Houlton Regional Hospital

What Houlton Regional Hospital does

Houlton Regional Hospital (HRH) is a 25-bed nonprofit acute care facility located at 20 Hartford Street in Houlton, Maine, serving as the only hospital in Southern Aroostook County. Founded as a community institution, HRH operates a 24/7 emergency department staffed by board-certified physicians and registered nurses, four surgical rooms, and an integrated network of Rural Health Clinics and specialty clinics at the same campus covering primary care, pediatrics, internal medicine, cardiology, neurology, urology, pain management, behavioral health, obesity and metabolic health, and surgical services. Supporting clinical infrastructure includes a fully accredited CLIA laboratory with a Beckman DxC 500i clinical analyzer interfacing with the National Alloantibody Exchange (since January 2025), an Axio Zeiss microscope with telemedical pathology consultation through Dahl Chase, advanced radiology including 3D digital tomosynthesis mammography, CT, MRI, ultrasound, nuclear medicine, and bone density scanning, plus cardiopulmonary rehabilitation, respiratory therapy with sleep testing through Northern Light AR Gould, infusion services, and a Swing Bed skilled rehabilitation program. Patient-facing digital services include an EMR-backed patient portal containing visits from October 2022 forward and a CMS-compliant price transparency tool.

HRH generates revenue through fee-for-service billing across a diversified payer mix of private insurance, Medicare, Medicaid, and self-pay, supplemented by discounted cash pricing, sliding fee scale discounts (updated February 2025), and free care under Maine statute 22 MSRA 396-F (1) for qualifying low-income patients. The hospital participates in congressionally directed federal funding programs for capital improvements and receives cost-based reimbursement consistent with Critical Access Hospital designation. As an independent nonprofit governed by a Board of Trustees under CEO Jeff Zewe (RN, MBA), HRH has no parent company, equity investors, or disclosed institutional ownership, and is funded operationally through patient service revenue, federal appropriations, the AHA Get With The Guidelines recognition program, and community benefit partnerships including the DAISY Award program administered through Northern Maine Medical Center and American Red Cross blood drives.

Name

Houlton Regional Hospital

Legal name

Houlton Regional Hospital

Website

https://houltonregional.org

Company type

Private

Founded year

1976

Operating status

Operating

Headcount range

11–50 employees

Short description

Houlton Regional Hospital is a 25-bed nonprofit acute care hospital in Houlton, Maine, serving as the sole hospital for Southern Aroostook County, providing 24/7 emergency, inpatient, surgical, and specialty outpatient services to rural Maine residents.

Ownership category

akta.pro rank

Product category

Acute Care Hospital Services

NAICS

General Medical and Surgical Hospitals (6221), Ambulatory Health Care Services (621)

SIC

Services-General Medical & Surgical Hospitals, Nec (8062), Services-Offices & Clinics Of Doctors Of Medicine (8011)

akta.pro primary industry

Community & Regional General Hospitals (HLAFAAAB)

akta.pro secondary industry

Critical Access & Rural Hospitals (HLAFAAAG)

Keywords

• Rural hospital services
• Acute care medicine
• Emergency department care
• Specialty clinic services
• Diagnostic imaging

Headquarters

HQ city

Houlton

HQ country

United States

HQ region

North America

Offices4 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Infrastructure, Technology or R&D, Marketing or Sales

Revenue model

1. Patient Care Services: Acute care hospital services including emergency department, inpatient care, surgical services, diagnostic imaging, laboratory services, and outpatient specialty clinics. Revenue generated through fee-for-service billing to patients, insurance companies, Medicare, Medicaid, and other government healthcare programs.
2. Rural Health Clinic Professional Services: Rural Health Clinic services covered under FAP including Houlton Family Practice and Sigrid E Tompkins Rural Health Clinic services. Operates on sliding fee scale and financial assistance programs for qualifying patients.
3. Financial Assistance Programs: Free Care for patients below poverty income guidelines per 22 MSRA 396-F (1), and sliding fee discount based on family size and income for those who cannot pay.

Pricing tiers

Go-to-market motion1 record

Distribution channels6 records

Marketing channels5 records

Core offering

Houlton Regional Hospital is a 25-bed acute care community hospital in Houlton, Maine, providing 24/7 emergency care, inpatient acute care, surgical services, diagnostic imaging, a fully accredited CLIA laboratory, and a network of Rural Health Clinics and specialty outpatient clinics. The hospital serves as the primary healthcare access point for rural Southern Aroostook County, offering primary care, cardiology, neurology, urology, pain management, behavioral health, obesity/metabolic health, cardiopulmonary rehabilitation, diabetic education, and Swing Bed rehabilitation services.

