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Short-term acute care hospital · Hoffman Estates, Illinois · 313 beds · CMS certification number 140290

St. Alexius Medical Center

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended June 30, 2025, as submitted, stamped by CMS December 5, 2025. 29 years on file, every one shown below. Also on the 340B covered-entity register.

Fiscal 2025 at a glance

Net patient revenue
$374.0M
$374,002,335 · G-3 line 3
Operating expenses
$420.4M
$420,384,939 · G-3 line 4
Result from patient care
−$46.4M
−$46,382,604 · G-3 line 5
Margin on patient care
−12.4%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $101.2M in its first year on file (1997) to $374.0M in 2025.
  • Its result from patient care: −$12.0M (2023), −$49.7M (2024), −$46.4M (2025).
  • 3 of the 5 short-term acute care hospital peers below with a margin on file also report a loss on patient care for fiscal year 2025.
  • Medicaid paid for 9.3% of its inpatient days and Medicare for 20.9%.

Every statement is drawn from figures on this page; nothing is estimated.

29 years of filings

Net patient revenue against operating expenses, each year as filed.

Net patient revenueOperating expenses
1997
as submitted
$101.2M
$87.0M
1998
as submitted
$98.8M
$84.2M
1999
reopened
$96.0M
$93.5M
2000
reopened
$116.1M
$122.6M
2001
settled
$137.1M
$143.2M
2002
settled with audit
$152.1M
$159.1M
2003
reopened
$173.6M
$170.9M
2004
reopened
$185.9M
$185.0M
2005
settled
$211.6M
$197.7M
2006
reopened
$245.9M
$239.1M
2007
settled with audit
$259.5M
$259.3M
2008
settled with audit
$280.1M
$264.0M
2009
reopened
$304.4M
$284.6M
2010
reopened
$310.5M
$290.5M
2011
reopened
$328.6M
$314.3M
2012
reopened
$167.2M
$158.6M
2013
reopened
$318.9M
$298.6M
2014
settled
$305.2M
$313.6M
2015
settled with audit
$345.0M
$310.4M
2016
reopened
$353.1M
$303.3M
2017
settled
$353.4M
$316.0M
2018
reopened
$346.2M
$316.2M
2019
settled
$347.8M
$337.2M
2020
reopened
$315.0M
$316.1M
2021
reopened
$351.6M
$339.0M
2022
settled
$346.3M
$357.0M
2023
settled
$375.1M
$387.0M
2024
settled
$368.6M
$418.3M
2025
as submitted
$374.0M
$420.4M

Beside its peers

Short-term acute care hospitals in Illinois with 200 to 399 beds, each on fiscal year 2025.

HospitalBedsNet patient revenueOperating expensesMargin
St. Alexius Medical Center313$374,002,335$420,384,939−12.4%
Blessing Hospital, Quincy311$666,351,471$755,789,520−13.4%
Memorial Hospital, Belleville300$579,195,047$570,580,7921.5%
Northwestern Medicine McHenry Hospital, Mchenry332$726,627,896$754,226,367−3.8%
Palos Community Hospital, Orland Park318$485,666,863$600,874,624−23.7%
Silver Cross Hospital & Medical Centers, New Lenox320$571,400,747$556,370,5822.6%

Patients and payers

Discharges
17,535
S-3 line 14, col 15
Inpatient days
70,731
S-3 line 14, col 8
Beds in use, on an average day
194.3
days ÷ days in year
Occupancy
61.9%
days ÷ bed days
Medicare share of days
20.9%
S-3 cols 6 ÷ 8
Medicaid share of days
9.3%
S-3 cols 7 ÷ 8

Who owns it

Related organizations on its own cost report: ABHS, home office; ALVERNO LABS, lab services.

Type of control on its cost report: voluntary nonprofit, church.

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Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2024.ZIP, form CMS-2552-10, filed under CMS certification number 140290. Patients and payers: worksheet S-3 Part I of the same filing.

How this page was built: the CMS Medicare cost report, file HOSP10FY2024.ZIP, read December 5, 2025.