendersonville Medical Center133$252,004,700$143,684,74543.0%
PH Blount Memorial Hospital, Maryville150$336,050,901$355,054,868−5.7%
Methodist Medical Center, Oak Ridge156$187,126,504$197,504,728−5.5%
Highpoint Health - Winchester With Ascension Saint Thomas, Winchester128$158,824,636$149,346,1496.0%
Highpoint Health - Sumner With Ascension Saint Thomas, Gallatin138$196,203,111$193,197,4001.5%
Vanderbilt Wilson County Hospital, Lebanon117$192,979,001$185,037,4894.1%

Patients and payers

Discharges
8,962
S-3 line 14, col 15
Inpatient days
34,359
S-3 line 14, col 8
Beds in use, on an average day
94.4
days ÷ days in year
Occupancy
71.0%
days ÷ bed days
Medicare share of days
20.7%
S-3 cols 6 ÷ 8
Medicaid share of days
5.7%
S-3 cols 7 ÷ 8

Who owns it

  • HCA HEALTHCARE INC100%
  • HCA INC100%
  • HEALTHTRUST INC - THE HOSPITAL COMPANY100%
  • HTI HOSPITAL HOLDINGS INC100%
  • FRISCO HOLDING II16%
  • HERCULES HOLDING II14%

Related organizations on its own cost report: HCA, hosp mgmt; HTI, purch group; HCI, hosp ins.

Other hospitals with the same owner: Alaska Regional Hospital (AK), Riverside Community Hospital (CA), Good Samaritan Hospital (CA), Los Robles Hospital and Medical Center (CA), HCA Healthone Presbyterian St. Luke's Hospital (CO), HCA Healthone Rose Hospital (CO), HCA Healthone Swedish Hospital (CO), HCA Healthone Mountain Ridge Hospital (CO), HCA Healthone Aurora Hospital (CO).

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).

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Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2024.ZIP, form CMS-2552-10, filed under CMS certification number 440194. 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 28, 2026.