As of the July, 2022, release via CMS

PRESENCE SAINT JOSEPH HOSPITAL ELGIN

CMS id: 140217
77 NORTH AIRLITE ST., ELGIN IL 60123. County: KANE
System: ALEXIAN BROTHERS HEALTH SYSTEM
CBSA: Chicago-Naperville-Elgin, IL-IN-WI

The 184-bed, acute-care hospital had $-17,599,480 in net service to patients*, with a total profit margin of -9.24263% in fiscal year 2021, the latest year available.
It spent 5.21% of its operating expenses on uncompensated care and reported $10,514,207 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	129 118	129 118	129 119.5	129 118	129 119
Total beds Median	184 162	184 162	184 162	184 162	184 163.5
FTEs Median	602.89 788.06	571.20 793.42	553.42 806.03	463.56 787.61	478.64 804.34

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	143,143,526 150,932,746	71,746,260 158,950,878	134,489,456 168,696,998	117,604,097 163,454,693	125,046,015 186,589,412
Operating expenses Median	142,483,762 149,311,209	70,225,734 156,110,414	137,346,321 164,890,568	144,248,657 166,516,854	142,645,495 180,120,888
Net income from service 2 patients (NS2P) ? Median	659,764 -964,173	1,520,526 -643,601.5	-2,856,865 -116,254	-26,644,560 -5,025,862	-17,599,480 -1,284,564
NS2P margin ? Median	0.46% -0.62	2.12% -0.29	-2.12% 0.18	-22.66% -5.07	-14.07% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for PRESENCE SAINT JOSEPH HOSPITAL ELGIN 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	3,556,568 5,089,215	1,753,955 4,572,541	2,797,357 5,268,134	10,553,113 13,092,619	5,530,752 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	6,363 224,999	51,397 199,009	96,975 206,870.5	145,445 194,343	76,285 249,496
⊳ Line 7: Investments ? ⊳ Median	112,273 299,524	131,203 188,688.5	98,716 370,813	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	485,275	234,818	428,398	386,658	322,888
⊳ 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	3,025	0	0
⊳ Line 22: Rental of hospital space	326,916	46,212	287,618	198,775	202,534
⊳ Line 23: Gov appropriations ? ⊳ Median	0 1,017,693	0 983,261.5	0 1,173,286	9,213,670 1,987,202	0 1,597,664
⊳ Sum Line 24	2,625,741	1,290,325	1,882,625	608,565	4,929,045
Total income ? Median	4,216,332 6,586,430	3,274,481 6,767,106	-59,508 8,419,950	-16,091,447 8,094,175	-12,068,728 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	0 106,761	0 31,473.5
Net income Median	4,216,332 6,043,842	3,274,481 5,845,112	-59,508 7,606,259	-16,091,447 7,283,041	-12,068,728 14,957,241
Net margin Median	2.87412% 4.62%	4.45506% 4.42%	-0.04335% 5.16%	-12.55602% 5.2%	-9.24263% 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 SAINT JOSEPH HOSPITAL ELGIN 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	44,798,413 23,241,334	22,155,654 23,709,545	41,228,968 24,248,380	33,285,053 22,858,541	29,760,052 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	26,809,594 21,577,146	13,929,317 22,041,594	27,975,342 22,722,063	22,265,063 21,570,441	18,814,542 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	17,988,819 3,535,627	8,226,337 3,746,588	13,253,626 3,782,288	11,019,990 3,865,578	10,945,510 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	13,638,877 11,160,864	6,931,233 11,987,345	14,771,879 12,926,866	14,644,788 11,884,480	15,900,774 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	13,638,877 10,918,923	6,931,233 11,706,976	14,771,879 12,615,917	14,644,788 11,458,116	15,900,774 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	552,304 594,888	284,552 595,761	610,600 577,894	582,986 542,168	560,936 549,667
Outlier Median	945,533 582,572	385,011 538,116	811,892 212,434	132,435 126,559	448,658 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	7,876,819 3,662,910	5,626,153 3,730,911	8,831,760 4,081,319	14,197,927 4,643,908	10,514,207 4,389,147
Charity care Median	4,280,393 2,654,636	2,172,410 2,940,659	6,147,001 3,380,215	6,802,516 3,488,738	6,766,356 3,233,405
Uncompensated care (UCC) Median	8,297,023 5,147,790	2,761,815 5,337,617	7,102,957 5,711,082	7,714,364 5,923,418	7,433,167 5,508,107
UCC as a % of operating expenses Median	5.82% 3.24	3.93% 3.12	5.17% 3.21	5.35% 3.3	5.21% 2.86
Total shortfall/UCC Median	16,173,842 9,489,989	8,387,968 9,424,297	15,934,717 10,120,158	21,912,291 11,171,337	17,947,374 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	39,496,483 52,142,039	19,785,088 54,485,252	38,689,656 57,395,589	36,310,146 58,830,919	40,843,622 61,722,907
Salaries as a % of operating expenses Median	27.72 36.68	28.17 36.56	28.17 36.37	25.17 35.93	28.63 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	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	8,171,264 1,449,244	1,805,882 1,475,986	7,618,810 1,563,078	1,086,517 1,721,954	1,865,883 2,991,828
Contract hours, direct-care Median	163,338.00 22,725	41,462.23 23,018.5	180,151.00 24,503.48	10,975.11 25,026.5	11,437.87 33,786
Contract wages, direct-care Median	50.03 64.67	43.55 64.53	42.29 65.06	99.00 68.97	163.13 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.