As of the July, 2022, release via CMS

RUSH UNIVERSITY MEDICAL CENTER

CMS id: 140119
1653 W. CONGRESS PARKWAY, CHICAGO IL 60612. County: COOK
System: --
CBSA: Chicago-Naperville-Elgin, IL-IN-WI

The 644-bed, acute-care hospital had $-401,296,423 in net service to patients*, with a total profit margin of 2.55375% in fiscal year 2021, the latest year available.
It spent 1.23% of its operating expenses on uncompensated care and reported $27,932,006 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	368 118	387 118	387 119.5	397 118	402 119
Total beds Median	675 162	697 162	697 162	724 162	644 163.5
FTEs Median	8,622.04 788.06	8,927.24 793.42	9,192.54 806.03	9,529.36 787.61	9,601.41 804.34

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	1,554,607,000 150,932,746	1,696,845,816 158,950,878	1,854,359,489 168,696,998	1,733,748,330 163,454,693	1,992,372,740 186,589,412
Operating expenses Median	1,840,422,000 149,311,209	1,974,864,536 156,110,414	2,178,291,210 164,890,568	2,264,144,283 166,516,854	2,393,669,163 180,120,888
Net income from service 2 patients (NS2P) ? Median	-285,815,000 -964,173	-278,018,720 -643,601.5	-323,931,721 -116,254	-530,395,953 -5,025,862	-401,296,423 -1,284,564
NS2P margin ? Median	-18.39% -0.62	-16.38% -0.29	-17.47% 0.18	-30.59% -5.07	-20.14% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for RUSH UNIVERSITY 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	391,220,000 5,089,215	377,778,944 4,572,541	391,912,257 5,268,134	483,481,677 13,092,619	464,026,835 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	0 206,870.5	113,231,770 194,343	105,083,526 249,496
⊳ Line 7: Investments ? ⊳ Median	0 299,524	0 188,688.5	0 370,813	1,249,195 309,361.5	3,405,687 375,329
⊳ 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	10,154,472	11,230,196
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	0	0	0	3,355,066	332,192
⊳ 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	7,070,258	8,047,414
⊳ Line 18: Revenue from sale of medical records and abstracts	0	0	0	0	0
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	70,510,000	73,408,916	78,129,280	80,551,110	86,290,689
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	15,289	5,802
⊳ Line 21: Rental of vending machines	0	0	0	0	102,767
⊳ Line 22: Rental of hospital space	0	0	0	18,060,859	10,475,847
⊳ Line 23: Gov appropriations ? ⊳ Median	0 1,017,693	0 983,261.5	0 1,173,286	0 1,987,202	28,120,785 1,597,664
⊳ Sum Line 24	320,710,000	304,370,028	313,782,977	249,793,658	210,931,930
Total income ? Median	105,405,000 6,586,430	99,760,224 6,767,106	67,980,536 8,419,950	-46,914,276 8,094,175	62,730,412 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	105,405,000 6,043,842	99,760,224 5,845,112	67,980,536 7,606,259	-46,914,276 7,283,041	62,730,412 14,957,241
Net margin Median	5.41698% 4.62%	4.80859% 4.42%	3.02637% 5.16%	-2.11590% 5.2%	2.55375% 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 RUSH UNIVERSITY 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	231,527,814 23,241,334	238,525,393 23,709,545	247,410,280 24,248,380	242,280,372 22,858,541	256,400,074 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	216,595,341 21,577,146	226,180,647 22,041,594	237,301,462 22,722,063	234,221,015 21,570,441	247,436,276 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	5,534,695 1,845,420	4,945,350 1,757,392	1,965,642 1,738,842	1,292,617 1,510,463	1,864,599 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	9,397,778 3,535,627	7,399,396 3,746,588	8,143,176 3,782,288	6,766,740 3,865,578	7,099,199 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	103,834,427 11,160,864	111,922,331 11,987,345	117,040,532 12,926,866	113,018,923 11,884,480	129,083,877 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	103,834,427 10,918,923	111,922,331 11,706,976	117,040,532 12,615,917	113,018,923 11,458,116	129,083,877 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	59,470,525 3,284,314	61,939,053 3,250,551	65,795,625 3,386,837	67,520,802 3,360,806	71,168,002 3,508,953
Disproportionate-share hospital (DSH) Median	5,967,620 594,888	5,867,704 595,761	6,656,245 577,894	6,436,457 542,168	6,082,037 549,667
Outlier Median	6,901,144 582,572	7,099,557 538,116	6,324,526 212,434	996,122 126,559	1,537,470 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	20,472,478 3,662,910	23,071,926 3,730,911	57,339,065 4,081,319	59,257,270 4,643,908	27,932,006 4,389,147
Charity care Median	21,030,109 2,654,636	21,849,240 2,940,659	24,042,421 3,380,215	26,630,873 3,488,738	19,618,474 3,233,405
Uncompensated care (UCC) Median	33,791,857 5,147,790	30,209,589 5,337,617	31,834,400 5,711,082	37,008,589 5,923,418	29,391,053 5,508,107
UCC as a % of operating expenses Median	1.84% 3.24	1.53% 3.12	1.46% 3.21	1.63% 3.3	1.23% 2.86
Total shortfall/UCC Median	54,264,335 9,489,989	53,281,515 9,424,297	89,173,465 10,120,158	96,265,859 11,171,337	57,323,059 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	755,519,073 52,142,039	801,759,077 54,485,252	870,972,367 57,395,589	909,043,144 58,830,919	980,313,904 61,722,907
Salaries as a % of operating expenses Median	42.33 36.68	41.71 36.56	40.97 36.37	40.15 35.93	40.95 35.24
Intern, resident salaries* Median	37,029,659 2,598,592	38,827,420 2,686,824	41,678,379 2,753,773	41,988,883 2,937,156	44,955,153 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	1,315,636 1,449,244	2,513,837 1,475,986	3,050,465 1,563,078	2,126,568 1,721,954	6,324,116 2,991,828
Contract hours, direct-care Median	21,493.00 22,725	37,092.00 23,018.5	49,445.00 24,503.48	33,875.00 25,026.5	51,423.88 33,786
Contract wages, direct-care Median	61.21 64.67	67.77 64.53	61.69 65.06	62.78 68.97	122.98 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.