As of the July, 2022, release via CMS

MAINE MEDICAL CENTER

CMS id: 200009
22 BRAMHALL STREET, PORTLAND ME 4102. County: CUMBERLAND
System: MAINEHEALTH
CBSA: Portland-South Portland, ME

The 637-bed, acute-care hospital had $-215,828,719 in net service to patients*, with a total profit margin of 5.94752% in fiscal year 2021, the latest year available.
It spent 1.46% of its operating expenses on uncompensated care and reported $19,394,890 in Medicaid shortfall.

* For more about Net Service to Patients and operating revenue, please the finance section below.

Note: Medians are from acute-care hospitals with "complete" fiscal years. For more about how we calculated medians and cost reports in general, please click here.

Details

	2017	2018	2019	2020	2021
# of days in fyear	365	365	365	366	365
Ownership	nfp	nfp	nfp	nfp	nfp
Acute beds Median	526 118	490 118	490 119.5	490 118	512 119
Total beds Median	637 162	596 162	596 162	596 162	637 163.5
FTEs Median	7,629.04 788.06	8,100.06 793.42	7,124.35 806.03	7,370.64 787.61	7,389.41 804.34

Finances As they appear in worksheet G3 of the cost reports.

Note: Net Patient Revenue is considered operating revenue, which means Net Service to Patients is considered operating profit. Click here for more about cost report financials

Hospital cost reports are an enormously complicated dataset. There are whole organizations and an offical CMS vendor dedicated to helping researchers work with the data.
It's important to understand that hospital financials in cost reports are not organized in the same as other sources such as annual financial reports to bond holders.

The biggest difference is the concept of operating revenue and profit. Net Service to patients (NS2P), which is the sum of net patient revenue minus operating expenses, is considered the equivalent of operating profit according to the Medicaid and CHIP Payment and Access Commission (MACPAC). See the last paragraph of "Primary Data Sources" on page 55 of Annual Analysis of Disproportionate Share Hospital Allotments to States (PDF).

That would make Net Patient Revenue = operating revenue.

All this makes things challenging when comparing what's reported in cost reports to other sources. It becomes clearer when you consider that, beyond the purpose of reimbursement, cost reports are a tool for policymakers trying to understand the financial situation of a hospital doing the tasks specific to hospitals.

In other words, while a facility with a division that formulates drugs might include earnings from that as operating revenue in their corporate annual result, this is not central to the operations of a hospital caring for patients and so it is counted as "other income." (See below the financials section for more on "other income")

The healthcare consulting firm HMP, in a former partnership with Modern Healthcare, did develop a formula for estimating operating revenue closer to what one might find in other sources. We no longer use this for the following reasons:

The measure was not widely used beyond HMP and Modern Healthcare. Many hospitals had their own internal estimates of operating revenue and profit.
Because of this, there was confusion when reporting operating results for individual hospitals. There was often pushback when a facility's internal numbers did not match what Modern Healthcare was reporting.
The formula includes revenue from portions of the "other income" section, which may also include non-operating revenue. HMP themselves point out in a caveat on their site that they cannot exclude all non-operating revenue from their measure.

HMP's operating measure has proven problematic in the past for our reporting and the partnership with them ended years ago. It's best to not use a measure that we alone cannot defend.

	2017	2018	2019	2020	2021
Net patient revenue ? Median	1,236,425,000 150,932,746	1,336,151,556 158,950,878	1,443,585,268 168,696,998	1,409,064,940 163,454,693	1,638,572,600 186,589,412
Operating expenses Median	1,373,802,382 149,311,209	1,492,949,030 156,110,414	1,549,965,312 164,890,568	1,666,721,107 166,516,854	1,854,401,319 180,120,888
Net income from service 2 patients (NS2P) ? Median	-137,377,382 -964,173	-156,797,474 -643,601.5	-106,380,044 -116,254	-257,656,167 -5,025,862	-215,828,719 -1,284,564
NS2P margin ? Median	-11.11% -0.62	-11.74% -0.29	-7.37% 0.18	-18.29% -5.07	-13.17% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for MAINE MEDICAL CENTER compared to all** acute-care hospitals, from CMS cost reports.
Note: NS2P is considered operating margin by MACPAC. The chart below is interactive: click or touch to see more.

