LOST RIVERS MEDICAL CENTER
A hospital in Arco, ID. It ran an operating loss of 7.3% in FY25 on $14.7M of operating revenue. It held 110 days of cash on hand (50th percentile of 822 Critical Access Hospitals on liquidity, FY25 pool). Operating margin improved from -29.3% in FY20 to -7.3% in FY25. Including nonoperating items, the all-in result was positive at 0.1%.
Where LOST RIVERS MEDICAL sits among Critical Access Hospitals
Operating margin · FY25 pool · n = 824 of 1,399 filedEach point is one Critical Access Hospital in the national FY25 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 FY25 median is -0.2%. Descriptive context only, not a ranking.
The money
$ thousands · HCRIS cost-report basis · as filed, QA-gatedRatios 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 computes only when every input is reported in the filing (otherwise its cell states which input is Not reported in source); a year whose balance sheet does not reconcile is labeled, and its derived ratios read Astrelis calculation unavailable. Not audited by Astrelis.
| Line item | FY23 | FY24 | FY25 |
|---|---|---|---|
| Patient revenue | 12,117 | 12,908 | 14,525 |
| Other operating revenue | 184 | 135 | 130 |
| Total operating revenue | 12,301 | 13,043 | 14,655 |
| Total operating expenses | 13,015 | 14,476 | 15,719 |
| Operating income | (714) | (1,433) | (1,064) |
| Operating margin % | -5.8% | -11.0% | -7.3% |
| Grants & contributions | 980 | 944 | 902 |
| Investment income | 178 | 208 | 161 |
| Other non-operating, net | 358 | 122 | 11 |
| Net income | 802 | (159) | 10 |
| Net income % | +5.8% | -1.1% | +0.1% |
How it operates
quality & operational context · CMS public reportingA 14-bed hospital running at 0% occupancy, where swing beds are 87% of the inpatient business, and 99% of patient revenue is outpatient.
The metrics this hospital type is judged on: care quality, patient experience, and scale. Each is labeled by provenance class and public source; descriptive context only, never a ranking or adequacy claim. Provenance labels: Reported value is copied from the named public source; Astrelis calculation is a formula applied to unchanged reported inputs, with the formula shown; Illustrative estimate is a benchmark gap, multiplier, or scenario — never a measurement.
Pricing
Pilot · FY25Directional indicator from public price files. Facility-specific rate positioning is the Commercial Pricing Study →
Trajectory
The county this hospital serves
Illustrative advocacy scenario: what this hospital means to Butte County
Illustrative estimate · FY25 cost report+9.8% — 26th percentile of 43 matched CAH peers (FY25).
Operating margin improved 3.7 points vs FY24 — the briefing traces why, line by line.
Reserve The Board Briefing →7.1 points below the cohort median — at current revenue, approximately $1.0M less operating income than the median rate.
Commercial rates run ≈ 5.30× the Medicare OPPS-equivalent on the measured basket (median across classified payers).
Request Commercial Pricing Study →How we calculated this
Peer pool matched on: bed-size band · rural status · state (progressively widened to national at a 20-peer floor).
Medicare inpatient contribution margin: FY25 pool · n = 43.
View the formula in the methodology →
CAH Performance Benchmark: FY25 peer pool · n = 824 · conservative low band; acuity limits stated in the report.
Basis: 85 services in the basket · 11 classified commercial payers (73% of commercial volume classified) · pricing files captured 2026-07-19 · numerator: negotiated commercial allowed amounts (classified payers) · denominator: Medicare OPPS-equivalent for the same services · weighting: volume-weighted line-level outpatient service basket (CY2026 OPPS equivalent) (weight coverage 94%).
The Board Briefing
Your facility and its world, board-ready. Measures the public record does not carry become findings, never a decline reason.
CAH Performance Benchmark
Contribution margin by department, Medicare take-back exposure, and capture gaps against matched peers, from your own filed cost report.
Commercial Pricing Study
Your negotiated commercial rates against Medicare and against peers, from hospitals' own published price files.