As of the July, 2022, release via CMS

ADVOCATE CHRIST HOSPITAL

CMS id: 140208
4440 WEST 95TH STREET, OAK LAWN IL 60453. County: COOK
System: ADVOCATE HEALTH CARE
CBSA: Chicago-Naperville-Elgin, IL-IN-WI

The 782-bed, acute-care hospital had $153,331,451 in net service to patients*, with a total profit margin of 12.04724% in fiscal year 2021, the latest year available.
It spent 2.61% 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	365	365	366	365
Ownership	nfp	nfp	nfp	nfp	nfp
Acute beds Median	514 118	524 118	523 119.5	523 118	523 119
Total beds Median	766 162	777 162	782 162	782 162	782 163.5
FTEs Median	5,173.00 788.06	5,031.25 793.42	5,050.40 806.03	4,481.00 787.61	4,389.00 804.34

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	1,187,974,156 150,932,746	1,181,676,594 158,950,878	1,245,631,501 168,696,998	1,234,185,719 163,454,693	1,373,076,255 186,589,412
Operating expenses Median	1,128,168,482 149,311,209	1,145,909,463 156,110,414	1,164,088,229 164,890,568	1,182,203,859 166,516,854	1,219,744,804 180,120,888
Net income from service 2 patients (NS2P) ? Median	59,805,674 -964,173	35,767,131 -643,601.5	81,543,272 -116,254	51,981,860 -5,025,862	153,331,451 -1,284,564
NS2P margin ? Median	5.03% -0.62	3.03% -0.29	6.55% 0.18	4.21% -5.07	11.17% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ADVOCATE CHRIST 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	9,223,899 5,089,215	11,982,300 4,572,541	14,262,874 5,268,134	84,887,156 13,092,619	16,046,767 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	9,223,899	11,982,300	14,262,874	84,887,156	16,046,767
Total income ? Median	69,029,573 6,586,430	47,749,431 6,767,106	95,806,146 8,419,950	136,869,016 8,094,175	169,378,218 15,162,888
Non-operating expenses Median	0 146,289.5	-4,051,726 164,857	-824,295 89,880.5	212,372 106,761	2,027,206 31,473.5
Net income Median	69,029,573 6,043,842	51,801,157 5,845,112	96,630,441 7,606,259	136,656,644 7,283,041	167,351,012 14,957,241
Net margin Median	5.76593% 4.62%	4.33970% 4.42%	7.66973% 5.16%	10.36005% 5.2%	12.04724% 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 CHRIST 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	224,369,193 23,241,334	224,589,271 23,709,545	228,944,050 24,248,380	196,041,927 22,858,541	207,808,121 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	212,358,952 21,577,146	212,775,134 22,041,594	218,548,393 22,722,063	190,428,205 21,570,441	201,522,121 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	2,932,446 1,845,420	2,914,901 1,757,392	1,967,678 1,738,842	1,168,790 1,510,463	790,576 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	9,077,795 3,535,627	8,899,236 3,746,588	8,427,979 3,782,288	4,444,932 3,865,578	5,495,424 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	43,238,479 11,160,864	46,569,278 11,987,345	47,377,298 12,926,866	38,337,754 11,884,480	42,932,308 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	43,238,479 10,918,923	46,569,278 11,706,976	47,377,298 12,615,917	38,337,754 11,458,116	42,932,308 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	37,065,704 3,284,314	36,883,892 3,250,551	37,730,118 3,386,837	34,115,404 3,360,806	36,477,168 3,508,953
Disproportionate-share hospital (DSH) Median	5,136,964 594,888	4,707,672 595,761	4,508,095 577,894	4,702,401 542,168	4,720,927 549,667
Outlier Median	11,400,111 582,572	10,611,220 538,116	1,301,412 212,434	828,203 126,559	786,722 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	20,784,137 3,662,910	19,102,200 3,730,911	0 4,081,319	7,594,161 4,643,908	0 4,389,147
Charity care Median	9,941,652 2,654,636	19,124,443 2,940,659	26,796,143 3,380,215	18,345,943 3,488,738	17,191,149 3,233,405
Uncompensated care (UCC) Median	21,174,408 5,147,790	29,016,286 5,337,617	37,660,324 5,711,082	32,906,869 5,923,418	31,782,052 5,508,107
UCC as a % of operating expenses Median	1.88% 3.24	2.53% 3.12	3.24% 3.21	2.78% 3.3	2.61% 2.86
Total shortfall/UCC Median	41,958,545 9,489,989	48,118,486 9,424,297	37,660,324 10,120,158	40,501,030 11,171,337	31,782,052 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	363,857,168 52,142,039	366,486,693 54,485,252	380,130,107 57,395,589	392,990,565 58,830,919	375,693,718 61,722,907
Salaries as a % of operating expenses Median	32.25 36.68	31.98 36.56	32.65 36.37	33.24 35.93	30.80 35.24
Intern, resident salaries* Median	16,998,119 2,598,592	16,408,865 2,686,824	17,431,688 2,753,773	17,000,057 2,937,156	19,406,899 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	5,960,237 1,449,244	4,132,806 1,475,986	3,114,781 1,563,078	6,643,829 1,721,954	8,023,082 2,991,828
Contract hours, direct-care Median	114,247.00 22,725	58,335.00 23,018.5	42,545.00 24,503.48	79,943.00 25,026.5	70,790.00 33,786
Contract wages, direct-care Median	52.17 64.67	70.85 64.53	73.21 65.06	83.11 68.97	113.34 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.