* Data range does not show outliers, which fall beyond the minimum and maximum of the range.
** From cost reports with complete fiscal years. Number of acute-care hospitals available to calculate medians:

2017	2018	2019	2020	2021
3,157	3,092	3,050	3,052	2,566

	2017	2018	2019	2020	2021
Other income* Median Click here to show/hide details	290,270,000 5,089,215	325,504,685 4,572,541	200,469,326 5,268,134	251,874,854 13,092,619	333,094,047 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	-2,122,000 224,999	6,207,802 199,009	19,911,876 206,870.5	2,190,000 194,343	45,130,312 249,496
⊳ Line 7: Investments ? ⊳ Median	20,901,000 299,524	22,009,232 188,688.5	7,016,897 370,813	891,000 309,361.5	360,125 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	0	0	0	0	0
⊳ Line 11: Rebates and refunds of expenses	0	0	0	0	0
⊳ Line 12: Parking lot receipts	0	0	0	0	0
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	0	0	0	0	0
⊳ Line 15: Revenue from rental of living quarters	0	0	0	0	0
⊳ Line 16: Revenue from sale of medical and surgical supplies	0	0	0	0	0
⊳ Line 17: Revenue from sale of drugs to other than patients	0	0	0	0	0
⊳ Line 18: Revenue from sale of medical records and abstracts	0	0	0	0	0
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	0
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ Line 22: Rental of hospital space	0	0	0	0	0
⊳ Line 23: Gov appropriations ? ⊳ Median	0 1,017,693	0 983,261.5	0 1,173,286	0 1,987,202	0 1,597,664
⊳ Sum Line 24	271,491,000	297,287,651	173,540,553	248,793,854	287,603,610
Total income ? Median	152,892,618 6,586,430	168,707,211 6,767,106	94,089,282 8,419,950	-5,781,313 8,094,175	117,265,328 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	0 106,761	0 31,473.5
Net income Median	152,892,618 6,043,842	168,707,211 5,845,112	94,089,282 7,606,259	-5,781,313 7,283,041	117,265,328 14,957,241
Net margin Median	10.01461% 4.62%	10.15296% 4.42%	5.72300% 5.16%	-0.34807% 5.2%	5.94752% 9.25%

* About "Other income": Other income, or line 25 in worksheet G3, is the sum of lines 6 through 24. It includes three lines that are considered non-operating revenue - contributions, investments and government appropriations. Medians are included for these three lines. It also contains items that are not central to providing healthcare, such as revenue from parking or gift shops.
"Sum Line 24" is a special case. Called "Other (specify)" in the cost reports, CMS allows for this line to be "subscripted," or divided into sublines like 002400, 002401, 002402. And hospitals do that, up to 100 lines, to detail income (and sometimes negative returns) that are otherwise not covered in the previous "other" lines. Therefore, "Sum Line 24" is the sum of all the lines 24.

Range* of total profit (loss) margins

= Total margin for MAINE MEDICAL CENTER compared to all** acute-care hospitals, from CMS cost reports.
The chart below is interactive: click or touch to see more.

2017	2018	2019	2020	2021
3,157	3,092	3,050	3,052	2,566

Medicare revenue

Inpatient and outpatient revenue

	2017	2018	2019	2020	2021
All inpatient revenue Median Click here to show/hide details	186,595,166 23,241,334	184,967,791 23,709,545	185,525,967 24,248,380	171,333,789 22,858,541	172,563,633 23,620,613
"All inpatient revenue" is made up of any Medicare payments for routine inpatient, swingbed SNFs, TEFRA, IPF, IRF, inpatient long-term care, CAH and inpatient SNF facilities. Medians are only calculated when there are sufficient facilities reporting revenue.
⊳ Routine inpatient revenue ⊳ Median	181,814,680 21,577,146	179,785,029 22,041,594	181,704,698 22,722,063	167,430,873 21,570,441	169,707,224 22,140,684
⊳ Swingbeds ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Tax Equity and Fiscal Responsibility Act payments (TEFRA) ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Inpatient psychiatric facility (IPF) ⊳ Median	4,780,486 1,845,420	5,182,762 1,757,392	3,821,269 1,738,842	3,902,916 1,510,463	2,856,409 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	0 3,535,627	0 3,746,588	0 3,782,288	0 3,865,578	0 3,983,889
⊳ Long-term care hospital (LTCH) ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Critical-access hospitals ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Skilled-nursing facilities (SNF) ⊳ Median	0 1,203,033	0 1,215,295	0 1,313,657	0 1,365,298	0 1,179,746
All outpatient revenue Median Click here to show/hide details	79,377,693 11,160,864	83,379,950 11,987,345	88,437,031 12,926,866	76,773,331 11,884,480	91,184,636 13,145,163
"All outpatient revenue" is made up of any payments for routine outpatient, HHA, CMHC, rural health and other federally-qualified health clinics. Medians are only calculated when there are sufficient facilities reporting revenue.
⊳ Routine outpatient revenue ⊳ Median	79,377,693 10,918,923	83,379,950 11,706,976	88,437,031 12,615,917	76,773,331 11,458,116	91,184,636 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	0 1,282,808	0 1,407,728	0 1,341,512	0 1,407,046	0 1,476,867
⊳ Community mental health clinics (CMHC) ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Rural health clinics ⊳ Median	0 618,038	0 697,279	0 690,232	0 684,010	0 670,558
⊳ Other federally qualified health clinics ⊳ Median	0 --	0 --	0 --	0 --	0 --

