As of the July, 2022, release via CMS

PRESENCE SAINTS MARY & ELIZABETH MED

CMS id: 140180
2233 WEST DIVISION STREET, CHICAGO IL 60622. County: COOK
System: ALEXIAN BROTHERS HEALTH SYSTEMS
CBSA: Chicago-Naperville-Elgin, IL-IN-WI

The 323-bed, acute-care hospital had $-18,079,164 in net service to patients*, with a total profit margin of 2.60495% in fiscal year 2021, the latest year available.
It spent 5.26% 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	520 118	344 118	344 119.5	344 118	277 119
Total beds Median	591 162	429 162	429 162	429 162	323 163.5
FTEs Median	1,463.30 788.06	1,378.28 793.42	1,352.40 806.03	1,154.67 787.61	1,063.53 804.34

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	331,806,223 150,932,746	160,600,152 158,950,878	318,369,042 168,696,998	288,810,603 163,454,693	292,131,924 186,589,412
Operating expenses Median	303,731,591 149,311,209	150,250,583 156,110,414	293,586,992 164,890,568	318,182,311 166,516,854	310,211,088 180,120,888
Net income from service 2 patients (NS2P) ? Median	28,074,632 -964,173	10,349,569 -643,601.5	24,782,050 -116,254	-29,371,708 -5,025,862	-18,079,164 -1,284,564
NS2P margin ? Median	8.46% -0.62	6.44% -0.29	7.78% 0.18	-10.17% -5.07	-6.19% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for PRESENCE SAINTS MARY & ELIZABETH MED 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	5,155,833 5,089,215	2,565,567 4,572,541	6,189,069 5,268,134	20,350,719 13,092,619	27,861,596 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	556,687 224,999	9,224 199,009	350 206,870.5	805,214 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	-104,999 299,524	-52,500 188,688.5	0 370,813	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	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	1,137,468	587,335	1,137,942	1,020,695	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	4,969,050	0
⊳ Line 18: Revenue from sale of medical records and abstracts	0	0	0	190	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	603,301	64,447	113,146	1,357,954	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	2,963,376	1,957,061	4,937,631	12,206,342	27,861,596
Total income ? Median	33,230,465 6,586,430	12,915,136 6,767,106	30,971,119 8,419,950	-9,020,989 8,094,175	9,782,432 15,162,888
Non-operating expenses Median	0 146,289.5	-2 164,857	0 89,880.5	0 106,761	1,446,748 31,473.5
Net income Median	33,230,465 6,043,842	12,915,138 5,845,112	30,971,119 7,606,259	-9,020,989 7,283,041	8,335,684 14,957,241
Net margin Median	9.86178% 4.62%	7.91535% 4.42%	9.54255% 5.16%	-2.91789% 5.2%	2.60495% 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 SAINTS MARY & ELIZABETH MED 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	58,870,346 23,241,334	31,528,464 23,709,545	56,125,504 24,248,380	45,596,899 22,858,541	39,523,416 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	53,700,838 21,577,146	27,444,670 22,041,594	47,823,933 22,722,063	39,691,836 21,570,441	36,176,719 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	833,345 1,757,392	1,800,249 1,738,842	1,354,029 1,510,463	563,120 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	1,645,537 3,535,627	1,560,833 3,746,588	3,565,381 3,782,288	2,850,638 3,865,578	2,783,577 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	3,523,971 1,203,033	1,689,616 1,215,295	2,935,941 1,313,657	1,700,396 1,365,298	0 1,179,746
All outpatient revenue Median Click here to show/hide details	18,551,278 11,160,864	8,937,327 11,987,345	16,857,637 12,926,866	15,114,967 11,884,480	14,175,524 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	18,551,278 10,918,923	8,937,327 11,706,976	16,857,637 12,615,917	15,114,967 11,458,116	14,175,524 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	4,005,383 3,284,314	2,194,877 3,250,551	4,415,385 3,386,837	4,355,999 3,360,806	4,508,110 3,508,953
Disproportionate-share hospital (DSH) Median	3,896,026 594,888	1,938,593 595,761	3,457,640 577,894	2,961,985 542,168	2,460,987 549,667
Outlier Median	952,130 582,572	556,591 538,116	683,189 212,434	144,849 126,559	197,522 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	0 3,662,910	0 3,730,911	0 4,081,319	0 4,643,908	0 4,389,147
Charity care Median	6,244,550 2,654,636	3,749,978 2,940,659	11,285,515 3,380,215	12,625,683 3,488,738	14,777,412 3,233,405
Uncompensated care (UCC) Median	8,163,673 5,147,790	6,094,936 5,337,617	13,339,728 5,711,082	15,194,427 5,923,418	16,329,817 5,508,107
UCC as a % of operating expenses Median	2.69% 3.24	4.06% 3.12	4.54% 3.21	4.78% 3.3	5.26% 2.86
Total shortfall/UCC Median	8,163,673 9,489,989	6,094,936 9,424,297	13,339,728 10,120,158	15,194,427 11,171,337	16,329,817 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	98,564,960 52,142,039	48,769,758 54,485,252	96,281,545 57,395,589	90,420,274 58,830,919	89,671,058 61,722,907
Salaries as a % of operating expenses Median	32.45 36.68	32.46 36.56	32.79 36.37	28.42 35.93	28.91 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	697,542 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	8,701,389 1,449,244	4,351,696 1,475,986	6,669,943 1,563,078	2,020,876 1,721,954	9,070,875 2,991,828
Contract hours, direct-care Median	221,023.00 22,725	103,140.00 23,018.5	210,633.00 24,503.48	19,871.00 25,026.5	156,734.00 33,786
Contract wages, direct-care Median	39.37 64.67	42.19 64.53	31.67 65.06	101.70 68.97	57.87 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.