As of the July, 2022, release via CMS

ELLIOT HOSPITAL

CMS id: 300012
1 ELLIOT WAY, MANCHESTER NH 3103. County: HILLSBOROUGH
System: SOLUTIONHEALTH
CBSA: Manchester-Nashua, NH

The 259-bed, acute-care hospital had $30,077,364 in net service to patients*, with a total profit margin of 20.38617% in fiscal year 2021, the latest year available.
It spent 3.72% of its operating expenses on uncompensated care and reported $19,240,766 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	173 118	183 118	183 119.5	198 118	198 119
Total beds Median	230 162	240 162	240 162	255 162	259 163.5
FTEs Median	2,378.08 788.06	2,389.38 793.42	2,531.96 806.03	2,495.01 787.61	2,190.29 804.34

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	407,731,986 150,932,746	453,464,736 158,950,878	455,973,521 168,696,998	423,504,179 163,454,693	497,031,033 186,589,412
Operating expenses Median	394,670,886 149,311,209	416,875,427 156,110,414	429,178,831 164,890,568	432,282,128 166,516,854	466,953,669 180,120,888
Net income from service 2 patients (NS2P) ? Median	13,061,100 -964,173	36,589,309 -643,601.5	26,794,690 -116,254	-8,777,949 -5,025,862	30,077,364 -1,284,564
NS2P margin ? Median	3.20% -0.62	8.07% -0.29	5.88% 0.18	-2.07% -5.07	6.05% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ELLIOT HOSPITAL 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	15,855,026 5,089,215	30,921,636 4,572,541	49,283,186 5,268,134	58,039,561 13,092,619	89,492,303 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	380,894 224,999	0 199,009	261,398 206,870.5	242,765 194,343	142,185 249,496
⊳ Line 7: Investments ? ⊳ Median	2,509,464 299,524	0 188,688.5	5,090,433 370,813	5,304,703 309,361.5	4,619,507 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	124,199	0	77,667	93,151	119,908
⊳ 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	2,388,138	0	2,312,623	2,067,461	1,683,483
⊳ Line 15: Revenue from rental of living quarters	0	0	0	0	0
⊳ Line 16: Revenue from sale of medical and surgical supplies	9,756	0	4,969	-232	13,794
⊳ Line 17: Revenue from sale of drugs to other than patients	133,487	0	6,864,554	7,406,668	3,181,605
⊳ Line 18: Revenue from sale of medical records and abstracts	0	0	0	0	0
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	982,069	0	1,040,916	875,796	808,871
⊳ 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	1,894,432	0	2,719,961	2,614,964	2,621,979
⊳ Line 23: Gov appropriations ? ⊳ Median	0 1,017,693	30,921,636 983,261.5	0 1,173,286	0 1,987,202	0 1,597,664
⊳ Sum Line 24	7,432,587	--	30,910,665	39,434,285	76,300,971
Total income ? Median	28,916,126 6,586,430	67,510,945 6,767,106	76,077,876 8,419,950	49,261,612 8,094,175	119,569,667 15,162,888
Non-operating expenses Median	0 146,289.5	5,132,573 164,857	0 89,880.5	0 106,761	0 31,473.5
Net income Median	28,916,126 6,043,842	62,378,372 5,845,112	76,077,876 7,606,259	49,261,612 7,283,041	119,569,667 14,957,241
Net margin Median	6.82649% 4.62%	12.87781% 4.42%	15.05727% 5.16%	10.22994% 5.2%	20.38617% 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 ELLIOT HOSPITAL 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	53,277,394 23,241,334	58,499,567 23,709,545	58,719,802 24,248,380	52,137,747 22,858,541	50,273,828 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	46,086,850 21,577,146	50,950,430 22,041,594	51,944,978 22,722,063	46,234,256 21,570,441	45,688,321 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	7,190,544 1,845,420	7,549,137 1,757,392	6,774,824 1,738,842	5,903,491 1,510,463	4,585,507 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	39,893,276 11,160,864	42,663,472 11,987,345	41,162,531 12,926,866	35,872,538 11,884,480	43,794,402 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	39,893,276 10,918,923	42,663,472 11,706,976	41,162,531 12,615,917	35,872,538 11,458,116	43,794,402 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	1,457,301 594,888	1,527,215 595,761	1,217,190 577,894	1,202,370 542,168	1,130,816 549,667
Outlier Median	1,585,525 582,572	1,840,616 538,116	1,851,283 212,434	428,400 126,559	350,693 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	4,114,272 3,662,910	4,495,442 3,730,911	9,356,532 4,081,319	20,256,538 4,643,908	19,240,766 4,389,147
Charity care Median	5,209,132 2,654,636	9,233,800 2,940,659	14,717,076 3,380,215	16,113,261 3,488,738	13,437,469 3,233,405
Uncompensated care (UCC) Median	10,802,916 5,147,790	15,851,705 5,337,617	21,245,397 5,711,082	22,739,141 5,923,418	17,383,704 5,508,107
UCC as a % of operating expenses Median	2.74% 3.24	3.80% 3.12	4.95% 3.21	5.26% 3.3	3.72% 2.86
Total shortfall/UCC Median	14,917,188 9,489,989	20,347,147 9,424,297	30,601,929 10,120,158	42,995,679 11,171,337	36,624,470 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	157,014,949 52,142,039	165,825,484 54,485,252	176,409,657 57,395,589	177,365,063 58,830,919	179,679,247 61,722,907
Salaries as a % of operating expenses Median	39.78 36.68	39.78 36.56	41.10 36.37	41.03 35.93	38.48 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	5,940,434 1,449,244	7,779,501 1,475,986	3,026,442 1,563,078	2,665,490 1,721,954	3,929,232 2,991,828
Contract hours, direct-care Median	64,741.00 22,725	93,284.00 23,018.5	50,783.00 24,503.48	39,056.00 25,026.5	49,862.00 33,786
Contract wages, direct-care Median	91.76 64.67	83.40 64.53	59.60 65.06	68.25 68.97	78.80 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.