As of the July, 2022, release via CMS

CENTRAL MAINE MEDICAL CENTER

CMS id: 200024
300 MAIN STREET, LEWISTON ME 4240. County: ANDROSCOGGIN
System: CENTRAL MAINE HEALTH CARE
CBSA: Lewiston-Auburn, ME

The 234-bed, acute-care hospital had $-75,792,451 in net service to patients*, with a total profit margin of -4.15667% in fiscal year 2021, the latest year available.
It spent 2.08% of its operating expenses on uncompensated care and reported $17,009,854 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	177 118	177 118	157 119.5	170 118	170 119
Total beds Median	241 162	241 162	216 162	234 162	234 163.5
FTEs Median	1,861.00 788.06	1,683.00 793.42	1,500.00 806.03	2,113.43 787.61	1,574.06 804.34

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	352,358,309 150,932,746	349,604,936 158,950,878	367,859,700 168,696,998	332,161,481 163,454,693	362,656,148 186,589,412
Operating expenses Median	389,965,946 149,311,209	386,658,426 156,110,414	422,000,079 164,890,568	418,701,530 166,516,854	438,448,599 180,120,888
Net income from service 2 patients (NS2P) ? Median	-37,607,637 -964,173	-37,053,490 -643,601.5	-54,140,379 -116,254	-86,540,049 -5,025,862	-75,792,451 -1,284,564
NS2P margin ? Median	-10.67% -0.62	-10.60% -0.29	-14.72% 0.18	-26.05% -5.07	-20.90% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for CENTRAL 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	26,794,282 5,089,215	25,551,383 4,572,541	35,136,180 5,268,134	61,378,479 13,092,619	58,294,896 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	2,702,896 224,999	1,693,381 199,009	693,107 206,870.5	22,296,445 194,343	11,792,665 249,496
⊳ Line 7: Investments ? ⊳ Median	1,697,443 299,524	1,335,080 188,688.5	1,499,443 370,813	-6,827,413 309,361.5	1,813,124 375,329
⊳ 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	78,183	264,820	359,471	138,089	113,187
⊳ 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	793,485	881,965	1,016,415	952,637	793,274
⊳ Line 15: Revenue from rental of living quarters	14,793	13,633	24,848	23,492	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.)	1,138,232	1,297,536	1,792,610	2,007,327	2,125,102
⊳ 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	1,418	1,069	278	335	379
⊳ 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	20,367,832	20,063,899	29,750,008	42,787,567	41,657,165
Total income ? Median	-10,813,355 6,586,430	-11,502,107 6,767,106	-19,004,199 8,419,950	-25,161,570 8,094,175	-17,497,555 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	-10,813,355 6,043,842	-11,502,107 5,845,112	-19,004,199 7,606,259	-25,161,570 7,283,041	-17,497,555 14,957,241
Net margin Median	-2.85198% 4.62%	-3.06595% 4.42%	-4.71573% 5.16%	-6.39365% 5.2%	-4.15667% 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 CENTRAL 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	55,175,235 23,241,334	49,684,446 23,709,545	48,636,609 24,248,380	43,419,039 22,858,541	38,056,813 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	51,940,967 21,577,146	47,011,140 22,041,594	44,984,158 22,722,063	41,072,407 21,570,441	36,577,394 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	0 1,845,420	0 1,757,392	0 1,738,842	0 1,510,463	0 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	3,234,268 3,535,627	2,673,306 3,746,588	3,652,451 3,782,288	2,346,632 3,865,578	1,479,419 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	33,435,251 11,160,864	33,146,500 11,987,345	31,372,032 12,926,866	26,366,300 11,884,480	24,219,077 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	33,435,251 10,918,923	33,146,500 11,706,976	31,372,032 12,615,917	26,366,300 11,458,116	24,219,077 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	2,697,581 3,284,314	2,550,733 3,250,551	2,484,843 3,386,837	2,445,680 3,360,806	2,346,842 3,508,953
Disproportionate-share hospital (DSH) Median	949,691 594,888	974,216 595,761	940,185 577,894	790,278 542,168	737,375 549,667
Outlier Median	3,990,805 582,572	3,695,243 538,116	3,909,260 212,434	1,195,447 126,559	894,393 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	8,179,170 3,662,910	8,045,739 3,730,911	11,797,319 4,081,319	13,456,089 4,643,908	17,009,854 4,389,147
Charity care Median	9,227,373 2,654,636	5,332,657 2,940,659	2,527,641 3,380,215	1,629,385 3,488,738	1,737,938 3,233,405
Uncompensated care (UCC) Median	13,818,988 5,147,790	14,290,691 5,337,617	11,618,325 5,711,082	8,704,585 5,923,418	9,113,056 5,508,107
UCC as a % of operating expenses Median	3.54% 3.24	3.70% 3.12	2.75% 3.21	2.08% 3.3	2.08% 2.86
Total shortfall/UCC Median	21,998,158 9,489,989	22,336,430 9,424,297	23,415,644 10,120,158	22,160,674 11,171,337	26,122,910 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	156,069,114 52,142,039	148,852,781 54,485,252	145,815,697 57,395,589	152,244,630 58,830,919	158,327,472 61,722,907
Salaries as a % of operating expenses Median	40.02 36.68	38.50 36.56	34.55 36.37	36.36 35.93	36.11 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	6,461,958 1,449,244	7,894,955 1,475,986	13,182,740 1,563,078	11,547,167 1,721,954	15,032,635 2,991,828
Contract hours, direct-care Median	124,230.68 22,725	146,343.00 23,018.5	205,824.00 24,503.48	173,441.00 25,026.5	203,625.14 33,786
Contract wages, direct-care Median	52.02 64.67	53.95 64.53	64.05 65.06	66.58 68.97	73.83 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.