Financial anchor year: FY25. Margin and revenue are as filed for FY25. Balance-sheet measures (current ratio, equity financing, days in A/R) use FY24, the latest filing whose balance sheet reconciled as filed. Every tile below states its own fiscal year; nothing is carried forward or estimated.
The read
A hospital in Lebanon, NH. It ran an operating surplus of 9.6% in FY25 on $706.2M of operating revenue. It held 723 days of cash on hand (98th percentile of 201 Rural PPS hospitals on liquidity, FY25 pool). 5 reporting years are on file, but revenue scale shifts too much between them for a like-for-like trend, so trend context is limited.
Operating margin · FY25
+9.6%
Astrelis calculation · as-filed inputs
vs Rural PPS hospitals81st pctl of 202 (FY25 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Days cash on hand · FY25
723d
all sources
Astrelis calculation · as-filed inputs
vs Rural PPS hospitals98th pctl of 201 (FY25 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Total operating revenue · FY25
$706.2M
Astrelis calculation · as-filed inputs
vs Rural PPS hospitals99th pctl of 207 (FY25 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Total margin · incl. nonoperating · FY25
+10.9%
Astrelis calculation · as-filed inputs
vs Rural PPS hospitals78th pctl of 202 (FY25 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
One point of operating margin at MARY HITCHCOCK MEMORIAL HOSPITAL is about $7.1M per year (1% of FY25 total operating revenue).
Where MARY HITCHCOCK MEMORIAL sits among Rural PPS hospitals
Operating margin · FY25 pool · n = 202 of 410 filed
Each point is one Rural PPS hospital in the national FY25 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 FY25 median is -3.6%. Descriptive context only, not a ranking.
One rural pps hospitalMARY HITCHCOCKRural 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 computes only when every input is reported in the filing (otherwise its cell states which input is Not reported in source); a year whose balance sheet does not reconcile is labeled, and its derived ratios read Astrelis calculation unavailable. Not audited by Astrelis.
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
Astrelis calculation · HCRIS WS G / G-3
$ in thousands
Line item
FY23
FY24
FY25
Patient revenue
1,426,403
1,696,856
515,537
Other operating revenue
512,622
554,289
190,624
Total operating revenue
1,939,025
2,251,145
706,161
Total operating expenses
1,909,498
2,242,355
638,393
Operating income
29,527
8,789
67,768
Operating margin %
+1.5%
+0.4%
+9.6%
Grants & contributions
—
—
8,333
Investment income
48,472
88,627
—
Other non-operating, net
33,700
62,391
2,385
Net income
111,699
159,807
78,486
Net income %
+5.5%
+6.7%
+10.9%
— = Not reported in source for that year.
HCRIS Worksheet G-3 / S-3 · $ thousands · FY21–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income
How it operates
quality & operational context · CMS public reporting
A 438-bed hospital running at 84% occupancy, where 66% of patient revenue is outpatient.
The metrics this hospital type is judged on: care quality, patient experience, and scale. Each is labeled by provenance class and public source; descriptive context only, never a ranking or adequacy claim. Provenance labels: Reported value is copied from the named public source; Astrelis calculation is a formula applied to unchanged reported inputs, with the formula shown; Illustrative estimate is a benchmark gap, multiplier, or scenario — never a measurement.
Scale and flow
Occupancy
84.1%
Reported value2025
HCRIS WS S-3
Average daily census
338.16
Reported value2025
HCRIS WS S-3
Staffed beds (acute)
438
Reported value2025
HCRIS WS S-3
Annual discharges
23,096
Reported value2025
HCRIS WS S-3
Average length of stay
1 day
Reported value2025
HCRIS WS S-3
Cost per patient day
$20,745
Astrelis calculation2025
Astrelis calculation — total operating expense ÷ total patient days (HCRIS WS G-3 / S-3)
Cost per discharge (unadjusted)
$27,641
Astrelis calculation2025
Astrelis calculation — total operating expense ÷ discharges, NOT case-mix adjusted (adjusted discharges are not on the public filing set)
Outpatient share of patient revenue
66.4%
Reported value2025
HCRIS WS G-2 L28
Total FTEs
1,306
Reported value2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
26.2%
Reported value2025
HCRIS WS S-3 Pt V
How the care measures up
C. difficile infection (SIR)
0.569
Better than the National Benchmark
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
Medicare spending per beneficiary
1.02
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
1.179075
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare
Trajectory
Cost-report basis · 5 reporting years
Operating margin
Days cash on hand
State context
Lebanon, NH
Located in Lebanon, NH. County-level statistics: linkage not established— this record's county mapping is not verified in the resolved spine, and we never place a facility in a county by guesswork. State-level context appears here once a state aggregate layer lands.
Illustrative advocacy scenario: what this hospital means to its county
Illustrative estimate · FY25 cost report
Direct annual spending
$638.4M
total operating expense · Reported value, not a local-capture estimate
Labor income
$163.8M
$137.7M direct compensation × 1.19 · NCRHW 2016 CAH study · Illustrative estimate
Economic activity
$1.47B
direct spending × 2.30 · AHA national hospital economic activity report — a national hospital ratio, not a CAH or county figure · Illustrative estimate
Share of county employment
2.4%
of all county jobs · Reported value
Employment and labor income multipliers are from the National Center for Rural Health Works 2016 study of Critical Access Hospital economic impact (IMPLAN Type II, U.S. rural county populations); the economic-activity ratio is from the AHA national hospital economic activity report and describes U.S. hospitals as a whole; it is not a CAH-specific or county-specific figure. Applying any of these to an individual facility is an illustrative advocacy scenario, not a measurement: local capture depends on payroll residency, purchasing patterns, and county economic structure the sources do not observe. This facility is not a critical access hospital, so the NCRHW-derived lines borrow from a different hospital type; the label says so here rather than in the number. Direct figures are reported values from the facility's HCRIS cost report. Want a defensible facility-specific figure? Request a Facility Economic Impact Study →
Operating margin vs its peer poolFY25Astrelis calculation
Operating margin vs its peer pool: FY25 pool · n = 202.
Performance Benchmark Report: FY25 peer pool · n = 202 · conservative low band; acuity limits stated in the report.
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