As of the July, 2022, release via CMS

ELMHURST MEMORIAL HOSPITAL

CMS id: 140200
155 E BRUSH HILL ROAD, ELMHURST IL 60126. County: DUPAGE
System: EDWARD ELMHURST HEALTH
CBSA: Chicago-Naperville-Elgin, IL-IN-WI

The 258-bed, acute-care hospital had $18,566,763 in net service to patients*, with a total profit margin of 9.44755% in fiscal year 2021, the latest year available.
It spent 2.98% of its operating expenses on uncompensated care and reported $17,090,660 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	247 118	247 118	247 119.5	219 118	219 119
Total beds Median	282 162	282 162	282 162	258 162	258 163.5
FTEs Median	2,241.08 788.06	2,020.59 793.42	2,149.97 806.03	2,184.24 787.61	2,004.07 804.34

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	427,014,781 150,932,746	452,148,917 158,950,878	483,386,075 168,696,998	461,770,801 163,454,693	511,368,071 186,589,412
Operating expenses Median	431,636,051 149,311,209	461,521,510 156,110,414	475,216,458 164,890,568	471,112,931 166,516,854	492,801,308 180,120,888
Net income from service 2 patients (NS2P) ? Median	-4,621,270 -964,173	-9,372,593 -643,601.5	8,169,617 -116,254	-9,342,130 -5,025,862	18,566,763 -1,284,564
NS2P margin ? Median	-1.08% -0.62	-2.07% -0.29	1.69% 0.18	-2.02% -5.07	3.63% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ELMHURST MEMORIAL HOSPITAL 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	16,480,186 5,089,215	20,845,553 4,572,541	25,081,124 5,268,134	44,522,168 13,092,619	32,848,341 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	517,186 224,999	501,649 199,009	1,006,379 206,870.5	171,313 194,343	77,701 249,496
⊳ Line 7: Investments ? ⊳ Median	2,160,426 299,524	500,005 188,688.5	429,225 370,813	241,555 309,361.5	197,754 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	27,912	34,201	21,194	8,814	0
⊳ Line 11: Rebates and refunds of expenses	0	0	0	0	9,483
⊳ 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	2,444,672	2,278,736	2,139,662	2,036,406	2,048,131
⊳ 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	11,329,990	17,530,962	21,484,664	42,064,080	30,515,272
Total income ? Median	11,858,916 6,586,430	11,472,960 6,767,106	33,250,741 8,419,950	35,180,038 8,094,175	51,415,104 15,162,888
Non-operating expenses Median	-29 146,289.5	0 164,857	-4 89,880.5	-4 106,761	-5 31,473.5
Net income Median	11,858,945 6,043,842	11,472,960 5,845,112	33,250,745 7,606,259	35,180,042 7,283,041	51,415,109 14,957,241
Net margin Median	2.67398% 4.62%	2.42560% 4.42%	6.53941% 5.16%	6.94855% 5.2%	9.44755% 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 ELMHURST MEMORIAL HOSPITAL 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	69,804,191 23,241,334	70,636,261 23,709,545	71,488,135 24,248,380	70,250,983 22,858,541	70,653,679 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	69,804,191 21,577,146	70,636,261 22,041,594	71,488,135 22,722,063	70,250,983 21,570,441	70,653,679 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	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	41,057,928 11,160,864	46,848,622 11,987,345	51,626,221 12,926,866	51,987,272 11,884,480	54,379,545 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	41,057,928 10,918,923	46,848,622 11,706,976	51,626,221 12,615,917	51,987,272 11,458,116	54,379,545 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	456,551 594,888	0 595,761	0 577,894	0 542,168	0 549,667
Outlier Median	4,461,582 582,572	3,177,167 538,116	2,769,025 212,434	346,058 126,559	270,107 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	10,276,735 3,662,910	18,889,070 3,730,911	11,255,158 4,081,319	19,321,307 4,643,908	17,090,660 4,389,147
Charity care Median	8,101,780 2,654,636	8,767,160 2,940,659	10,809,951 3,380,215	16,913,914 3,488,738	10,438,147 3,233,405
Uncompensated care (UCC) Median	11,308,330 5,147,790	13,030,477 5,337,617	15,310,182 5,711,082	22,509,786 5,923,418	14,676,577 5,508,107
UCC as a % of operating expenses Median	2.62% 3.24	2.82% 3.12	3.22% 3.21	4.78% 3.3	2.98% 2.86
Total shortfall/UCC Median	21,585,065 9,489,989	31,919,547 9,424,297	26,565,340 10,120,158	41,831,093 11,171,337	31,767,237 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	137,533,076 52,142,039	131,774,645 54,485,252	134,563,174 57,395,589	143,959,201 58,830,919	141,162,778 61,722,907
Salaries as a % of operating expenses Median	31.86 36.68	28.55 36.56	28.32 36.37	30.56 35.93	28.64 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	257,898 1,449,244	1,102,003 1,475,986	1,196,304 1,563,078	2,765,491 1,721,954	2,206,332 2,991,828
Contract hours, direct-care Median	3,533.00 22,725	15,864.39 23,018.5	12,925.00 24,503.48	31,683.00 25,026.5	26,110.00 33,786
Contract wages, direct-care Median	73.00 64.67	69.46 64.53	92.56 65.06	87.29 68.97	84.50 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.