As of the July, 2022, release via CMS

PRESENCE MERCY MEDICAL CENTER

CMS id: 140174
1325 NORTH HIGHLAND AVENUE, AURORA IL 60506. County: KANE
System: ALEXIAN BROTHERS HEALTH SYSTEMS
CBSA: Chicago-Naperville-Elgin, IL-IN-WI

The 258-bed, acute-care hospital had $-4,991,092 in net service to patients*, with a total profit margin of 3.79237% in fiscal year 2021, the latest year available.
It spent 7.54% of its operating expenses on uncompensated care and reported $0 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	181	365	366	365
Ownership	nfp	nfp	nfp	nfp	nfp
Acute beds Median	210 118	210 118	172 119.5	174 118	174 119
Total beds Median	292 162	292 162	256 162	258 162	258 163.5
FTEs Median	731.23 788.06	691.04 793.42	667.72 806.03	550.47 787.61	534.43 804.34

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	191,487,647 150,932,746	93,565,953 158,950,878	202,479,892 168,696,998	188,891,462 163,454,693	175,766,698 186,589,412
Operating expenses Median	185,136,901 149,311,209	92,533,746 156,110,414	185,613,034 164,890,568	200,461,062 166,516,854	180,757,790 180,120,888
Net income from service 2 patients (NS2P) ? Median	6,350,746 -964,173	1,032,207 -643,601.5	16,866,858 -116,254	-11,569,600 -5,025,862	-4,991,092 -1,284,564
NS2P margin ? Median	3.32% -0.62	1.10% -0.29	8.33% 0.18	-6.12% -5.07	-2.84% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for PRESENCE MERCY 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	8,418,480 5,089,215	4,218,019 4,572,541	4,849,545 5,268,134	9,605,484 13,092,619	12,116,308 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	161,218 224,999	86,299 199,009	86,085 206,870.5	6,366 194,343	59,808 249,496
⊳ Line 7: Investments ? ⊳ Median	117,456 299,524	26,158 188,688.5	166,812 370,813	170,263 309,361.5	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	452,138	219,521	397,360	353,384	291,643
⊳ 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	1,365,943	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	44,247	0
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ Line 22: Rental of hospital space	0	0	0	0	24,948
⊳ 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	7,687,668	3,886,041	4,199,288	7,665,281	11,739,909
Total income ? Median	14,769,226 6,586,430	5,250,226 6,767,106	21,716,403 8,419,950	-1,964,116 8,094,175	7,125,216 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	14,769,226 6,043,842	5,250,226 5,845,112	21,716,403 7,606,259	-1,964,116 7,283,041	7,125,216 14,957,241
Net margin Median	7.38808% 4.62%	5.36921% 4.42%	10.47435% 5.16%	-0.98949% 5.2%	3.79237% 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 PRESENCE MERCY 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	25,323,744 23,241,334	11,684,755 23,709,545	25,162,603 24,248,380	23,632,407 22,858,541	22,844,668 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	21,966,540 21,577,146	10,686,294 22,041,594	23,308,878 22,722,063	21,855,457 21,570,441	21,964,230 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	3,357,204 1,845,420	998,461 1,757,392	1,853,725 1,738,842	1,776,950 1,510,463	880,438 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	25,880,890 11,160,864	12,016,670 11,987,345	25,784,330 12,926,866	22,464,526 11,884,480	17,444,335 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	25,880,890 10,918,923	12,016,670 11,706,976	25,784,330 12,615,917	22,464,526 11,458,116	17,444,335 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	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	678,507 594,888	335,967 595,761	667,067 577,894	505,652 542,168	587,991 549,667
Outlier Median	917,254 582,572	167,285 538,116	1,693,929 212,434	379,890 126,559	327,592 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	0 3,662,910	3,741,508 3,730,911	0 4,081,319	0 4,643,908	0 4,389,147
Charity care Median	5,481,930 2,654,636	4,017,631 2,940,659	9,132,381 3,380,215	10,670,809 3,488,738	12,189,904 3,233,405
Uncompensated care (UCC) Median	7,780,079 5,147,790	4,284,258 5,337,617	10,577,811 5,711,082	11,732,719 5,923,418	13,621,482 5,508,107
UCC as a % of operating expenses Median	4.20% 3.24	4.63% 3.12	5.70% 3.21	5.85% 3.3	7.54% 2.86
Total shortfall/UCC Median	7,780,079 9,489,989	8,025,766 9,424,297	10,577,811 10,120,158	11,732,719 11,171,337	13,621,482 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	47,273,571 52,142,039	23,409,348 54,485,252	46,375,002 57,395,589	42,366,775 58,830,919	42,175,385 61,722,907
Salaries as a % of operating expenses Median	25.53 36.68	25.30 36.56	24.98 36.37	21.13 35.93	23.33 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	5,933,717 1,449,244	1,734,499 1,475,986	4,292,186 1,563,078	759,471 1,721,954	1,587,970 2,991,828
Contract hours, direct-care Median	116,115.00 22,725	39,435.21 23,018.5	102,230.00 24,503.48	8,857.28 25,026.5	6,294.30 33,786
Contract wages, direct-care Median	51.10 64.67	43.98 64.53	41.99 65.06	85.75 68.97	252.29 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.