Financial Statement 2024

A white wooden town hall with a prominent bell tower and ramp-accessible entrance, surrounded by trees just beginning to turn with autumn colors. An American flag stands in the foreground.
Overview
Financial Statement 2024

Consolidated Statement of Revenues and Expenses

At Monadnock Community Hospital, every dollar we receive is an investment in the health and well-being of our community. As a not-for-profit hospital, we remain committed to transparency and fiscal responsibility while delivering high-quality, patient-centered care.

For the fiscal year ending September 30, 2024, our gross revenue totaled $216.4 million. After accounting for unreimbursed care and other deductions, our net revenue was $115.8 million. Key expenses included:

Revenues

2024

Government reimbursement for Medicaid shortfall and the uninsured $4,791,000
Billed for services to our patients $206,039,000
Other operating revenues $5,530,000

Gross Revenue

$216,360,000
Less: Amounts billed but not received
Government and commercial contractual agreements $92,047,000
Patients unable to pay $891,000
Provisions for bad debt $7,624,000

Net Revenue

$115,798,000

Costs

Our costs included amounts:
To pay our employees and physicians $57,766,000
To pay our suppliers and vendors $45,036,000
To fund depreciation and pay interest on debt $5,841,000
To pay NH Medicaid Enhancement Tax $5,119,000

Total Costs

$113,762,000

Net Gain From Operations

$2,036,000

This brought total operating costs to $113.8 million, resulting in a net gain from operations of $2 million.

These funds support vital services and innovations like the opening of new specialty practices—Gastroenterology, Rheumatology, and Cardiology—along with expanded community programs and infrastructure improvements. In 2024 alone, MCH provided over $23.6 million in community benefit, including charity care, subsidized services, and public health initiatives.

We are deeply grateful to our employees, volunteers, donors, and partners for making this progress possible. Your support drives our mission forward.

2025 Community Report

Five healthcare professionals stand together smiling as they cut a red ribbon at Monadnock Community Hospital under a skylight, celebrating the launch of a new initiative. The text below reads “Progress with Purpose – 2025 Report to Our Community.”MCH 2025 Annual Report