As of the July, 2022, release via CMS

PRESENCE ST. JOSEPH MEDICAL CENTER

CMS id: 140007
333 NORTH MADISON STREET, JOLIET IL 60435. County: WILL
System: ALEXIAN BROTHERS HEALTH SYSTEM
CBSA: Chicago-Naperville-Elgin, IL-IN-WI

The 466-bed, acute-care hospital had $-28,986,618 in net service to patients*, with a total profit margin of 0.64475% in fiscal year 2021, the latest year available.
It spent 5.11% of its operating expenses on uncompensated care and reported $67,661,558 in Medicaid shortfall.

* For more about Net Service to Patients and operating revenue, please the finance section below.

Note: Medians are from acute-care hospitals with "complete" fiscal years. For more about how we calculated medians and cost reports in general, please click here.

Details

	2017	2018	2019	2020	2021
# of days in fyear	365	181	365	366	365
Ownership	nfp	nfp	nfp	nfp	nfp
Acute beds Median	373 118	376 118	326 119.5	368 118	368 119
Total beds Median	466 162	469 162	424 162	466 162	466 163.5
FTEs Median	1,669.56 788.06	1,510.25 793.42	1,410.00 806.03	1,135.26 787.61	1,065.89 804.34

Finances As they appear in worksheet G3 of the cost reports.

Note: Net Patient Revenue is considered operating revenue, which means Net Service to Patients is considered operating profit. Click here for more about cost report financials

Hospital cost reports are an enormously complicated dataset. There are whole organizations and an offical CMS vendor dedicated to helping researchers work with the data.
It's important to understand that hospital financials in cost reports are not organized in the same as other sources such as annual financial reports to bond holders.

The biggest difference is the concept of operating revenue and profit. Net Service to patients (NS2P), which is the sum of net patient revenue minus operating expenses, is considered the equivalent of operating profit according to the Medicaid and CHIP Payment and Access Commission (MACPAC). See the last paragraph of "Primary Data Sources" on page 55 of Annual Analysis of Disproportionate Share Hospital Allotments to States (PDF).

That would make Net Patient Revenue = operating revenue.

All this makes things challenging when comparing what's reported in cost reports to other sources. It becomes clearer when you consider that, beyond the purpose of reimbursement, cost reports are a tool for policymakers trying to understand the financial situation of a hospital doing the tasks specific to hospitals.

In other words, while a facility with a division that formulates drugs might include earnings from that as operating revenue in their corporate annual result, this is not central to the operations of a hospital caring for patients and so it is counted as "other income." (See below the financials section for more on "other income")

The healthcare consulting firm HMP, in a former partnership with Modern Healthcare, did develop a formula for estimating operating revenue closer to what one might find in other sources. We no longer use this for the following reasons:

The measure was not widely used beyond HMP and Modern Healthcare. Many hospitals had their own internal estimates of operating revenue and profit.
Because of this, there was confusion when reporting operating results for individual hospitals. There was often pushback when a facility's internal numbers did not match what Modern Healthcare was reporting.
The formula includes revenue from portions of the "other income" section, which may also include non-operating revenue. HMP themselves point out in a caveat on their site that they cannot exclude all non-operating revenue from their measure.

HMP's operating measure has proven problematic in the past for our reporting and the partnership with them ended years ago. It's best to not use a measure that we alone cannot defend.

	2017	2018	2019	2020	2021
Net patient revenue ? Median	374,114,334 150,932,746	178,512,880 158,950,878	348,808,770 168,696,998	335,673,405 163,454,693	338,187,920 186,589,412
Operating expenses Median	389,251,793 149,311,209	183,683,693 156,110,414	352,327,339 164,890,568	374,919,858 166,516,854	367,174,538 180,120,888
Net income from service 2 patients (NS2P) ? Median	-15,137,459 -964,173	-5,170,813 -643,601.5	-3,518,569 -116,254	-39,246,453 -5,025,862	-28,986,618 -1,284,564
NS2P margin ? Median	-4.05% -0.62	-2.90% -0.29	-1.01% 0.18	-11.69% -5.07	-8.57% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for PRESENCE ST. JOSEPH MEDICAL CENTER compared to all** acute-care hospitals, from CMS cost reports.
Note: NS2P is considered operating margin by MACPAC. The chart below is interactive: click or touch to see more.

