A hospital in Livingston, MT. It ran an operating loss of 0.4% in FY25 on $85.7M of operating revenue. It held 66 days of cash on hand (41st percentile among Critical Access Hospitals on liquidity). Operating margin declined from 0.7% in FY21 to -0.4% in FY25, though it rose 1.6 points in the most recent year. Including nonoperating items, the all-in result was positive at 5.3%.
Operating margin · FY25
-0.4%
▲ 1.6 pts vs FY24
vs Critical Access Hospitals49th pctl of 824 (FY25)
Days cash on hand · FY25
66d
all sources
▲ 53.9 days vs FY24
vs Critical Access Hospitals41st pctl of 827 (FY25)
Total operating revenue · FY25
$85.7M
▼ 3.1 $M vs FY24
vs Critical Access Hospitals89th pctl of 833 (FY25)
Total margin · incl. nonoperating · FY25
+5.3%
▲ 2.8 pts vs FY24
vs Critical Access Hospitals45th pctl of 824 (FY25)
One point of operating margin at LIVINGSTON HEALTHCARE is about $857K per year (1% of FY25 total operating revenue).
Where LIVINGSTON HEALTHCARE 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 hospitalLIVINGSTON HEALTHCARECritical 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
+41.4% (FY24)
Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
Medicare outpatient contribution margin
+60.3% (FY24)
Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
$ in thousands
Line item
FY23
FY24
FY25
Patient revenue
72,636
88,282
85,305
Other operating revenue
—
532
437
Total operating revenue
72,636
88,814
85,742
Total operating expenses
77,804
90,541
86,066
Operating income
(5,168)
(1,727)
(323)
Operating margin %
-7.1%
-1.9%
-0.4%
Grants & contributions
337
469
887
Investment income
536
1,760
2,030
Other non-operating, net
2,243
1,822
2,262
Net income
(2,052)
2,324
4,856
Net income %
-2.7%
+2.5%
+5.3%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY21–FY25 · where other operating income is not reported, total operating revenue reflects net patient revenue alone · FY20–21 may include COVID-era relief funding in nonoperating income
How it operates
quality & operational context · CMS public reporting
A 21-bed hospital at 32% occupancy where swing beds are 22% of the inpatient business and 80% 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
32.0%
Verified fact2025
HCRIS WS S-3
Average daily census
6.73
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
21
Verified fact2025
HCRIS WS S-3
Annual discharges
759
Verified fact2025
HCRIS WS S-3
Average length of stay
3.2d
Verified fact2025
HCRIS WS S-3
Swing-bed average daily census
1.93
Verified fact2025
HCRIS WS S-3 L5–6
Swing-bed share of inpatient days
22.3%
Verified fact2025
HCRIS WS S-3 (acute + swing days)
Outpatient share of patient revenue
79.5%
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
15.7%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Pricing
Pilot · FY25
Commercial rates vs Medicare
124%
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
PARK County, MT
Median household income
$66.6K
vs $82.1K US · $59.7K rural median
Poverty rate
13.1%
vs 12.5% US · 14.3% rural median
Uninsured
8.5%
vs 8.6% US · 8.4% rural median
Age 65+
24.2%
vs 16.8% US · 20.6% rural median
Fair or poor health
16.3%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 7.8% of county personal income is Medicare/Medicaid medical benefits; 19.2% arrives as government transfers (BEA, 2022).
What this hospital means to Park County
economic contribution · FY25 cost report
Direct annual spending
$86.1M
total operating expense · reported
Total economic output
$198.0M
× 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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