Hospital

THOREK MEMORIAL HOSPITAL

CCN: 140115 · CHICAGO, IL 60613 · COOK County

Bottom quartile Middle Top quartile Percentile badges compare this hospital to all 5,426 hospitals nationally.

Overview

Address
850 W IRVING PARK RD, CHICAGO, IL 60613
Phone
(773) 975-6867
Hospital Type
Acute Care
Ownership
Non-Profit
Emergency Services
Yes
—
Star rating not available
Acute Care — General medical and surgical hospital participating in Medicare IPPS. Subject to CMS quality reporting and payment adjustment programs (VBP, HRRP, HAC).

CMS Star Rating — Quality Domain Breakdown

CMS computes the overall star rating from five quality domains. Each domain compares this hospital's measures against national benchmarks.

Mortality 1 of 7 measures reported
1
Better No different Worse
30-day death rates for heart attack, heart failure, pneumonia, COPD, stroke, CABG, and kidney disease.
Safety of Care 2 of 8 measures reported
2
Better No different Worse
Healthcare-associated infections and patient safety indicators (PSI-90 composite).
Readmission 5 of 11 measures reported
4
1
Better No different Worse
30-day unplanned readmission rates for heart attack, heart failure, pneumonia, COPD, hip/knee replacement, and CABG.
Patient Experience 8 of 8 measures reported
8 measures reported (comparative data not available for this domain)
HCAHPS survey scores — patient-reported experience with communication, responsiveness, cleanliness, and discharge planning.
Timely & Effective Care 8 of 12 measures reported
8 measures reported (comparative data not available for this domain)
Process-of-care measures including flu immunization, blood clot prevention, and appropriate use of imaging.

Readmissions — Hospital Readmissions Reduction Program

The Excess Readmission Ratio (ERR) compares this hospital's 30-day readmission rate to expected, adjusting for patient mix. An ERR of 1.0 means readmissions are as expected; > 1.0 triggers a Medicare payment penalty (up to 3%).

⚠ This hospital has excess readmissions in at least one condition and is subject to HRRP payment reduction.
Acute Myocardial Infarction (Heart Attack)
— Not reported
Heart Failure
— Not reported
Pneumonia
1.0175 p63
COPD
— Not reported
Hip/Knee Replacement
— Not reported
CABG Surgery
— Not reported
Expected (1.0) National median

Value-Based Purchasing

The Hospital VBP Program adjusts Medicare payments based on clinical quality. The Total Performance Score (TPS) is a weighted composite of four domains, each worth 25%. This hospital's TPS is above the national median, suggesting a positive payment adjustment.

33.0 p62
Total Performance Score
National median: 29.5
Safety 25% weight
16.7 p85
Nat'l median: 10.0
Patient safety measures including healthcare-associated infections (CLABSI, CAUTI, SSI, MRSA, C. diff) and perioperative complications.
Person & Community Engagement 25% weight
13.0 p77
Nat'l median: 8.8
Based on HCAHPS patient experience survey results — communication with nurses and doctors, hospital cleanliness, pain management, discharge information.
Efficiency & Cost Reduction 25% weight
3.3 p56
Nat'l median: 2.5
Based on Medicare Spending Per Beneficiary (MSPB). Measures episode-of-care costs from 3 days before admission through 30 days after discharge.

CMS Payment Programs

Three Medicare programs adjust hospital payments based on quality performance. Hospitals can be penalized under multiple programs simultaneously.

Readmissions (HRRP)
Penalized
Worst ERR: 1.0175
Value-Based Purchasing
33.0 TPS
Above national median
HAC Reduction
Payment Reduced
HAC Score: 0.8083

Complications & Deaths

30-day mortality rates, patient safety indicators, and complication rates. "Better" means statistically significantly better than the national rate.

