Lost Rivers Medical Center featured on an episode of PBS show Life on the Line!

Physical Therapy

Maybe you already knew that at Lost Rivers physical therapy, we can examine, evaluate, and treat patients who have conditions such as joint and muscle  stiffness, muscle weakness, sports injury rehab, post-surgical rehab, back & neck pain, burns, wounds, osteoporosis, developmental disabilities, carpal tunnel syndrome, trigger points and countless other conditions affecting an individual’s ability to move freely and without pain including the most recent approval of dry needling in Idaho. With our level of training, we are among the most qualified health care professionals to evaluate and treat musculoskeletal mobility deficiencies.

Extensive nationwide consumer research has shown that this is what the general public knows about what we do and expects from us:

  1. Improved mobility and motion
  2. Provide alternative treatment to surgery and,
  3. Reduce the need for prescription medications, when possible.

We can help you achieve your goals through the practice of these principles.

Speak to your doctor about receiving physical therapy or give us a call at (208) 252-7654 ext. 530 to schedule an appointment.

Surgical Services


  • Colonoscopy
  • (EGD) Esophagogastroduodenoscopy


  • Bunions Removal
  • Hammertoes Repair
  • Neuromas Removal
  • Diabetic foot conditions
  • Ingrown toenail Removal
  • Corns and callus Removal
General Surgery
  • Gallbladder removal
  • Hernia repair
  • Lipoma removal
  • Cyst removal


A podiatrist is a doctor of podiatric medicine (DPM), a physician and surgeon who treats the foot, ankle, and related structures of the leg.

Dr. Timothy Tomlinson is our DPM, providing podiatry services at Lost Rivers Medical Center, Arco and Mackay Clinics.

Services include:

  • Custom orthotics
  • In-office minor procedures
  • Foot surgery
  • Diabetic foot
  • Wound care treatment
  • Other forms of foot care


Services are offered the first Wednesday in the Mackay clinic from 9am – 5pm and every Tuesday and the Wednesdays he’s not in Mackay in the Arco Clinic from 9am – 5pm. To make an appointment, please call Lost Rivers Medical Center at (208) 252-7655.


A Cardiologist is a physician who’s an expert in the care of your heart and blood vessels. They can treat or help you prevent a number of cardiovascular problems. They can also specialize in specific areas, such as abnormal heart rhythms, heart failure or heart problems you’ve had since birth.

Dr. Gorman is an Interventional Cardiologist and works with patients who require specialized heart care. He is a member of the American Board of Internal Medicine; Cardiovascular Disease; Interventional Cardiology.  He earned his Fellowship at Walter Reed Army Medical Center; completed his Residency at Madigan Army Medical Center; and attended Medical School at Uniformed Services University.  Currently, he serves as the Chief of Staff, Chief of Medicine and Medical Director of Cardiovascular Service and Surgery at EIRMC.  In his spare time, Dr. Gorman enjoys the outdoors, hiking, and spending time with his family. His services are offered to Lost Rivers patients the third Thursday of every month. To make an appointment, please call (208) 252-7655.

What diseases do cardiologists treat or help prevent?

  • Atherosclerosis
  • High Blood Pressure
  • High Cholesterol
  • Angina (Chest pain)
  • Atrial Fibrillation
  • Heart Failure
  • Plus many more

Behavioral Health

Mental Health is such an important aspect in our overall health, and you deserve the best care. Whether you need help in overcoming specific mental health challenges, emotional development, our provider is ready to help you create an individualized treatment plant to improve your life. We offer virtual visits to accommodate you on this journey.

Vernon Kubiak, DNP is a clinical assistant professional at Idaho State University. As a psychiatric mental health nurse practitioner and clinical nurse specialist licensed in Idaho, Vernon specializes in mental health care and recover and emergency and critical care nursing. Vernon specifically also looks at treatment modalities related to recovery from substance use disorders and methodologies to improve emergency care access to individuals suffering from behavioral crises.

His services are offered to patients at Lost Rivers Medical Center every Tuesday at the Arco Clinic and every Wednesdays at the Mackay Clinic. To make an appointment, please call (208) 252-7655.

Family Health Clinic

Arco Clinic

551 Highland Drive, Arco, ID 83213

Phone Number: (208) 252-7655

Clinic Business Hours:                        Monday – Friday 9:00 am – 5:00 pm

Mackay Clinic

313 E. Custer, Mackay, ID 83251

Phone Number: (208) 252-7656

Clinic Business Hours:
Tuesday – Thursday 9:00 am – 5:00 pm

Our Rural Health Clinics provide many valuable services to the communities they serve. Our Clinic staff consist of Three Family Practice Nurse Practitioners and multiple specialty providers. We have also partnered with Federal Healthcare Services to accommodate emergency department, hospitalist, and clinic staffing.

