As of the July, 2022, release via CMS

PENOBSCOT BAY MEDICAL CENTER

CMS id: 200063
6 GLEN COVE DRIVE, ROCKPORT ME 4856. County: KNOX
System: COASTAL HEALTHCARE ALLIANCE
CBSA: Rural Maine

The 165-bed, acute-care hospital had $-16,881,339 in net service to patients*, with a total profit margin of 2.76431% in fiscal year 2021, the latest year available.
It spent 9.48% of its operating expenses on uncompensated care and reported $4,642,348 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	73 118	73 118	73 119.5	73 118	73 119
Total beds Median	165 162	165 162	165 162	165 162	165 163.5
FTEs Median	912.99 788.06	892.21 793.42	894.56 806.03	897.32 787.61	870.42 804.34

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	260,493,742 150,932,746	141,621,201 158,950,878	114,348,188 168,696,998	140,769,243 163,454,693	159,384,916 186,589,412
Operating expenses Median	139,632,655 149,311,209	147,621,768 156,110,414	120,411,871 164,890,568	165,215,862 166,516,854	176,266,255 180,120,888
Net income from service 2 patients (NS2P) ? Median	120,861,087 -964,173	-6,000,567 -643,601.5	-6,063,683 -116,254	-24,446,619 -5,025,862	-16,881,339 -1,284,564
NS2P margin ? Median	46.40% -0.62	-4.24% -0.29	-5.30% 0.18	-17.37% -5.07	-10.59% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for PENOBSCOT BAY 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	0 5,089,215	8,650,405 4,572,541	28,325,102 5,268,134	15,031,202 13,092,619	21,892,408 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	50,375 206,870.5	214,726 194,343	333,051 249,496
⊳ Line 7: Investments ? ⊳ Median	0 299,524	67,543 188,688.5	154,694 370,813	204,973 309,361.5	243,628 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	0	0	70	27	41
⊳ Line 11: Rebates and refunds of expenses	0	0	0	222,659	281,643
⊳ 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	288,410	238,445	272,084	240,044
⊳ 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	2,058,741
⊳ Line 18: Revenue from sale of medical records and abstracts	0	18,150	4,562	3,972	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	195,210	302,923	568,258	532,449
⊳ 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	--	8,081,092	27,574,033	13,544,503	18,202,811
Total income ? Median	120,861,087 6,586,430	2,649,838 6,767,106	22,261,419 8,419,950	-9,415,417 8,094,175	5,011,069 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	120,861,087 6,043,842	2,649,838 5,845,112	22,261,419 7,606,259	-9,415,417 7,283,041	5,011,069 14,957,241
Net margin Median	46.39693% 4.62%	1.76337% 4.42%	15.60307% 5.16%	-6.04325% 5.2%	2.76431% 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 PENOBSCOT BAY 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	14,699,837 23,241,334	16,276,886 23,709,545	10,682,036 24,248,380	11,669,548 22,858,541	11,606,257 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	13,883,073 21,577,146	15,307,412 22,041,594	9,952,925 22,722,063	10,844,767 21,570,441	11,074,160 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	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	816,764 1,203,033	969,474 1,215,295	729,111 1,313,657	824,781 1,365,298	532,097 1,179,746
All outpatient revenue Median Click here to show/hide details	16,180,310 11,160,864	18,602,390 11,987,345	16,426,096 12,926,866	17,835,501 11,884,480	18,742,622 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	16,180,310 10,918,923	18,602,390 11,706,976	16,426,096 12,615,917	17,835,501 11,458,116	18,742,622 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	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	259,274 594,888	289,146 595,761	194,389 577,894	199,826 542,168	216,771 549,667
Outlier Median	785,273 582,572	749,590 538,116	237,728 212,434	206,170 126,559	106,717 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	5,292,278 3,662,910	3,713,765 3,730,911	1,889,832 4,081,319	6,314,528 4,643,908	4,642,348 4,389,147
Charity care Median	2,374,221 2,654,636	2,434,894 2,940,659	771,927 3,380,215	2,252,931 3,488,738	796,739 3,233,405
Uncompensated care (UCC) Median	8,010,612 5,147,790	7,684,309 5,337,617	3,755,424 5,711,082	17,154,793 5,923,418	16,714,935 5,508,107
UCC as a % of operating expenses Median	5.74% 3.24	5.21% 3.12	3.12% 3.21	10.38% 3.3	9.48% 2.86
Total shortfall/UCC Median	13,302,890 9,489,989	11,398,074 9,424,297	5,645,256 10,120,158	23,469,321 11,171,337	21,357,283 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	62,196,616 52,142,039	63,839,386 54,485,252	53,373,554 57,395,589	72,551,917 58,830,919	74,768,957 61,722,907
Salaries as a % of operating expenses Median	44.54 36.68	43.25 36.56	44.33 36.37	43.91 35.93	42.42 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	1,601,808 1,449,244	1,479,605 1,475,986	910,571 1,563,078	1,445,459 1,721,954	4,583,805 2,991,828
Contract hours, direct-care Median	21,952.00 22,725	20,383.00 23,018.5	14,944.00 24,503.48	22,456.63 25,026.5	40,059.10 33,786
Contract wages, direct-care Median	72.97 64.67	72.59 64.53	60.93 65.06	64.37 68.97	114.43 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.