A hospital in Stanford, KY. It ran an operating surplus of 32.2% in FY25 on $44.5M of operating revenue. It held 18 days of cash on hand (23rd percentile among Critical Access Hospitals on liquidity). Operating margin improved from 9.0% in FY20 to 32.2% in FY25.
Operating margin · FY25
+32.2%
vs Critical Access Hospitals99th pctl of 824 (FY25)
Days cash on hand · FY25
18d
all sources
vs Critical Access Hospitals23rd pctl of 827 (FY25)
Total operating revenue · FY25
$44.5M
vs Critical Access Hospitals66th pctl of 833 (FY25)
Total margin · incl. nonoperating · FY25
+32.3%
vs Critical Access Hospitals98th pctl of 824 (FY25)
One point of operating margin at EPHRAIM MCDOWELL FORT LOGAN HOSPITAL is about $445K per year (1% of FY25 total operating revenue).
Where EPHRAIM MCDOWELL FORT 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 hospitalEPHRAIM MCDOWELLCritical 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
+30.1% (FY25)
53rd percentile of 476 CAHs. Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
Medicare outpatient contribution margin
+73.2% (FY25)
97th percentile of 476 CAHs. Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
$ in thousands
Line item
FY23
FY24
FY25
Patient revenue
36,550
39,989
47,101
Other operating revenue
(1,299)
(1,995)
(2,595)
Total operating revenue
35,251
37,993
44,506
Total operating expenses
26,177
27,537
30,190
Operating income
9,074
10,457
14,316
Operating margin %
+25.7%
+27.5%
+32.2%
Investment income
25
53
(26)
Other non-operating, net
75
88
99
Net income
9,174
10,598
14,389
Net income %
+26.0%
+27.8%
+32.3%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income
FY20, FY21, FY22 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 25-bed hospital at 11% occupancy where swing beds are 78% of the inpatient business and 82% 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
11.2%
Verified fact2025
HCRIS WS S-3
Average daily census
2.82
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
25
Verified fact2025
HCRIS WS S-3
Annual discharges
519
Verified fact2025
HCRIS WS S-3
Average length of stay
2.0d
Verified fact2025
HCRIS WS S-3
Swing-bed average daily census
9.87
Verified fact2025
HCRIS WS S-3 L5–6
Swing-bed share of inpatient days
77.8%
Verified fact2025
HCRIS WS S-3 (acute + swing days)
Outpatient share of patient revenue
81.6%
Verified fact2025
HCRIS WS G-2 L28
Who it serves
Total unreimbursed & uncompensated care
$3.9M
Verified fact2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
1.653
No Different than National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
15.4%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Trajectory
Cost-report basis · 6 reporting years
Operating margin
Days cash on hand
The county this hospital serves
LINCOLN County, KY · nonmetro, rural, remote
Median household income
$50.9K
vs $82.1K US · $59.7K rural median
Poverty rate
18.5%
vs 12.5% US · 14.3% rural median
Uninsured
5.6%
vs 8.6% US · 8.4% rural median
Age 65+
18.9%
vs 16.8% US · 20.6% rural median
Fair or poor health
Not available
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 18.2% of county personal income is Medicare/Medicaid medical benefits; 37.0% arrives as government transfers (BEA, 2022).
What this hospital means to Lincoln County
economic contribution · FY25 cost report
Direct annual spending
$30.2M
total operating expense · reported
Total economic output
$69.4M
× 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.
The Board Briefing$1,000
The free profile shows the record. The Board Briefing tells you what changed, what matters, and what your board should ask. 35+ pages, built entirely from public sources, no client data required. Delivered within 2 business days. If we cannot deliver the published scope for your facility, you pay nothing.
Where this facility is underperforming its matched peer cohort and what that gap is worth, measure by measure. Founding Edition: delivered within 30 days of eligibility confirmation, full refund if the published scope cannot be delivered.
Commercial Pricing Study$10,000CAH only, subject to data validation
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.
