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Critical access hospital · Peterborough, New Hampshire · 25 beds · CMS certification number 301309

Monadnock Community Hospital

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended September 30, 2025, as submitted, stamped by CMS March 2, 2026. 21 years on file, every one shown below. Also on the 340B covered-entity register.

Fiscal 2025 at a glance

Net patient revenue
$107.5M
$107,531,977 · G-3 line 3
Operating expenses
$122.3M
$122,278,455 · G-3 line 4
Result from patient care
−$14.7M
−$14,746,478 · G-3 line 5
Margin on patient care
−13.7%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $36.1M in its first year on file (2005) to $107.5M in 2025.
  • Its result from patient care: −$7.9M (2023), −$8.3M (2024), −$14.7M (2025).
  • 3 of the 5 critical access hospital peers below with a margin on file also report a loss on patient care for fiscal year 2025.
  • Medicaid paid for 0.3% of its inpatient days and Medicare for 28.6%.

Every statement is drawn from figures on this page; nothing is estimated.

21 years of filings

Net patient revenue against operating expenses, each year as filed.

Net patient revenueOperating expenses
2005
settled with audit
$36.1M
$36.9M
2006
settled
$52.3M
$53.3M
2007
settled with audit
$54.8M
$58.3M
2008
settled
$63.2M
$65.2M
2009
reopened
$65.8M
$67.8M
2010
reopened
$69.7M
$72.4M
2011
settled
$71.9M
$73.5M
2012
settled with audit
$73.7M
$74.6M
2013
settled
$69.0M
$72.3M
2014
settled with audit
$69.4M
$74.5M
2015
settled
$68.2M
$75.7M
2016
settled
$72.6M
$78.1M
2017
settled
$75.5M
$81.8M
2018
settled
$82.0M
$88.0M
2019
settled
$84.8M
$91.5M
2020
settled
$68.9M
$86.8M
2021
settled with audit
$80.2M
$85.0M
2022
settled
$85.8M
$93.9M
2023
settled
$93.0M
$100.9M
2024
as submitted
$105.5M
$113.8M
2025
as submitted
$107.5M
$122.3M

Beside its peers

Critical access hospitals in New Hampshire with 25 to 49 beds, each on fiscal year 2025.

HospitalBedsNet patient revenueOperating expensesMargin
Monadnock Community Hospital25$107,531,977$122,278,455−13.7%
Cottage Hospital, Woodsville25$38,107,048$44,055,987−15.6%
Littleton Regional Healthcare, Littleton25$112,534,882$132,750,970−18.0%
Mainehealth Memorial Hospital, North Conway25$132,586,530$127,016,4014.2%
New London Hospital, New London25$101,980,676$97,887,9354.0%
Hartzler Health, Lancaster25$74,941,640$88,886,074−18.6%

Patients and payers

Discharges
999
S-3 line 14, col 15
Inpatient days
3,477
S-3 line 14, col 8
Beds in use, on an average day
9.6
days ÷ days in year
Occupancy
38.1%
days ÷ bed days
Medicare share of days
28.6%
S-3 cols 6 ÷ 8
Medicaid share of days
0.3%
S-3 cols 7 ÷ 8

Who owns it

Type of control on its cost report: voluntary nonprofit, other.

Community benefit, as filed

From IRS Form 990 Schedule H, Part I, filed by Monadnock Community Hospital (employer identification number 020222157) for tax year 2022. The return lists this hospital as its one hospital facility.

FigureAs filedWhere it comes from
Total community benefit expense (line 7k)$5,725,916IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><NetCommunityBenefitExpnsAmt>
Financial assistance at cost (line 7a)$266,807IRS Form 990 Schedule H, Part I, <FinancialAssistanceAtCostTyp><NetCommunityBenefitExpnsAmt>
Medicaid (line 7b)$1,910,609IRS Form 990 Schedule H, Part I, <UnreimbursedMedicaidGrp><NetCommunityBenefitExpnsAmt>
Financial assistance and means-tested government programs (line 7d)$2,177,416IRS Form 990 Schedule H, Part I, <TotalFinancialAssistanceTyp><NetCommunityBenefitExpnsAmt>
Other benefits (line 7j)$3,548,500IRS Form 990 Schedule H, Part I, <TotalOtherBenefitsGrp><NetCommunityBenefitExpnsAmt>
Total, fraction of total expense (line 7k, column f)0.0563IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><TotalExpensePct>

E-file object id 202432279349303233. The IRS archive it was read from.

Executive and director compensation, as filed

From IRS Form 990 Part VII, Section A, filed by Monadnock Community Hospital (employer identification number 020222157) for tax year 2022. The return lists this hospital as its one hospital facility.

NameTitleRoleReportable comp, from this organizationReportable comp, from related organizationsOther compensation
Alexander J Walker EsqEx-Officio (voting)Trustee/director$0$705,005$397,339
Carolyn GarretsonTrusteeTrustee/director$0$0$0
Casandra ClarkTrusteeTrustee/director$0$0$0
Cynthia McGuireChief Executive OfficerTrustee/director, Officer$361,273$0$49,483
Daniel Perli MDPhysician/Chief Medical OfficerHighest-compensated employee$429,160$0$10,769
Dmitry Tarasevich MDPhysicianHighest-compensated employee$354,888$0$16,783
Eric Lasky MDEx-Officio (voting)Trustee/director$0$0$0
Iris WaittTrusteeTrustee/director$0$0$0
James Callahan EsqChairTrustee/director, Officer$0$0$0
Jeffrey R Crocker EsqTrusteeTrustee/director$0$0$0
Joseph Pepe MDFormer Ex-OfficioFormer$0$733,333$1,338
Leslie LewisTrusteeTrustee/director$0$0$0
Lucas Shippee DOPhysicianHighest-compensated employee$398,435$0$6,100
Michael SheaTrusteeTrustee/director$0$0$0
Michele Gunning MDPhysicianHighest-compensated employee$299,650$0$5,937
Patricia ShusterClerkTrustee/director, Officer$0$0$0
Paul FaberVice ChairTrustee/director, Officer$0$0$0
Paula HunterTrusteeTrustee/director$0$0$0
Peter Cerroni DMDTrusteeTrustee/director$0$0$0
Richard D ScheinblumVP Finance/CFOOfficer$238,719$0$23,143
Robert BoydTrustee (end 4/2023)Trustee/director$0$0$0
Shawn Harrington MDTrustee/PhysicianTrustee/director$424,370$0$33,992
Stephen Lehmkuhl MDEx-Officio (end 9/2023)Trustee/director$0$0$0
Terrence McNamara DOPhysicianHighest-compensated employee$425,612$0$36,282
Thomas S Bates CPATreasurerTrustee/director, Officer$0$0$0
William White MDEx-Officio (voting) (end 4/2023)Trustee/director$493,846$0$27,655

E-file object id 202432279349303233. The IRS archive it was read from.

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Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2025.ZIP, form CMS-2552-10, filed under CMS certification number 301309. Patients and payers: worksheet S-3 Part I of the same filing.

How this page was built: the CMS Medicare cost report, file HOSP10FY2025.ZIP, read March 2, 2026.