facebook tracking How are New Hampshire hospitals doing financially? Margins, losses and charity care

How are New Hampshire hospitals doing financially?

Operating margins, losses, charity care, beds and staff for 29 New Hampshire hospitals, from the cost reports they file with Medicare, compared with the rest of the U.S.

Switch state
Lost money on patient care
54%
New Hampshire15 of 28 with a full-year margin
United States55%

Hospitals whose patient care cost more than it brought in, in their latest full-year report — fewer than the national share.

Typical operating margin
-0.5%

The median New Hampshire hospital kept -0.5% of its patient revenue after operating costs, against -1.6% nationally (#22 of 50 states). Excludes donations and investment income.

Charity care
$137.0 million

The cost of free or discounted care New Hampshire hospitals gave patients who qualified, in their latest full-year reports: 0.4% of the U.S. total of $35.6 billion.

Beds and staff
2,854 beds

26,133 full-time-equivalent employees across 29 hospitals with a cost report.

Most charity care in New Hampshire

Charity care is reported at cost, not at list prices. The share is charity care as a part of the hospital's operating expenses.

Biggest losses on patient care

The lowest operating margins among New Hampshire hospitals with a full-year report. A negative margin means patient care cost more than it brought in; donations, grants and investments can still cover the gap.

Every New Hampshire hospital's finances

Latest fiscal year each hospital reported. Reports marked "partial year" cover only part of a year (for example after a change of owner) and are left out of the state totals. Click a column to sort.

Hospital Beds Patient revenue Operating margin Charity care
Mary Hitchcock Mem HospitalLebanon · FY Jun 2025 · 4,790 staff 506 $1.9 billion -36.2% $27.4 million
Elliot HospitalManchester · FY Jun 2025 · 2,290 staff 215 $689.0 million 1.4% $24.7 million
Concord HospitalConcord · FY Sep 2024 · 2,906 staff 206 $610.3 million -4.1% $9.4 million
Wentworth-Douglass HospitalDover · FY Sep 2024 · 2,023 staff 118 $596.7 million 13.5% $4.9 million
Catholic Medical CenterManchester · FY Sep 2024 · 2,130 staff 262 $464.7 million -7.5% $7.1 million
Portsmouth Regional HospitalPortsmouth · FY Feb 2025 · 888 staff 189 $414.7 million 57.4% $9.8 million
Southern Nh Medical CenterNashua · FY Jun 2025 · 1,106 staff 140 $400.0 million 9.8% $12.3 million
Exeter Hospital INCExeter · FY Sep 2024 · 1,223 staff 98 $305.8 million 3.0% $2.7 million
Cheshire Medical CenterKeene · FY Jun 2025 · 770 staff 86 $291.0 million -16.6% $8.7 million
St Joseph HospitalNashua · FY Dec 2024 · 1,080 staff 160 $287.4 million -6.1% $3.8 million
Parkland Medical CenterDerry · FY Jul 2025 · 387 staff 68 $183.0 million 53.5% $5.9 million
Concord Hospital- LaconiaLaconia · FY Sep 2024 · 713 staff 86 $128.9 million -12.0% $1.4 million
Memorial Hospital, theNorth Conway · FY Sep 2024 · 393 staff 25 $114.9 million 0.9% $1.3 million
Alice Peck Day Memorial HospitalLebanon · FY Jun 2025 · 399 staff 24 $110.3 million 6.1% $121,000
Northeast Rehab HospitalSalem · FY May 2025 · 663 staff 137 $107.8 million 1.4% –
Monadnock Community HospitalPeterborough · FY Sep 2024 · 470 staff 25 $105.5 million -7.9% $3.4 million
New London HospitalNew London · FY Jun 2025 · 357 staff 25 $102.0 million 4.0% $3.0 million
Huggins HospitalWolfeboro · FY Sep 2024 · 418 staff 25 $100.4 million 0.3% $397,000
Littleton Regional HospitalLittleton · FY Sep 2024 · 567 staff 25 $96.8 million -29.6% $818,000
Androscoggin Valley HospitalBerlin · FY Sep 2024 · 233 staff 25 $84.2 million -0.8% $930,000
Speare Memorial HospitalPlymouth · FY Jun 2025 · 327 staff 25 $78.8 million -7.2% $557,000
Weeks Medical CenterLancaster · FY Sep 2024 · 185 staff 25 $77.1 million -7.6% $1.9 million
Valley Regional HospitalClaremont · FY Sep 2024 · 286 staff 25 $63.7 million -1.1% $1.6 million
Frisbie Memorial HospitalRochester · FY Feb 2025 · 260 staff 39 $63.6 million -38.5% $3.0 million
Cottage HospitalWoodsville · FY Sep 2024 · 172 staff 25 $41.5 million -5.6% $1.0 million
Franklin Regional HospitalFranklin · FY Sep 2024 · 105 staff 25 $37.7 million 31.4% $595,000
Healthsouth Rehab HospitalConcord · FY Dec 2024 · 125 staff 50 $33.2 million 25.1% –
Upper Connecticut Valley HospitalColebrook · FY Sep 2024 · 88 staff 16 $30.8 million -0.1% $274,000
New Hampshire HospitalConcord · FY Jun 2025 · 780 staff 179 – – –

Figures as reported to CMS (Hospital Provider Cost Report), not audited statements. Operating margin = net income from patient care ÷ net patient revenue; it excludes investment income, donations and grants. Charity care is the cost of free or discounted care for patients who qualify under the hospital's financial assistance policy. How to read these figures.

Advertisement

How New Hampshire compares with other states

Median operating margin in nearby states:

Questions about New Hampshire hospital finances

How many New Hampshire hospitals lose money?

15 of 28 New Hampshire hospitals (54%) reported a loss on patient care in their latest full-year Medicare cost report, compared with 55% nationwide. The median operating margin was -0.5%, higher than the U.S. median of -1.6%. The operating margin leaves out donations, investment income and grants, so some of these hospitals still end the year in the black.

Which New Hampshire hospitals provide the most charity care?

New Hampshire hospitals reported $137.0 million in charity care (the cost of free or discounted care for patients who qualify) in their latest full-year reports. The largest amounts came from Mary Hitchcock Mem Hospital ($27.4 million), Elliot Hospital ($24.7 million), Southern Nh Medical Center ($12.3 million), Portsmouth Regional Hospital ($9.8 million), Concord Hospital ($9.4 million).

How do New Hampshire hospitals compare with other states?

New Hampshire ranks 22 of 50 states by the median operating margin of its hospitals (1 = highest). A smaller share of its hospitals lost money on patient care than the U.S. as a whole (54% vs 55%).

What is the largest hospital in New Hampshire by revenue?

Mary Hitchcock Mem Hospital in Lebanon reported the most net patient revenue: $1.9 billion in its latest full-year cost report, with 506 beds and an operating margin of -36.2%.

What is an operating margin?

It is how much a hospital keeps from patient care after paying its operating costs, as a share of its patient revenue. A margin of 5% means the hospital kept 5 cents of every dollar it earned from patients; a negative margin means patient care cost more than it brought in. It excludes donations, investment income and grants.

Source: CMS Hospital Provider Cost Report (data.cms.gov), latest report per hospital. About the data.