As of the July, 2022, release via CMS

NORTHERN MAINE MEDICAL CENTER

CMS id: 200052
194 EAST MAIN STREET, FORT KENT ME 4743. County: AROOSTOOK
System: --
CBSA: Rural Maine

The 94-bed, acute-care hospital had $-12,917,447 in net service to patients*, with a total profit margin of 4.19722% in fiscal year 2021, the latest year available.
It spent 1.71% of its operating expenses on uncompensated care and reported $0 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	43 118	43 118	43 119.5	40 118	40 119
Total beds Median	94 162	94 162	94 162	94 162	94 163.5
FTEs Median	397.30 788.06	402.60 793.42	417.67 806.03	429.87 787.61	442.52 804.34

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	56,415,186 150,932,746	50,125,396 158,950,878	52,396,335 168,696,998	55,212,468 163,454,693	55,648,220 186,589,412
Operating expenses Median	51,504,388 149,311,209	54,675,132 156,110,414	58,503,068 164,890,568	62,132,597 166,516,854	68,565,667 180,120,888
Net income from service 2 patients (NS2P) ? Median	4,910,798 -964,173	-4,549,736 -643,601.5	-6,106,733 -116,254	-6,920,129 -5,025,862	-12,917,447 -1,284,564
NS2P margin ? Median	8.70% -0.62	-9.08% -0.29	-11.65% 0.18	-12.53% -5.07	-23.21% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for NORTHERN 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	3,338,835 5,089,215	5,126,335 4,572,541	6,676,990 5,268,134	8,816,187 13,092,619	16,125,932 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	0 206,870.5	0 194,343	109,090 249,496
⊳ Line 7: Investments ? ⊳ Median	91,199 299,524	116,573 188,688.5	184,815 370,813	149,727 309,361.5	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	32,597	33,910	27,893	14,722	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	157,694	156,250	169,478	181,263	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	65,886	53,487	55,987	39,790	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	2,991,459	4,766,115	6,238,817	8,430,685	16,016,842
Total income ? Median	8,249,633 6,586,430	576,599 6,767,106	570,257 8,419,950	1,896,058 8,094,175	3,208,485 15,162,888
Non-operating expenses Median	0 146,289.5	4 164,857	-18 89,880.5	0 106,761	195,963 31,473.5
Net income Median	8,249,633 6,043,842	576,595 5,845,112	570,275 7,606,259	1,896,058 7,283,041	3,012,522 14,957,241
Net margin Median	13.80599% 4.62%	1.04358% 4.42%	0.96537% 5.16%	2.96126% 5.2%	4.19722% 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 NORTHERN 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	9,531,931 23,241,334	7,655,201 23,709,545	7,857,085 24,248,380	6,609,717 22,858,541	5,811,881 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	8,614,441 21,577,146	7,008,493 22,041,594	7,227,891 22,722,063	6,099,513 21,570,441	5,560,928 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	517,693 1,845,420	490,469 1,757,392	505,873 1,738,842	429,581 1,510,463	250,953 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	399,797 1,203,033	156,239 1,215,295	123,321 1,313,657	80,623 1,365,298	0 1,179,746
All outpatient revenue Median Click here to show/hide details	9,659,218 11,160,864	10,361,826 11,987,345	10,849,945 12,926,866	10,534,912 11,884,480	9,973,177 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	5,676,502 10,918,923	6,239,082 11,706,976	6,707,614 12,615,917	6,211,206 11,458,116	5,714,609 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	3,982,716 618,038	4,122,744 697,279	4,142,331 690,232	4,323,706 684,010	4,258,568 670,558
⊳ Other federally qualified health clinics ⊳ Median	0 --	0 --	0 --	0 --	0 --

Other payments

Item	2017	2018	2019	2020	2021
Graduate Medical Education (GME) Median	0 3,284,314	0 3,250,551	0 3,386,837	0 3,360,806	0 3,508,953
Disproportionate-share hospital (DSH) Median	121,455 594,888	100,073 595,761	101,827 577,894	84,592 542,168	77,520 549,667
Outlier Median	8,157 582,572	18,578 538,116	6,796 212,434	11,805 126,559	5,050 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	0 3,662,910	0 3,730,911	1,262,659 4,081,319	0 4,643,908	0 4,389,147
Charity care Median	268,750 2,654,636	283,441 2,940,659	34,962 3,380,215	92,046 3,488,738	19,498 3,233,405
Uncompensated care (UCC) Median	1,149,524 5,147,790	1,247,769 5,337,617	591,559 5,711,082	965,444 5,923,418	1,169,300 5,508,107
UCC as a % of operating expenses Median	2.23% 3.24	2.28% 3.12	1.01% 3.21	1.55% 3.3	1.71% 2.86
Total shortfall/UCC Median	1,149,524 9,489,989	1,247,769 9,424,297	1,854,218 10,120,158	965,444 11,171,337	1,169,300 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	28,073,609 52,142,039	28,806,242 54,485,252	31,472,362 57,395,589	34,653,028 58,830,919	37,580,678 61,722,907
Salaries as a % of operating expenses Median	54.51 36.68	52.69 36.56	53.80 36.37	55.77 35.93	54.81 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	172,031 1,449,244	32,584 1,475,986	29,996 1,563,078	0 1,721,954	0 2,991,828
Contract hours, direct-care Median	1,856.00 22,725	410.75 23,018.5	490.00 24,503.48	0.00 25,026.5	0.00 33,786
Contract wages, direct-care Median	92.69 64.67	79.33 64.53	61.22 65.06	0.00 68.97	0.00 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.