As of the July, 2022, release via CMS

NORTHWEST COMMUNITY HOSPITAL

CMS id: 140252
800 WEST CENTRAL ROAD, ARLINGTON HEIGHTS IL 60005. County: COOK
System: --
CBSA: Chicago-Naperville-Elgin, IL-IN-WI

The 509-bed, acute-care hospital had $-3,313,782 in net service to patients*, with a total profit margin of 3.25552% in fiscal year 2021, the latest year available.
It spent 2.61% of its operating expenses on uncompensated care and reported $14,205,600 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	268 118	328 118	356 119.5	356 118	356 119
Total beds Median	392 162	481 162	509 162	509 162	509 163.5
FTEs Median	2,646.41 788.06	2,694.65 793.42	2,782.87 806.03	2,713.10 787.61	2,694.53 804.34

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	441,882,223 150,932,746	479,896,565 158,950,878	507,493,714 168,696,998	464,883,137 163,454,693	509,958,860 186,589,412
Operating expenses Median	456,688,867 149,311,209	467,701,198 156,110,414	489,773,784 164,890,568	501,308,668 166,516,854	513,272,642 180,120,888
Net income from service 2 patients (NS2P) ? Median	-14,806,644 -964,173	12,195,367 -643,601.5	17,719,930 -116,254	-36,425,531 -5,025,862	-3,313,782 -1,284,564
NS2P margin ? Median	-3.35% -0.62	2.54% -0.29	3.49% 0.18	-7.84% -5.07	-0.65% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for NORTHWEST COMMUNITY 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	7,009,251 5,089,215	-3,341,452 4,572,541	11,017,985 5,268,134	45,936,768 13,092,619	20,585,787 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	1,114,923 224,999	1,412,184 199,009	1,527,096 206,870.5	1,031,291 194,343	1,561,596 249,496
⊳ Line 7: Investments ? ⊳ Median	538,116 299,524	316,618 188,688.5	20 370,813	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	66,965	26,361	17,507	0
⊳ Line 11: Rebates and refunds of expenses	140,573	0	0	0	265,596
⊳ 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	2,072,330	1,872,035	1,881,990	1,324,348	1,108,492
⊳ 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	1,890,829	1,001,816	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	1,252,480	-8,011,070	7,582,518	43,563,622	17,650,103
Total income ? Median	-7,797,393 6,586,430	8,853,915 6,767,106	28,737,915 8,419,950	9,511,237 8,094,175	17,272,005 15,162,888
Non-operating expenses Median	0 146,289.5	-4 164,857	2 89,880.5	1 106,761	-1 31,473.5
Net income Median	-7,797,393 6,043,842	8,853,919 5,845,112	28,737,913 7,606,259	9,511,236 7,283,041	17,272,006 14,957,241
Net margin Median	-1.73703% 4.62%	1.85790% 4.42%	5.54238% 5.16%	1.86195% 5.2%	3.25552% 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 NORTHWEST COMMUNITY 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	87,413,592 23,241,334	97,705,763 23,709,545	104,271,172 24,248,380	100,825,990 22,858,541	106,098,161 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	79,772,296 21,577,146	88,556,617 22,041,594	91,656,900 22,722,063	88,585,304 21,570,441	93,297,008 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	2,303,540 1,845,420	2,683,292 1,757,392	2,832,366 1,738,842	2,378,966 1,510,463	1,908,561 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	5,337,756 3,535,627	6,465,854 3,746,588	9,781,906 3,782,288	9,861,720 3,865,578	10,892,592 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	52,114,127 11,160,864	58,520,878 11,987,345	61,455,770 12,926,866	53,931,119 11,884,480	58,337,357 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	47,235,146 10,918,923	51,908,758 11,706,976	53,238,585 12,615,917	47,150,669 11,458,116	52,078,888 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	4,878,981 1,282,808	6,612,120 1,407,728	8,217,185 1,341,512	6,780,450 1,407,046	6,258,469 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	470,783 594,888	494,374 595,761	580,897 577,894	621,239 542,168	563,798 549,667
Outlier Median	1,544,343 582,572	1,818,199 538,116	669,053 212,434	355,281 126,559	294,915 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	17,233,245 3,662,910	11,314,385 3,730,911	12,001,215 4,081,319	15,106,856 4,643,908	14,205,600 4,389,147
Charity care Median	13,906,612 2,654,636	9,489,788 2,940,659	10,656,225 3,380,215	12,562,799 3,488,738	8,558,630 3,233,405
Uncompensated care (UCC) Median	17,742,179 5,147,790	14,550,190 5,337,617	16,154,242 5,711,082	18,509,749 5,923,418	13,389,140 5,508,107
UCC as a % of operating expenses Median	3.88% 3.24	3.11% 3.12	3.30% 3.21	3.69% 3.3	2.61% 2.86
Total shortfall/UCC Median	34,975,424 9,489,989	25,864,575 9,424,297	28,155,457 10,120,158	33,616,605 11,171,337	27,594,740 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	187,029,565 52,142,039	196,625,919 54,485,252	203,015,782 57,395,589	205,448,259 58,830,919	212,346,609 61,722,907
Salaries as a % of operating expenses Median	40.95 36.68	42.04 36.56	41.53 36.37	40.98 35.93	41.37 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	2,134,080 1,449,244	4,810,467 1,475,986	6,006,439 1,563,078	10,712,509 1,721,954	12,564,612 2,991,828
Contract hours, direct-care Median	30,259.00 22,725	73,297.00 23,018.5	101,261.00 24,503.48	125,634.00 25,026.5	120,246.00 33,786
Contract wages, direct-care Median	70.53 64.67	65.63 64.53	59.32 65.06	85.27 68.97	104.49 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.