Measure Score vs. National Denominator
COMP_HIP_KNEE — Number of Cases Too Small —
Hybrid_HWM 4.10 No Different Than the National Rate 110
MORT_30_AMI — Number of Cases Too Small —
MORT_30_CABG — — —
MORT_30_COPD — Number of Cases Too Small —
MORT_30_HF — Number of Cases Too Small —
MORT_30_PN 13.40 No Different Than the National Rate 38
MORT_30_STK — Number of Cases Too Small —
PSI_03 1.07 No Different Than the National Rate 1,225
PSI_04 — Number of Cases Too Small —
PSI_06 0.20 No Different Than the National Rate 1,398
PSI_08 0.31 No Different Than the National Rate 1,403
PSI_09 2.33 No Different Than the National Rate 43
PSI_10 — Number of Cases Too Small —
PSI_11 — Number of Cases Too Small —
PSI_12 3.44 No Different Than the National Rate 44
PSI_13 — Number of Cases Too Small —
PSI_14 — Number of Cases Too Small —
PSI_15 1.04 No Different Than the National Rate 91
PSI_90 1.13 No Different Than the National Value —

Patient Experience (HCAHPS)

Hospital Consumer Assessment of Healthcare Providers and Systems — standardized patient survey measuring satisfaction with care.

Measure Score Star Rating
H_COMP_1_A_P: Nurses "always" communicated well 72% —
H_COMP_1_SN_P: Nurses "sometimes" or "never" communicated well 10% —
H_COMP_1_U_P: Nurses "usually" communicated well 18% —
H_COMP_1_LINEAR_SCORE: Nurse communication - linear mean score — —
H_COMP_1_STAR_RATING: Nurse communication - star rating — —
H_NURSE_RESPECT_A_P: Nurses "always" treated them with courtesy and respect 81% —
H_NURSE_RESPECT_SN_P: Nurses "sometimes" or "never" treated them with courtesy and respect 6% —
H_NURSE_RESPECT_U_P: Nurses "usually" treated them with courtesy and respect 13% —
H_NURSE_LISTEN_A_P: Nurses "always" listened carefully 69% —
H_NURSE_LISTEN_SN_P: Nurses "sometimes" or "never" listened carefully 12% —
H_NURSE_LISTEN_U_P: Nurses "usually" listened carefully 19% —
H_NURSE_EXPLAIN_A_P: Nurses "always" explained things so they could understand 66% —
H_NURSE_EXPLAIN_SN_P: Nurses "sometimes" or "never" explained things so they could understand 12% —
H_NURSE_EXPLAIN_U_P: Nurses "usually" explained things so they could understand 22% —
H_COMP_2_A_P: Doctors "always" communicated well 80% —
H_COMP_2_SN_P: Doctors "sometimes" or "never" communicated well 9% —
H_COMP_2_U_P: Doctors "usually" communicated well 11% —
H_COMP_2_LINEAR_SCORE: Doctor communication - linear mean score — —
H_COMP_2_STAR_RATING: Doctor communication - star rating — —
H_DOCTOR_RESPECT_A_P: Doctors "always" treated them with courtesy and respect 85% —
H_DOCTOR_RESPECT_SN_P: Doctors "sometimes" or "never" treated them with courtesy and respect 6% —
H_DOCTOR_RESPECT_U_P: Doctors "usually" treated them with courtesy and respect 9% —
H_DOCTOR_LISTEN_A_P: Doctors "always" listened carefully 76% —
H_DOCTOR_LISTEN_SN_P: Doctors "sometimes" or "never" listened carefully 11% —
H_DOCTOR_LISTEN_U_P: Doctors "usually" listened carefully 13% —
H_DOCTOR_EXPLAIN_A_P: Doctors "always" explained things so they could understand 79% —
H_DOCTOR_EXPLAIN_SN_P: Doctors "sometimes" or "never" explained things so they could understand 10% —
H_DOCTOR_EXPLAIN_U_P: Doctors "usually" explained things so they could understand 11% —
H_COMP_5_A_P: Staff "always" explained 65% —
H_COMP_5_SN_P: Staff "sometimes" or "never" explained 23% —
H_COMP_5_U_P: Staff "usually" explained 12% —
H_COMP_5_LINEAR_SCORE: Communication about medicines - linear mean score — —
H_COMP_5_STAR_RATING: Communication about medicines - star rating — —
H_MED_FOR_A_P: Staff "always" explained new medications 73% —
H_MED_FOR_SN_P: Staff "sometimes" or "never" explained new medications 16% —
H_MED_FOR_U_P: Staff "usually" explained new medications 11% —
H_SIDE_EFFECTS_A_P: Staff "always" explained possible side effects 58% —
H_SIDE_EFFECTS_SN_P: Staff "sometimes" or "never" explained possible side effects 29% —
H_SIDE_EFFECTS_U_P: Staff "usually" explained possible side effects 13% —
H_COMP_6_N_P: No, staff "did not" give patients this information 19% —
H_COMP_6_Y_P: Yes, staff "did" give patients this information 81% —
H_COMP_6_LINEAR_SCORE: Discharge information - linear mean score — —
H_COMP_6_STAR_RATING: Discharge information - star rating — —
H_DISCH_HELP_N_P: No, staff "did not" give patients information about help after discharge 22% —
H_DISCH_HELP_Y_P: Yes, staff "did" give patients information about help after discharge 78% —
H_SYMPTOMS_N_P: No, staff "did not" give patients information about possible symptoms 17% —
H_SYMPTOMS_Y_P: Yes, staff "did" give patients information about possible symptoms 83% —
H_CLEAN_HSP_A_P: Room was "always" clean 79% —
H_CLEAN_HSP_SN_P: Room was "sometimes" or "never" clean 11% —
H_CLEAN_HSP_U_P: Room was "usually" clean 10% —
H_CLEAN_LINEAR_SCORE: Cleanliness - linear mean score — —
H_CLEAN_STAR_RATING: Cleanliness - star rating — —
H_QUIET_HSP_A_P: "Always" quiet at night 65% —
H_QUIET_HSP_SN_P: "Sometimes" or "never" quiet at night 13% —
H_QUIET_HSP_U_P: "Usually" quiet at night 22% —
H_QUIET_LINEAR_SCORE: Quietness - linear mean score — —
H_QUIET_STAR_RATING: Quietness - star rating — —
H_HSP_RATING_0_6: Patients who gave a rating of "6" or lower (low) 10% —
H_HSP_RATING_7_8: Patients who gave a rating of "7" or "8" (medium) 20% —
H_HSP_RATING_9_10: Patients who gave a rating of "9" or "10" (high) 70% —
H_HSP_RATING_LINEAR_SCORE: Overall hospital rating - linear mean score — —
H_HSP_RATING_STAR_RATING: Overall hospital rating - star rating — —
H_RECMND_DN: "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it) 11% —
H_RECMND_DY: "YES", patients would definitely recommend the hospital 71% —
H_RECMND_PY: "YES", patients would probably recommend the hospital 18% —
H_RECMND_LINEAR_SCORE: Recommend hospital - linear mean score — —
H_RECMND_STAR_RATING: Recommend hospital - star rating — —
H_STAR_RATING: Summary star rating — —

