As of the July, 2022, release via CMS

JOHN H. STROGER JR. HOSP OF COOK CTY

CMS id: 140124
1901 WEST HARRISON STREET, CHICAGO IL 60612. County: COOK
System: COOK COUNTY
CBSA: Chicago-Naperville-Elgin, IL-IN-WI

The 423-bed, acute-care hospital had $-196,252,305 in net service to patients*, with a total profit margin of 15.55667% in fiscal year 2021, the latest year available.
It spent 29.71% of its operating expenses on uncompensated care and reported $273,029,575 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	gov	gov	gov	gov	gov
Acute beds Median	285 118	285 118	295 119.5	320 118	295 119
Total beds Median	423 162	423 162	423 162	451 162	423 163.5
FTEs Median	4,620.80 788.06	4,822.12 793.42	5,070.12 806.03	4,401.11 787.61	4,327.47 804.34

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	667,100,573 150,932,746	794,575,648 158,950,878	761,826,337 168,696,998	815,463,449 163,454,693	738,723,522 186,589,412
Operating expenses Median	822,163,719 149,311,209	921,623,593 156,110,414	957,383,054 164,890,568	980,115,692 166,516,854	934,975,827 180,120,888
Net income from service 2 patients (NS2P) ? Median	-155,063,146 -964,173	-127,047,945 -643,601.5	-195,556,717 -116,254	-164,652,243 -5,025,862	-196,252,305 -1,284,564
NS2P margin ? Median	-23.24% -0.62	-15.99% -0.29	-25.67% 0.18	-20.19% -5.07	-26.57% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for JOHN H. STROGER JR. HOSP OF COOK CTY 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	33,018,902 5,089,215	32,341,529 4,572,541	127,690,918 5,268,134	240,940,590 13,092,619	365,515,635 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	0 206,870.5	0 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	123,795 299,524	391,861 188,688.5	440,802 370,813	150,824 309,361.5	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	0	0	0	0	0
⊳ 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	0	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	0	0
⊳ 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	32,895,107	31,949,668	127,250,116	240,789,766	365,515,635
Total income ? Median	-122,044,244 6,586,430	-94,706,416 6,767,106	-67,865,799 8,419,950	76,288,347 8,094,175	169,263,330 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	0 106,761	-2,519,481 31,473.5
Net income Median	-122,044,244 6,043,842	-94,706,416 5,845,112	-67,865,799 7,606,259	76,288,347 7,283,041	171,782,811 14,957,241
Net margin Median	-17.43192% 4.62%	-11.45295% 4.42%	-7.62951% 5.16%	7.22151% 5.2%	15.55667% 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 JOHN H. STROGER JR. HOSP OF COOK CTY 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	50,197,074 23,241,334	67,670,249 23,709,545	89,593,914 24,248,380	97,159,294 22,858,541	116,072,796 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	50,197,074 21,577,146	67,670,249 22,041,594	89,593,914 22,722,063	97,159,294 21,570,441	116,072,796 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	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	25,158,737 11,160,864	29,642,838 11,987,345	31,342,240 12,926,866	23,292,940 11,884,480	17,678,551 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	25,158,737 10,918,923	29,642,838 11,706,976	31,342,240 12,615,917	23,292,940 11,458,116	17,678,551 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	12,987,137 3,284,314	13,134,466 3,250,551	13,816,191 3,386,837	12,313,018 3,360,806	12,610,962 3,508,953
Disproportionate-share hospital (DSH) Median	1,932,054 594,888	1,814,681 595,761	1,721,340 577,894	1,708,590 542,168	1,484,317 549,667
Outlier Median	5,564,198 582,572	5,610,296 538,116	2,585,026 212,434	2,238,554 126,559	2,569,694 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	129,642,700 3,662,910	142,116,017 3,730,911	173,928,432 4,081,319	243,956,038 4,643,908	273,029,575 4,389,147
Charity care Median	195,257,287 2,654,636	384,173,839 2,940,659	138,821,511 3,380,215	234,466,630 3,488,738	169,718,143 3,233,405
Uncompensated care (UCC) Median	296,990,748 5,147,790	508,264,184 5,337,617	242,155,552 5,711,082	369,103,107 5,923,418	277,735,081 5,508,107
UCC as a % of operating expenses Median	36.12% 3.24	55.15% 3.12	25.29% 3.21	37.66% 3.3	29.71% 2.86
Total shortfall/UCC Median	426,633,448 9,489,989	650,380,201 9,424,297	416,083,984 10,120,158	613,059,145 11,171,337	550,764,656 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	447,963,530 52,142,039	461,361,582 54,485,252	480,461,140 57,395,589	472,761,104 58,830,919	439,901,744 61,722,907
Salaries as a % of operating expenses Median	54.49 36.68	50.06 36.56	50.18 36.37	48.24 35.93	47.05 35.24
Intern, resident salaries* Median	24,532,749 2,598,592	24,975,425 2,686,824	24,596,167 2,753,773	24,590,069 2,937,156	25,205,732 2,909,848
Contract intern, resident salaries* Median	4,134,000 1,251,927	3,150,067 1,186,494	3,420,833 1,204,885	498,840 1,279,653	498,840 1,469,317
Contract adjusted salaries, direct-care Median	16,251,477 1,449,244	15,130,614 1,475,986	15,654,817 1,563,078	21,966,398 1,721,954	21,966,398 2,991,828
Contract hours, direct-care Median	279,087.00 22,725	242,408.00 23,018.5	293,188.00 24,503.48	380,648.00 25,026.5	380,648.00 33,786
Contract wages, direct-care Median	58.23 64.67	62.42 64.53	53.40 65.06	57.71 68.97	57.71 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.