A hospital in Pittsfield, ME. It ran an operating surplus of 7.2% in FY25 on $65.4M of operating revenue. It held 403 days of cash on hand (90th percentile among Critical Access Hospitals on liquidity). Operating margin improved from 2.6% in FY20 to 7.2% in FY25.
Operating margin · FY25
+7.2%
▲ 0.7 pts vs FY24
vs Critical Access Hospitals74th pctl of 824 (FY25)
Days cash on hand · FY25
403d
all sources
▲ 14.9 days vs FY24
vs Critical Access Hospitals90th pctl of 827 (FY25)
Total operating revenue · FY25
$65.4M
▲ 4.4 $M vs FY24
vs Critical Access Hospitals80th pctl of 833 (FY25)
Total margin · incl. nonoperating · FY25
+9.1%
▲ 0.8 pts vs FY24
vs Critical Access Hospitals61st pctl of 824 (FY25)
One point of operating margin at NORTHERN LIGHT SEBASTICOOK VALLEY HOSPITAL is about $654K per year (1% of FY25 total operating revenue).
Where NORTHERN LIGHT SEBASTICOOK 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
+16.5% (FY25)
31st percentile of 476 CAHs. Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
Medicare outpatient contribution margin
+58.9% (FY25)
62nd 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
55,283
60,024
64,724
Other operating revenue
3,541
1,049
719
Total operating revenue
58,824
61,073
65,443
Total operating expenses
54,812
57,088
60,701
Operating income
4,012
3,985
4,742
Operating margin %
+6.8%
+6.5%
+7.2%
Grants & contributions
574
370
520
Investment income
7
13
21
Other non-operating, net
2,531
829
822
Net income
7,124
5,197
6,105
Net income %
+11.5%
+8.3%
+9.1%
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 25-bed hospital at 33% occupancy where swing beds are 38% of the inpatient business and 82% 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
32.6%
Verified fact2025
HCRIS WS S-3
Average daily census
8.17
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
25
Verified fact2025
HCRIS WS S-3
Annual discharges
870
Verified fact2025
HCRIS WS S-3
Average length of stay
3.4d
Verified fact2025
HCRIS WS S-3
Swing-bed average daily census
5.02
Verified fact2025
HCRIS WS S-3 L5–6
Swing-bed share of inpatient days
38.1%
Verified fact2025
HCRIS WS S-3 (acute + swing days)
Outpatient share of patient revenue
81.7%
Verified fact2025
HCRIS WS G-2 L28
Who it serves
Total unreimbursed & uncompensated care
$1.7M
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
15.3%
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
SOMERSET County, ME · nonmetro, urban 5–20K, metro-adjacent
Median household income
$56.2K
vs $82.1K US · $59.7K rural median
Poverty rate
15.6%
vs 12.5% US · 14.3% rural median
Uninsured
7.8%
vs 8.6% US · 8.4% rural median
Age 65+
22.6%
vs 16.8% US · 20.6% rural median
Fair or poor health
23.4%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 14.9% of county personal income is Medicare/Medicaid medical benefits; 34.5% arrives as government transfers (BEA, 2022).
What this hospital means to Somerset County
economic contribution · FY25 cost report
Direct annual spending
$60.7M
total operating expense · reported
Total economic output
$139.6M
× 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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