CCN 531315LINCOLN CountyGovernment - Hospital District or Authority14 bedsLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read
A hospital in Kemmerer, WY. It ran an operating loss of 22.3% in FY25 on $17.5M of operating revenue. It held 49 days of cash on hand (36th percentile among Critical Access Hospitals on liquidity). Operating margin declined from -14.3% in FY21 to -22.3% in FY25, though it rose 7.9 points in the most recent year.
Operating margin · FY25
-22.3%
▲ 7.9 pts vs FY24
vs Critical Access Hospitals10th pctl of 824 (FY25)
Days cash on hand · FY25
49d
all sources
▲ 25.2 days vs FY24
vs Critical Access Hospitals36th pctl of 827 (FY25)
Total operating revenue · FY25
$17.5M
▼ 1.4 $M vs FY24
vs Critical Access Hospitals22nd pctl of 833 (FY25)
Total margin · incl. nonoperating · FY25
-6.5%
▲ 5.0 pts vs FY24
vs Critical Access Hospitals8th pctl of 824 (FY25)
One point of operating margin at SOUTH LINCOLN MEDICAL CENTER - CAH is about $175K per year (1% of FY25 total operating revenue).
Where SOUTH LINCOLN MEDICAL 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 hospitalSOUTH LINCOLNCritical 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
+28.4% (FY24)
Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
Medicare outpatient contribution margin
+44.6% (FY24)
Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
$ in thousands
Line item
FY23
FY24
FY25
Patient revenue
17,704
18,300
17,301
Other operating revenue
472
584
221
Total operating revenue
18,176
18,884
17,523
Total operating expenses
22,830
24,587
21,433
Operating income
(4,654)
(5,703)
(3,910)
Operating margin %
-25.6%
-30.2%
-22.3%
Grants & contributions
2,501
2,315
1,994
Investment income
0
0
275
Other non-operating, net
1,225
851
330
Net income
(928)
(2,537)
(1,311)
Net income %
-4.2%
-11.5%
-6.5%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY21–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income
FY21 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 14-bed hospital at 5% occupancy where swing beds are 71% of the inpatient business and 72% 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
4.8%
Verified fact2025
HCRIS WS S-3
Average daily census
0.67
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
14
Verified fact2025
HCRIS WS S-3
Annual discharges
74
Verified fact2025
HCRIS WS S-3
Average length of stay
3.3d
Verified fact2025
HCRIS WS S-3
Swing-bed average daily census
1.62
Verified fact2025
HCRIS WS S-3 L5–6
Swing-bed share of inpatient days
70.8%
Verified fact2025
HCRIS WS S-3 (acute + swing days)
Outpatient share of patient revenue
71.9%
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
15.2%
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
549%
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
LINCOLN County, WY
Median household income
$86.1K
vs $82.1K US · $59.7K rural median
Poverty rate
7.1%
vs 12.5% US · 14.3% rural median
Uninsured
13.1%
vs 8.6% US · 8.4% rural median
Age 65+
18.6%
vs 16.8% US · 20.6% rural median
Fair or poor health
17.2%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 5.0% of county personal income is Medicare/Medicaid medical benefits; 15.4% arrives as government transfers (BEA, 2022).
What this hospital means to Lincoln County
economic contribution · FY25 cost report
Direct annual spending
$21.4M
total operating expense · reported
Total economic output
$49.3M
× 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
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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.
