Astrelis
Urban PPS hospital · Keene, NH

CHESHIRE MEDICAL CENTER

CCN 300019CHESHIRE CountyVoluntary non-profit - Private59 bedsLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read

A hospital in Keene, NH. It ran an operating loss of 5.7% in FY25 on $81.4M of operating revenue. It held 177 days of cash on hand (81st percentile among Urban PPS hospitals on liquidity). Only a single comparable reporting year is available, so trend context is limited.

Operating margin · FY25
-5.7%
vs Urban PPS hospitals29th pctl of 1,475 (FY25)
Days cash on hand · FY25
177d
all sources
vs Urban PPS hospitals81st pctl of 1,386 (FY25)
Total operating revenue · FY25
$81.4M
vs Urban PPS hospitals17th pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
-5.2%
vs Urban PPS hospitals16th pctl of 1,475 (FY25)
One point of operating margin at CHESHIRE MEDICAL CENTER is about $814K per year (1% of FY25 total operating revenue).

Where CHESHIRE MEDICAL CENTER sits among Urban PPS hospitals

Operating margin · FY25 pool · n = 1,475 of 2,681 filed

Each point is one Urban 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 Urban PPS hospital median is +1.3%. Descriptive context only, not a ranking.

-20%-10%0%+10%+20%Urban PPS hospital median +1.3311360264910879%CHESHIRE MEDICAL -5.687029227057586%-20%0%+20%Urban PPS hospital median +1.3311360264910879%CHESHIRE MEDICAL -5.687029227057586%
One urban pps hospitalCHESHIRE MEDICALUrban 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.

Operating margin
-5.7% (FY25)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
-5.2% (FY25)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
177d (FY25)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
HCRIS WS G / G-3
Current ratio
2.62× (FY25)
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
58% (FY25)
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
70d (FY25)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line itemFY23FY24FY25
Patient revenue236,225260,86869,465
Other operating revenue33,68040,63811,983
Total operating revenue269,905301,50681,449
Total operating expenses289,161310,54186,081
Operating income(19,256)(9,035)(4,632)
Operating margin %-7.1%-3.0%-5.7%
Other non-operating, net01,100405
Net income(19,256)(7,935)(4,227)
Net income %-7.1%-2.6%-5.2%
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 59-bed hospital at 67% occupancy 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
66.8%
Verified fact2025
HCRIS WS S-3
Average daily census
39.86
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
59
Verified fact2025
HCRIS WS S-3
Annual discharges
1,070
Verified fact2025
HCRIS WS S-3
Average length of stay
3.4d
Verified fact2025
HCRIS WS S-3
Swing-bed average daily census
6.68
Verified fact2025
HCRIS WS S-3 L5–6
Swing-bed share of inpatient days
14.4%
Verified fact2025
HCRIS WS S-3 (acute + swing days)
Outpatient share of patient revenue
81.6%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
225.40
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
26.9%
Verified fact2025
HCRIS WS S-3 Pt V
How the care measures up
C. difficile infection (SIR)
0.247
Better than the National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
14.9%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
0.97
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
1.008471
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare

Trajectory

Cost-report basis · 5 reporting years
Operating margin
-7.7%-4.1%-7.1%-3.0%-5.7%FY21FY22FY23FY24FY25
Days cash on hand
75 days28 days18 days19 days177 daysFY21FY22FY23FY24FY25

The county this hospital serves

CHESHIRE County, NH
Median household income
$81.0K
vs $82.1K US · $59.7K rural median
Poverty rate
8.9%
vs 12.5% US · 14.3% rural median
Uninsured
5.9%
vs 8.6% US · 8.4% rural median
Age 65+
21.6%
vs 16.8% US · 20.6% rural median
Fair or poor health
15.7%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 8.2% of county personal income is Medicare/Medicaid medical benefits; 19.8% arrives as government transfers (BEA, 2022).

Portfolio Performance ReviewFrom $7,500Founding Edition

Every facility in your portfolio, benchmarked and triaged: which are fine, which need a closer look, which need attention now. Requires only a CCN roster. Founding Edition: delivered within 30 days of eligibility confirmation, full refund if the published scope cannot be delivered.

build aa21187 · 2026-07-26