Velarion Records

Critical access hospital · Lancaster, New Hampshire · 25 beds · CMS certification number 301303

Hartzler Health

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended September 30, 2025, as submitted, stamped by CMS February 27, 2026. 25 years on file, every one shown below. Also on the 340B covered-entity register.

Fiscal 2025 at a glance

Net patient revenue
$74.9M
$74,941,640 · G-3 line 3
Operating expenses
$88.9M
$88,886,074 · G-3 line 4
Result from patient care
−$13.9M
−$13,944,434 · G-3 line 5
Margin on patient care
−18.6%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $3.0M in its first year on file (2001) to $74.9M in 2025.
  • Its result from patient care: −$6.9M (2023), −$5.9M (2024), −$13.9M (2025).
  • 3 of the 5 critical access hospital peers below with a margin on file also report a loss on patient care for fiscal year 2025.
  • Medicaid paid for 2.8% of its inpatient days and Medicare for 40.3%.

Every statement is drawn from figures on this page; nothing is estimated.

25 years of filings

Net patient revenue against operating expenses, each year as filed.

Net patient revenueOperating expenses
2001
settled
$3.0M
$3.2M
2002
reopened
$18.8M
$19.8M
2003
reopened
$21.4M
$22.2M
2004
reopened
$26.9M
$27.6M
2005
settled with audit
$28.9M
$29.8M
2006
settled
$31.0M
$32.4M
2007
settled
$33.3M
$35.1M
2008
settled
$34.8M
$35.7M
2009
settled
$39.3M
$40.1M
2010
reopened
$43.0M
$44.6M
2011
settled
$41.3M
$42.9M
2012
settled
$39.3M
$41.7M
2013
settled
$39.3M
$43.8M
2014
settled
$38.2M
$41.5M
2015
settled
$39.3M
$42.1M
2016
settled
$40.5M
$43.6M
2017
settled
$42.6M
$45.1M
2018
settled
$46.2M
$47.8M
2019
settled with audit
$48.9M
$52.6M
2020
settled with audit
$50.0M
$56.2M
2021
settled
$56.8M
$63.3M
2022
amended
$67.4M
$73.0M
2023
as submitted
$76.4M
$83.3M
2024
as submitted
$77.1M
$83.0M
2025
as submitted
$74.9M
$88.9M

Beside its peers

Critical access hospitals in New Hampshire with 25 to 49 beds, each on fiscal year 2025.

HospitalBedsNet patient revenueOperating expensesMargin
Hartzler Health25$74,941,640$88,886,074−18.6%
Cottage Hospital, Woodsville25$38,107,048$44,055,987−15.6%
Littleton Regional Healthcare, Littleton25$112,534,882$132,750,970−18.0%
Mainehealth Memorial Hospital, North Conway25$132,586,530$127,016,4014.2%
New London Hospital, New London25$101,980,676$97,887,9354.0%
Valley Regional Hospital, Claremont25$69,210,150$70,519,643−1.9%

Patients and payers

Discharges
528
S-3 line 14, col 15
Inpatient days
2,578
S-3 line 14, col 8
Beds in use, on an average day
7.1
days ÷ days in year
Occupancy
28.2%
days ÷ bed days
Medicare share of days
40.3%
S-3 cols 6 ÷ 8
Medicaid share of days
2.8%
S-3 cols 7 ÷ 8

Who owns it

Related organizations on its own cost report: NORTH COUNTRY H (100%), home office; LPCC (100%), asset holding c.

Type of control on its cost report: voluntary nonprofit, other.

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Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2025.ZIP, form CMS-2552-10, filed under CMS certification number 301303. Patients and payers: worksheet S-3 Part I of the same filing.

How this page was built: the CMS Medicare cost report, file HOSP10FY2025.ZIP, read February 27, 2026.