As of the July, 2022, release via CMS

JOHNSTON MEMORIAL HOSPITAL

CMS id: 490053
16000 JOHNSTON MEMORIAL DRIVE, ABINGDON VA 24211. County: WASHINGTON
System: BALLAD HEALTH
CBSA: Kingsport-Bristol, TN-VA

The 115-bed, acute-care hospital had $4,433,258 in net service to patients*, with a total profit margin of 34.22245% in fiscal year 2021, the latest year available.
It spent 2.49% 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	102 118	102 118	101 119.5	101 118	101 119
Total beds Median	116 162	116 162	115 162	115 162	115 163.5
FTEs Median	742.16 788.06	740.33 793.42	625.56 806.03	579.16 787.61	586.86 804.34

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	155,016,446 150,932,746	155,672,778 158,950,878	157,097,360 168,696,998	152,976,068 163,454,693	159,042,100 186,589,412
Operating expenses Median	135,817,910 149,311,209	138,963,567 156,110,414	137,758,771 164,890,568	146,216,891 166,516,854	154,608,842 180,120,888
Net income from service 2 patients (NS2P) ? Median	19,198,536 -964,173	16,709,211 -643,601.5	19,338,589 -116,254	6,759,177 -5,025,862	4,433,258 -1,284,564
NS2P margin ? Median	12.38% -0.62	10.73% -0.29	12.31% 0.18	4.42% -5.07	2.79% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for JOHNSTON MEMORIAL 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	16,984,316 5,089,215	17,147,186 4,572,541	16,906,684 5,268,134	17,389,603 13,092,619	76,005,928 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	-123,985 224,999	-67,771 199,009	1,342 206,870.5	-99,287 194,343	-111,198 249,496
⊳ Line 7: Investments ? ⊳ Median	13,055,992 299,524	13,860,722 188,688.5	12,949,704 370,813	9,311,461 309,361.5	62,739,820 375,329
⊳ 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	407,018	441,862	425,999	938,412	713,103
⊳ Line 15: Revenue from rental of living quarters	0	0	0	0	0
⊳ Line 16: Revenue from sale of medical and surgical supplies	0	0	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	3,037	3,103	3,081	563	454
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	29,810	30,394	31,286	31,938	26,382
⊳ Line 21: Rental of vending machines	8,409	8,135	10,280	4,025	4,433
⊳ Line 22: Rental of hospital space	1,868,753	1,680,504	2,004,338	2,278,363	2,312,822
⊳ Line 23: Gov appropriations ? ⊳ Median	3,575 1,017,693	0 983,261.5	0 1,173,286	-4,243 1,987,202	29,144 1,597,664
⊳ Sum Line 24	1,731,707	1,190,237	1,480,654	4,928,371	10,290,968
Total income ? Median	36,182,852 6,586,430	33,856,397 6,767,106	36,245,273 8,419,950	24,148,780 8,094,175	80,439,186 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	36,182,852 6,043,842	33,856,397 5,845,112	36,245,273 7,606,259	24,148,780 7,283,041	80,439,186 14,957,241
Net margin Median	21.03645% 4.62%	19.59056% 4.42%	20.83013% 5.16%	14.17467% 5.2%	34.22245% 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 JOHNSTON MEMORIAL 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	32,210,065 23,241,334	30,269,098 23,709,545	28,017,742 24,248,380	24,114,997 22,858,541	26,539,555 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	32,210,065 21,577,146	30,269,098 22,041,594	28,017,742 22,722,063	24,114,997 21,570,441	26,539,555 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	0 1,845,420	0 1,757,392	0 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	18,741,959 11,160,864	19,198,573 11,987,345	18,216,147 12,926,866	19,099,217 11,884,480	16,981,744 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	18,146,578 10,918,923	18,788,039 11,706,976	18,216,147 12,615,917	19,099,217 11,458,116	16,981,744 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	595,381 1,282,808	410,534 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	0 618,038	0 697,279	0 690,232	0 684,010	0 670,558
⊳ Other federally qualified health clinics ⊳ Median	0 --	0 --	0 --	0 --	0 --

Other payments

Item	2017	2018	2019	2020	2021
Graduate Medical Education (GME) Median	2,596,293 3,284,314	4,015,428 3,250,551	4,467,027 3,386,837	3,981,624 3,360,806	4,248,957 3,508,953
Disproportionate-share hospital (DSH) Median	683,379 594,888	585,033 595,761	537,213 577,894	580,319 542,168	550,183 549,667
Outlier Median	316,719 582,572	315,224 538,116	278,183 212,434	73,080 126,559	34,155 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	1,826,937 3,662,910	0 3,730,911	0 4,081,319	0 4,643,908	0 4,389,147
Charity care Median	1,801,456 2,654,636	6,187,343 2,940,659	5,587,429 3,380,215	2,840,981 3,488,738	2,571,240 3,233,405
Uncompensated care (UCC) Median	4,489,208 5,147,790	8,761,533 5,337,617	7,366,562 5,711,082	3,735,102 5,923,418	3,845,457 5,508,107
UCC as a % of operating expenses Median	3.31% 3.24	6.30% 3.12	5.35% 3.21	2.55% 3.3	2.49% 2.86
Total shortfall/UCC Median	6,316,145 9,489,989	8,761,533 9,424,297	7,366,562 10,120,158	3,735,102 11,171,337	3,845,457 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	41,588,720 52,142,039	42,293,516 54,485,252	41,119,401 57,395,589	41,196,392 58,830,919	40,838,933 61,722,907
Salaries as a % of operating expenses Median	30.62 36.68	30.43 36.56	29.85 36.37	28.17 35.93	26.41 35.24
Intern, resident salaries* Median	1,352,111 2,598,592	1,729,113 2,686,824	2,274,561 2,753,773	2,655,753 2,937,156	2,908,827 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	249,136 1,449,244	623,371 1,475,986	184,979 1,563,078	2,606,241 1,721,954	4,645,619 2,991,828
Contract hours, direct-care Median	4,418.45 22,725	9,594.58 23,018.5	3,180.00 24,503.48	38,162.43 25,026.5	47,966.11 33,786
Contract wages, direct-care Median	56.39 64.67	64.97 64.53	58.17 65.06	68.29 68.97	96.85 88.94

* in an approved program

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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.