As of the July, 2022, release via CMS

CATHOLIC MEDICAL CENTER

CMS id: 300034
100 MCGREGOR STREET, MANCHESTER NH 3102. County: HILLSBOROUGH
System: GRANITEONE HEALTH
CBSA: Manchester-Nashua, NH

The 262-bed, acute-care hospital had $1,263,305 in net service to patients*, with a total profit margin of 13.43893% in fiscal year 2021, the latest year available.
It spent 2.42% of its operating expenses on uncompensated care and reported $19,685,040 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	211 118	209 118	209 119.5	220 118	232 119
Total beds Median	254 162	251 162	261 162	261 162	262 163.5
FTEs Median	2,047.33 788.06	2,333.17 793.42	2,307.14 806.03	2,099.00 787.61	2,039.36 804.34

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	389,162,113 150,932,746	416,763,979 158,950,878	428,511,924 168,696,998	375,630,562 163,454,693	439,948,002 186,589,412
Operating expenses Median	362,822,064 149,311,209	410,905,440 156,110,414	430,619,107 164,890,568	423,196,234 166,516,854	438,684,697 180,120,888
Net income from service 2 patients (NS2P) ? Median	26,340,049 -964,173	5,858,539 -643,601.5	-2,107,183 -116,254	-47,565,672 -5,025,862	1,263,305 -1,284,564
NS2P margin ? Median	6.77% -0.62	1.41% -0.29	-0.49% 0.18	-12.66% -5.07	0.29% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for CATHOLIC 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	25,269,278 5,089,215	0 4,572,541	38,087,162 5,268,134	54,469,281 13,092,619	66,844,150 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	0 206,870.5	0 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	0 299,524	0 188,688.5	0 370,813	0 309,361.5	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	0	0	0	0	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	0	0	0	0	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	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	25,269,278	--	38,087,162	54,469,281	66,844,150
Total income ? Median	51,609,327 6,586,430	5,858,539 6,767,106	35,979,979 8,419,950	6,903,609 8,094,175	68,107,455 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	51,609,327 6,043,842	5,858,539 5,845,112	35,979,979 7,606,259	6,903,609 7,283,041	68,107,455 14,957,241
Net margin Median	12.45304% 4.62%	1.40572% 4.42%	7.71111% 5.16%	1.60512% 5.2%	13.43893% 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 CATHOLIC 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	82,918,958 23,241,334	86,059,224 23,709,545	78,950,500 24,248,380	68,546,133 22,858,541	73,824,891 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	77,634,725 21,577,146	81,231,992 22,041,594	73,923,323 22,722,063	65,798,253 21,570,441	73,824,891 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	5,284,233 3,535,627	4,827,232 3,746,588	5,027,177 3,782,288	2,747,880 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	36,332,123 11,160,864	39,276,747 11,987,345	37,969,451 12,926,866	31,896,559 11,884,480	38,261,498 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	36,332,123 10,918,923	39,276,747 11,706,976	37,969,451 12,615,917	31,896,559 11,458,116	38,261,498 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	274,520 3,250,551	287,974 3,386,837	401,843 3,360,806	385,883 3,508,953
Disproportionate-share hospital (DSH) Median	1,566,979 594,888	1,562,170 595,761	1,210,042 577,894	956,426 542,168	1,099,261 549,667
Outlier Median	5,476,350 582,572	4,178,247 538,116	1,248,621 212,434	659,735 126,559	998,498 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	1,139,475 3,662,910	1,513,013 3,730,911	22,409,436 4,081,319	25,818,456 4,643,908	19,685,040 4,389,147
Charity care Median	5,274,923 2,654,636	7,568,672 2,940,659	5,370,261 3,380,215	1,633,111 3,488,738	4,977,352 3,233,405
Uncompensated care (UCC) Median	9,210,275 5,147,790	12,362,161 5,337,617	11,030,196 5,711,082	3,366,286 5,923,418	10,598,659 5,508,107
UCC as a % of operating expenses Median	2.54% 3.24	3.01% 3.12	2.56% 3.21	0.80% 3.3	2.42% 2.86
Total shortfall/UCC Median	10,349,750 9,489,989	13,875,174 9,424,297	33,439,632 10,120,158	29,184,742 11,171,337	30,283,699 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	132,397,813 52,142,039	149,660,101 54,485,252	157,118,727 57,395,589	151,424,914 58,830,919	154,790,155 61,722,907
Salaries as a % of operating expenses Median	36.49 36.68	36.42 36.56	36.49 36.37	35.81 35.93	35.24 35.24
Intern, resident salaries* Median	0 2,598,592	14,260 2,686,824	36,995 2,753,773	33,887 2,937,156	36,412 2,909,848
Contract intern, resident salaries* Median	0 1,251,927	0 1,186,494	181,054 1,204,885	231,147 1,279,653	201,105 1,469,317
Contract adjusted salaries, direct-care Median	3,959,740 1,449,244	5,337,412 1,475,986	5,758,535 1,563,078	5,009,810 1,721,954	9,262,771 2,991,828
Contract hours, direct-care Median	57,898.00 22,725	85,929.00 23,018.5	87,691.00 24,503.48	59,753.00 25,026.5	93,433.43 33,786
Contract wages, direct-care Median	68.39 64.67	62.11 64.53	65.67 65.06	83.84 68.97	99.14 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.