Healthcare Associated Infections

Standardized Infection Ratios (SIR). A SIR < 1.0 means fewer infections than predicted based on national baseline data.

Measure Score (SIR) vs. National
HAI_1_CILOWER — —
HAI_1_CIUPPER — —
HAI_1_DOPC 245.000 —
HAI_1_ELIGCASES 0.142 —
HAI_1_NUMERATOR 0.000 —
HAI_1_SIR — —
HAI_2_CILOWER — —
HAI_2_CIUPPER — —
HAI_2_DOPC 298.000 —
HAI_2_ELIGCASES 0.146 —
HAI_2_NUMERATOR 0.000 —
HAI_2_SIR — —
HAI_3_CILOWER — —
HAI_3_CIUPPER — —
HAI_3_DOPC 2.000 —
HAI_3_ELIGCASES 0.055 —
HAI_3_NUMERATOR 0.000 —
HAI_3_SIR — —
HAI_4_CILOWER — —
HAI_4_CIUPPER — —
HAI_4_DOPC — —
HAI_4_ELIGCASES — —
HAI_4_NUMERATOR — —
HAI_4_SIR — —
HAI_5_CILOWER — —
HAI_5_CIUPPER — —
HAI_5_DOPC 2055.000 —
HAI_5_ELIGCASES 0.062 —
HAI_5_NUMERATOR 0.000 —
HAI_5_SIR — —
HAI_6_CILOWER — —
HAI_6_CIUPPER — —
HAI_6_DOPC 2055.000 —
HAI_6_ELIGCASES 0.706 —
HAI_6_NUMERATOR 0.000 —
HAI_6_SIR — —

Timely & Effective Care

Process-of-care measures including ED wait times, treatment timeliness, and preventive care.