Product overview

Houlton Regional Hospital is a 25-bed acute care facility offering a comprehensive range of inpatient and outpatient medical services. The hospital operates as an integrated healthcare network providing emergency medicine, primary care through its Rural Health Clinic, specialty services (cardiology, neurology, urology, pain management, surgical services), diagnostic imaging, laboratory, rehabilitation therapy, and behavioral health. Supporting clinical services include dietary/nutrition, diabetic education, cardiopulmonary rehabilitation, respiratory therapy, social services, infusion services, and a Center for Community Health Education for community wellness programs. Patient-facing digital services include a patient portal for accessing medical records and a price transparency tool for estimating costs.

Differentiator

Problem solved

Functional benefit

Products and services

• Acute Care Unit 24-hour medical, surgical, and sub-acute nursing care for adults and children, featuring dedicated hospitalist coverage and a Swing Bed program for skilled rehabilitation services.
• Behavioral Health Psychiatric care including medication management and counseling delivered by Psychiatric Mental Health Nurse Practitioners, a Psychiatrist, and a Licensed Clinical Social Worker, with crisis support via the Maine Crisis Line.
• Cardiology Advanced heart care including non-invasive diagnostic testing (echocardiograms, stress testing, EKGs, cardiac monitoring), treatment plans, and cardiac rehabilitation programs.
• Cardiopulmonary Rehabilitation Cardiac and pulmonary Phase II classes, cardiac stress testing, long-term cardiac monitors, and pacemaker/device clinic services.
• Dietary Services Clinical nutrition and hospital dietary services providing patient meals, cafeteria operations, and nutritional care coordination.
• Diabetic Education Program Comprehensive diabetic education including insulin adjustments, pump training, continuous glucose monitoring, and individualized diabetic education.
• Emergency Department 24/7 emergency medical care with Board Certified Physicians, Registered Nurses, Physician Assistants, and Nurse Practitioners providing assessment, resuscitation, and stabilization.
• Infusion Services Ambulatory infusion services including IV infusions, blood products, injections, catheter care, wound care, and PICC line/Mediport management.
• Internal Medicine Practice Adult primary and internal medicine services including metabolic health and podiatry, provided through the Rural Health Clinic.
• Laboratory Services Fully accredited CLIA laboratory offering comprehensive testing in blood bank, blood gas, coagulation, chemistry, hematology, microbiology, serology, and urinalysis, featuring Beckman DxC 500i Clinical analyzer.
• Neurology Services Neurological evaluations and treatment for conditions affecting the brain, spinal cord, and nervous system, offered through the Specialty Clinic.
• Obesity Management / Center for Diabetes, Obesity and Metabolic Health Physician-led metabolic health clinic treating obesity, insulin resistance, diabetes, and related conditions using food-based approaches, GLP-1 therapy, and sustainable lifestyle change.
• Pain Management Interventional pain management including epidural steroid injections, radio frequency ablation, nerve blocks, and spinal cord stimulator trials.
• Pediatrics Pediatric healthcare for children from birth through age 18 including well-child exams, routine check-ups, sick visits, and childhood immunizations.
• Primary Care (Houlton Family Practice Rural Health Clinic) Comprehensive family medicine services including annual wellness exams, routine physicals, chronic disease management, immunizations, and care coordination.
• Radiology Services Advanced diagnostic imaging including X-ray, CT scan, 3D digital tomosynthesis mammography, nuclear medicine, bone density, ultrasound, echocardiography, and MRI.
• Respiratory Therapy Respiratory and pulmonary care including pulmonary function testing, sleep studies (in-lab and at-home), overnight oximetry, EKG, and exercise oximetry testing.
• Social Services Patient advocacy, case management, and discharge planning including licensed social workers and registered nurse case managers.
• Surgical Services Inpatient and outpatient surgical care including urology, cardiology, pain clinic, GI screening, and general surgical services across four surgical rooms.
• Therapy Center Inpatient and outpatient rehabilitative services including occupational therapy, physical therapy, speech therapy, and a Step Up continuation program.
• Urology General urology care providing clinical consultations and surgical services for conditions including BPH, bladder cancer, kidney stones, and prostate cancer.
• Center for Community Health Education Community education facility hosting health lectures, diabetes self-management programs, childbirth education, CPR training, support groups, and continuing education for healthcare staff.
• Patient Portal Online patient portal containing information for visits from October 2022 forward, including lab tests and visits to primary care and emergency department.
• Price Transparency Tool Shoppable services file and machine-readable charge data providing standard charges, discounted cash prices, and payer-specific negotiated charges.

