As of the July, 2022, release via CMS

RUSSELL COUNTY HOSPITAL

CMS id: 490002
58 CARROLL STREET, LEBANON VA 24266. County: RUSSELL
System: BALLAD HEALTH
CBSA: Rural Virginia

The 48-bed, acute-care hospital had $1,234,147 in net service to patients*, with a total profit margin of 6.49810% in fiscal year 2021, the latest year available.
It spent 3.95% of its operating expenses on uncompensated care and reported $0 in Medicaid shortfall.

* For more about Net Service to Patients and operating revenue, please the finance section below.

Note: Medians are from acute-care hospitals with "complete" fiscal years. For more about how we calculated medians and cost reports in general, please click here.

Details

	2017	2018	2019	2020	2021
# of days in fyear	365	365	365	366	365
Ownership	nfp	nfp	nfp	nfp	nfp
Acute beds Median	44 118	44 118	43 119.5	43 118	43 119
Total beds Median	69 162	69 162	58 162	48 162	48 163.5
FTEs Median	158.14 788.06	151.48 793.42	146.75 806.03	139.85 787.61	140.29 804.34

Finances As they appear in worksheet G3 of the cost reports.

Note: Net Patient Revenue is considered operating revenue, which means Net Service to Patients is considered operating profit. Click here for more about cost report financials

Hospital cost reports are an enormously complicated dataset. There are whole organizations and an offical CMS vendor dedicated to helping researchers work with the data.
It's important to understand that hospital financials in cost reports are not organized in the same as other sources such as annual financial reports to bond holders.

The biggest difference is the concept of operating revenue and profit. Net Service to patients (NS2P), which is the sum of net patient revenue minus operating expenses, is considered the equivalent of operating profit according to the Medicaid and CHIP Payment and Access Commission (MACPAC). See the last paragraph of "Primary Data Sources" on page 55 of Annual Analysis of Disproportionate Share Hospital Allotments to States (PDF).

That would make Net Patient Revenue = operating revenue.

All this makes things challenging when comparing what's reported in cost reports to other sources. It becomes clearer when you consider that, beyond the purpose of reimbursement, cost reports are a tool for policymakers trying to understand the financial situation of a hospital doing the tasks specific to hospitals.

In other words, while a facility with a division that formulates drugs might include earnings from that as operating revenue in their corporate annual result, this is not central to the operations of a hospital caring for patients and so it is counted as "other income." (See below the financials section for more on "other income")

The healthcare consulting firm HMP, in a former partnership with Modern Healthcare, did develop a formula for estimating operating revenue closer to what one might find in other sources. We no longer use this for the following reasons:

The measure was not widely used beyond HMP and Modern Healthcare. Many hospitals had their own internal estimates of operating revenue and profit.
Because of this, there was confusion when reporting operating results for individual hospitals. There was often pushback when a facility's internal numbers did not match what Modern Healthcare was reporting.
The formula includes revenue from portions of the "other income" section, which may also include non-operating revenue. HMP themselves point out in a caveat on their site that they cannot exclude all non-operating revenue from their measure.

HMP's operating measure has proven problematic in the past for our reporting and the partnership with them ended years ago. It's best to not use a measure that we alone cannot defend.

	2017	2018	2019	2020	2021
Net patient revenue ? Median	21,648,173 150,932,746	19,768,885 158,950,878	24,209,756 168,696,998	24,284,863 163,454,693	27,749,936 186,589,412
Operating expenses Median	24,771,599 149,311,209	25,970,533 156,110,414	27,436,014 164,890,568	25,872,190 166,516,854	26,515,789 180,120,888
Net income from service 2 patients (NS2P) ? Median	-3,123,426 -964,173	-6,201,648 -643,601.5	-3,226,258 -116,254	-1,587,327 -5,025,862	1,234,147 -1,284,564
NS2P margin ? Median	-14.43% -0.62	-31.37% -0.29	-13.33% 0.18	-6.54% -5.07	4.45% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for RUSSELL COUNTY HOSPITAL compared to all** acute-care hospitals, from CMS cost reports.
Note: NS2P is considered operating margin by MACPAC. The chart below is interactive: click or touch to see more.

