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Short-term acute care hospital · Chicago, Illinois · 429 beds · CMS certification number 140124

John H. Stroger, Jr Hospital of Cook County

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended November 30, 2025, as submitted, stamped by CMS May 7, 2026. 30 years on file, every one shown below. Also on the 340B covered-entity register.

Fiscal 2025 at a glance

Net patient revenue
$224.0M
$224,049,449 · G-3 line 3
Operating expenses
$1.3B
$1,348,395,166 · G-3 line 4
Result from patient care
−$1.1B
−$1,124,345,717 · G-3 line 5
Margin on patient care
−501.8%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue fell from $371.6M in its first year on file (1996) to $224.0M in 2025.
  • Its result from patient care: −$495.4M (2023), −$884.2M (2024), −$1.1B (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 11.3% of its inpatient days and Medicare for 8.3%.
  • COOK COUNTY holds 100% of it, on its Medicare enrollment.

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

30 years of filings

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

Net patient revenueOperating expenses
1996
reopened
$371.6M
$637.1M
1997
as submitted
$431.2M
$683.7M
1998
settled
$414.1M
$682.5M
1999
as submitted
$407.9M
$676.3M
2000
as submitted
$396.1M
$711.1M
2001
settled
$400.8M
$726.4M
2002
settled
$482.9M
$795.1M
2003
reopened
$345.5M
$639.8M
2004
reopened
$366.2M
$694.0M
2005
reopened
$469.5M
$702.2M
2006
settled with audit
$331.6M
$688.1M
2007
reopened
$323.1M
$633.7M
2008
reopened
$285.2M
$588.9M
2009
reopened
$472.8M
$626.9M
2010
settled
$434.8M
$616.8M
2011
settled
$460.8M
$671.7M
2012
reopened
$504.7M
$688.5M
2013
reopened
$520.9M
$788.4M
2014
reopened
$780.1M
$1.4B
2015
reopened
$1.5B
$1.8B
2016
reopened
$1.4B
$2.3B
2017
reopened
$667.1M
$822.2M
2018
reopened
$794.6M
$921.6M
2019
reopened
$761.8M
$957.4M
2020
settled
$802.4M
$958.6M
2021
amended
$711.0M
$946.2M
2022
amended
$945.3M
$1.2B
2023
amended
$669.1M
$1.2B
2024
amended
$416.6M
$1.3B
2025
as submitted
$224.0M
$1.3B

Beside its peers

Short-term acute care hospitals in Illinois with 400 and over beds, each on fiscal year 2025.

HospitalBedsNet patient revenueOperating expensesMargin
John H. Stroger, Jr Hospital of Cook County429$224,049,449$1,348,395,166−501.8%
Advocate Southland Health Network, Chicago438$457,385,650$542,140,603−18.5%
University of Illinois Hospital and Clinics, Chicago401$1,315,566,903$1,636,066,763−24.4%
Carle Foundation Hospital, Urbana489$1,632,488,608$1,284,276,55221.3%
Springfield Memorial Hospital, Springfield407$889,212,974$882,258,4920.8%
St. Johns Hospital, Springfield442$678,024,778$693,583,687−2.3%

Patients and payers

Discharges
15,820
S-3 line 14, col 15
Inpatient days
87,670
S-3 line 14, col 8
Beds in use, on an average day
240.9
days ÷ days in year
Occupancy
56.0%
days ÷ bed days
Medicare share of days
8.3%
S-3 cols 6 ÷ 8
Medicaid share of days
11.3%
S-3 cols 7 ÷ 8

Who owns it

  • COOK COUNTY100%

Related organizations on its own cost report: COOK COUNTY HEALTH & HOSPITAL SYSTEM (100%), government.

Other hospitals with the same owner: Provident Hospital of Cook County (IL).

Type of control on its cost report: governmental, county.

Owners of 5% or more, from CMS’s hospital ownership file (Medicare enrollment, October 1, 2026).

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Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2025.ZIP, form CMS-2552-10, filed under CMS certification number 140124. Patients and payers: worksheet S-3 Part I of the same filing. Ownership: CMS Hospital All Owners and Hospital Enrollments.

How this page was built: the CMS Medicare cost report, file HOSP10FY2025.ZIP, read May 7, 2026.