Quantifiable outcome

• Silver Recognition from American Heart Association for commitment to excellence in heart failure care through Get With The Guidelines – Rural Heart Failure registry

Segments5 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature4 records

Partnerships

Six partnerships are on record, tiered core and minor.

• National Alloantibody ExchangecoreTechnology or Integration · 1 January 2025Blood bank participation in National Alloantibody Exchange. Project required months of preparation, collaboration, and validation involving Dr. George Hauser, President of the Alloantibody Exchange. Allows authorized healthcare facilities to access patient historical RBC antibody, antigen, and special transfusion requirements to prevent adverse transfusion reactions. HRH successfully established access for its laboratory team in January 2025.
• Northern Light AR Gould HospitalcoreStrategic or Co-development PartnerPartnership for sleep testing services. Sleep studies are offered through Northern Light AR Gould Hospital which is accredited by the American Academy of Sleep Medicine. Enables Houlton Regional Hospital to provide overnight in-lab sleep testing services to patients locally.
• U.M.P.I. (University of Maine at Presque Isle) MLT ProgramminorOthersHRH Laboratory is affiliated with the U.M.P.I. MLT program and teaches a student on site each spring semester. All technical areas are taught by Laboratory supervisors. Many current employees are graduates of this program.
• American Red CrossminorStrategic or Co-development PartnerBlood drives conducted in partnership with the American Red Cross through the Center for Community Health Education. Also provides CPR training programs.
• Healthcare Purchaser AllianceminorStrategic or Co-development PartnerHospital participates in Healthcare Purchaser Alliance programs and quality initiatives.
• Northern Maine Medical CenterminorOthersDAISY Award nominations are processed through Northern Maine Medical Center. Nominations for extraordinary nurses at Houlton Regional Hospital go to the DAISY committee at Northern Maine Medical Center for consideration.

Scale indicators2 records

Recent moves1 record

Expansion highlights5 records

Regional players

• Northern Maine Medical Center: 50-bed acute care hospital in Fort Kent, ME serving northern Aroostook County. Closest geographic and demographic peer to HRH; both are small independent rural hospitals in Aroostook County with shared labor markets and overlapping referral patterns.
• Northern Light AR Gould Hospital: Critical access hospital in Presque Isle, ME (Aroostook County seat), part of the larger Northern Light Health system. Comparable rural inpatient and outpatient services, and an existing HRH partner for sleep testing — making it a hybrid regional peer and potential competitor for specialty referrals.
• Cary Medical Center: Independent community hospital in Caribou, ME serving Aroostook County. Similar size, mission, and payer mix to HRH; competes for patients in adjacent towns within the same rural Maine region.
• Calais Community Hospital: Small rural hospital in Calais, ME on the Canadian border. Closely comparable as an independent community acute care facility in a rural, low-population region of Maine with similar Medicare/Medicaid dependency.
• Down East Community Hospital: Critical access hospital in Machias, ME. Highly comparable as a small Maine rural hospital with 24/7 ED, outpatient specialty clinics, and rural health clinic operations — same operational template as HRH.
• Mount Desert Island Hospital: Critical access hospital in Bar Harbor, ME serving rural Downeast communities. Comparable bed count, outpatient specialty breadth, and reliance on seasonal/rural population dynamics.
• Millinocket Regional Hospital: Small rural hospital in Millinocket, ME. Comparable in scale, service mix, and rural northern Maine operating environment; useful as a benchmark for staffing, cost, and capital structure.
• Penobscot Valley Hospital: Critical access hospital in Lincoln, ME. Comparable independent rural community hospital with similar swing-bed and primary care clinic models.
• Mayo Regional Hospital (Northern Light Mayo Hospital): Critical access hospital in Dover-Foxcroft, ME now part of Northern Light Health. Comparable bed count, specialty clinic model, and rural Maine service area profile.
• Stephens Memorial Hospital (Western Maine Health): Small rural community hospital in Norway, ME affiliated with MaineHealth. Comparable in size, rural primary care + specialty mix, and operating model relevant to HRH.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights7 records

Customer concentration

• Facebookfacebook.com/p/Houlton-Regional-Hospital-100042666464463
• LinkedInlinkedin.com/company/houlton-regional-hospital

Compliance4 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles10 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Houlton Regional Hospital