As of the July, 2022, release via CMS

ALEXIAN BROTHERS MEDICAL CENTER

CMS id: 140258
800 BIESTERFIELD ROAD, ELK GROVE VILLAGE IL 60007. County: COOK
System: ALEXIAN BROTHERS HEALTH SYSTEM
CBSA: Chicago-Naperville-Elgin, IL-IN-WI

The 370-bed, acute-care hospital had $8,385,610 in net service to patients*, with a total profit margin of 7.84670% in fiscal year 2021, the latest year available.
It spent 2.64% of its operating expenses on uncompensated care and reported $21,697,572 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	221 118	221 118	221 119.5	221 118	246 119
Total beds Median	353 162	354 162	370 162	370 162	370 163.5
FTEs Median	2,244.99 788.06	2,219.26 793.42	1,905.64 806.03	2,733.02 787.61	1,527.39 804.34

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	471,670,000 150,932,746	475,528,417 158,950,878	474,036,274 168,696,998	441,512,511 163,454,693	490,218,341 186,589,412
Operating expenses Median	452,803,841 149,311,209	458,427,511 156,110,414	480,797,585 164,890,568	452,232,624 166,516,854	481,832,731 180,120,888
Net income from service 2 patients (NS2P) ? Median	18,866,159 -964,173	17,100,906 -643,601.5	-6,761,311 -116,254	-10,720,113 -5,025,862	8,385,610 -1,284,564
NS2P margin ? Median	4.00% -0.62	3.60% -0.29	-1.43% 0.18	-2.43% -5.07	1.71% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ALEXIAN BROTHERS MEDICAL CENTER 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	18,054,000 5,089,215	17,925,457 4,572,541	17,720,574 5,268,134	26,136,796 13,092,619	32,647,709 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	3,000 224,999	3,000 199,009	39,643 206,870.5	0 194,343	193,869 249,496
⊳ Line 7: Investments ? ⊳ Median	210,000 299,524	210,000 188,688.5	498,773 370,813	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	2,008,000	2,008,000	1,493,197	1,160,514	946,106
⊳ 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	35,748
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	317,000	317,000	460,911	570,880	499,450
⊳ Line 21: Rental of vending machines	0	0	91,744	116,943	48,726
⊳ Line 22: Rental of hospital space	0	0	1,416,108	2,035,755	2,002,081
⊳ 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	15,516,000	15,387,457	13,720,198	22,252,704	28,921,729
Total income ? Median	36,920,159 6,586,430	35,026,363 6,767,106	10,959,263 8,419,950	15,416,683 8,094,175	41,033,319 15,162,888
Non-operating expenses Median	5,159 146,289.5	5,158 164,857	47,922 89,880.5	7,109 106,761	5,614 31,473.5
Net income Median	36,915,000 6,043,842	35,021,205 5,845,112	10,911,341 7,606,259	15,409,574 7,283,041	41,027,705 14,957,241
Net margin Median	7.53792% 4.62%	7.09716% 4.42%	2.21885% 5.16%	3.29511% 5.2%	7.84670% 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 ALEXIAN BROTHERS MEDICAL CENTER 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	108,427,206 23,241,334	105,079,530 23,709,545	111,387,677 24,248,380	106,402,325 22,858,541	108,980,312 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	81,928,303 21,577,146	78,626,685 22,041,594	85,074,461 22,722,063	82,725,185 21,570,441	85,390,980 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	3,862,036 1,845,420	3,929,514 1,757,392	4,176,700 1,738,842	1,214,715 1,510,463	0 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	22,636,867 3,535,627	22,523,331 3,746,588	22,136,516 3,782,288	22,462,425 3,865,578	23,589,332 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	53,165,153 11,160,864	53,281,065 11,987,345	55,182,993 12,926,866	51,252,442 11,884,480	55,916,860 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	44,944,026 10,918,923	45,803,581 11,706,976	47,899,747 12,615,917	43,708,026 11,458,116	47,003,068 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	8,221,127 1,282,808	7,477,484 1,407,728	7,283,246 1,341,512	7,544,416 1,407,046	8,913,792 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	603,204 594,888	714,314 595,761	911,217 577,894	839,099 542,168	759,171 549,667
Outlier Median	5,801,261 582,572	5,863,099 538,116	5,921,472 212,434	1,796,105 126,559	3,229,685 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	12,747,635 3,662,910	9,939,686 3,730,911	6,375,136 4,081,319	19,883,071 4,643,908	21,697,572 4,389,147
Charity care Median	4,172,775 2,654,636	5,783,420 2,940,659	10,390,395 3,380,215	11,854,889 3,488,738	11,378,126 3,233,405
Uncompensated care (UCC) Median	4,931,662 5,147,790	9,097,276 5,337,617	12,849,809 5,711,082	15,127,300 5,923,418	12,718,937 5,508,107
UCC as a % of operating expenses Median	1.09% 3.24	1.98% 3.12	2.67% 3.21	3.35% 3.3	2.64% 2.86
Total shortfall/UCC Median	17,679,297 9,489,989	19,036,962 9,424,297	19,224,945 10,120,158	35,010,371 11,171,337	34,416,509 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	142,425,312 52,142,039	142,168,666 54,485,252	142,519,708 57,395,589	130,419,881 58,830,919	126,493,403 61,722,907
Salaries as a % of operating expenses Median	31.45 36.68	31.01 36.56	29.64 36.37	28.84 35.93	26.25 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	2,877,437 1,449,244	1,172,928 1,475,986	1,424,167 1,563,078	3,249,901 1,721,954	4,671,173 2,991,828
Contract hours, direct-care Median	24,405.00 22,725	14,354.00 23,018.5	20,631.50 24,503.48	46,825.00 25,026.5	45,611.00 33,786
Contract wages, direct-care Median	117.90 64.67	81.71 64.53	69.03 65.06	69.41 68.97	102.41 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.