MHDO's Standardized Hospital Financial Reports

Overview

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.

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, included the addition of financial reports based on health systems' consolidated audited financial statements. These systems include MaineHealth, Northern Light Health, Central Maine Healthcare, MaineGeneral Health, Maine Medical Center and Subsidiaries.

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 hospital's consolidated reporting. For example, some physician practices are departments of the hospital (and would be included in the hospital's unconsolidated reporting) where for another hospital the physician practices are a subsidiary of the hospital (and would not be included in the hospital's unconsolidated reporting but rather captured in the hospital's consolidated reporting).

Available January 11, 2024: FY 2022 Hospital Unconsolidated Financial Reports and Health System Consolidated Financial Reports

MHDO's Standardized Annual Hospital Financial Report (unconsolidated data)

This report is a two part report. See their descriptions below, as well as a link to each report.

MHDO's Standardized Annual Health Systems Financial Report (consolidated data)

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 and Subsidiaries.

Overview of the Financial Ratios Contained in the Reports

Financial ratios are one critical component of assessing a hospital’s/health system'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 hospital's/health system's financial position. Below is a summary of the of the different ratios:

  1. 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)
  2. 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)
  3. 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
  4. Asset Efficiency Ratios: Measures the relationship between revenue and assets. Three asset efficiency ratios are included: Total Asset Turnover, Fixed Asset Turnover and Average Age of Plant (Depreciation Only)
  5. Other: These data elements are included but cannot be classified into the other categories of financial ratios. Sixteen data elements from the financial data template are included: 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

Historical Data

Reports go back to 2005.

Additional Information