Operating margin: -496.4% in FY2025, the 0th percentile of 2,523 urban pps hospitals in the FY2025 pool. Days cash on hand: 564 days in FY2025, the 97th percentile of 2,413 urban pps hospitals in the FY2025 pool. Total operating revenue: $226.1M in FY2025, the 42nd percentile of 2,553 urban pps hospitals in the FY2025 pool. Total margin (including nonoperating): +0.6% in FY2025, the 27th percentile of 2,523 urban pps hospitals in the FY2025 pool. Figures as filed; not audited by Astrelis.
Financial anchor year: FY25. Margin and revenue are as filed for FY25. Balance-sheet measures (current ratio, equity financing, days in A/R) use FY23, the latest filing whose balance sheet reconciled as filed. Every tile below states its own fiscal year; nothing is carried forward or estimated.
The read
A hospital in Chicago, IL. It ran an operating loss of 496.4% in FY25 on $226.1M of operating revenue. It held 564 days of cash on hand (97th percentile of 2,413 Urban PPS hospitals on liquidity, FY25 pool). 5 reporting years are on file, but revenue scale shifts too much between them for a comparable trend, so trend context is limited. Including nonoperating items, the all-in result was positive at 0.6%.
Operating margin · FY25
-496.4%
Astrelis calculation · as-filed inputs
▼ 422.3 pts vs FY23
vs Urban PPS hospitals0th pctl of 2,523 (FY25 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Days cash on hand · FY25
564d
all sources
Astrelis calculation · as-filed inputs
▲ 57 days vs FY24
vs Urban PPS hospitals97th pctl of 2,413 (FY25 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Total operating revenue · FY25
$226.1M
Astrelis calculation · as-filed inputs
▼ $191.8M vs FY24
vs Urban PPS hospitals42nd pctl of 2,553 (FY25 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
Total margin · incl. nonoperating · FY25
+0.6%
Astrelis calculation · as-filed inputs
▼ 29.4 pts vs FY23
vs Urban PPS hospitals27th pctl of 2,523 (FY25 pool)
pool: this metric's own fiscal year · excludes historical, non-panel, and out-of-range values
One point of operating margin at JOHN H STROGER JR HOSPITAL is about $2.3M per year (1% of FY25 total operating revenue).
Where JOHN H STROGER sits among Urban PPS hospitals
Operating margin · FY25 pool · n = 2,523 of 2,652 filed
Each point is one Urban PPS hospital in the national FY25 distribution for Urban PPS hospitals, this hospital's comparison cohort, placed by operating margin. Facilities are not matched on size, case mix, or market; that is the matched-peer comparison in the paid benchmark. The Urban PPS hospital FY25 median is +2.4%. Descriptive context only, not a ranking.
One urban pps hospitalJOHN HUrban PPS hospital median
The money
$ thousands · HCRIS cost-report basis · as filed, QA-gated
Ratios tell you how this hospital is doing. Statements tell you what kind of organization it is, and where the money comes from. Every figure below traces to a public cost-report filing, shown as filed. A ratio computes only when every input is reported in the filing (otherwise its cell states which input is Not reported in source); a year whose balance sheet does not reconcile is labeled, and its derived ratios read Astrelis calculation unavailable. Not audited by Astrelis.
534d (FY23) — outside expected range; computed from the filed statement and not ranked against peers
Net patient receivables × days in the report's own period ÷ net patient revenue, same fiscal year
Astrelis calculation · HCRIS WS G / G-3
$ in thousands
Line item
FY23
FY24
FY25
Patient revenue
669,113
416,593
224,049
Other operating revenue
(201)
1,322
2,057
Total operating revenue
668,911
417,915
226,107
Total operating expenses
1,164,464
1,300,841
1,348,395
Operating income
(495,553)
(882,927)
(1,122,288)
Operating margin %
-74.1%
—
-496.4%
Grants & contributions
(23)
—
—
Investment income
578
1,136
307
Other non-operating, net
993,515
946,512
1,130,363
Net income
498,517
64,721
8,381
Net income %
+30.0%
—
+0.6%
— = Not reported in source for that year.
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY25 · where other operating income is not reported, total operating revenue reflects net patient revenue alone · FY20–21 may include COVID-era relief funding in nonoperating income
Display states.FY25 · Operating margin: -496.4% — Astrelis calculation · outside expected range; shown at the chart boundary and included in peer statistics (beyond ±100% of total operating revenue — a valid filing can produce this; the pool absorbs it)FY24 · Operating and total margin — Astrelis calculation unavailable (the ratio is not meaningful: net patient revenue is near zero on this filing (statement values shown unchanged))Filed inputs: Operating income -884,249K · Net patient revenue 416,593KFY22 · Net patient A/R: -19,800K — Astrelis calculation · outside expected range; shown at the chart boundary and included in peer statistics (AD-1198: calculation shown and flagged. net A/R = gross - |allowances| = -53533.5K (gross HOSP10_2022_nmrc.csv G000000 L00400; allowances L00500 33733.6K + L00600 1907776.9K, magnitudes). Result is outside expected range vs total assets; displayed with the out-of-range state, never withheld. AD-1206: allowances net on crosswalk lines beyond L5/L6; panel aligned to the bucket layer's contra-netted value (one value across surfaces).)FY21 · Net patient A/R: 25,790K — Astrelis calculation · outside expected range; shown at the chart boundary and included in peer statistics (AD-1198: calculation shown and flagged. net A/R = gross - |allowances| = -77123.9K (gross HOSP10_2021_nmrc.csv G000000 L00400; allowances L00500 102913.4K + L00600 1924224.5K, magnitudes). Result is outside expected range vs total assets; displayed with the out-of-range state, never withheld. AD-1206: allowances net on crosswalk lines beyond L5/L6; panel aligned to the bucket layer's contra-netted value (one value across surfaces).)FY20 · Net patient A/R: 32,696K — Astrelis calculation (allowance line blank on the filing, counted as zero: Worksheet G line 6 (allowances for uncollectible accounts) is blank on this cost report; under ruling 11 a blank additive component adds zero and the value publishes flagged (blank components: line 600))
How it operates
quality & operational context · CMS public reporting
The metrics this hospital type is judged on: care quality, patient experience, and scale. Each is labeled by provenance class and public source; descriptive context only, never a ranking or adequacy claim. Provenance labels: Reported value is copied from the named public source; Astrelis calculation is a formula applied to unchanged reported inputs, with the formula shown; Illustrative estimate is a benchmark gap, multiplier, or scenario — never a measurement.
