As of the July, 2022, release via CMS

SOUTHERN MAINE HEALTH CARE

CMS id: 200019
1 MEDICAL CENTER DRIVE, BIDDEFORD ME 4005. County: YORK
System: MAINEHEALTH
CBSA: Portland-South Portland, ME

The 180-bed, acute-care hospital had $802,435 in net service to patients*, with a total profit margin of 7.93772% in fiscal year 2021, the latest year available.
It spent 2.55% of its operating expenses on uncompensated care and reported $11,254,437 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	273	366	365
Ownership	nfp	nfp	nfp	nfp	nfp
Acute beds Median	103 118	131 118	131 119.5	131 118	131 119
Total beds Median	236 162	264 162	264 162	264 162	180 163.5
FTEs Median	1,818.68 788.06	1,744.48 793.42	1,198.30 806.03	1,749.08 787.61	1,629.51 804.34

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	273,735,838 150,932,746	300,812,159 158,950,878	166,974,506 168,696,998	271,118,744 163,454,693	325,011,085 186,589,412
Operating expenses Median	281,686,270 149,311,209	296,385,199 156,110,414	228,294,511 164,890,568	309,581,808 166,516,854	324,208,650 180,120,888
Net income from service 2 patients (NS2P) ? Median	-7,950,432 -964,173	4,426,960 -643,601.5	-61,320,005 -116,254	-38,463,064 -5,025,862	802,435 -1,284,564
NS2P margin ? Median	-2.90% -0.62	1.47% -0.29	-36.72% 0.18	-14.19% -5.07	0.25% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for SOUTHERN MAINE HEALTH CARE 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	7,464,101 5,089,215	8,035,795 4,572,541	6,046,684 5,268,134	18,863,006 13,092,619	27,151,222 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	89,164 224,999	115,858 199,009	35,815 206,870.5	108,000 194,343	2,650 249,496
⊳ Line 7: Investments ? ⊳ Median	0 299,524	0 188,688.5	474,321 370,813	0 309,361.5	0 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	9,402	2,427	65	6	0
⊳ Line 11: Rebates and refunds of expenses	427,498	553,862	400,025	0	523,155
⊳ 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	746,715	707,337	565,094	0	665,299
⊳ 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	900,730	816,069	719,182	0	971,879
⊳ Line 18: Revenue from sale of medical records and abstracts	51,407	15,995	-3,585	0	-184
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	6,588
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	0
⊳ Line 21: Rental of vending machines	31,742	33,467	18,619	0	9,484
⊳ 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	5,207,443	5,790,780	3,837,148	18,755,000	24,972,351
Total income ? Median	-486,331 6,586,430	12,462,755 6,767,106	-55,273,321 8,419,950	-19,600,058 8,094,175	27,953,657 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	256,964 89,880.5	0 106,761	0 31,473.5
Net income Median	-486,331 6,043,842	12,462,755 5,845,112	-55,530,285 7,606,259	-19,600,058 7,283,041	27,953,657 14,957,241
Net margin Median	-0.17295% 4.62%	4.03524% 4.42%	-32.09450% 5.16%	-6.75907% 5.2%	7.93772% 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 SOUTHERN MAINE HEALTH CARE 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	29,112,940 23,241,334	27,319,258 23,709,545	20,392,214 24,248,380	23,762,791 22,858,541	28,277,484 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	27,022,831 21,577,146	25,188,162 22,041,594	19,176,124 22,722,063	21,978,689 21,570,441	26,147,289 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	1,282,958 1,845,420	1,263,235 1,757,392	544,259 1,738,842	1,154,452 1,510,463	2,010,456 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	807,151 1,203,033	867,861 1,215,295	671,831 1,313,657	629,650 1,365,298	119,739 1,179,746
All outpatient revenue Median Click here to show/hide details	27,212,709 11,160,864	28,166,314 11,987,345	20,265,257 12,926,866	20,303,713 11,884,480	18,592,424 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	27,212,709 10,918,923	28,166,314 11,706,976	20,265,257 12,615,917	20,303,713 11,458,116	18,592,424 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	63,787 3,284,314	164,874 3,250,551	87,573 3,386,837	128,929 3,360,806	107,963 3,508,953
Disproportionate-share hospital (DSH) Median	220,637 594,888	264,886 595,761	286,661 577,894	285,156 542,168	326,289 549,667
Outlier Median	392,843 582,572	354,194 538,116	152,093 212,434	342,512 126,559	841,440 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	4,916,511 3,662,910	6,825,376 3,730,911	4,018,065 4,081,319	9,235,625 4,643,908	11,254,437 4,389,147
Charity care Median	6,998,160 2,654,636	5,507,529 2,940,659	2,054,784 3,380,215	5,862,544 3,488,738	1,965,527 3,233,405
Uncompensated care (UCC) Median	15,880,334 5,147,790	17,848,904 5,337,617	9,628,396 5,711,082	14,161,179 5,923,418	8,265,952 5,508,107
UCC as a % of operating expenses Median	5.64% 3.24	6.02% 3.12	4.22% 3.21	4.57% 3.3	2.55% 2.86
Total shortfall/UCC Median	20,796,845 9,489,989	24,674,280 9,424,297	13,646,461 10,120,158	23,396,804 11,171,337	19,520,389 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	123,041,682 52,142,039	138,666,248 54,485,252	108,070,401 57,395,589	147,442,010 58,830,919	142,341,813 61,722,907
Salaries as a % of operating expenses Median	43.68 36.68	46.79 36.56	47.34 36.37	47.63 35.93	43.90 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	4,557,778 1,449,244	3,549,905 1,475,986	3,382,509 1,563,078	3,889,654 1,721,954	4,688,113 2,991,828
Contract hours, direct-care Median	52,812.00 22,725	37,924.00 23,018.5	37,935.00 24,503.48	70,630.49 25,026.5	46,104.02 33,786
Contract wages, direct-care Median	86.30 64.67	93.61 64.53	89.17 65.06	55.07 68.97	101.69 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.