CCN 201301PISCATAQUIS CountyGovernment - Hospital District or AuthorityRural (USDA RUCC)25 bedsLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read
A hospital in Greenville, ME. It ran an operating loss of 9.2% in FY25 on $23.2M of operating revenue. It held 103 days of cash on hand (50th percentile among Critical Access Hospitals on liquidity). Operating margin improved from -9.8% in FY20 to -9.2% in FY25, though it fell 0.8 points in the most recent year. Including nonoperating items, the all-in result was positive at 2.3%.
Operating margin · FY25
-9.2%
▼ 0.8 pts vs FY24
vs Critical Access Hospitals26th pctl of 824 (FY25)
Days cash on hand · FY25
103d
all sources
▼ 9.1 days vs FY24
vs Critical Access Hospitals50th pctl of 827 (FY25)
Total operating revenue · FY25
$23.2M
▲ 1.0 $M vs FY24
vs Critical Access Hospitals34th pctl of 833 (FY25)
Total margin · incl. nonoperating · FY25
+2.3%
▲ 8.2 pts vs FY24
vs Critical Access Hospitals32nd pctl of 824 (FY25)
One point of operating margin at NORTHERN LIGHT C A DEAN HOSPITAL is about $232K per year (1% of FY25 total operating revenue).
Where NORTHERN LIGHT C 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 hospitalNORTHERN LIGHTCritical 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
+35.8% (FY25)
64th percentile of 476 CAHs. Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
Medicare outpatient contribution margin
+60.0% (FY25)
68th percentile of 476 CAHs. Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
$ in thousands
Line item
FY23
FY24
FY25
Patient revenue
19,057
21,338
22,693
Other operating revenue
1,383
883
517
Total operating revenue
20,440
22,221
23,210
Total operating expenses
22,477
24,084
25,352
Operating income
(2,036)
(1,864)
(2,142)
Operating margin %
-10.0%
-8.4%
-9.2%
Grants & contributions
2,348
435
2,412
Investment income
67
70
50
Other non-operating, net
(139)
5
269
Net income
240
(1,354)
589
Net income %
+1.1%
-6.0%
+2.3%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY25 · where other operating income is not reported, total operating revenue reflects net patient revenue alone · FY20–21 may include COVID-era relief funding in nonoperating income
How it operates
quality & operational context · CMS public reporting
A 25-bed hospital at 3% occupancy where swing beds are 94% of the inpatient business and 87% 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
2.7%
Verified fact2025
HCRIS WS S-3
Average daily census
0.68
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
25
Verified fact2025
HCRIS WS S-3
Annual discharges
87
Verified fact2025
HCRIS WS S-3
Average length of stay
2.9d
Verified fact2025
HCRIS WS S-3
Swing-bed average daily census
10.58
Verified fact2025
HCRIS WS S-3 L5–6
Swing-bed share of inpatient days
93.9%
Verified fact2025
HCRIS WS S-3 (acute + swing days)
Outpatient share of patient revenue
87.3%
Verified fact2025
HCRIS WS G-2 L28
Who it serves
Total unreimbursed & uncompensated care
$1.2M
Verified fact2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
0
No Different than National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
14.6%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Trajectory
Cost-report basis · 6 reporting years
Operating margin
Days cash on hand
The county this hospital serves
PISCATAQUIS County, ME · nonmetro, rural, metro-adjacent
Median household income
$55.2K
vs $82.1K US · $59.7K rural median
Poverty rate
16.5%
vs 12.5% US · 14.3% rural median
Uninsured
10.0%
vs 8.6% US · 8.4% rural median
Age 65+
26.9%
vs 16.8% US · 20.6% rural median
Fair or poor health
20.4%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 13.9% of county personal income is Medicare/Medicaid medical benefits; 33.0% arrives as government transfers (BEA, 2022).
What this hospital means to Piscataquis County
economic contribution · FY25 cost report
Direct annual spending
$25.4M
total operating expense · reported
Total economic output
$58.3M
× 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.
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