As of the July, 2022, release via CMS

ADVOCATE NORTHSIDE HEALTH SYSTEM

CMS id: 140182
836 W WELLINGTON AVE, CHICAGO IL 60657. County: COOK
System: ADVOCATE HEALTHCARE
CBSA: Chicago-Naperville-Elgin, IL-IN-WI

The 281-bed, acute-care hospital had $96,896,649 in net service to patients*, with a total profit margin of 17.64651% in fiscal year 2021, the latest year available.
It spent 2.45% of its operating expenses on uncompensated care and reported $25,856,430 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	136 118	137 118	126 119.5	126 118	120 119
Total beds Median	308 162	311 162	292 162	292 162	281 163.5
FTEs Median	2,044.08 788.06	1,946.00 793.42	1,903.81 806.03	1,732.67 787.61	1,714.12 804.34

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	476,150,413 150,932,746	454,774,173 158,950,878	469,889,682 168,696,998	581,710,756 163,454,693	623,578,638 186,589,412
Operating expenses Median	402,720,971 149,311,209	409,029,213 156,110,414	418,735,973 164,890,568	522,328,863 166,516,854	526,681,989 180,120,888
Net income from service 2 patients (NS2P) ? Median	73,429,442 -964,173	45,744,960 -643,601.5	51,153,709 -116,254	59,381,893 -5,025,862	96,896,649 -1,284,564
NS2P margin ? Median	15.42% -0.62	10.06% -0.29	10.89% 0.18	10.21% -5.07	15.54% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ADVOCATE NORTHSIDE HEALTH SYSTEM 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	15,688,448 5,089,215	14,854,262 4,572,541	14,042,561 5,268,134	30,289,639 13,092,619	15,959,545 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	0 299,524	0 188,688.5	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	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	15,688,448	14,854,262	14,042,561	30,289,639	15,959,545
Total income ? Median	89,117,890 6,586,430	60,599,222 6,767,106	65,196,270 8,419,950	89,671,532 8,094,175	112,856,194 15,162,888
Non-operating expenses Median	648,644 146,289.5	1,869,632 164,857	0 89,880.5	0 106,761	0 31,473.5
Net income Median	88,469,246 6,043,842	58,729,590 5,845,112	65,196,270 7,606,259	89,671,532 7,283,041	112,856,194 14,957,241
Net margin Median	17.98745% 4.62%	12.50554% 4.42%	13.47219% 5.16%	14.65220% 5.2%	17.64651% 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 ADVOCATE NORTHSIDE HEALTH SYSTEM 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	52,795,035 23,241,334	52,377,460 23,709,545	58,370,313 24,248,380	59,735,265 22,858,541	62,290,805 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	47,504,987 21,577,146	47,277,838 22,041,594	53,245,335 22,722,063	55,211,690 21,570,441	58,280,710 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	2,049,634 1,845,420	1,758,179 1,757,392	1,542,096 1,738,842	1,362,034 1,510,463	840,960 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	3,240,414 3,535,627	3,341,443 3,746,588	3,582,882 3,782,288	3,161,541 3,865,578	3,169,135 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	20,772,579 11,160,864	21,188,967 11,987,345	22,863,162 12,926,866	20,578,179 11,884,480	25,398,767 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	20,772,579 10,918,923	21,188,967 11,706,976	22,863,162 12,615,917	20,578,179 11,458,116	25,398,767 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	13,443,672 3,284,314	13,541,239 3,250,551	15,919,493 3,386,837	16,479,581 3,360,806	18,020,460 3,508,953
Disproportionate-share hospital (DSH) Median	1,004,882 594,888	989,408 595,761	1,126,016 577,894	1,036,717 542,168	1,094,541 549,667
Outlier Median	661,863 582,572	835,137 538,116	387,123 212,434	276,625 126,559	314,314 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	0 3,662,910	0 3,730,911	0 4,081,319	20,611,157 4,643,908	25,856,430 4,389,147
Charity care Median	6,868,351 2,654,636	10,865,912 2,940,659	13,493,317 3,380,215	10,279,961 3,488,738	6,744,762 3,233,405
Uncompensated care (UCC) Median	12,149,917 5,147,790	15,604,060 5,337,617	17,995,754 5,711,082	18,032,178 5,923,418	12,917,765 5,508,107
UCC as a % of operating expenses Median	3.02% 3.24	3.81% 3.12	4.30% 3.21	3.45% 3.3	2.45% 2.86
Total shortfall/UCC Median	12,149,917 9,489,989	15,604,060 9,424,297	17,995,754 10,120,158	38,643,335 11,171,337	38,774,195 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	151,307,572 52,142,039	147,733,741 54,485,252	146,921,213 57,395,589	154,059,340 58,830,919	146,889,033 61,722,907
Salaries as a % of operating expenses Median	37.57 36.68	36.12 36.56	35.09 36.37	29.49 35.93	27.89 35.24
Intern, resident salaries* Median	15,455,989 2,598,592	14,405,213 2,686,824	14,453,170 2,753,773	14,023,354 2,937,156	14,646,365 2,909,848
Contract intern, resident salaries* Median	1,423,464 1,251,927	1,416,255 1,186,494	1,406,573 1,204,885	2,648,861 1,279,653	930,467 1,469,317
Contract adjusted salaries, direct-care Median	653,155 1,449,244	1,677,515 1,475,986	1,841,857 1,563,078	5,265,662 1,721,954	5,431,563 2,991,828
Contract hours, direct-care Median	11,720.00 22,725	39,826.00 23,018.5	37,574.00 24,503.48	70,375.00 25,026.5	79,178.00 33,786
Contract wages, direct-care Median	55.73 64.67	42.12 64.53	49.02 65.06	74.82 68.97	68.60 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.