A hospital in Saint Albans, VT. It ran an operating loss of 11.3% in FY25 on $133.1M of operating revenue. It held 230 days of cash on hand (86th percentile among Urban PPS hospitals on liquidity). Operating margin improved from -22.8% in FY20 to -11.3% in FY25, though it fell 2.6 points in the most recent year. Including nonoperating items, the all-in result was positive at 2.1%.
Operating margin · FY25
-11.3%
▼ 2.6 pts vs FY24
vs Urban PPS hospitals19th pctl of 1,475 (FY25)
Days cash on hand · FY25
230d
all sources
▼ 28.0 days vs FY24
vs Urban PPS hospitals86th pctl of 1,386 (FY25)
Total operating revenue · FY25
$133.1M
▲ 7.7 $M vs FY24
vs Urban PPS hospitals27th pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
+2.1%
▼ 7.4 pts vs FY24
vs Urban PPS hospitals34th pctl of 1,475 (FY25)
One point of operating margin at NORTHWESTERN MEDICAL CENTER INC is about $1.3M per year (1% of FY25 total operating revenue).
Where NORTHWESTERN 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.
One urban pps hospitalNORTHWESTERN 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.
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line item
FY23
FY24
FY25
Patient revenue
97,104
109,138
128,073
Other operating revenue
19,610
16,282
5,059
Total operating revenue
116,715
125,420
133,132
Total operating expenses
131,465
136,341
148,134
Operating income
(14,750)
(10,921)
(15,002)
Operating margin %
-12.6%
-8.7%
-11.3%
Other non-operating, net
16,350
23,799
18,132
Net income
1,600
12,878
3,130
Net income %
+1.2%
+8.6%
+2.1%
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 43-bed hospital at 38% occupancy 80% 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
37.6%
Verified fact2025
HCRIS WS S-3
Average daily census
16.21
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
43
Verified fact2025
HCRIS WS S-3
Annual discharges
2,441
Verified fact2025
HCRIS WS S-3
Average length of stay
2.4d
Verified fact2025
HCRIS WS S-3
Swing-bed average daily census
3.21
Verified fact2025
HCRIS WS S-3 L5–6
Swing-bed share of inpatient days
16.5%
Verified fact2025
HCRIS WS S-3 (acute + swing days)
Outpatient share of patient revenue
80.4%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
589.70
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
20.1%
Verified fact2025
HCRIS WS S-3 Pt V
Who it serves
Total unreimbursed & uncompensated care
$8.8M
Verified fact2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
0.294
Better than the National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
14%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
0.88
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
1.18324
CMS-reported measure07/01/2022 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
FRANKLIN County, VT · metro, under 250K
Median household income
$79.1K
vs $82.1K US · $59.7K rural median
Poverty rate
10.1%
vs 12.5% US · 14.3% rural median
Uninsured
3.9%
vs 8.6% US · 8.4% rural median
Age 65+
17.3%
vs 16.8% US · 20.6% rural median
Fair or poor health
16.0%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 7.0% of county personal income is Medicare/Medicaid medical benefits; 19.1% arrives as government transfers (BEA, 2022).
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