Data · Tennessee Hospitals in TEFCA · AHA IT survey 2025
22 of the 52 Tennessee hospitals that answered the 2025 AHA IT survey said they take part in TEFCA, 42%, against 44% of 2,351 hospitals nationally in 2025. Another 22 Tennessee hospitals said they plan to join. Counting every Tennessee hospital in the file at its latest survey year, 23 of 68 report taking part. Source: ONC/ASTP, US Hospital Participation in Health Information Networks, from the American Hospital Association IT Supplement Survey, 2022 to 2025.
What it means
TEFCA went live in late 2023. Hospitals join through a Qualified Health Information Network, often one run by their EHR vendor or an existing national network, so the network a hospital already uses shapes its route in. In 2025, 81% of Tennessee respondents were on a national network, against 78% nationally, but only 62% took part in a state, regional or local HIO, against 83%.
8 of the 52 Tennessee hospitals answering in 2025 neither take part in TEFCA nor plan to; that group includes hospitals not aware of TEFCA and those that did not answer. For exchange vendors and HIOs, they are the open market.
| Year | Tennessee hospitals | Tennessee in TEFCA | US hospitals | US in TEFCA |
|---|---|---|---|---|
| 2025 | 52 | 22 | 2,351 | 44% |
| 2024 | 2 | 0 | 382 | 20% |
| 2023 | 3 | 1 | 425 | 13% |
| 2022 | 11 | 0 | 235 | 0% |
68 hospitals at their latest survey year; TEFCA participants are highlighted and listed first
| Hospital | City | Survey year | TEFCA | National network | EHR vendor network | HIO |
|---|---|---|---|---|---|---|
| Baptist Memorial Hospital | Memphis | 2025 | Taking part | Yes | Yes | Yes |
| Baptist Memorial Hospital - Carroll County | Huntingdon | 2025 | Taking part | Yes | Yes | Yes |
| Baptist Memorial Hospital Tipton | Covington | 2025 | Taking part | Yes | Yes | Yes |
| Baptist Memorial Hospital Union City | Union City | 2025 | Taking part | Yes | Yes | Yes |
| East Tennessee Childrens Hospital | Knoxville | 2023 | Taking part | Yes | Yes | |
| Erlanger Bledsoe Hospital | Pikeville | 2025 | Taking part | Yes | Yes | Yes |
| Erlanger Medical Center | Chattanooga | 2025 | Taking part | Yes | Yes | Yes |
| Highpoint Health-Riverview With Ascension Saint Th | Carthage | 2025 | Taking part | Yes | Yes | |
| Highpoint Health-Sumner With Ascension Saint Thoma | Gallatin | 2025 | Taking part | Yes | Yes | |
| Highpoint Health-Trousdale With Ascension Saint | Hartsville | 2025 | Taking part | Yes | Yes | |
| Methodist Hospitals Of Memphis | Memphis | 2025 | Taking part | Yes | Yes | Yes |
| Parkridge Medical Center | Chattanooga | 2025 | Taking part | Yes | ||
| Southern Tennessee Regional Health System Lawrence | Lawrenceburg | 2025 | Taking part | Yes | Yes | |
| Southern Tennessee Regional Health System Pulaski | Pulaski | 2025 | Taking part | Yes | Yes | |
| Starr Regional Medical Center Athens | Athens | 2025 | Taking part | Yes | Yes | |
| Tristar Centennial Medical Center | Nashville | 2025 | Taking part | Yes | ||
| Tristar Hendersonville Medical Center | Hendersonville | 2025 | Taking part | Yes | ||
| Tristar Horizon Medical Center | Dickson | 2025 | Taking part | Yes | ||
| Tristar Skyline Medical Center | Nashville | 2025 | Taking part | Yes | ||
| Tristar Southern Hills Medical Center | Nashville | 2025 | Taking part | Yes | ||
| Tristar Stonecrest Medical Center | Smyrna | 2025 | Taking part | Yes | ||
| Tristar Summit Medical Center | Hermitage | 2025 | Taking part | Yes | ||
| CCN 440217 | 2025 | Taking part | Yes | Yes | Yes | |
| Claiborne Medical Center | Tazewell | 2024 | Planning | Yes | Yes | Yes |
| Cookeville Regional Medical Center | Cookeville | 2025 | Planning | Yes | ||
| Cumberland Medical Center | Crossville | 2025 | Planning | Yes | Yes | Yes |
| Dyersburg Regional Medical Center | Dyersburg | 2025 | Planning | Yes | ||
| Fort Loudoun Medical Center | Lenoir City | 2025 | Planning | Yes | Yes | Yes |
| Fort Sanders Regional Medical Center | Knoxville | 2025 | Planning | Yes | Yes | Yes |
| Jackson-Madison County General Hospital | Jackson | 2025 | Planning | Yes | ||
| Leconte Medical Center | Sevierville | 2025 | Planning | Yes | Yes | Yes |
| Livingston Regional Hospital | Livingston | 2022 | Planning | Yes | Yes | Yes |
