A hospital in Bonners Ferry, ID. It ran an operating loss of 5.9% in FY24 on $22.4M of operating revenue. It held 42 days of cash on hand (34th percentile among Critical Access Hospitals on liquidity). Operating margin declined from -1.8% in FY20 to -5.9% in FY24.
Operating margin · FY24
-5.9%
▼ 6.5 pts vs FY23
vs Critical Access Hospitals35th pctl of 1,340 (FY24)
Days cash on hand · FY24
42d
all sources
▼ 21.5 days vs FY23
vs Critical Access Hospitals34th pctl of 1,325 (FY24)
Total operating revenue · FY24
$22.4M
▲ 1.9 $M vs FY23
vs Critical Access Hospitals36th pctl of 1,356 (FY24)
Total margin · incl. nonoperating · FY24
-3.3%
▼ 7.4 pts vs FY23
vs Critical Access Hospitals19th pctl of 1,340 (FY24)
Benchmarked within its own FY24 pool (n=1,340); the Critical Access Hospital cohort's current year is FY25.
One point of operating margin at BOUNDARY COMMUNITY HOSPITAL is about $224K per year (1% of FY24 total operating revenue).
Where BOUNDARY COMMUNITY HOSPITAL sits among Critical Access Hospitals
Operating margin · FY24 pool · n = 1,340 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 -1.8%. Descriptive context only, not a ranking.
Benchmarked within its own FY24 pool (n=1,340); the Critical Access Hospital cohort's current year is FY25.
One critical access hospitalBOUNDARY COMMUNITYCritical 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
+25.2% (FY24)
47th percentile of 171 CAHs. Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
Medicare outpatient contribution margin
+48.8% (FY24)
40th percentile of 171 CAHs. Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
$ in thousands
Line item
FY22
FY23
FY24
Patient revenue
18,428
20,382
22,047
Other operating revenue
80
52
336
Total operating revenue
18,507
20,434
22,383
Total operating expenses
20,035
20,310
23,693
Operating income
(1,527)
124
(1,310)
Operating margin %
-8.3%
+0.6%
-5.9%
Grants & contributions
338
363
377
Investment income
5
59
54
Other non-operating, net
1,308
323
112
Net income
124
869
(767)
Net income %
+0.6%
+4.1%
-3.3%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY24 · FY20–21 may include COVID-era relief funding in nonoperating income
How it operates
quality & operational context · CMS public reporting
A 20-bed hospital at 7% occupancy where swing beds are 77% of the inpatient business and 75% 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
6.6%
Verified fact2024
HCRIS WS S-3
Average daily census
1.32
Verified fact2024
HCRIS WS S-3
Staffed beds (acute)
20
Verified fact2024
HCRIS WS S-3
Annual discharges
143
Verified fact2024
HCRIS WS S-3
Average length of stay
3.4d
Verified fact2024
HCRIS WS S-3
Swing-bed average daily census
4.36
Verified fact2024
HCRIS WS S-3 L5–6
Swing-bed share of inpatient days
76.8%
Verified fact2024
HCRIS WS S-3 (acute + swing days)
Outpatient share of patient revenue
75.4%
Verified fact2024
HCRIS WS G-2 L28
Who it serves
Total unreimbursed & uncompensated care
$0.5M
Verified fact2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
Results cannot be calculated for this reporting period.
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
14.7%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Pricing
Pilot · FY24
Commercial rates vs Medicare
290%
Commercial negotiated rates as a percent of Medicare rates, outpatient basket. 32nd percentile among CAHs.
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
BOUNDARY County, ID · nonmetro, rural, remote
Median household income
$62.4K
vs $82.1K US · $59.7K rural median
Poverty rate
17.2%
vs 12.5% US · 14.3% rural median
Uninsured
13.6%
vs 8.6% US · 8.4% rural median
Age 65+
23.6%
vs 16.8% US · 20.6% rural median
Fair or poor health
19.4%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 10.9% of county personal income is Medicare/Medicaid medical benefits; 29.5% arrives as government transfers (BEA, 2022).
What this hospital means to Boundary County
economic contribution · FY24 cost report
Direct annual spending
$23.7M
total operating expense · reported
Total economic output
$54.5M
× 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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