MHDO's Standardized Hospital Financial Reports
MHDO collects hospital financial data from Maine’s hospitals as described in 90-590 Rule Chapter 300, Uniform Reporting System for Hospital Financial Data, which can be found on our Statute and Rules page
The financial information reported to MHDO and then released in our standardized financial reports is based on the hospitals unconsolidated audited financial statements; specifically, the balance sheet, statement of operations and changes in net assets.
Note: Due to a change in MHDO’s Rule Chapter 300, Uniform Reporting System for Hospital Financial Data, the MHDO Hospital Financial Reports beginning with fiscal year 2021, will include the addition of financial reports based on hospital systems' consolidated audited financial statements. These systems include MaineHealth, Northern Light Health, Central Maine Healthcare, MaineGeneral Health, and Maine Medical Center.
Consolidated vs. Unconsolidated Reporting
The primary difference between consolidated and unconsolidated financial statements is that the consolidated form reports all activities of a hospital and its subsidiaries as a combined entity, while the unconsolidated financial statements report activities as a separate entity.
The MHDO Hospital Financial Reports were designed to standardized the reporting of key hospital financial indicators to allow for comparisons across hospitals; however, given the complexities in the hospitals structure and in accounting practices, leading to scenarios where the way in which a hospital and its activities are reported
in an unconsolidated form are more comparable to another hospitals consolidated reporting. For example, some physician practices are departments of the hospital (and would be included in the hospitals unconsolidated reporting) where for another hospital the physician practices are a subsidiary of the hospital ( and would not be included in the hospitals unconsolidated reporting but rather captured in the hospitals consolidated reporting).
Available December 28, 2022: FY 2021 Hospital Unconsolidated Financial Reports and Health System Consolidated Financial Reports
MHDO's Standardized Annual Hospital Financial Report (unconsolidated data)
This report is a three part report. See their descriptions below, as well as a link to each report.
New Beginning with FY2021: MHDO's Standardized Annual Health Systems Financial Report IV (consolidated data)
- Part I is comprised of tables for select data elements and ratios
containing all of Maine's hospitals arrayed by hospital
peer groups as determined by the Maine Hospital Association (MHA). The peer groups
are based upon bed size, revenue, critical access designation (CAH) and specialty.
When data are available, the tables include a comparison of the Maine (ME), Northeast,
and U.S. median as reported from the 2018 INGENIX, "Almanac of Hospital and
Financial & Operating Indicators", publication. The Northeast comparison includes
the states of Connecticut, Maine, Massachusetts, New Hampshire, New Jersey, New
York, Pennsylvania, Rhode Island, and Vermont.
2017 - 2021 Select Financial Information by Data Element/Ratio and Hospital Comments
- Part II includes tables containing select data elements and ratios for each of Maine's hospitals.
2017 - 2021 Select Financial Information by Hospital and Hospital Comments
- Part III includes tables containing all data elements and ratios for each of Maine's hospitals.
2017 - 2021 All Financial Information by Hospital and Hospital Comments
Data for the following health systems and hospital are contained in this report: MaineHealth, Northern Light Health, MaineGeneral Health, Central Maine Healthcare, and Maine Medical Center
Overview of the Financial Ratios Contained in the Reports
Financial ratios are one critical component of assessing a hospital’s financial condition and are widely accepted in the industry. The ratios are derived from financial data elements found in the standardized report and represent financial indicators that can be classified into the following five categories: profitability, liquidity, capital structure, asset efficiency, and “other”. Users of financial ratios are encouraged to consider a broad range of ratios from across all five categories and across multiple years to develop a comprehensive representation of a hospitals financial position. Below is a summary of the of the different ratios:
- Profitability Ratios: Provides information on the ability of the organization to produce a profit. Six measures of profitability are included: Operating Margin, Non-operating Revenue Margin, Total Margin, Return on Equity, Net Operating Income (Operating Surplus or Loss), and Total Surplus/Deficit (Total Surplus or Loss)
- Liquidity Ratios: Measures an organization’s ability to meet short-term obligations, collect receivables, and maintain cash position. Five measures of liquidity are included: Current Ratio (Without Board Designated and Undesignated Investments), Days in Accounts Receivable, Days Cash on Hand (Current), Days Cash on Hand (Including Board Designated and Undesignated Investments), and Average Payment Period (Current Liabilities)
- Capital Structure Ratios: Measures how an organization’s assets are financed, and its capacity to pay for new debt. Four capital structure ratios are included: Equity Financing, Debt Service Coverage, Cash Flow to Total Debt, and Fixed Asset Financing
- Asset Efficiency Ratios: Measures the relationship between revenue and assets. Two asset efficiency ratios are included: Total Asset Turnover and Fixed Asset Turnover
- Other: These ratios/data elements are included but cannot be classified into the other categories of financial ratios. One ratio and sixteen data elements from the financial data template are included: Average Age of Plant (Depreciation Only); Net Plant, Property, Equipment; Cash & Investments (Current Assets); Current Assets Whose Use is Limited; Trustee-held Investments; Board-Designated & Undesignated Investments; Fund Balance-Unrestricted; Temporarily Restricted Net Assets; Permanently Restricted Net Assets; Total Gross Patient Service Revenue; Net Patient Service Revenue; Total Non-operating Revenues; Bad Debt (Provision for Bad Debt); Free Care (Charity Care); Total Operating Expenses; Total Advertising Expenses; and Salaries and Benefits
Reports go back to 2005.