Financial anchor year: FY25. Margin and revenue are as filed for FY25. Balance-sheet measures (current ratio, equity financing, days in A/R) use FY21, the latest filing whose balance sheet reconciled as filed. Days cash on hand is FY21, the most recent year that passed the display gate. Every tile below states its own fiscal year; nothing is carried forward or estimated.
The read
A hospital in Presque Isle, ME. It ran an operating loss of 9.9% in FY25 on $162.7M of operating revenue. It held 6 days of cash on hand in FY21, its most recent reported liquidity (31st percentile among Rural PPS hospitals on liquidity). Operating margin improved from -23.4% in FY20 to -9.9% in FY25. Including nonoperating items, the all-in result was positive at 3.5%. These figures come from filings spanning FY21–FY25: read each by its own year rather than as one current picture.
Operating margin · FY25
-9.9%
▲ 3.6 pts vs FY24
vs Rural PPS hospitals25th pctl of 387 (FY24)
Days cash on hand · FY21
6d
all sources
▼ 40.1 days vs FY20
vs Rural PPS hospitals31st pctl of 376 (FY24)
Total operating revenue · FY25
$162.7M
▲ 5.9 $M vs FY24
vs Rural PPS hospitals74th pctl of 393 (FY24)
Total margin · incl. nonoperating · FY25
+3.5%
▲ 9.0 pts vs FY24
vs Rural PPS hospitals51st pctl of 387 (FY24)
This facility's newest settled year, FY25, has not yet reached pool validity: benchmarked against the FY24 pool (n=387).
One point of operating margin at NORTHERN LIGHT A R GOULD HOSPITAL is about $1.6M per year (1% of FY25 total operating revenue).
Where NORTHERN LIGHT sits among Rural PPS hospitals
Operating margin · FY24 pool · n = 387 of 418 filed
Each point is one Rural PPS 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 Rural PPS hospital median is -0.9%. Descriptive context only, not a ranking.
This facility's newest settled year, FY25, has not yet reached pool validity: benchmarked against the FY24 pool (n=387).
One rural pps hospitalNORTHERN LIGHTRural PPS 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
$ in thousands
Line item
FY23
FY24
FY25
Patient revenue
153,170
156,520
162,533
Other operating revenue
109
308
181
Total operating revenue
153,280
156,828
162,714
Total operating expenses
170,722
177,935
178,753
Operating income
(17,443)
(21,107)
(16,038)
Operating margin %
-11.4%
-13.5%
-9.9%
Other non-operating, net
23,966
11,732
22,484
Net income
6,523
(9,375)
6,446
Net income %
+3.7%
-5.6%
+3.5%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income
How it operates
quality & operational context · CMS public reporting
A 35-bed hospital at 48% occupancy where swing beds are 21% of the inpatient business and 78% 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
48.4%
Verified fact2025
HCRIS WS S-3
Average daily census
16.99
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
35
Verified fact2025
HCRIS WS S-3
Annual discharges
1,625
Verified fact2025
HCRIS WS S-3
Average length of stay
3.8d
Verified fact2025
HCRIS WS S-3
Swing-bed average daily census
4.55
Verified fact2025
HCRIS WS S-3 L5–6
Swing-bed share of inpatient days
21.1%
Verified fact2025
HCRIS WS S-3 (acute + swing days)
Outpatient share of patient revenue
78.3%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
727.40
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
18.4%
Verified fact2025
HCRIS WS S-3 Pt V
Who it serves
Total unreimbursed & uncompensated care
$3.3M
Verified fact2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
1.693
No Different than National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
15%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
0.86
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
1.102367
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare
Trajectory
Cost-report basis · 6 reporting years
Operating margin
Days cash on hand
FY25 days cash suppressed: out of display range.
The county this hospital serves
AROOSTOOK County, ME
Median household income
$54.3K
vs $82.1K US · $59.7K rural median
Poverty rate
14.4%
vs 12.5% US · 14.3% rural median
Uninsured
8.0%
vs 8.6% US · 8.4% rural median
Age 65+
25.4%
vs 16.8% US · 20.6% rural median
Fair or poor health
23.6%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 16.9% of county personal income is Medicare/Medicaid medical benefits; 35.7% arrives as government transfers (BEA, 2022).
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). This hospital is not a critical access hospital. No published multiplier specific to its type was used, so the CAH ratios are applied unchanged and every multiplied figure here should be read as an upper-bound estimate, not a measurement of this facility. Direct figures are reported values from the facility's HCRIS cost report; multiplied figures are estimates.
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