Services include:

  • Office visits
  • Home visits
  • Transitional Care Management
  • Medicare Annual Wellness Visits
  • Wellness exams for infants
  • Immunizations
  • Pediatric care for children
  • Sports physicals
  • Behavioral Health
  • Adolescent health care
  • Preventive medicine
  • Acute illness and injury resolution
  • Physical Examinations
  • Blood Pressure Checks
  • Chronic Care Management
  • Gynecological Examinations
  • DOT Exams
  • Telehealth visits
  • CDC recognized National Diabetes Prevention Center
  • Plus many more


Lost Rivers Medical Center is participating in the Caravan Health ACO, an Accountable Care Organization (ACO). An ACO is a group of doctors, hospitals, and/or other health care providers that work together to improve the quality and experience of care you receive. ACOs receive a portion of any savings that results from reducing costs and meeting quality requirements.

  • Medicare evaluates how well each ACO meets these goals every year. Those ACOs that do a good job care earn a financial bonus. ACOs that earn a bonus may use the payment to invest more in your care or share a portion directly with providers. ACOs may owe a penalty if their care increases costs.
  • Our participation in an Accountable Care Organization does not limit your choice of health care providers. Your Medicare benefits are not changing. You still have the right to visit any doctor, hospital, or other provider that accepts Medicare at any time, just like you do not.
  • For more information on ACOs and how they work, please check out our annual ACO notice.

Acute Care

Lost Rivers Medical Center is a 14 bed-hospital that offers comprehensive services to residents and visitors to Butte and Custer Counties. Our caring and compassionate staff ensure superior care for our patients. Our inpatient unite is equipped to keep you safe and comfortable during your stay.

The Hospital nursing staff is comprised of Registered Nurses (RN’s), Licensed Practical Nurses (LPN’s), and Certified Nursing Assistants (CNA’s). 

Acute nursing RN’s are certified in Basic Life Support, Advanced Cardiac Support, Trauma Nursing Core Curriculum. LPN’s are certified in Basic Life Support as well as Advance Life Support and CNA’s are certified in Basic Life Support. 

Our Acute Care staff is also able to provide Outpatient Services such as wound care, medication administration, IV therapy and more. 

Medical Records

To obtain a copy of your medical record from Lost Rivers Medical Center or to release your medical record to a third-party, please complete our Authorization for Release and mail or fax the completed form to the attention of the medical records department, or call the number below to arrange for in person pick up by completing form and bringing a valid photo-ID. Fees may apply for specific medical records.

You may also access your clinic medical records by logging into your patient portal. Call (208) 252-7655 for assistance creating a portal account.

If you have any questions or would like additional information regarding your medical record, please contact Lost Rivers Medical Center medical records department:

Phone: (208) 252-7654 ext. 108
Fax: (208) 527-3105

Emergency Services

Lost Rivers Medical Center offers a Critical Access Emergency Room with nurse and physician coverage 24/7.  We are able to provide care for all kinds of injuries and illnesses. Lost Rivers Medical Center is a Level IV Trauma Center. Our ER Staff has completed additional training or certifications in: ACLS | PALS | TNCC.   

At Lost River Medical Center, our emergency department is designed to deal with serious emergencies as well as less urgent conditions. Other non-nursing services provided in the Emergency Room include x-rays, CT scans and labs. In the case that you or your loved one may need additional specialty care, LRMC offers quick ground or air transportation to specialty hospitals. 

Your wait time is determined by a variety of factors, including the number of people in the Emergency Department and the severity of their condition. Patients in life-threatening situations, as well as those who arrive by ambulance, are given top consideration. Before being transported to a treatment area, you may be asked to have a seat in the waiting area. We recognize that you’ve come to the ER because you’re in agony and that you deserve to be treated as soon as possible. We strive to make your wait as brief as possible, and we will keep you updated on your wait time on a regular basis.

Financial Services/Billing

Thank you for choosing Lost Rivers Medical Center as your Healthcare provider.  We want to ensure that your billing questions and concerns are addressed.

Please note that payment is due at the time of Service/Registration. Lost Rivers Medical Center asks for payment upfront for your share of the bill, as most businesses do. This might include co-payments, co-insurance, deductibles, and services not covered by your insurance program.

For your convenience, we accept cash, check, debit and credit cards, money orders, as well as Visa, MasterCard, AMEX and Discover credit cards.

Please Contact us at:

Billing: (208) 252-7654 ext. 152

Accounts Payable: (208) 252-7654 ext. 110

Chief Financial Officer: (208)-252-7654 ext. 703

Fax: (208) 527-3105

Plan Language Summary:

  • Lost Rivers Medical Center offers Financial Assistance based on the current years poverty guidelines. This is based on family size, household income and allowable expenses.  Based on the application process it may be determined that the patient may receive free or discounted care.
  • Patients can not be charged more than the determined amount, based on the outcome of the application process
  • Patients can apply for Financial Assistance by using the Financial Support  Application provided below. 
  • Patients can call 208-252-7654 ext. 103 to request a copy to be mailed to them.
  • Assistance for completing the application can be obtained by calling 208-252-7654 ext. 103 or by going to Lost Rivers Medical Center, 551 Highland Dr., Arco, Idaho 83213
  • Financial Assistance information is provided in English Language.
  • Once Financial Assistance is determined for an individual and/or family, patients will only be charged for the (%) percentage determined by the poverty guidelines.  This could be anywhere from 0%, 20%, 35%, 50% or 75% of the charges billed.
  • Charity care determination covers a 6 month period of services before the application has to be completed again.
  • Financial Assistance eligible patients can’t be billed more than the amounts generally billed for emergency or other medical-necessary care.


