A hospital in Prineville, OR. It ran an operating surplus of 28.5% in FY24 on $77.5M of operating revenue. It held 0 days of cash on hand (0th percentile among Critical Access Hospitals on liquidity). Operating margin improved from 13.6% in FY20 to 28.5% in FY24, though it fell 2.3 points in the most recent year.
Operating margin · FY24
+28.5%
▼ 2.3 pts vs FY23
vs Critical Access Hospitals98th pctl of 1,340 (FY24)
Days cash on hand · FY24
0d
all sources
▬ 0.0 days vs FY23
vs Critical Access Hospitals0th pctl of 1,325 (FY24)
Total operating revenue · FY24
$77.5M
▲ 4.4 $M vs FY23
vs Critical Access Hospitals86th pctl of 1,356 (FY24)
Total margin · incl. nonoperating · FY24
+28.5%
▼ 2.4 pts vs FY23
vs Critical Access Hospitals97th 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 ST CHARLES MEDICAL CENTER PRINEVILLE is about $775K per year (1% of FY24 total operating revenue).
Where ST CHARLES MEDICAL 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 hospitalST CHARLESCritical 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
+53.1% (FY24)
93rd percentile of 476 CAHs. Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
Medicare outpatient contribution margin
+74.6% (FY24)
98th percentile of 476 CAHs. Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
$ in thousands
Line item
FY22
FY23
FY24
Patient revenue
62,387
70,852
75,446
Other operating revenue
1,673
2,219
2,034
Total operating revenue
64,060
73,071
77,481
Total operating expenses
47,019
50,573
55,384
Operating income
17,041
22,498
22,096
Operating margin %
+26.6%
+30.8%
+28.5%
Grants & contributions
—
167
15
Other non-operating, net
477
3
0
Net income
17,518
22,668
22,111
Net income %
+27.1%
+30.9%
+28.5%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY24 · FY20–21 may include COVID-era relief funding in nonoperating income
A condensed balance sheet is not shown for this hospital: the public cost report does not carry substantive balance-sheet detail (assets, liabilities, and net assets that reconcile) for this provider. The income statement and ratio exhibit above are the reliable financial view here. We lead with those rather than render a hollow table.
How it operates
quality & operational context · CMS public reporting
A 16-bed hospital at 28% occupancy where swing beds are 40% of the inpatient business and 91% 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
27.8%
Verified fact2024
HCRIS WS S-3
Average daily census
4.46
Verified fact2024
HCRIS WS S-3
Staffed beds (acute)
16
Verified fact2024
HCRIS WS S-3
Annual discharges
529
Verified fact2024
HCRIS WS S-3
Average length of stay
3.1d
Verified fact2024
HCRIS WS S-3
Swing-bed average daily census
2.98
Verified fact2024
HCRIS WS S-3 L5–6
Swing-bed share of inpatient days
40.1%
Verified fact2024
HCRIS WS S-3 (acute + swing days)
Outpatient share of patient revenue
90.5%
Verified fact2024
HCRIS WS G-2 L28
Who it serves
Total unreimbursed & uncompensated care
$2.8M
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
14.3%
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
384%
Commercial negotiated rates as a percent of Medicare rates, outpatient basket. 67th 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
CROOK County, OR · metro, under 250K
Median household income
$81.7K
vs $82.1K US · $59.7K rural median
Poverty rate
9.7%
vs 12.5% US · 14.3% rural median
Uninsured
6.9%
vs 8.6% US · 8.4% rural median
Age 65+
25.1%
vs 16.8% US · 20.6% rural median
Fair or poor health
17.8%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 13.4% of county personal income is Medicare/Medicaid medical benefits; 30.1% arrives as government transfers (BEA, 2022).
What this hospital means to Crook County
economic contribution · FY24 cost report
Direct annual spending
$55.4M
total operating expense · reported
Total economic output
$127.4M
× 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.
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