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| Report on the Financial Condition of 8 Community Health Centers (CHC) in New Hampshire |
Sponsored by the NH Department of Health & Human Services & the Endowment for Health
Studies conducted by the Harvard School of Public Health |
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| From left: Kathy Bizarro, NH Hospital Association, Tess Kuenning, Bi-State Primary Care Association, Dr. James Squires, Endowment for Health, Howard Rivenson and Nancy Kane, the Harvard School of Public Health and Commissioner Nicholas Toumpas |
Summary
In general, community health centers in New Hampshire operate with very low margins and, as a result, they are not able to generate funds from patient care to provide a sufficient excess to pay for working capital, and replacement or expansion of facilities. They operate with very limited cash reserves. Health centers do have some grant money available from federal and state sources to help support their activities, but these funds are subject to changes in legislation and appropriations. In order to provide the services needed in the community, health centers have incurred substantial debt in many cases. The requirement to pay back these loans puts additional pressure on profitability and liquidity. The financing of community health centers is a fragile puzzle. Each of the pieces for revenue generation (operations, grants, investments, and contributions), expense control, and capital planning and financing must be in place or the puzzle will not be completed and the health center will be at high risk of financial distress. |
| Read the CHC report
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| Addtional information
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| Report on 23 Acute Care Nonprofit Hospitals in NH
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