Links for Financial Assistance:

The FAP and billing policies cover services provided by:
  • Mark Bolton, MD
  • Mary Ellen Clark, NP
  • Dustin Elk, NP
  • Sharon Hendricks, NP
  • Sergio Hickey, MD
  • Elliot Huntsman, NP
  • Claine Judy, DO
  • Vernon Kubiak, NP
  • Joshua Kunz, CRNA
  • Frank Orth, DO
  • John Pabers, MD
  • Hans Redd, MD
  • Doran Schneider, DO
  • Danny Spencer, DO
  • Timothy Tomlinson, DPM
  • Kristy Unruh, NP

Imaging Services

Diagnostic Medical Imaging
At Lost Rivers Medical Center (LRMC), our imaging and radiology services are incredibly comprehensive.

Radiology Hours:
Monday through Friday 8:00 AM to 5:00 PM.

Advanced radiology services
Our imaging services are obtained and managed by a fully digital environment. This advanced technology allows healthcare providers to access digital images and test results from anywhere there is internet access — usually within minutes of a diagnostic procedure. Our radiology services include:

  • Computerized tomography (CT) scan
  • Magnetic resonance imaging (MRI)
  • Mammography
  • Nuclear medicine
  • Ultrasound
  • X-ray


Contact us at (208) 252-7654 ext. 526 to schedule an appointment. Orders may be faxed to (208) 527-3791.

Laboratory Services

Lab Hours:

Monday through Friday: 8:00am to 5:00pm

Having lab work done can be a stressful experience, which is why Lost Rivers Medical Center (LRMC) seeks to make the process as easy as possible. We provide patients with expert laboratory technicians operating on state-of-the-art equipment.

Our commitment to excellence ensures prompt and professional service throughout the process, with routine and required specimen collections performed for diagnostic testing.

Our Lab participates in the Clinical Laboratory Improvement Amendments (CLIA). These regulations include federal standards applicable to all U.S. facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. CDC, in partnership with CMS and FDA supports the CLIA program and clinical laboratory quality.

Contact us at (208) 252-7654 ext. 524
Lab orders may be faxed to (208) 527-3791


Coming Soon to Lost Rivers Medical Center.

Keep watching this space for more information.

Social Services

Illnesses and hospitalizations can be stressful, daunting and overwhelming. Our social service department at Lost Rivers Medical Center is here to help you with those stresses. Our social services department works closely with your healthcare team and can offer you resources and guidance to help assist you and your family during this already difficult time. Social services can help with the transition of care including home needs and resources, outpatient treatment, advance directive assistance as well as insurance assistance and referrals to community resources that you may need.

Rehabilitation (Swing Bed) Care

To serve the needs of smaller communities, Medicare has established coverage for “Swing Bed” programs. Swing Bed is a term that Medicare uses to describe a hospital room that can switch from acute care status to skilled care status. The Swing Bed program can help patients prepare for a safe and sustainable return home.  

Lost Rivers Medical Center offers a Medicare Swing Bed Program. The Swing Bed Program (also known as Rehab Care Program) provides skilled nursing care and rehabilitation services for patients who no longer need to be in an acute hospital setting, but are not ready to care for themselves at home or their next level of residence. This program also allows residents who have recently experienced an acute hospitalization or surgery to return to our comfortable facility close to home for nursing and rehabilitation for an extended period of time. This may include IV therapy as well as physical therapy. The length of stay in Swing Bed is dependent upon individual patient needs and progress. Swing Bed is not intended for permanent placement.  

Some private insurance plans cover Swing Bed services. 


What is Telehealth?

Telehealth, also called virtual care, uses technology to connect a patient in one location with a health care provider in a separate location. During the Public Health Emergency patients can see providers from the comfort of their own home. Providers can monitor vital signs like heart rate, blood sugar and oxygen levels in real time. The result is a better quality of life, fewer trips to the emergency department, and patients living on their own at home much longer.


Clinic Consultations:  Patients connect remotely with their primary care provider or a specialist via two-way, audio/video and asynchronous communication. Current specialties include behavioral health, with more to come. The remote visit may also involve a primary care provider, or other health care providers such as Chronic Care Manager for diabetes prevention.

Home Monitoring:  Remote patient management uses devices to connect patients in the home with their Chronic Care Manager. The services we currently have for remote patient monitoring include Blood Pressure Cuffs, Scales for weight management and Blood Oximeters, with hopes to expand in the future.