Measure Score Condition
EDV low Emergency Department
GMCS — Electronic Clinical Quality Measure
GMCS_Malnutrition_Diagnosis_Documented — Electronic Clinical Quality Measure
GMCS_Malnutrition_Screening — Electronic Clinical Quality Measure
GMCS_Nutrition_Assessment — Electronic Clinical Quality Measure
GMCS_Nutritional_Care_Plan — Electronic Clinical Quality Measure
HH_HYPER — Electronic Clinical Quality Measure
HH_HYPO — Electronic Clinical Quality Measure
HH_ORAE — Electronic Clinical Quality Measure
IMM_3 68.0 Healthcare Personnel Vaccination
OP_18a 259.0 Emergency Department
OP_18b 183.0 Emergency Department
OP_18c 456.0 Emergency Department
OP_18d 437.0 Emergency Department
OP_22 10.0 Emergency Department
OP_23 — Emergency Department
OP_29 82.0 Colonoscopy care
OP_31 — Cataract surgery outcome
OP_40 — Electronic Clinical Quality Measure
SAFE_USE_OF_OPIOIDS 10.0 Electronic Clinical Quality Measure
SEP_1 54.0 Sepsis Care
SEP_SH_3HR 25.0 Sepsis Care
SEP_SH_6HR — Sepsis Care
SEV_SEP_3HR 92.0 Sepsis Care
SEV_SEP_6HR 100.0 Sepsis Care
STK_02 — Electronic Clinical Quality Measure
STK_03 — Electronic Clinical Quality Measure
STK_05 — Electronic Clinical Quality Measure
VTE_1 14.0 Electronic Clinical Quality Measure
VTE_2 — Electronic Clinical Quality Measure

Unplanned Hospital Visits

Readmission and ED return rates within 30 days of discharge.

Measure Score vs. National
EDAC_30_AMI — Number of Cases Too Small
EDAC_30_HF — Number of Cases Too Small
EDAC_30_PN 49.20 More Days Than Average per 100 Discharges
Hybrid_HWR 16.40 No Different Than the National Rate
OP_32 12.70 No Different Than the National Rate
OP_35_ADM 12.30 No Different Than the National Rate
OP_35_ED 5.70 No Different Than the National Rate
OP_36 — Number of cases too small
READM_30_AMI — Number of Cases Too Small
READM_30_CABG — —
READM_30_COPD — Number of Cases Too Small
READM_30_HF — Number of Cases Too Small
READM_30_HIP_KNEE — Number of Cases Too Small
READM_30_PN 16.20 No Different Than the National Rate

Medicare Spending Per Beneficiary

MSPB ratio: values > 1.0 mean this hospital's episode spending is higher than the national median hospital.

Value
1.01

Financial Health (Cost Report — FY 2024)

All Data

Every labeled metric surfaced for this hospital, with national medians and percentiles where a benchmark is available.

