A hospital in Mountain City, TN. It ran an operating surplus of 28.1% in FY25 on $17.1M of operating revenue. It held 0 days of cash on hand (9th percentile among Critical Access Hospitals on liquidity). Only a single comparable reporting year is available, so trend context is limited.
Operating margin · FY25
+28.1%
vs Critical Access Hospitals97th pctl of 824 (FY25)
Days cash on hand · FY25
0d
all sources
vs Critical Access Hospitals9th pctl of 827 (FY25)
Total operating revenue · FY25
$17.1M
vs Critical Access Hospitals21st pctl of 833 (FY25)
Total margin · incl. nonoperating · FY25
+28.4%
vs Critical Access Hospitals96th pctl of 824 (FY25)
One point of operating margin at JOHNSON COUNTY COMMUNITY HOSPITAL is about $171K per year (1% of FY25 total operating revenue).
Where JOHNSON COUNTY COMMUNITY sits among Critical Access Hospitals
Operating margin · FY25 pool · n = 824 of 1,404 filed
Each point is one Critical Access 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 Critical Access Hospital median is -0.2%. Descriptive context only, not a ranking.
One critical access hospitalJOHNSON COUNTYCritical Access 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
Medicare inpatient contribution margin
+19.1% (FY24)
Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
Medicare outpatient contribution margin
+65.5% (FY24)
Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
$ in thousands
Line item
FY23
FY24
FY25
Patient revenue
10,524
10,886
16,028
Other operating revenue
624
426
1,062
Total operating revenue
11,148
11,312
17,091
Total operating expenses
10,385
10,691
12,280
Operating income
763
621
4,811
Operating margin %
+6.8%
+5.5%
+28.1%
Grants & contributions
20
110
11
Investment income
1
1
3
Other non-operating, net
121
45
37
Net income
905
777
4,862
Net income %
+8.0%
+6.8%
+28.4%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY21–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income
FY21, FY22, FY23, FY24 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 2-bed hospital at 14% occupancy 98% 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
14.2%
Verified fact2025
HCRIS WS S-3
Average daily census
0.29
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
2
Verified fact2025
HCRIS WS S-3
Annual discharges
47
Verified fact2025
HCRIS WS S-3
Average length of stay
2.2d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
98.1%
Verified fact2025
HCRIS WS G-2 L28
How the care measures up
C. difficile infection (SIR)
Results are not available for this reporting period.
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
The number of cases/patients is too few to report.
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Pricing
Pilot · FY25
Commercial rates vs Medicare
220%
Commercial negotiated rates as a percent of Medicare rates, outpatient basket.
Hospital price files + Medicare rates
Directional indicator from public price files. Facility-specific rate positioning is the Commercial Pricing Study →
Trajectory
Cost-report basis · 5 reporting years
Operating margin
Days cash on hand
The county this hospital serves
JOHNSON County, TN
Median household income
$52.2K
vs $82.1K US · $59.7K rural median
Poverty rate
22.1%
vs 12.5% US · 14.3% rural median
Uninsured
12.5%
vs 8.6% US · 8.4% rural median
Age 65+
23.3%
vs 16.8% US · 20.6% rural median
Fair or poor health
29.5%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 16.0% of county personal income is Medicare/Medicaid medical benefits; 38.4% arrives as government transfers (BEA, 2022).
What this hospital means to Johnson County
economic contribution · FY25 cost report
Direct annual spending
$12.3M
total operating expense · reported
Total economic output
$28.2M
× 2.30 output multiplier · estimate, upper bound for rural
Method: NCRHW 2016 study of critical access hospitals (IMPLAN Type II), employment × 1.34, earnings × 1.19; output × 2.30 (AHA national, upper bound for rural). Direct figures are reported values from the facility's HCRIS cost report; multiplied figures are estimates.
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Your negotiated commercial rates against Medicare and against peers, from hospitals' own published price files. We validate your hospital's rate file before taking payment.
