As of the July, 2022, release via CMS

EXETER HOSPITAL INC.

CMS id: 300023
5 ALUMNI DRIVE, EXETER NH 3833. County: ROCKINGHAM
System: EXETER HEALTH RESOURCES INC.
CBSA: Boston-Cambridge-Newton, MA-NH

The 99-bed, acute-care hospital had $20,964,016 in net service to patients*, with a total profit margin of 22.90550% in fiscal year 2021, the latest year available.
It spent 2.11% of its operating expenses on uncompensated care and reported $4,356,651 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	78 118	78 118	78 119.5	80 118	80 119
Total beds Median	97 162	97 162	97 162	99 162	99 163.5
FTEs Median	1,119.58 788.06	1,148.23 793.42	1,177.01 806.03	1,211.44 787.61	1,237.95 804.34

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	225,562,678 150,932,746	244,454,054 158,950,878	265,396,217 168,696,998	250,108,394 163,454,693	278,670,922 186,589,412
Operating expenses Median	210,058,798 149,311,209	226,238,352 156,110,414	240,447,813 164,890,568	250,681,411 166,516,854	257,706,906 180,120,888
Net income from service 2 patients (NS2P) ? Median	15,503,880 -964,173	18,215,702 -643,601.5	24,948,404 -116,254	-573,017 -5,025,862	20,964,016 -1,284,564
NS2P margin ? Median	6.87% -0.62	7.45% -0.29	9.40% 0.18	-0.23% -5.07	7.52% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for EXETER HOSPITAL INC. 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	25,681,232 5,089,215	16,692,004 4,572,541	17,942,882 5,268,134	31,203,911 13,092,619	56,208,576 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	45,879 224,999	59,771 199,009	4,930,322 206,870.5	0 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	13,495,923 299,524	7,410,216 188,688.5	3,951,111 370,813	12,406,879 309,361.5	33,317,105 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	7,651	9,733	160,731	110,268	22,141
⊳ 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	1,499,225	1,497,812	1,593,272	1,221,031	1,070,798
⊳ 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	11,324	6,173	5,676	2,645	4,492
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	121,708	116,482	103,551	63,833	56,953
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ 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	10,499,522	7,591,817	7,198,219	17,399,255	21,737,087
Total income ? Median	41,185,112 6,586,430	34,907,706 6,767,106	42,891,286 8,419,950	30,630,894 8,094,175	77,172,592 15,162,888
Non-operating expenses Median	810,035 146,289.5	869,713 164,857	4,265,963 89,880.5	2,727,131 106,761	466,770 31,473.5
Net income Median	40,375,077 6,043,842	34,037,993 5,845,112	38,625,323 7,606,259	27,903,763 7,283,041	76,705,822 14,957,241
Net margin Median	16.07007% 4.62%	13.03408% 4.42%	13.63219% 5.16%	9.91914% 5.2%	22.90550% 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 EXETER HOSPITAL INC. 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	32,657,381 23,241,334	34,714,832 23,709,545	34,161,760 24,248,380	27,955,132 22,858,541	25,916,966 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	32,657,381 21,577,146	34,714,832 22,041,594	34,161,760 22,722,063	27,955,132 21,570,441	25,916,966 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	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	26,049,602 11,160,864	29,521,848 11,987,345	32,194,998 12,926,866	32,171,666 11,884,480	35,401,811 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	26,049,602 10,918,923	29,521,848 11,706,976	32,194,998 12,615,917	32,171,666 11,458,116	35,401,811 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	0 594,888	0 595,761	0 577,894	0 542,168	0 549,667
Outlier Median	1,194,247 582,572	954,454 538,116	231,248 212,434	206,917 126,559	209,434 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	0 3,662,910	1,466,222 3,730,911	2,731,732 4,081,319	4,471,420 4,643,908	4,356,651 4,389,147
Charity care Median	3,976,115 2,654,636	3,387,283 2,940,659	3,959,626 3,380,215	3,430,960 3,488,738	2,900,149 3,233,405
Uncompensated care (UCC) Median	6,782,031 5,147,790	6,399,308 5,337,617	7,056,266 5,711,082	7,148,951 5,923,418	5,443,231 5,508,107
UCC as a % of operating expenses Median	3.23% 3.24	2.83% 3.12	2.93% 3.21	2.85% 3.3	2.11% 2.86
Total shortfall/UCC Median	6,782,031 9,489,989	7,865,530 9,424,297	9,787,998 10,120,158	11,620,371 11,171,337	9,799,882 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	77,315,713 52,142,039	81,668,854 54,485,252	86,561,169 57,395,589	92,794,697 58,830,919	95,923,384 61,722,907
Salaries as a % of operating expenses Median	36.80 36.68	36.10 36.56	36.00 36.37	37.01 35.93	37.22 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	2,237,678 1,449,244	1,362,893 1,475,986	1,655,684 1,563,078	2,224,088 1,721,954	2,732,948 2,991,828
Contract hours, direct-care Median	26,059.00 22,725	18,069.00 23,018.5	26,079.00 24,503.48	31,566.00 25,026.5	34,575.00 33,786
Contract wages, direct-care Median	85.87 64.67	75.43 64.53	63.49 65.06	70.46 68.97	79.04 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.