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Critical access hospital · Hartsville, Tennessee · 25 beds · CMS certification number 441301

Highpoint Health - Trousdale With Ascension Saint Thomas

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended September 30, 2025, as submitted, stamped by CMS March 5, 2026. 26 years on file, every one shown below.

Fiscal 2025 at a glance

Net patient revenue
$15.7M
$15,717,811 · G-3 line 3
Operating expenses
$12.7M
$12,707,153 · G-3 line 4
Result from patient care
$3.0M
$3,010,658 · G-3 line 5
Margin on patient care
19.1%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $1.2M in its first year on file (2000) to $15.7M in 2025.
  • Its result from patient care: $1.7M (2023), $1.0M (2024), $3.0M (2025).
  • 3 of the 5 critical access hospital peers below with a margin on file also report a gain on patient care for fiscal year 2025.
  • Medicaid paid for 0.4% of its inpatient days and Medicare for 43.6%.
  • HIGHPOINT HEALTHCARE, LLC holds 100% of it, on its Medicare enrollment.

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.

Net patient revenueOperating expenses
2000
settled
$1.2M
$1.8M
2001
settled
$4.0M
$4.5M
2002
settled
$6.1M
$5.8M
2003
settled
$7.0M
$6.7M
2004
settled with audit
$7.2M
$7.8M
2005
settled
$8.1M
$8.7M
2006
settled
$8.9M
$9.1M
2007
settled
$9.8M
$8.2M
2008
settled
$11.4M
$11.3M
2009
settled
$7.7M
$11.6M
2010
settled
$10.2M
$10.3M
2011
reopened
$9.9M
$9.1M
2012
settled
$8.0M
$8.4M
2013
reopened
$8.1M
$9.1M
2014
reopened
$9.6M
$8.9M
2015
settled
$6.7M
$7.9M
2016
settled
$7.6M
$8.2M
2017
settled
$7.2M
$8.2M
2018
reopened
$6.9M
$8.1M
2019
settled
$7.0M
$8.1M
2020
settled
$8.0M
$8.8M
2021
settled
$8.6M
$8.9M
2022
settled with audit
$11.7M
$10.6M
2023
settled
$12.6M
$10.9M
2024
settled
$12.1M
$11.0M
2025
as submitted
$15.7M
$12.7M

Beside its peers

Critical access hospitals in Tennessee with 25 to 49 beds, each on fiscal year 2025.

HospitalBedsNet patient revenueOperating expensesMargin
Highpoint Health - Trousdale With Ascension Saint Thomas25$15,717,811$12,707,15319.1%
Ascension Saint Thomas Three Rivers, Waverly25$11,463,931$14,004,448−22.2%
Erlanger Health, Pikeville25$31,621,972$19,462,54238.5%
Macon Community Hospital, Lafayette25$28,030,982$24,167,20413.8%
Highpoint Health - Riverview With Saint Thomas, Carthage25$35,154,449$29,528,79716.0%
Ascension Saint Thomas Hickman, Centerville25$15,355,152$19,750,217−28.6%

Patients and payers

Discharges
75
S-3 line 14, col 15
Inpatient days
1,559
S-3 line 14, col 8
Beds in use, on an average day
4.3
days ÷ days in year
Occupancy
17.1%
days ÷ bed days
Medicare share of days
43.6%
S-3 cols 6 ÷ 8
Medicaid share of days
0.4%
S-3 cols 7 ÷ 8

Who owns it

  • HIGHPOINT HEALTHCARE, LLC100%
  • DSB ACQUISITION LLC80%
  • HIGHPOINT PARTNER, LLC80%
  • HISTORIC LIFEPOINT HOSPITALS LLC80%
  • LEGACY LIFEPOINT HEALTH LLC80%
  • LIFEPOINT HEALTH INC80%
  • LIFEPOINT HOLDINGS 2 LLC80%
  • LIFEPOINT HOSPITALS HOLDINGS LLC80%
  • ASCENSION HEALTH20%
  • BAPTIST HEALTH CARE AFFILIATES INC20%
  • SAINT THOMAS HEALTH20%
  • SAINT THOMAS NETWORK20%

Related organizations on its own cost report: LIFEPOINT HEALT, hosp management; HPG, grp purchasing; SUMNER RMC, affiliated hosp; RIVERVIEW RMC, affiliated hosp.

Other hospitals with the same owner: North Alabama Medical Center (AL), Shoals Hospital (AL), Canyon Vista Medical Center (AZ), Havasu Regional Medical Center (AZ), Valley View Medical Center (AZ), Dignity Health East Valley Rehabilitation Hospital (AZ), Dignity Health East Valley Rehabilitation Hospital-Gilbert (AZ), Copper Springs - East (AZ), El Dorado Springs (AZ).

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 HOSP10FY2025.ZIP, form CMS-2552-10, filed under CMS certification number 441301. 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 March 5, 2026.