CCN 340090JOHNSTON CountyGovernment - Hospital District or Authority155 bedsLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read
A hospital in Smithfield, NC. It ran an operating surplus of 15.5% in FY25 on $416.7M of operating revenue. It held 149 days of cash on hand (78th percentile among Urban PPS hospitals on liquidity). Operating margin improved from 8.5% in FY21 to 15.5% in FY25.
Operating margin · FY25
+15.5%
▲ 0.2 pts vs FY24
vs Urban PPS hospitals84th pctl of 1,475 (FY25)
Days cash on hand · FY25
149d
all sources
▲ 39.2 days vs FY24
vs Urban PPS hospitals78th pctl of 1,386 (FY25)
Total operating revenue · FY25
$416.7M
▲ 35.1 $M vs FY24
vs Urban PPS hospitals64th pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
+9.6%
▲ 0.6 pts vs FY24
vs Urban PPS hospitals63rd pctl of 1,475 (FY25)
One point of operating margin at JOHNSTON HEALTH is about $4.2M per year (1% of FY25 total operating revenue).
Where JOHNSTON HEALTH sits among Urban PPS hospitals
Operating margin · FY25 pool · n = 1,475 of 2,681 filed
Each point is one Urban PPS hospital in the national distribution for this provider type, placed by operating margin. Facilities are not matched on size, case mix, or market — that is the matched-peer comparison in the paid benchmark. The Urban PPS hospital median is +1.3%. Descriptive context only, not a ranking.
One urban pps hospitalJOHNSTON HEALTHUrban PPS hospital median
The money
$ thousands · HCRIS cost-report basis · as filed, QA-gated
Ratios tell you how this hospital is doing. Statements tell you what kind of organization it is, and where the money comes from. Every figure below traces to a public cost-report filing, shown as filed. A ratio renders only when every input is reported in the filing; a year missing its core lines is not shown; a year whose balance sheet does not reconcile is labeled. Not audited by Astrelis.
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line item
FY23
FY24
FY25
Patient revenue
331,718
356,888
387,482
Other operating revenue
6,340
24,680
29,204
Total operating revenue
338,058
381,568
416,686
Total operating expenses
299,846
323,220
352,165
Operating income
38,212
58,348
64,522
Operating margin %
+11.3%
+15.3%
+15.5%
Other non-operating, net
(18,967)
(24,000)
(24,721)
Net income
19,245
34,348
39,801
Net income %
+6.0%
+9.6%
+10.2%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY21–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income
How it operates
quality & operational context · CMS public reporting
A 155-bed hospital at 78% occupancy 64% of patient revenue is outpatient.
The metrics this hospital type is judged on: care quality, patient experience, and scale. Each is labeled by evidence class and public source; descriptive context only, never a ranking or adequacy claim.
Scale and flow
Occupancy
78.4%
Verified fact2025
HCRIS WS S-3
Average daily census
121.87
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
155
Verified fact2025
HCRIS WS S-3
Annual discharges
13,989
Verified fact2025
HCRIS WS S-3
Average length of stay
3.2d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
64.4%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
1,431
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
20.0%
Verified fact2025
HCRIS WS S-3 Pt V
How the care measures up
C. difficile infection (SIR)
0.156
Better than the National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
15.2%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
0.95
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
0.803108
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare
Trajectory
Cost-report basis · 5 reporting years
Operating margin
Days cash on hand
The county this hospital serves
JOHNSTON County, NC
Median household income
$79.8K
vs $82.1K US · $59.7K rural median
Poverty rate
11.2%
vs 12.5% US · 14.3% rural median
Uninsured
11.1%
vs 8.6% US · 8.4% rural median
Age 65+
13.5%
vs 16.8% US · 20.6% rural median
Fair or poor health
18.7%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 7.2% of county personal income is Medicare/Medicaid medical benefits; 18.9% arrives as government transfers (BEA, 2022).
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