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 Middlebury, VT. It ran an operating surplus of 0.2% in FY25 on $129.3M of operating revenue. It held 158 days of cash on hand (62nd percentile among Critical Access Hospitals on liquidity). Operating margin improved from -11.9% in FY20 to 0.2% in FY25, though it fell 1.0 points in the most recent year.
Operating margin · FY25
+0.2%
▼ 1.0 pts vs FY24
vs Critical Access Hospitals52nd pctl of 824 (FY25)
Days cash on hand · FY25
158d
all sources
▲ 15.7 days vs FY24
vs Critical Access Hospitals62nd pctl of 827 (FY25)
Total operating revenue · FY25
$129.3M
▲ 7.5 $M vs FY24
vs Critical Access Hospitals96th pctl of 833 (FY25)
Total margin · incl. nonoperating · FY25
+7.1%
▼ 0.1 pts vs FY24
vs Critical Access Hospitals53rd pctl of 824 (FY25)
One point of operating margin at PORTER HOSPITAL INC is about $1.3M per year (1% of FY25 total operating revenue).
Where PORTER HOSPITAL INC 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 hospitalPORTER HOSPITALCritical 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
+15.0% (FY25)
27th percentile of 476 CAHs. Full comparison in the CAH Performance Benchmark.
HCRIS cost report · CAH economics engine
Medicare outpatient contribution margin
+57.3% (FY25)
57th 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
93,866
98,026
103,594
Other operating revenue
22,023
23,808
25,696
Total operating revenue
115,889
121,834
129,290
Total operating expenses
110,724
120,338
128,985
Operating income
5,165
1,496
305
Operating margin %
+4.5%
+1.2%
+0.2%
Grants & contributions
252
271
289
Investment income
3,446
5,835
3,195
Other non-operating, net
5,336
1,703
6,005
Net income
14,199
9,305
9,794
Net income %
+11.4%
+7.2%
+7.1%
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 50% occupancy where swing beds are 21% of the inpatient business and 89% 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
50.4%
Verified fact2025
HCRIS WS S-3
Average daily census
12.65
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
25
Verified fact2025
HCRIS WS S-3
Annual discharges
1,511
Verified fact2025
HCRIS WS S-3
Average length of stay
3.0d
Verified fact2025
HCRIS WS S-3
Swing-bed average daily census
3.31
Verified fact2025
HCRIS WS S-3 L5–6
Swing-bed share of inpatient days
20.7%
Verified fact2025
HCRIS WS S-3 (acute + swing days)
Outpatient share of patient revenue
88.8%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
507.20
Verified fact2025
HCRIS WS S-3 Pt II
Who it serves
Total unreimbursed & uncompensated care
$11.3M
Verified fact2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
2.371
No Different than National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
14.7%
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
ADDISON County, VT · nonmetro, urban 5–20K, metro-adjacent
Median household income
$88.5K
vs $82.1K US · $59.7K rural median
Poverty rate
7.4%
vs 12.5% US · 14.3% rural median
Uninsured
4.6%
vs 8.6% US · 8.4% rural median
Age 65+
22.0%
vs 16.8% US · 20.6% rural median
Fair or poor health
12.8%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 6.3% of county personal income is Medicare/Medicaid medical benefits; 17.8% arrives as government transfers (BEA, 2022).
What this hospital means to Addison County
economic contribution · FY25 cost report
Direct annual spending
$129.0M
total operating expense · reported
Total economic output
$296.7M
× 2.30 output multiplier · estimate, upper bound for rural
Share of county employment
3.3%
of all county jobs
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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