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Source Metric Value National Median Pctl. Raw key
Cost Report Cost-to-Charge Ratio 0.27 — metrics.cost_to_charge_ratio
Cost Report Current Ratio 1.24 — metrics.current_ratio
Cost Report Employees per Bed 1.77 — metrics.employees_per_bed
Cost Report fiscal_year 2,024 — fiscal_year
Cost Report Fund Balance ($) $549,800,012 — metrics.fund_balance
Cost Report Net Income ($) $67,141,694 — metrics.net_income
Cost Report Net Patient Revenue ($) $57,945,317 — metrics.net_patient_revenue
Cost Report Operating Margin (%) -34.6% — metrics.operating_margin
Cost Report Total Assets ($) $575,760,970 — metrics.total_assets
Cost Report Total Costs ($) $48,172,800 — metrics.total_costs
Cost Report Total Liabilities ($) $25,960,958 — metrics.total_liabilities
Cost Report Total Margin (%) 46.3% — metrics.total_margin
Cost Report Uncompensated Care (%) 1.5% — metrics.uncompensated_care_pct
General Information Address 850 W IRVING PARK RD — Address
General Information City/Town CHICAGO — City/Town
General Information Count of Facility MORT Measures 1 — Count of Facility MORT Measures
General Information Count of Facility Pt Exp Measures 8 — Count of Facility Pt Exp Measures
General Information Count of Facility READM Measures 5 — Count of Facility READM Measures
General Information Count of Facility Safety Measures 2 — Count of Facility Safety Measures
General Information Count of Facility TE Measures 8 — Count of Facility TE Measures
General Information Count of MORT Measures Better 0 — Count of MORT Measures Better
General Information Count of MORT Measures No Different 1 — Count of MORT Measures No Different
General Information Count of MORT Measures Worse 0 — Count of MORT Measures Worse
General Information Count of READM Measures Better 0 — Count of READM Measures Better
General Information Count of READM Measures No Different 4 — Count of READM Measures No Different
General Information Count of READM Measures Worse 1 — Count of READM Measures Worse
General Information Count of Safety Measures Better 0 — Count of Safety Measures Better
General Information Count of Safety Measures No Different 2 — Count of Safety Measures No Different
General Information Count of Safety Measures Worse 0 — Count of Safety Measures Worse
General Information County/Parish COOK — County/Parish
General Information Emergency Services Yes — Emergency Services
General Information Facility ID 140115 — Facility ID
General Information Facility Name THOREK MEMORIAL HOSPITAL — Facility Name
General Information Hospital overall rating Not Available — Hospital overall rating
General Information Hospital overall rating footnote 16 — Hospital overall rating footnote
General Information Hospital Ownership Voluntary non-profit - Private — Hospital Ownership
General Information Hospital Type Acute Care Hospitals — Hospital Type
General Information Meets criteria for birthing friendly designation — — Meets criteria for birthing friendly designation
General Information MORT Group Footnote — — MORT Group Footnote
General Information MORT Group Measure Count 7 — MORT Group Measure Count
General Information Pt Exp Group Footnote — — Pt Exp Group Footnote
General Information Pt Exp Group Measure Count 8 — Pt Exp Group Measure Count
General Information READM Group Footnote — — READM Group Footnote
General Information READM Group Measure Count 11 — READM Group Measure Count
General Information Safety Group Footnote — — Safety Group Footnote
General Information Safety Group Measure Count 8 — Safety Group Measure Count
General Information State IL — State
General Information TE Group Footnote — — TE Group Footnote
General Information TE Group Measure Count 12 — TE Group Measure Count
General Information Telephone Number (773) 975-6867 — Telephone Number
General Information ZIP Code 60613 — ZIP Code
HAC Reduction Program fiscal_year 2,026 — fiscal_year
HAC Reduction Program measures — cdi — sir 0.54 — measures.cdi.sir
HAC Reduction Program payment_reduction Yes — payment_reduction
HAC Reduction Program total_hac_score 0.81 — total_hac_score
Medicare Spending per Beneficiary End Date 12/31/2024 — End Date
Medicare Spending per Beneficiary Measure ID MSPB-1 — Measure ID
Medicare Spending per Beneficiary Start Date 01/01/2024 — Start Date
Medicare Spending per Beneficiary Value 1.01 — Value
Readmissions (HRRP) Pneumonia — Excess readmission ratio 1.02 0.9955 p63 READM-30-PN-HRRP.excess_readmission_ratio
Readmissions (HRRP) Pneumonia — Expected readmission rate 17.2% — READM-30-PN-HRRP.expected_readmission_rate
Readmissions (HRRP) Pneumonia — Predicted readmission rate 17.5% — READM-30-PN-HRRP.predicted_readmission_rate
Value-Based Purchasing Efficiency & Cost Reduction 3.33 2.50 p56 efficiency_score
Value-Based Purchasing Person & Community Engagement 13.00 8.75 p77 person_community_score
Value-Based Purchasing Safety 16.67 10.00 p85 safety_score
Value-Based Purchasing Total Performance Score 33.00 29.50 p62 total_performance_score
Methodology

Full methodology →