As of the July, 2022, release via CMS

FRANCISCAN ST. JAMES HEALTH

CMS id: 140172
20201 SOUTH CRAWFORD AVE, OLYMPIA FIELDS IL 60461. County: COOK
System: FRANCISCAN HEALTH ALLIANCE
CBSA: Chicago-Naperville-Elgin, IL-IN-WI

The 178-bed, acute-care hospital had $-76,265,680 in net service to patients*, with a total profit margin of -23.32434% in fiscal year 2021, the latest year available.
It spent 3.43% of its operating expenses on uncompensated care and reported $26,554,455 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	241 118	161 118	161 119.5	161 118	133 119
Total beds Median	306 162	206 162	206 162	206 162	178 163.5
FTEs Median	1,431.87 788.06	1,277.60 793.42	1,140.92 806.03	1,140.92 787.61	1,333.46 804.34

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	286,249,380 150,932,746	288,972,310 158,950,878	283,399,629 168,696,998	258,098,028 163,454,693	275,358,903 186,589,412
Operating expenses Median	308,271,755 149,311,209	324,261,659 156,110,414	322,055,794 164,890,568	313,365,748 166,516,854	351,624,583 180,120,888
Net income from service 2 patients (NS2P) ? Median	-22,022,375 -964,173	-35,289,349 -643,601.5	-38,656,165 -116,254	-55,267,720 -5,025,862	-76,265,680 -1,284,564
NS2P margin ? Median	-7.69% -0.62	-12.21% -0.29	-13.64% 0.18	-21.41% -5.07	-27.70% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for FRANCISCAN ST. JAMES HEALTH 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	9,117,084 5,089,215	8,665,597 4,572,541	8,848,332 5,268,134	51,980,762 13,092,619	9,762,903 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	10,496 224,999	5,975 199,009	45,548 206,870.5	1,290 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	261,037 299,524	412,586 188,688.5	44,821 370,813	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	1,325,064	0	0	0	1,062,740
⊳ Line 11: Rebates and refunds of expenses	0	1,191,990	1,373,607	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	1,040,655	685,123	813,604	0	639,304
⊳ Line 15: Revenue from rental of living quarters	0	0	0	0	0
⊳ Line 16: Revenue from sale of medical and surgical supplies	40,978	0	0	0	0
⊳ Line 17: Revenue from sale of drugs to other than patients	0	0	0	0	1,280,013
⊳ Line 18: Revenue from sale of medical records and abstracts	0	30,970	10,360	0	3,276
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	233,549	192,918	192,798	0	114,152
⊳ Line 21: Rental of vending machines	48,676	58,473	49,741	0	0
⊳ Line 22: Rental of hospital space	0	0	0	0	2,249,253
⊳ 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	6,092,674	6,029,039	6,259,207	51,979,472	4,414,165
Total income ? Median	-12,905,291 6,586,430	-26,623,752 6,767,106	-29,807,833 8,419,950	-3,286,958 8,094,175	-66,502,777 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	50,801,569 106,761	0 31,473.5
Net income Median	-12,905,291 6,043,842	-26,623,752 5,845,112	-29,807,833 7,606,259	-54,088,527 7,283,041	-66,502,777 14,957,241
Net margin Median	-4.36925% 4.62%	-8.94501% 4.42%	-10.19950% 5.16%	-17.44348% 5.2%	-23.32434% 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 FRANCISCAN ST. JAMES HEALTH 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	69,163,806 23,241,334	66,138,360 23,709,545	75,730,223 24,248,380	72,143,447 22,858,541	68,625,050 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	65,616,034 21,577,146	62,146,666 22,041,594	70,829,609 22,722,063	68,298,151 21,570,441	64,672,957 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	3,547,772 3,535,627	3,991,694 3,746,588	4,900,614 3,782,288	3,845,296 3,865,578	3,952,093 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	30,818,665 11,160,864	29,981,026 11,987,345	29,411,907 12,926,866	23,051,753 11,884,480	23,358,717 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	27,828,670 10,918,923	27,059,965 11,706,976	26,097,051 12,615,917	20,421,422 11,458,116	20,985,046 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	2,989,995 1,282,808	2,921,061 1,407,728	3,314,856 1,341,512	2,630,331 1,407,046	2,373,671 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	15,382,841 3,284,314	15,309,935 3,250,551	19,945,442 3,386,837	20,236,650 3,360,806	19,069,727 3,508,953
Disproportionate-share hospital (DSH) Median	1,282,323 594,888	1,450,855 595,761	1,251,108 577,894	1,386,873 542,168	1,052,668 549,667
Outlier Median	1,272,714 582,572	1,161,520 538,116	272,858 212,434	273,858 126,559	412,656 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	1,714,314 3,662,910	0 3,730,911	4,767,821 4,081,319	16,306,913 4,643,908	26,554,455 4,389,147
Charity care Median	14,119,358 2,654,636	8,834,260 2,940,659	10,445,478 3,380,215	13,986,556 3,488,738	7,531,396 3,233,405
Uncompensated care (UCC) Median	16,058,905 5,147,790	11,986,733 5,337,617	14,154,723 5,711,082	17,296,417 5,923,418	12,045,957 5,508,107
UCC as a % of operating expenses Median	5.21% 3.24	3.70% 3.12	4.40% 3.21	5.52% 3.3	3.43% 2.86
Total shortfall/UCC Median	17,773,219 9,489,989	11,986,733 9,424,297	18,922,544 10,120,158	33,603,330 11,171,337	38,600,412 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	93,420,650 52,142,039	105,591,627 54,485,252	111,183,823 57,395,589	111,169,754 58,830,919	122,809,417 61,722,907
Salaries as a % of operating expenses Median	30.31 36.68	32.62 36.56	34.71 36.37	35.48 35.93	34.93 35.24
Intern, resident salaries* Median	5,440,545 2,598,592	5,856,603 2,686,824	6,598,101 2,753,773	7,314,158 2,937,156	9,424,541 2,909,848
Contract intern, resident salaries* Median	992,550 1,251,927	750,134 1,186,494	1,102,077 1,204,885	0 1,279,653	0 1,469,317
Contract adjusted salaries, direct-care Median	11,609,656 1,449,244	10,557,407 1,475,986	1,451,704 1,563,078	8,236,737 1,721,954	569,656 2,991,828
Contract hours, direct-care Median	250,293.00 22,725	214,651.00 23,018.5	43,623.48 24,503.48	189,214.00 25,026.5	6,533.00 33,786
Contract wages, direct-care Median	46.38 64.67	49.18 64.53	33.28 65.06	43.53 68.97	87.20 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.