Astrelis
Urban PPS hospital · Johnson City, TN

JOHNSON CITY MEDICAL CENTER

CCN 440063WASHINGTON CountyVoluntary non-profit - Private440 bedsLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read

A hospital in Johnson City, TN. It ran an operating surplus of 0.5% in FY25 on $717.8M of operating revenue. Operating margin improved from -7.7% in FY21 to 0.5% in FY25.

Operating margin · FY25
+0.5%
1.8 pts vs FY24
vs Urban PPS hospitals47th pctl of 1,475 (FY25)
Days cash on hand
Not available
all sources
vs Urban PPS hospitals
Total operating revenue · FY25
$717.8M
82.1 $M vs FY24
vs Urban PPS hospitals80th pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
+5.5%
5.6 pts vs FY24
vs Urban PPS hospitals47th pctl of 1,475 (FY25)
One point of operating margin at JOHNSON CITY MEDICAL CENTER is about $7.2M per year (1% of FY25 total operating revenue).

Where JOHNSON CITY MEDICAL 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.

-20%-10%0%+10%+20%Urban PPS hospital median +1.3311360264910879%JOHNSON CITY +0.5440990822359654%-20%0%+20%Urban PPS hospital median +1.3311360264910879%JOHNSON CITY +0.5440990822359654%
One urban pps hospitalJOHNSON CITYUrban 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.

Operating margin
+0.5% (FY25)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
+5.5% (FY25)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
Not reported in this filing
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
HCRIS WS G / G-3
Current ratio
Not shown, balance sheet did not reconcile as filed
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
Not shown, balance sheet did not reconcile as filed
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
Not shown, balance sheet did not reconcile as filed
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line itemFY23FY24FY25
Patient revenue546,098623,040708,155
Other operating revenue7,05612,5679,600
Total operating revenue553,154635,607717,755
Total operating expenses592,849643,830713,850
Operating income(39,695)(8,223)3,905
Operating margin %-7.2%-1.3%+0.5%
Grants & contributions18,8414,70022,616
Investment income2555811,805
Other non-operating, net2,2632,8052,938
Net income(18,336)(660)41,264
Net income %-3.2%-0.1%+5.5%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY21–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income
FY21, FY22, FY23, FY24, FY25 net patient A/R is not shown: gross A/R was not reported on the filing, making the derived net figure spurious (AR quality flag).

How it operates

quality & operational context · CMS public reporting

A 440-bed hospital at 79% occupancy 37% 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
79.0%
Verified fact2025
HCRIS WS S-3
Average daily census
348.66
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
440
Verified fact2025
HCRIS WS S-3
Annual discharges
27,066
Verified fact2025
HCRIS WS S-3
Average length of stay
4.7d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
37.0%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
2,202
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
14.8%
Verified fact2025
HCRIS WS S-3 Pt V
How the care measures up
C. difficile infection (SIR)
0.443
Better than the National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
15.5%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
1.06
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
1.234261
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare

Trajectory

Cost-report basis · 5 reporting years
Operating margin
-7.7%-4.2%-7.2%-1.3%+0.5%FY21FY22FY23FY24FY25
Days cash on hand
Not available
FY25 days cash suppressed: out of display range.

The county this hospital serves

WASHINGTON County, TN
Median household income
$61.1K
vs $82.1K US · $59.7K rural median
Poverty rate
15.8%
vs 12.5% US · 14.3% rural median
Uninsured
10.5%
vs 8.6% US · 8.4% rural median
Age 65+
18.6%
vs 16.8% US · 20.6% rural median
Fair or poor health
21.8%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 9.4% of county personal income is Medicare/Medicaid medical benefits; 24.0% arrives as government transfers (BEA, 2022).

Portfolio Performance ReviewFrom $7,500Founding Edition

Every facility in your portfolio, benchmarked and triaged: which are fine, which need a closer look, which need attention now. Requires only a CCN roster. Founding Edition: delivered within 30 days of eligibility confirmation, full refund if the published scope cannot be delivered.

build aa21187 · 2026-07-25