As of the July, 2022, release via CMS

PALOS COMMUNITY HOSPITAL

CMS id: 140062
12251 S. 80TH AVENUE, ORLAND PARK IL 60462. County: COOK
System: NORTHWESTERN MEMORIAL HEALTHCARE
CBSA: Chicago-Naperville-Elgin, IL-IN-WI

The 413-bed, acute-care hospital had $-29,789,980 in net service to patients*, with a total profit margin of 18.52409% in fiscal year 2021, the latest year available.
It spent 2.13% of its operating expenses on uncompensated care and reported $5,352,785 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	243
Ownership	nfp	nfp	nfp	nfp	nfp
Acute beds Median	353 118	353 118	353 119.5	353 118	353 119
Total beds Median	413 162	413 162	413 162	413 162	413 163.5
FTEs Median	2,271.82 788.06	2,150.80 793.42	2,159.29 806.03	2,104.58 787.61	1,460.09 804.34

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	358,570,224 150,932,746	353,923,632 158,950,878	356,891,585 168,696,998	332,191,818 163,454,693	227,169,566 186,589,412
Operating expenses Median	362,263,756 149,311,209	365,617,573 156,110,414	367,777,509 164,890,568	393,358,106 166,516,854	256,959,546 180,120,888
Net income from service 2 patients (NS2P) ? Median	-3,693,532 -964,173	-11,693,941 -643,601.5	-10,885,924 -116,254	-61,166,288 -5,025,862	-29,789,980 -1,284,564
NS2P margin ? Median	-1.03% -0.62	-3.30% -0.29	-3.05% 0.18	-18.41% -5.07	-13.11% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for PALOS COMMUNITY HOSPITAL 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	11,746,008 5,089,215	9,467,682 4,572,541	8,819,898 5,268,134	50,953,979 13,092,619	88,211,451 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	0 206,870.5	0 194,343	15,187 249,496
⊳ Line 7: Investments ? ⊳ Median	1,929,537 299,524	1,081,570 188,688.5	317,601 370,813	0 309,361.5	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	24,414	39,096	44,521	44,881	26,363
⊳ Line 11: Rebates and refunds of expenses	0	3,481	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	1,441,235	1,473,954	1,512,538	908,687	617,094
⊳ 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	183,957	167,624	145,940	132,499	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	8,786	0	7,189	0
⊳ Line 22: Rental of hospital space	1,324,044	2,244,690	3,056,561	3,083,477	0
⊳ Line 23: Gov appropriations ? ⊳ Median	0 1,017,693	0 983,261.5	0 1,173,286	40,350,309 1,987,202	0 1,597,664
⊳ Sum Line 24	6,842,821	4,448,481	3,742,737	6,298,147	87,552,807
Total income ? Median	8,052,476 6,586,430	-2,226,259 6,767,106	-2,066,026 8,419,950	-10,212,309 8,094,175	58,421,471 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	8,052,476 6,043,842	-2,226,259 5,845,112	-2,066,026 7,606,259	-10,212,309 7,283,041	58,421,471 14,957,241
Net margin Median	2.17449% 4.62%	-0.61263% 4.42%	-0.56493% 5.16%	-2.66538% 5.2%	18.52409% 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 PALOS COMMUNITY HOSPITAL 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	95,210,976 23,241,334	100,094,358 23,709,545	99,222,190 24,248,380	94,952,969 22,858,541	63,596,382 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	93,843,070 21,577,146	98,918,975 22,041,594	97,957,693 22,722,063	93,661,345 21,570,441	62,936,054 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	1,367,906 1,845,420	1,175,383 1,757,392	1,264,497 1,738,842	1,291,624 1,510,463	660,328 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	0 3,535,627	0 3,746,588	0 3,782,288	0 3,865,578	0 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	40,918,658 11,160,864	43,637,886 11,987,345	46,666,344 12,926,866	42,063,136 11,884,480	29,420,366 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	30,127,339 10,918,923	32,120,302 11,706,976	34,505,829 12,615,917	30,209,995 11,458,116	21,743,078 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	10,791,319 1,282,808	11,517,584 1,407,728	12,160,515 1,341,512	11,853,141 1,407,046	7,677,288 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	0 3,284,314	0 3,250,551	0 3,386,837	0 3,360,806	0 3,508,953
Disproportionate-share hospital (DSH) Median	0 594,888	0 595,761	0 577,894	0 542,168	0 549,667
Outlier Median	1,262,790 582,572	1,458,524 538,116	501,274 212,434	570,883 126,559	355,274 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	21,000,939 3,662,910	22,560,682 3,730,911	15,877,478 4,081,319	21,934,812 4,643,908	5,352,785 4,389,147
Charity care Median	3,565,365 2,654,636	3,304,837 2,940,659	5,514,953 3,380,215	5,306,636 3,488,738	2,193,613 3,233,405
Uncompensated care (UCC) Median	7,522,237 5,147,790	8,595,790 5,337,617	10,167,637 5,711,082	6,108,315 5,923,418	5,475,558 5,508,107
UCC as a % of operating expenses Median	2.08% 3.24	2.35% 3.12	2.76% 3.21	1.55% 3.3	2.13% 2.86
Total shortfall/UCC Median	28,523,176 9,489,989	31,156,472 9,424,297	26,045,115 10,120,158	28,043,127 11,171,337	10,828,343 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	156,440,769 52,142,039	152,483,116 54,485,252	150,305,870 57,395,589	194,659,769 58,830,919	104,567,312 61,722,907
Salaries as a % of operating expenses Median	43.18 36.68	41.71 36.56	40.87 36.37	49.49 35.93	40.69 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	0 1,251,927	0 1,186,494	0 1,204,885	0 1,279,653	0 1,469,317
Contract adjusted salaries, direct-care Median	352,851 1,449,244	414,420 1,475,986	84,600 1,563,078	480,545 1,721,954	0 2,991,828
Contract hours, direct-care Median	7,839.00 22,725	7,914.00 23,018.5	373.00 24,503.48	8,900.60 25,026.5	0.00 33,786
Contract wages, direct-care Median	45.01 64.67	52.37 64.53	226.81 65.06	53.99 68.97	0.00 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.