| Memorial Healthcare System, Inc | Chattanooga | 2025 | Planning | Yes | Yes | |
| Methodist Medical Center Of Oak Ridge | Oak Ridge | 2025 | Planning | Yes | Yes | Yes |
| Morristown Hamblen Hospital Association | Morristown | 2025 | Planning | Yes | Yes | Yes |
| Parkwest Medical Center | Knoxville | 2025 | Planning | Yes | Yes | Yes |
| Roane Medical Center | Harriman | 2025 | Planning | Yes | Yes | Yes |
| University Health System, Inc | Knoxville | 2025 | Planning | Yes | Yes | |
| Vanderbilt Bedford Hospital | Shelbyville | 2025 | Planning | Yes | Yes | Yes |
| Vanderbilt Tullahoma-Harton Hospital | Tullahoma | 2025 | Planning | Yes | Yes | Yes |
| Vanderbilt University Medical Center | Nashville | 2025 | Planning | Yes | Yes | Yes |
| Vanderbilt Wilson County Hospital | Lebanon | 2025 | Planning | Yes | Yes | Yes |
| Volunteer Community Hospital | Martin | 2025 | Planning | Yes | ||
| West Tennessee Healthcare Bolivar Hospital | Bolivar | 2025 | Planning | Yes | ||
| West Tennessee Healthcare Camden Hospital | Camden | 2025 | Planning | Yes | ||
| West Tennessee Healthcare Henry County Hospital | Paris | 2025 | Planning | Yes | ||
| West Tennessee Healthcare Milan Hospital | Milan | 2025 | Planning | Yes | ||
| Blount Memorial Hospital | Maryville | 2025 | ||||
| Franklin Woods Community Hospital | Johnson City | 2022 | Yes | Yes | Yes | |
| Hancock County Hospital | Sneedville | 2022 | Yes | Yes | Yes | |
| Hawkins County Memorial Hospital | Rogersville | 2022 | Yes | Yes | Yes | |
| Indian Path Community Hospital | Kingsport | 2022 | Yes | Yes | Yes | |
| Johnson City Medical Center | Johnson City | 2022 | Yes | Yes | Yes | |
| Johnson County Community Hospital | Mountain City | 2022 | Yes | Yes | Yes | |
| Lauderdale Community Hospital | Ripley | 2025 | Yes | Yes | ||
| Lincoln Medical Center | Fayetteville | 2023 | Yes | Yes | Yes | |
| Macon Community Hospital | Lafayette | 2025 | Yes | |||
| Maury Regional Hospital | Columbia | 2025 | Yes | Yes | ||
| Regional One Health | Memphis | 2023 | Yes | |||
| Southern Tennessee Regional Health System Winchest | Winchester | 2025 | Yes | Yes | ||
| St Francis Hospital | Memphis | 2025 | Yes | Yes | ||
| Sycamore Shoals Hospital | Elizabethton | 2022 | Yes | Yes | Yes | |
| Tristar Northcrest Medical Center | Springfield | 2024 | Yes | Yes | ||
| Unity Medical Center | Manchester | 2025 | ||||
| Wellmont Bristol Regional Medical Center | Bristol | 2022 | Yes | Yes | Yes | |
| Wellmont Holston Valley Medical Center | Kingsport | 2022 | Yes | Yes | Yes | |
| Williamson Medical Center | Franklin | 2025 | ||||
| CCN 440001 | 2022 | Yes | Yes | Yes |
ONC/ASTP builds this file from the American Hospital Association Information Technology Supplement Survey of US non-federal acute care hospitals. Each hospital appears once, at the latest year it answered, so the file mixes survey years: 3,393 hospitals nationally and 68 in Tennessee (52 from 2025, 11 from 2022, 3 from 2023, 2 from 2024). TEFCA was not live for the 2022 survey, so older answers understate it. The headline compares Tennessee and the US using only 2025 answers; across all years, 34% of Tennessee hospitals and 34% of US hospitals report taking part.
Participation is self-reported. Tennessee has 52 hospitals in the 2025 survey, so one hospital moves the Tennessee share by about 2 points. Hospitals that did not answer a question count as not taking part. Planning to join counts only hospitals not already in TEFCA. A national network means CommonWell Health Alliance, eHealth Exchange or Carequality; the file does not split them. Hospital names and cities are matched by CMS Certification Number to CMS Hospital General Information; hospitals without a match show their CMS number. Hospitals that never answered the survey are not in the file.
Source: Office of the Assistant Secretary for Technology Policy/ONC, US Hospital Participation in Health Information Networks (CSV), from the 2022 to 2025 American Hospital Association IT Supplement Survey; hospital names from CMS Hospital General Information. Retrieved November 4, 2026. Checked weekly; ONC updates about yearly. Download the data (JSON).
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