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At Monadnock Community Hospital, every dollar we receive is an investment in the health and well-being of our community. As a nonprofit 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.

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MCH 2025 Annual Report

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Progress with Purpose: 2025 Community Report

Key Statistics 2024

Financial Statement 2024

Monadnock Community Hospital is a nonprofit hospital serving the Monadnock Region since 1923.

Revenues

2024

Gross Revenue

Net Revenue

Costs

Total Costs

Net Gain From Operations