Critical access hospital · Centerville, Tennessee · 25 beds · CMS certification number 441300
Ascension Saint Thomas Hickman
Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended June 30, 2025, as submitted, stamped by CMS December 4, 2025. 26 years on file, every one shown below. Also on the 340B covered-entity register.
Fiscal 2025 at a glance
What stands out
- Net patient revenue rose from $2.9M in its first year on file (2000) to $15.4M in 2025.
- Its result from patient care: −$4.5M (2023), −$4.4M (2024), −$4.4M (2025).
- 1 of the 5 critical access hospital peers below with a margin on file also reports a loss on patient care for fiscal year 2025.
- Medicaid paid for 11.3% of its inpatient days and Medicare for 40.8%.
Every statement is drawn from figures on this page; nothing is estimated.
26 years of filings
Net patient revenue against operating expenses, each year as filed.
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Beside its peers
Critical access hospitals in Tennessee with 25 to 49 beds, each on fiscal year 2025.
| Hospital | Beds | Net patient revenue | Operating expenses | Margin |
|---|---|---|---|---|
| Ascension Saint Thomas Hickman | 25 | $15,355,152 | $19,750,217 | −28.6% |
| Ascension Saint Thomas Three Rivers, Waverly | 25 | $11,463,931 | $14,004,448 | −22.2% |
| Erlanger Health, Pikeville | 25 | $31,621,972 | $19,462,542 | 38.5% |
| Macon Community Hospital, Lafayette | 25 | $28,030,982 | $24,167,204 | 13.8% |
| Highpoint Health - Riverview With Saint Thomas, Carthage | 25 | $35,154,449 | $29,528,797 | 16.0% |
| Highpoint Health - Trousdale With Ascension Saint Thomas, Hartsville | 25 | $15,717,811 | $12,707,153 | 19.1% |
Patients and payers
- Discharges
- 91S-3 line 14, col 15
- Inpatient days
- 2,765S-3 line 14, col 8
- Beds in use, on an average day
- 7.6days ÷ days in year
- Occupancy
- 30.3%days ÷ bed days
- Medicare share of days
- 40.8%S-3 cols 6 ÷ 8
- Medicaid share of days
- 11.3%S-3 cols 7 ÷ 8
Who owns it
Indirect owners: ASCENSION HEALTH; BAPTIST HEALTH CARE AFFILIATES INC; SAINT THOMAS HEALTH; SAINT THOMAS MIDTOWN HOSPITAL
Related organizations on its own cost report: ST THOMAS (100%), home office; ST THOMAS (100%), home office; ST THOMAS (100%), hospital.
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, other.
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 Hickman Hospital (employer identification number 581737573) for tax year 2022. The return lists this hospital as its one hospital facility.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total community benefit expense (line 7k) | $1,764,585 | IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><NetCommunityBenefitExpnsAmt> |
| Financial assistance at cost (line 7a) | $0 | IRS Form 990 Schedule H, Part I, <FinancialAssistanceAtCostTyp><NetCommunityBenefitExpnsAmt> |
| Medicaid (line 7b) | $1,412,331 | IRS Form 990 Schedule H, Part I, <UnreimbursedMedicaidGrp><NetCommunityBenefitExpnsAmt> |
| Financial assistance and means-tested government programs (line 7d) | $1,412,331 | IRS Form 990 Schedule H, Part I, <TotalFinancialAssistanceTyp><NetCommunityBenefitExpnsAmt> |
| Other benefits (line 7j) | $352,254 | IRS Form 990 Schedule H, Part I, <TotalOtherBenefitsGrp><NetCommunityBenefitExpnsAmt> |
| Total, fraction of total expense (line 7k, column f) | 0.0853 | IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><TotalExpensePct> |
E-file object id 202401319349305605. 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 441300. 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 4, 2025.