* Data range does not show outliers, which fall beyond the minimum and maximum of the range.
** From cost reports with complete fiscal years. Number of acute-care hospitals available to calculate medians:

2017	2018	2019	2020	2021
3,157	3,092	3,050	3,052	2,566

	2017	2018	2019	2020	2021
Other income* Median Click here to show/hide details	393,377 5,089,215	181,159 4,572,541	147,396 5,268,134	9,294,324 13,092,619	608,621 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	-23,862 224,999	-20,026 199,009	-18,379 206,870.5	-21,221 194,343	-30,104 249,496
⊳ Line 7: Investments ? ⊳ Median	12,037 299,524	2,732 188,688.5	5,886 370,813	4,798 309,361.5	755 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	0	0	0	0	0
⊳ Line 11: Rebates and refunds of expenses	0	0	0	0	0
⊳ Line 12: Parking lot receipts	0	0	0	0	0
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	0	0	0	0	0
⊳ Line 15: Revenue from rental of living quarters	0	0	0	0	0
⊳ Line 16: Revenue from sale of medical and surgical supplies	22,475	-5,912	0	0	0
⊳ Line 17: Revenue from sale of drugs to other than patients	0	0	0	0	0
⊳ Line 18: Revenue from sale of medical records and abstracts	129	323	84	0	0
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	0
⊳ Line 21: Rental of vending machines	5,122	5,189	4,752	2,891	2,513
⊳ Line 22: Rental of hospital space	32,193	30,246	31,597	30,812	30,892
⊳ Line 23: Gov appropriations ? ⊳ Median	0 1,017,693	0 983,261.5	0 1,173,286	16,859 1,987,202	0 1,597,664
⊳ Sum Line 24	345,283	168,607	123,456	9,260,185	604,565
Total income ? Median	-2,730,049 6,586,430	-6,020,489 6,767,106	-3,078,862 8,419,950	7,706,997 8,094,175	1,842,768 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	0 106,761	0 31,473.5
Net income Median	-2,730,049 6,043,842	-6,020,489 5,845,112	-3,078,862 7,606,259	7,706,997 7,283,041	1,842,768 14,957,241
Net margin Median	-12.38592% 4.62%	-30.17782% 4.42%	-12.64048% 5.16%	22.95171% 5.2%	6.49810% 9.25%

* About "Other income": Other income, or line 25 in worksheet G3, is the sum of lines 6 through 24. It includes three lines that are considered non-operating revenue - contributions, investments and government appropriations. Medians are included for these three lines. It also contains items that are not central to providing healthcare, such as revenue from parking or gift shops.
"Sum Line 24" is a special case. Called "Other (specify)" in the cost reports, CMS allows for this line to be "subscripted," or divided into sublines like 002400, 002401, 002402. And hospitals do that, up to 100 lines, to detail income (and sometimes negative returns) that are otherwise not covered in the previous "other" lines. Therefore, "Sum Line 24" is the sum of all the lines 24.

Range* of total profit (loss) margins

= Total margin for RUSSELL COUNTY HOSPITAL compared to all** acute-care hospitals, from CMS cost reports.
The chart below is interactive: click or touch to see more.