* Data range does not show outliers, which fall beyond the minimum and maximum of the range.
** From cost reports with complete fiscal years. Number of acute-care hospitals available to calculate medians:

2017	2018	2019	2020	2021
3,157	3,092	3,050	3,052	2,566

	2017	2018	2019	2020	2021
Other income* Median Click here to show/hide details	10,107,998 5,089,215	4,806,714 4,572,541	5,277,364 5,268,134	25,926,727 13,092,619	31,369,349 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	89,932 224,999	532,317 199,009	130,845 206,870.5	-22,989 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	316,082 299,524	-3,350 188,688.5	300,650 370,813	-36,656 309,361.5	0 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	0	0	0	0	0
⊳ Line 11: Rebates and refunds of expenses	0	0	0	0	0
⊳ Line 12: Parking lot receipts	0	0	0	0	0
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	1,515,800	724,731	1,320,975	1,038,840	805,585
⊳ Line 15: Revenue from rental of living quarters	0	0	0	0	0
⊳ Line 16: Revenue from sale of medical and surgical supplies	0	0	0	0	0
⊳ Line 17: Revenue from sale of drugs to other than patients	0	0	0	0	0
⊳ Line 18: Revenue from sale of medical records and abstracts	0	0	0	1,130	0
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	0
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ Line 22: Rental of hospital space	0	0	0	1,525,390	1,154,373
⊳ Line 23: Gov appropriations ? ⊳ Median	0 1,017,693	0 983,261.5	0 1,173,286	0 1,987,202	0 1,597,664
⊳ Sum Line 24	8,186,184	3,553,016	3,524,894	23,421,012	29,409,391
Total income ? Median	-5,029,461 6,586,430	-364,099 6,767,106	1,758,795 8,419,950	-13,319,726 8,094,175	2,382,731 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	0 106,761	0 31,473.5
Net income Median	-5,029,461 6,043,842	-364,099 5,845,112	1,758,795 7,606,259	-13,319,726 7,283,041	2,382,731 14,957,241
Net margin Median	-1.30900% 4.62%	-0.19861% 4.42%	0.49671% 5.16%	-3.68355% 5.2%	0.64475% 9.25%

* About "Other income": Other income, or line 25 in worksheet G3, is the sum of lines 6 through 24. It includes three lines that are considered non-operating revenue - contributions, investments and government appropriations. Medians are included for these three lines. It also contains items that are not central to providing healthcare, such as revenue from parking or gift shops.
"Sum Line 24" is a special case. Called "Other (specify)" in the cost reports, CMS allows for this line to be "subscripted," or divided into sublines like 002400, 002401, 002402. And hospitals do that, up to 100 lines, to detail income (and sometimes negative returns) that are otherwise not covered in the previous "other" lines. Therefore, "Sum Line 24" is the sum of all the lines 24.

Range* of total profit (loss) margins

= Total margin for PRESENCE ST. JOSEPH MEDICAL CENTER compared to all** acute-care hospitals, from CMS cost reports.
The chart below is interactive: click or touch to see more.

