As of the July, 2022, release via CMS

NORTHSHORE UNIVERSITY HEALTHSYSTEM

CMS id: 140010
2650 RIDGE AVENUE, EVANSTON IL 60201. County: COOK
System: --
CBSA: Chicago-Naperville-Elgin, IL-IN-WI

The 719-bed, acute-care hospital had $27,732,918 in net service to patients*, with a total profit margin of 42.15222% in fiscal year 2021, the latest year available.
It spent 1.82% of its operating expenses on uncompensated care and reported $37,828,514 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	365	365	366	365
Ownership	nfp	nfp	nfp	nfp	nfp
Acute beds Median	618 118	583 118	582 119.5	582 118	572 119
Total beds Median	789 162	751 162	750 162	742 162	719 163.5
FTEs Median	6,304.00 788.06	6,398.94 793.42	6,463.00 806.03	6,375.00 787.61	6,572.00 804.34

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	1,510,110,594 150,932,746	1,530,408,814 158,950,878	1,673,906,226 168,696,998	1,544,816,486 163,454,693	1,730,812,209 186,589,412
Operating expenses Median	1,469,352,550 149,311,209	1,476,682,048 156,110,414	1,591,151,060 164,890,568	1,658,577,884 166,516,854	1,703,079,291 180,120,888
Net income from service 2 patients (NS2P) ? Median	40,758,044 -964,173	53,726,766 -643,601.5	82,755,166 -116,254	-113,761,398 -5,025,862	27,732,918 -1,284,564
NS2P margin ? Median	2.70% -0.62	3.51% -0.29	4.94% 0.18	-7.36% -5.07	1.60% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for NORTHSHORE UNIVERSITY HEALTHSYSTEM 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	254,103,759 5,089,215	201,888,662 4,572,541	142,460,631 5,268,134	474,899,168 13,092,619	1,433,981,579 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	5,280,954 224,999	5,275,770 199,009	8,752,974 206,870.5	7,138,234 194,343	3,062,264 249,496
⊳ Line 7: Investments ? ⊳ Median	48,134,545 299,524	81,555,642 188,688.5	4,690,345 370,813	5,378,391 309,361.5	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	1,474,329	1,477,835	1,637,781	1,059,295	654,178
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	5,130,413	5,262,012	5,265,076	3,800,342	3,314,726
⊳ 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	23,791	12,566	11,363	15,070	14,654
⊳ Line 18: Revenue from sale of medical records and abstracts	0	0	0	0	0
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	1,198,231	1,382,533	1,405,841	1,435,476	1,504,259
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	1,054,806	1,004,585	996,769	597,214	264,802
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ Line 22: Rental of hospital space	30,768,646	28,408,770	26,959,444	30,627,630	3,746,182
⊳ 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	161,038,044	77,508,949	92,741,038	424,847,516	1,421,420,514
Total income ? Median	294,861,803 6,586,430	255,615,428 6,767,106	225,215,797 8,419,950	361,137,770 8,094,175	1,461,714,497 15,162,888
Non-operating expenses Median	92,609,757 146,289.5	90,815,229 164,857	212,793,536 89,880.5	88,114,530 106,761	127,683,629 31,473.5
Net income Median	202,252,046 6,043,842	164,800,199 5,845,112	12,422,261 7,606,259	273,023,240 7,283,041	1,334,030,868 14,957,241
Net margin Median	11.46414% 4.62%	9.51339% 4.42%	0.68391% 5.16%	13.51790% 5.2%	42.15222% 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 NORTHSHORE UNIVERSITY HEALTHSYSTEM 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	213,176,664 23,241,334	230,906,340 23,709,545	243,865,953 24,248,380	220,496,435 22,858,541	224,218,837 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	207,048,645 21,577,146	224,694,062 22,041,594	237,665,835 22,722,063	215,555,017 21,570,441	219,671,009 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	2,287,997 1,845,420	1,897,534 1,757,392	1,831,842 1,738,842	1,165,153 1,510,463	984,737 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	3,840,022 3,535,627	4,314,744 3,746,588	4,368,276 3,782,288	3,776,265 3,865,578	3,563,091 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	208,960,711 11,160,864	226,936,942 11,987,345	237,508,291 12,926,866	213,101,632 11,884,480	236,123,223 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	200,152,256 10,918,923	218,700,138 11,706,976	229,327,137 12,615,917	205,923,443 11,458,116	229,120,627 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	8,808,455 1,282,808	8,236,804 1,407,728	8,181,154 1,341,512	7,178,189 1,407,046	7,002,596 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	33,152,749 3,284,314	35,011,793 3,250,551	36,639,298 3,386,837	33,565,507 3,360,806	33,388,370 3,508,953
Disproportionate-share hospital (DSH) Median	1,115,826 594,888	1,250,672 595,761	1,513,136 577,894	1,746,295 542,168	2,089,875 549,667
Outlier Median	5,483,645 582,572	4,891,959 538,116	1,361,193 212,434	1,177,561 126,559	1,775,213 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	37,420,101 3,662,910	31,327,590 3,730,911	27,111,048 4,081,319	37,303,916 4,643,908	37,828,514 4,389,147
Charity care Median	20,902,750 2,654,636	23,402,098 2,940,659	23,094,294 3,380,215	28,273,335 3,488,738	22,201,178 3,233,405
Uncompensated care (UCC) Median	28,071,734 5,147,790	33,051,595 5,337,617	31,103,500 5,711,082	38,739,840 5,923,418	31,047,219 5,508,107
UCC as a % of operating expenses Median	1.91% 3.24	2.24% 3.12	1.95% 3.21	2.34% 3.3	1.82% 2.86
Total shortfall/UCC Median	65,491,835 9,489,989	64,379,185 9,424,297	58,214,548 10,120,158	76,043,756 11,171,337	68,875,733 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	546,440,982 52,142,039	573,637,778 54,485,252	595,081,630 57,395,589	630,654,874 58,830,919	651,549,924 61,722,907
Salaries as a % of operating expenses Median	37.62 36.68	39.29 36.56	37.82 36.37	38.86 35.93	38.01 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	17,388,304 1,251,927	17,534,145 1,186,494	17,051,267 1,204,885	17,547,581 1,279,653	18,178,411 1,469,317
Contract adjusted salaries, direct-care Median	24,186,388 1,449,244	22,959,199 1,475,986	17,051,267 1,563,078	22,684,428 1,721,954	24,237,457 2,991,828
Contract hours, direct-care Median	686,125.00 22,725	674,880.04 23,018.5	442,550.00 24,503.48	648,798.00 25,026.5	662,158.00 33,786
Contract wages, direct-care Median	35.25 64.67	34.02 64.53	38.53 65.06	34.96 68.97	36.60 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.