2017	2018	2019	2020	2021
3,157	3,092	3,050	3,052	2,566

Medicare revenue

Inpatient and outpatient revenue

	2017	2018	2019	2020	2021
All inpatient revenue Median Click here to show/hide details	4,632,955 23,241,334	4,153,972 23,709,545	4,348,758 24,248,380	3,964,501 22,858,541	4,211,121 23,620,613
"All inpatient revenue" is made up of any Medicare payments for routine inpatient, swingbed SNFs, TEFRA, IPF, IRF, inpatient long-term care, CAH and inpatient SNF facilities. Medians are only calculated when there are sufficient facilities reporting revenue.
⊳ Routine inpatient revenue ⊳ Median	3,877,364 21,577,146	3,165,045 22,041,594	3,944,868 22,722,063	3,964,501 21,570,441	4,211,121 22,140,684
⊳ Swingbeds ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Tax Equity and Fiscal Responsibility Act payments (TEFRA) ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Inpatient psychiatric facility (IPF) ⊳ Median	755,591 1,845,420	988,927 1,757,392	403,890 1,738,842	0 1,510,463	0 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	0 3,535,627	0 3,746,588	0 3,782,288	0 3,865,578	0 3,983,889
⊳ Long-term care hospital (LTCH) ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Critical-access hospitals ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Skilled-nursing facilities (SNF) ⊳ Median	0 1,203,033	0 1,215,295	0 1,313,657	0 1,365,298	0 1,179,746
All outpatient revenue Median Click here to show/hide details	2,798,919 11,160,864	3,305,653 11,987,345	3,246,250 12,926,866	2,398,143 11,884,480	2,236,659 13,145,163
"All outpatient revenue" is made up of any payments for routine outpatient, HHA, CMHC, rural health and other federally-qualified health clinics. Medians are only calculated when there are sufficient facilities reporting revenue.
⊳ Routine outpatient revenue ⊳ Median	2,476,377 10,918,923	2,951,715 11,706,976	2,945,276 12,615,917	2,167,138 11,458,116	1,959,741 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	0 1,282,808	0 1,407,728	0 1,341,512	0 1,407,046	0 1,476,867
⊳ Community mental health clinics (CMHC) ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Rural health clinics ⊳ Median	322,542 618,038	353,938 697,279	300,974 690,232	231,005 684,010	276,918 670,558
⊳ Other federally qualified health clinics ⊳ Median	0 --	0 --	0 --	0 --	0 --

Other payments

Item	2017	2018	2019	2020	2021
Graduate Medical Education (GME) Median	0 3,284,314	0 3,250,551	0 3,386,837	0 3,360,806	0 3,508,953
Disproportionate-share hospital (DSH) Median	49,777 594,888	68,222 595,761	159,777 577,894	230,471 542,168	218,269 549,667
Outlier Median	3,109 582,572	8,375 538,116	0 212,434	5,019 126,559	0 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	1,763,648 3,662,910	2,207,341 3,730,911	1,313,622 4,081,319	0 4,643,908	0 4,389,147
Charity care Median	236,148 2,654,636	1,586,553 2,940,659	979,064 3,380,215	565,221 3,488,738	595,558 3,233,405
Uncompensated care (UCC) Median	1,220,236 5,147,790	2,395,232 5,337,617	1,559,391 5,711,082	730,030 5,923,418	1,046,787 5,508,107
UCC as a % of operating expenses Median	4.93% 3.24	9.22% 3.12	5.68% 3.21	2.82% 3.3	3.95% 2.86
Total shortfall/UCC Median	2,983,884 9,489,989	4,602,573 9,424,297	2,873,013 10,120,158	730,030 11,171,337	1,046,787 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	8,844,212 52,142,039	8,915,131 54,485,252	9,558,288 57,395,589	9,648,198 58,830,919	10,347,982 61,722,907
Salaries as a % of operating expenses Median	35.70 36.68	34.33 36.56	34.84 36.37	37.29 35.93	39.03 35.24
Intern, resident salaries* Median	0 2,598,592	0 2,686,824	0 2,753,773	0 2,937,156	0 2,909,848
Contract intern, resident salaries* Median	0 1,251,927	0 1,186,494	0 1,204,885	0 1,279,653	0 1,469,317
Contract adjusted salaries, direct-care Median	0 1,449,244	0 1,475,986	430 1,563,078	0 1,721,954	0 2,991,828
Contract hours, direct-care Median	0.00 22,725	0.00 23,018.5	8.25 24,503.48	0.00 25,026.5	0.00 33,786
Contract wages, direct-care Median	0.00 64.67	0.00 64.53	52.12 65.06	0.00 68.97	0.00 88.94

* in an approved program

Return to top

Cost reports are self-reported by the facility, are subject to revision and should be considered preliminary.

* Net Service to patients (NS2P) equals net patient revenue minus operating expenses. NS2P is considered the equivalent of operating profit according to the Medicaid and CHIP Payment and Access Commission (MACPAC). See the last paragraph of "Primary Data Sources" on page 55 of Annual Analysis of Disproportionate Share Hospital Allotments to States (PDF).

About medians

Medians are calculated from reports with "complete" fiscal years, or reports with fiscal years of at least 300 days and no more than 420 days.

In cases where there are fewer than 50 values reported, medians are not calculated. For childrens' hospitals, it's when fewer than 20 are reported.

Web app by Tim Broderick | email.