As of the July, 2022, release via CMS

LITTLE COMPANY OF MARY

CMS id: 140179
2800 WEST 95TH STREET, EVERGREEN PARK IL 60805. County: COOK
System: OSF HEALTHCARE SYSTEM
CBSA: Chicago-Naperville-Elgin, IL-IN-WI

The 220-bed, acute-care hospital had $-56,116,961 in net service to patients*, with a total profit margin of -25.35732% in fiscal year 2021, the latest year available.
It spent 2.39% of its operating expenses on uncompensated care and reported $29,370,731 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	243	365
Ownership	nfp	nfp	nfp	nfp	nfp
Acute beds Median	184 118	184 118	184 119.5	184 118	184 119
Total beds Median	244 162	244 162	244 162	244 162	220 163.5
FTEs Median	1,443.35 788.06	1,401.47 793.42	1,398.96 806.03	796.42 787.61	1,260.62 804.34

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	192,337,878 150,932,746	186,630,973 158,950,878	186,630,973 168,696,998	103,839,527 163,454,693	225,185,956 186,589,412
Operating expenses Median	214,188,210 149,311,209	216,103,684 156,110,414	217,513,835 164,890,568	169,064,014 166,516,854	281,302,917 180,120,888
Net income from service 2 patients (NS2P) ? Median	-21,850,332 -964,173	-29,472,711 -643,601.5	-30,882,862 -116,254	-65,224,487 -5,025,862	-56,116,961 -1,284,564
NS2P margin ? Median	-11.36% -0.62	-15.79% -0.29	-16.55% 0.18	-62.81% -5.07	-24.92% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for LITTLE COMPANY OF MARY 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	83,143,900 5,089,215	61,090,944 4,572,541	61,090,944 5,268,134	610,667,016 13,092,619	9,007,307 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	1,077,957 224,999	1,336,760 199,009	1,336,760 206,870.5	17,102 194,343	120,603 249,496
⊳ Line 7: Investments ? ⊳ Median	24,120,939 299,524	22,249,981 188,688.5	22,249,981 370,813	17,328,082 309,361.5	2,384,512 375,329
⊳ 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	739,200	650,151	650,151	293,678	465,865
⊳ 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	25	0
⊳ Line 17: Revenue from sale of drugs to other than patients	45,659	45,780	45,780	323	0
⊳ Line 18: Revenue from sale of medical records and abstracts	1,476	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	11,993	10,328	10,328	0	0
⊳ Line 21: Rental of vending machines	17,795	14,767	14,767	31,943	0
⊳ Line 22: Rental of hospital space	95,514	89,027	89,027	1,149,104	1,558,900
⊳ 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	56,797,714	36,454,081	36,454,081	591,846,759	4,477,427
Total income ? Median	61,293,568 6,586,430	31,618,233 6,767,106	30,208,082 8,419,950	545,442,529 8,094,175	-47,109,654 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	12,863,407 106,761	12,275,489 31,473.5
Net income Median	61,293,568 6,043,842	31,618,233 5,845,112	30,208,082 7,606,259	532,579,122 7,283,041	-59,385,143 14,957,241
Net margin Median	22.24959% 4.62%	12.76360% 4.42%	12.19435% 5.16%	74.53803% 5.2%	-25.35732% 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 LITTLE COMPANY OF MARY 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	44,139,186 23,241,334	40,486,076 23,709,545	40,947,538 24,248,380	26,988,519 22,858,541	48,771,705 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	43,055,079 21,577,146	39,407,985 22,041,594	40,433,082 22,722,063	26,932,727 21,570,441	48,771,705 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	1,084,107 1,845,420	1,078,091 1,757,392	514,456 1,738,842	55,792 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	20,086,783 11,160,864	20,493,967 11,987,345	19,305,522 12,926,866	8,688,511 11,884,480	13,267,941 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	17,937,775 10,918,923	18,410,246 11,706,976	17,493,900 12,615,917	7,724,677 11,458,116	13,267,941 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	2,149,008 1,282,808	2,083,721 1,407,728	1,811,622 1,341,512	963,834 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	347,886 3,284,314	356,935 3,250,551	421,266 3,386,837	251,786 3,360,806	514,493 3,508,953
Disproportionate-share hospital (DSH) Median	1,026,391 594,888	998,156 595,761	995,978 577,894	839,201 542,168	1,320,290 549,667
Outlier Median	312,510 582,572	339,535 538,116	313,849 212,434	41,412 126,559	74,294 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	4,647,797 3,662,910	14,968,484 3,730,911	13,792,271 4,081,319	23,011,375 4,643,908	29,370,731 4,389,147
Charity care Median	8,367,340 2,654,636	20,057,927 2,940,659	12,784,860 3,380,215	1,481,051 3,488,738	4,295,608 3,233,405
Uncompensated care (UCC) Median	9,841,184 5,147,790	26,162,320 5,337,617	13,270,811 5,711,082	1,815,935 5,923,418	6,709,598 5,508,107
UCC as a % of operating expenses Median	4.59% 3.24	12.11% 3.12	6.10% 3.21	1.07% 3.3	2.39% 2.86
Total shortfall/UCC Median	14,488,981 9,489,989	41,130,804 9,424,297	27,063,082 10,120,158	24,827,310 11,171,337	36,080,329 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	92,041,815 52,142,039	89,538,678 54,485,252	90,764,606 57,395,589	58,239,280 58,830,919	94,603,734 61,722,907
Salaries as a % of operating expenses Median	42.97 36.68	41.56 36.56	41.86 36.37	34.45 35.93	33.63 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	109,836 1,251,927	197,285 1,186,494	183,096 1,204,885	148,025 1,279,653	277,899 1,469,317
Contract adjusted salaries, direct-care Median	1,966,072 1,449,244	1,794,634 1,475,986	2,274,141 1,563,078	2,608,023 1,721,954	5,810,959 2,991,828
Contract hours, direct-care Median	27,766.00 22,725	24,867.00 23,018.5	31,457.00 24,503.48	38,354.00 25,026.5	56,332.00 33,786
Contract wages, direct-care Median	70.81 64.67	72.17 64.53	72.29 65.06	68.00 68.97	103.16 88.94

* in an approved program

Return to top

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.