Trousdale Medical Center

Hartsville, Tennessee

Trousdale Depot

Nestled in the northern portion of Middle Tennessee, this rural county has a current population of just over 7,000 scattered over its beautiful hills and lush valleys. Farming, largely tobacco, was the economic base that formed this county, and it is still prevalent today. Many area families came to this fertile land from Virginia and North Carolina when their tobacco-growing families could not subdivide their lands any further. Tennessee was a new state looking for settlers and this area of the Highland Rim was an ideal location to build a homestead.

The Hospital

Trousdale Medical Center (TMC), a 25-bed critical access hospital accredited by The Joint Commission, offers an extensive range of in-patient, outpatient and emergency services for adults and children. Critical access hospital simply means that the hospital is critical in providing healthcare to our community.

From the 24-hour emergency room to the state-of-the-art laboratory, X-ray, CT Scan and rehabilitation services, the hospital delivers emergency and routine medical care by highly trained physicians, nurses and allied health professionals using the latest technology.

The Community

Trousdale Welcome Sign

Located just 40 minutes from the Nashville Airport on the Cumberland River, Hartsville, the seat of justice and the county’s only town, began in 1797 as Donoho’s Mill. The railroad came to Trousdale County in 1892, eventually replacing the river as the major cargo-way, and cementing and strengthening the county’s position as a major tobacco trade center, for which it has been primarily known, until just recently. The county’s most successful annual event has been the Tobacco Bowl Football Classic, a post-World War II development.


Trousdale County has beautiful scenery, tranquility, the Cumberland River and golf courses in every direction. Friendly neighbors and neighborhoods fill the area along with churches representing several denominations, new schools, walking tracks, a park and a community swimming pool. The Trousdale County High School Yellow Jacket championship football team is the pride of the community, boasting several state championships. Civic pride also runs deep with local clubs and organizations, special events, a rich Civil War history, and beautiful historic homes, all located in the smallest county in the state of Tennessee.