2017	2018	2019	2020	2021
3,157	3,092	3,050	3,052	2,566

Medicare revenue

Inpatient and outpatient revenue

	2017	2018	2019	2020	2021
All inpatient revenue Median Click here to show/hide details	100,119,004 23,241,334	49,267,244 23,709,545	88,774,310 24,248,380	84,144,889 22,858,541	79,758,963 23,620,613
"All inpatient revenue" is made up of any Medicare payments for routine inpatient, swingbed SNFs, TEFRA, IPF, IRF, inpatient long-term care, CAH and inpatient SNF facilities. Medians are only calculated when there are sufficient facilities reporting revenue.
⊳ Routine inpatient revenue ⊳ Median	84,872,458 21,577,146	40,532,873 22,041,594	74,111,259 22,722,063	68,990,762 21,570,441	65,823,014 22,140,684
⊳ Swingbeds ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Tax Equity and Fiscal Responsibility Act payments (TEFRA) ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Inpatient psychiatric facility (IPF) ⊳ Median	0 1,845,420	0 1,757,392	0 1,738,842	0 1,510,463	0 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	15,246,546 3,535,627	8,734,371 3,746,588	14,663,051 3,782,288	15,154,127 3,865,578	13,935,949 3,983,889
⊳ Long-term care hospital (LTCH) ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Critical-access hospitals ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Skilled-nursing facilities (SNF) ⊳ Median	0 1,203,033	0 1,215,295	0 1,313,657	0 1,365,298	0 1,179,746
All outpatient revenue Median Click here to show/hide details	28,332,439 11,160,864	15,376,340 11,987,345	29,129,285 12,926,866	26,713,956 11,884,480	23,582,038 13,145,163
"All outpatient revenue" is made up of any payments for routine outpatient, HHA, CMHC, rural health and other federally-qualified health clinics. Medians are only calculated when there are sufficient facilities reporting revenue.
⊳ Routine outpatient revenue ⊳ Median	28,332,439 10,918,923	15,376,340 11,706,976	29,129,285 12,615,917	26,713,956 11,458,116	23,582,038 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	0 1,282,808	0 1,407,728	0 1,341,512	0 1,407,046	0 1,476,867
⊳ Community mental health clinics (CMHC) ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Rural health clinics ⊳ Median	0 618,038	0 697,279	0 690,232	0 684,010	0 670,558
⊳ Other federally qualified health clinics ⊳ Median	0 --	0 --	0 --	0 --	0 --

Other payments

Item	2017	2018	2019	2020	2021
Graduate Medical Education (GME) Median	388,051 3,284,314	238,649 3,250,551	607,071 3,386,837	651,092 3,360,806	612,071 3,508,953
Disproportionate-share hospital (DSH) Median	1,906,075 594,888	970,188 595,761	1,590,509 577,894	1,366,829 542,168	1,200,110 549,667
Outlier Median	2,518,234 582,572	780,061 538,116	1,702,186 212,434	494,560 126,559	560,987 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	30,666,024 3,662,910	22,883,988 3,730,911	16,041,044 4,081,319	21,642,624 4,643,908	67,661,558 4,389,147
Charity care Median	10,967,342 2,654,636	4,512,131 2,940,659	12,728,232 3,380,215	14,223,360 3,488,738	16,867,159 3,233,405
Uncompensated care (UCC) Median	12,833,429 5,147,790	4,968,959 5,337,617	14,895,439 5,711,082	16,407,860 5,923,418	18,762,123 5,508,107
UCC as a % of operating expenses Median	3.30% 3.24	2.71% 3.12	4.23% 3.21	4.38% 3.3	5.11% 2.86
Total shortfall/UCC Median	43,499,453 9,489,989	27,852,947 9,424,297	30,936,483 10,120,158	38,050,484 11,171,337	86,423,681 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	114,759,990 52,142,039	56,035,334 54,485,252	105,320,879 57,395,589	94,144,185 58,830,919	90,020,160 61,722,907
Salaries as a % of operating expenses Median	29.48 36.68	30.51 36.56	29.89 36.37	25.11 35.93	24.52 35.24
Intern, resident salaries* Median	0 2,598,592	0 2,686,824	0 2,753,773	0 2,937,156	0 2,909,848
Contract intern, resident salaries* Median	100,517 1,251,927	0 1,186,494	326,312 1,204,885	349,346 1,279,653	500,571 1,469,317
Contract adjusted salaries, direct-care Median	17,297,254 1,449,244	8,479,775 1,475,986	16,137,281 1,563,078	522,877 1,721,954	11,110,546 2,991,828
Contract hours, direct-care Median	407,665.00 22,725	200,996.00 23,018.5	379,834.00 24,503.48	9,697.64 25,026.5	107,306.38 33,786
Contract wages, direct-care Median	42.43 64.67	42.19 64.53	42.49 65.06	53.92 68.97	103.54 88.94

* in an approved program

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Cost reports are self-reported by the facility, are subject to revision and should be considered preliminary.

* Net Service to patients (NS2P) equals net patient revenue minus operating expenses. NS2P is considered the equivalent of operating profit according to the Medicaid and CHIP Payment and Access Commission (MACPAC). See the last paragraph of "Primary Data Sources" on page 55 of Annual Analysis of Disproportionate Share Hospital Allotments to States (PDF).

About medians

Medians are calculated from reports with "complete" fiscal years, or reports with fiscal years of at least 300 days and no more than 420 days.

In cases where there are fewer than 50 values reported, medians are not calculated. For childrens' hospitals, it's when fewer than 20 are reported.

Web app by Tim Broderick | email.