A hospital in Prague, OK. It ran an operating surplus of 2.3% in FY25 on $21.7M of operating revenue. It held 19 days of cash on hand (23rd percentile among Critical Access Hospitals on liquidity). Only a single comparable reporting year is available, so trend context is limited.
Operating margin · FY25
+2.3%
vs Critical Access Hospitals59th pctl of 824 (FY25)
Days cash on hand · FY25
19d
all sources
vs Critical Access Hospitals23rd pctl of 827 (FY25)
Total operating revenue · FY25
$21.7M
vs Critical Access Hospitals31st pctl of 833 (FY25)
Total margin · incl. nonoperating · FY25
+5.9%
vs Critical Access Hospitals48th pctl of 824 (FY25)
One point of operating margin at PRAGUE REGIONAL MEMORIAL HOSPITAL is about $217K per year (1% of FY25 total operating revenue).
Where PRAGUE REGIONAL MEMORIAL 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 hospitalPRAGUE REGIONALCritical 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
+38.2% (FY25)
68th percentile of 117 CAHs. Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
Medicare outpatient contribution margin
+19.7% (FY25)
4th percentile of 116 CAHs. Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
$ in thousands
Line item
FY23
FY24
FY25
Patient revenue
15,814
19,546
21,681
Other operating revenue
388
567
10
Total operating revenue
16,202
20,113
21,691
Total operating expenses
18,680
19,940
21,193
Operating income
(2,479)
173
498
Operating margin %
-15.3%
+0.9%
+2.3%
Grants & contributions
13
16
73
Investment income
1
1
2
Other non-operating, net
92
12
753
Net income
(2,373)
202
1,326
Net income %
-14.6%
+1.0%
+5.9%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income
FY20, FY23 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 1% occupancy where swing beds are 98% of the inpatient business and 27% 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
0.9%
Verified fact2025
HCRIS WS S-3
Average daily census
0.23
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
25
Verified fact2025
HCRIS WS S-3
Annual discharges
34
Verified fact2025
HCRIS WS S-3
Average length of stay
2.4d
Verified fact2025
HCRIS WS S-3
Swing-bed average daily census
10.49
Verified fact2025
HCRIS WS S-3 L5–6
Swing-bed share of inpatient days
97.9%
Verified fact2025
HCRIS WS S-3 (acute + swing days)
Outpatient share of patient revenue
26.7%
Verified fact2025
HCRIS WS G-2 L28
Who it serves
Total unreimbursed & uncompensated care
$2.1M
Verified fact2023
HCRIS WS S-10 line 31
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
135%
Commercial negotiated rates as a percent of Medicare rates, outpatient basket. 2nd 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 · 6 reporting years
Operating margin
Days cash on hand
The county this hospital serves
LINCOLN County, OK · metro, 1M+ population
Median household income
$59.4K
vs $82.1K US · $59.7K rural median
Poverty rate
16.5%
vs 12.5% US · 14.3% rural median
Uninsured
12.8%
vs 8.6% US · 8.4% rural median
Age 65+
19.1%
vs 16.8% US · 20.6% rural median
Fair or poor health
22.9%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 12.2% of county personal income is Medicare/Medicaid medical benefits; 30.1% arrives as government transfers (BEA, 2022).
What this hospital means to Lincoln County
economic contribution · FY25 cost report
Direct annual spending
$21.2M
total operating expense · reported
Total economic output
$48.7M
× 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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