Scale and flow
Occupancy
57.6%
Reported value2025
HCRIS WS S-3
Average daily census
169.84
Reported value2025
HCRIS WS S-3
Staffed beds (acute)
295
Reported value2025
HCRIS WS S-3
Annual discharges
15,820
Reported value2025
HCRIS WS S-3
Average length of stay
4 days
Reported value2025
HCRIS WS S-3
Cost per patient day
$21,751
Astrelis calculation2025
Astrelis calculation — total operating expense ÷ total patient days (HCRIS WS G-3 / S-3)
Cost per discharge (unadjusted)
$85,234
Astrelis calculation2025
Astrelis calculation — total operating expense ÷ discharges, NOT case-mix adjusted (adjusted discharges are not on the public filing set)
Total FTEs
4,332
Reported value2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
25.2%
Reported value2025
HCRIS WS S-3 Pt V
Who it serves
Total unreimbursed & uncompensated care
$229.1M
Reported value2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
0.491
Better than the National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
15%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
0.98
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
0.906898
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare
Trajectory
Cost-report basis · 6 reporting years
Operating margin
Days cash on hand
The county this hospital serves
COOK County, IL · metro, 1M+ population
Median household income
$81.8K
vs $82.1K US · $59.7K rural median
Poverty rate
13.3%
vs 12.5% US · 14.3% rural median
Uninsured
9.0%
vs 8.6% US · 8.4% rural median
Age 65+
15.5%
vs 16.8% US · 20.6% rural median
Fair or poor health
18.7%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 7.8% of county personal income is Medicare/Medicaid medical benefits; 16.2% arrives as government transfers (BEA, 2022).
Illustrative advocacy scenario: what this hospital means to Cook County
Illustrative estimate · FY24 cost report
Direct annual spending
$1.30B
total operating expense · Reported value, not a local-capture estimate
Labor income
$615.6M
$517.3M direct compensation × 1.19 · NCRHW 2016 CAH study · Illustrative estimate
Economic activity
$2.99B
direct spending × 2.30 · AHA national hospital economic activity report — a national hospital ratio, not a CAH or county figure · Illustrative estimate
Share of county employment
0.2%
of all county jobs · Reported value
Employment and labor income multipliers are from the National Center for Rural Health Works 2016 study of Critical Access Hospital economic impact (IMPLAN Type II, U.S. rural county populations); the economic-activity ratio is from the AHA national hospital economic activity report and describes U.S. hospitals as a whole; it is not a CAH-specific or county-specific figure. Applying any of these to an individual facility is an illustrative advocacy scenario, not a measurement: local capture depends on payroll residency, purchasing patterns, and county economic structure the sources do not observe. This facility is not a critical access hospital, so the NCRHW-derived lines borrow from a different hospital type; the label says so here rather than in the number. Direct figures are reported values from the facility's HCRIS cost report. Want a defensible facility-specific figure? Request a Facility Economic Impact Study →
Operating margin vs its peer poolFY25Astrelis calculation
498.8 points below the cohort median — at current revenue, approximately $1127.8M less operating income than the median rate.
(-496.4% facility vs 2.4% peer median) = 498.8 points below the median × $226.1M revenue ≈ $1127.8M less operating income than the median rate · method
Operating margin vs its peer pool: FY25 pool · n = 2,523.
Performance Benchmark Report: FY25 peer pool · n = 2,523 · conservative low band; acuity limits stated in the report.
Report coverage: Limited Facility Benchmark. 14 of 17 facility measures available from public sources. The report covers the available measures against their peer benchmarks; measures the public record does not carry become findings. Coverage is disclosed here before you reserve, and thin data is never a decline reason. The refund guarantee stands: if we cannot deliver the published scope, you pay nothing.
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Astrelis Atlas, "John H Stroger Jr Hospital", https://astrelis.co/hospitals/140124, release 2321a4fc37a7 (2026-10-22). Figures as filed in the named public sources; not audited by Astrelis.
Machine-readable twin of this page: astrelis.co/hospitals/140124.md (Markdown, the same figures with their fiscal years, pools and definitions). Last modified: release 2321a4fc37a7, 2026-10-22. Figures are as filed in the named public sources. Astrelis is not a CPA firm and performs no audit, review or attestation of any facility.
