CCN 370089Government - Hospital District or AuthorityRural (USDA RUCC)40 bedsLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
Operating margin: -3.0% in FY2025, the 44th percentile of 375 rural pps hospitals in the FY2025 pool. Days cash on hand: 86 days in FY2025, the 71st percentile of 371 rural pps hospitals in the FY2025 pool. Total operating revenue: $145.8M in FY2025, the 66th percentile of 380 rural pps hospitals in the FY2025 pool. Total margin (including nonoperating): +1.7% in FY2025, the 42nd percentile of 375 rural pps hospitals in the FY2025 pool. Figures as filed; not audited by Astrelis.
The read
A hospital in Tahlequah, OK. It ran an operating loss of 3.0% in FY25 on $145.8M of operating revenue. It held 86 days of cash on hand (71st percentile of 371 Rural PPS hospitals on liquidity, FY25 pool). Operating margin improved from -6.6% in FY21 to -3.0% in FY25. Including nonoperating items, the all-in result was positive at 1.7%.
Operating margin · FY25
-3.0%
Astrelis calculation · as-filed inputs
▲ 1.6 pts vs FY24
vs Rural PPS hospitals44th pctl of 375 (FY25 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Days cash on hand · FY25
86d
all sources
Astrelis calculation · as-filed inputs
▼ 5 days vs FY24
vs Rural PPS hospitals71st pctl of 371 (FY25 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Total operating revenue · FY25
$145.8M
Astrelis calculation · as-filed inputs
▲ $4.9M vs FY24
vs Rural PPS hospitals66th pctl of 380 (FY25 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Total margin · incl. nonoperating · FY25
+1.7%
Astrelis calculation · as-filed inputs
▲ 1.7 pts vs FY24
vs Rural PPS hospitals42nd pctl of 375 (FY25 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
One point of operating margin at NORTHEASTERN HEALTH SYSTEM is about $1.5M per year (1% of FY25 total operating revenue).
Where NORTHEASTERN HEALTH SYSTEM sits among Rural PPS hospitals
Operating margin · FY25 pool · n = 375 of 411 filed
Each point is one Rural PPS hospital in the national FY25 distribution for Rural PPS hospitals, this hospital's comparison cohort, 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 -1.1%. Descriptive context only, not a ranking.
One rural pps hospitalNORTHEASTERN HEALTHRural 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 × days in the report's own period ÷ net patient revenue, same fiscal year
Astrelis calculation · HCRIS WS G / G-3
$ in thousands
Line item
FY23
FY24
FY25
Patient revenue
134,617
139,175
139,426
Other operating revenue
517
1,693
6,391
Total operating revenue
135,133
140,868
145,818
Total operating expenses
147,558
147,345
150,180
Operating income
(12,425)
(6,476)
(4,362)
Operating margin %
-9.2%
-4.6%
-3.0%
Grants & contributions
16
2,710
2,436
Investment income
225
592
921
Other non-operating, net
6,151
3,144
3,562
Net income
(6,034)
(30)
2,556
Net income %
-4.3%
0.0%
+1.7%
— = 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 40-bed hospital running at 49% occupancy, where 65% 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
48.7%
Reported value2025
HCRIS WS S-3
Average daily census
19.48
Reported value2025
HCRIS WS S-3
Staffed beds (acute)
40
Reported value2025
HCRIS WS S-3
Annual discharges
3,247
Reported value2025
HCRIS WS S-3
Average length of stay
2 days
Reported value2025
HCRIS WS S-3
Cost per patient day
$21,119
Astrelis calculation2025
Astrelis calculation — total operating expense ÷ total patient days (HCRIS WS G-3 / S-3)
Cost per discharge (unadjusted)
$46,252
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
65.3%
Reported value2025
HCRIS WS G-2 L28
Total FTEs
851.20
Reported value2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
15.1%
Reported value2025
HCRIS WS S-3 Pt V
How the care measures up
C. difficile infection (SIR)
0.57
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
0.97
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
1.184723
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
Tahlequah, OK
Located in Tahlequah, OK. 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
$150.2M
total operating expense · Reported value, not a local-capture estimate
Labor income
$77.5M
$65.1M direct compensation × 1.19 · NCRHW 2016 CAH study · Illustrative estimate
Economic activity
$345.4M
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
4.7%
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 = 375.
Performance Benchmark Report: FY25 peer pool · n = 375 · conservative low band; acuity limits stated in the report.
Report coverage: Limited Facility Benchmark. 14 of 17 facility measures available from public sources. The report covers the available measures against their peer benchmarks; measures the public record does not carry become findings. Coverage is disclosed here before you reserve, and thin data is never a decline reason. The refund guarantee stands: if we cannot deliver the published scope, you pay nothing.
The Board Briefing
Your facility and its world, board-ready. Measures the public record does not carry become findings, never a decline reason.
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Astrelis Atlas, "Northeastern Health System", https://astrelis.co/hospitals/370089, release 2321a4fc37a7 (2026-10-22). Figures as filed in the named public sources; not audited by Astrelis.
Machine-readable twin of this page: astrelis.co/hospitals/370089.md (Markdown, the same figures with their fiscal years, pools and definitions). Last modified: release 2321a4fc37a7, 2026-10-22. Figures are as filed in the named public sources. Astrelis is not a CPA firm and performs no audit, review or attestation of any facility.