Other payments

Item	2017	2018	2019	2020	2021
Graduate Medical Education (GME) Median	26,694,950 3,284,314	27,084,338 3,250,551	28,659,216 3,386,837	25,230,380 3,360,806	24,387,346 3,508,953
Disproportionate-share hospital (DSH) Median	3,977,507 594,888	3,879,091 595,761	3,753,628 577,894	3,318,255 542,168	3,350,169 549,667
Outlier Median	18,620,053 582,572	15,285,451 538,116	2,066,879 212,434	1,934,979 126,559	1,945,782 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	11,435,207 3,662,910	5,780,432 3,730,911	9,383,811 4,081,319	30,201,376 4,643,908	19,394,890 4,389,147
Charity care Median	20,224,152 2,654,636	18,140,844 2,940,659	10,095,943 3,380,215	16,540,031 3,488,738	9,645,489 3,233,405
Uncompensated care (UCC) Median	37,008,690 5,147,790	42,086,592 5,337,617	30,545,686 5,711,082	34,259,527 5,923,418	26,981,723 5,508,107
UCC as a % of operating expenses Median	2.69% 3.24	2.82% 3.12	1.97% 3.21	2.06% 3.3	1.46% 2.86
Total shortfall/UCC Median	48,443,897 9,489,989	47,867,024 9,424,297	39,929,497 10,120,158	64,460,903 11,171,337	46,376,613 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	635,270,542 52,142,039	694,201,058 54,485,252	658,105,796 57,395,589	705,605,602 58,830,919	741,471,920 61,722,907
Salaries as a % of operating expenses Median	46.24 36.68	46.50 36.56	42.56 36.37	42.33 35.93	39.98 35.24
Intern, resident salaries* Median	0 2,598,592	0 2,686,824	0 2,753,773	0 2,937,156	0 2,909,848
Contract intern, resident salaries* Median	0 1,251,927	0 1,186,494	0 1,204,885	0 1,279,653	0 1,469,317
Contract adjusted salaries, direct-care Median	5,390,378 1,449,244	4,493,771 1,475,986	6,383,850 1,563,078	4,855,163 1,721,954	22,547,215 2,991,828
Contract hours, direct-care Median	73,549.00 22,725	69,633.00 23,018.5	83,893.00 24,503.48	65,248.00 25,026.5	201,491.00 33,786
Contract wages, direct-care Median	73.29 64.67	64.54 64.53	76.10 65.06	74.41 68.97	111.90 88.94

* in an approved program

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Cost reports are self-reported by the facility, are subject to revision and should be considered preliminary.

* Net Service to patients (NS2P) equals net patient revenue minus operating expenses. NS2P is considered the equivalent of operating profit according to the Medicaid and CHIP Payment and Access Commission (MACPAC). See the last paragraph of "Primary Data Sources" on page 55 of Annual Analysis of Disproportionate Share Hospital Allotments to States (PDF).

About medians

Medians are calculated from reports with "complete" fiscal years, or reports with fiscal years of at least 300 days and no more than 420 days.

In cases where there are fewer than 50 values reported, medians are not calculated. For childrens' hospitals, it's when fewer than 20 are reported.

Web app by Tim Broderick | email.