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Overview

Address
1325 N HIGHLAND AVENUE, AURORA, IL 60506
Phone
(630) 859-2222
Hospital Type
Acute Care
Ownership
Non-Profit
Emergency Services
Yes
Birthing Friendly
Yes
3 /5
CMS Overall Rating
p30
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 7 of 7 measures reported
7
Better No different Worse
30-day death rates for heart attack, heart failure, pneumonia, COPD, stroke, CABG, and kidney disease.
Safety of Care 5 of 8 measures reported
5
Better No different Worse
Healthcare-associated infections and patient safety indicators (PSI-90 composite).
Readmission 10 of 11 measures reported
10
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 9 of 12 measures reported
9 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) 71 discharges
1.0591 p82
Heart Failure 198 discharges
1.0896 p91
Pneumonia 180 discharges
0.9948 p49
COPD 51 discharges
1.0883 p96
Hip/Knee Replacement
— Not reported
CABG Surgery
— Not reported
Expected (1.0) National median

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: 1.0896
Value-Based Purchasing
HAC Reduction
Payment Reduced
HAC Score: 0.8754

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 4.40 No Different Than the National Rate 316
MORT_30_AMI 11.40 No Different Than the National Rate 78
MORT_30_CABG Number of Cases Too Small
MORT_30_COPD 10.40 No Different Than the National Rate 47
MORT_30_HF 11.00 No Different Than the National Rate 172
MORT_30_PN 17.00 No Different Than the National Rate 175
MORT_30_STK 11.20 No Different Than the National Rate 44
PSI_03 0.35 No Different Than the National Rate 1,570
PSI_04 Number of Cases Too Small
PSI_06 0.19 No Different Than the National Rate 1,857
PSI_08 0.29 No Different Than the National Rate 1,897
PSI_09 2.19 No Different Than the National Rate 281
PSI_10 1.63 No Different Than the National Rate 56
PSI_11 12.08 No Different Than the National Rate 68
PSI_12 3.51 No Different Than the National Rate 299
PSI_13 5.00 No Different Than the National Rate 52
PSI_14 1.74 No Different Than the National Rate 60
PSI_15 0.99 No Different Than the National Rate 324
PSI_90 0.97 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 71%
H_COMP_1_SN_P: Nurses "sometimes" or "never" communicated well 6%
H_COMP_1_U_P: Nurses "usually" communicated well 23%
H_COMP_1_LINEAR_SCORE: Nurse communication - linear mean score
H_COMP_1_STAR_RATING: Nurse communication - star rating 2
H_NURSE_RESPECT_A_P: Nurses "always" treated them with courtesy and respect 80%
H_NURSE_RESPECT_SN_P: Nurses "sometimes" or "never" treated them with courtesy and respect 3%
H_NURSE_RESPECT_U_P: Nurses "usually" treated them with courtesy and respect 17%
H_NURSE_LISTEN_A_P: Nurses "always" listened carefully 67%
H_NURSE_LISTEN_SN_P: Nurses "sometimes" or "never" listened carefully 7%
H_NURSE_LISTEN_U_P: Nurses "usually" listened carefully 26%
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 7%
H_NURSE_EXPLAIN_U_P: Nurses "usually" explained things so they could understand 27%
H_COMP_2_A_P: Doctors "always" communicated well 67%
H_COMP_2_SN_P: Doctors "sometimes" or "never" communicated well 10%
H_COMP_2_U_P: Doctors "usually" communicated well 23%
H_COMP_2_LINEAR_SCORE: Doctor communication - linear mean score
H_COMP_2_STAR_RATING: Doctor communication - star rating 1
H_DOCTOR_RESPECT_A_P: Doctors "always" treated them with courtesy and respect 73%
H_DOCTOR_RESPECT_SN_P: Doctors "sometimes" or "never" treated them with courtesy and respect 8%
H_DOCTOR_RESPECT_U_P: Doctors "usually" treated them with courtesy and respect 19%
H_DOCTOR_LISTEN_A_P: Doctors "always" listened carefully 66%
H_DOCTOR_LISTEN_SN_P: Doctors "sometimes" or "never" listened carefully 9%
H_DOCTOR_LISTEN_U_P: Doctors "usually" listened carefully 25%
H_DOCTOR_EXPLAIN_A_P: Doctors "always" explained things so they could understand 63%
H_DOCTOR_EXPLAIN_SN_P: Doctors "sometimes" or "never" explained things so they could understand 13%
H_DOCTOR_EXPLAIN_U_P: Doctors "usually" explained things so they could understand 24%
H_COMP_5_A_P: Staff "always" explained 51%
H_COMP_5_SN_P: Staff "sometimes" or "never" explained 23%
H_COMP_5_U_P: Staff "usually" explained 26%
H_COMP_5_LINEAR_SCORE: Communication about medicines - linear mean score
H_COMP_5_STAR_RATING: Communication about medicines - star rating 2
H_MED_FOR_A_P: Staff "always" explained new medications 65%
H_MED_FOR_SN_P: Staff "sometimes" or "never" explained new medications 12%
H_MED_FOR_U_P: Staff "usually" explained new medications 23%
H_SIDE_EFFECTS_A_P: Staff "always" explained possible side effects 37%
H_SIDE_EFFECTS_SN_P: Staff "sometimes" or "never" explained possible side effects 33%
H_SIDE_EFFECTS_U_P: Staff "usually" explained possible side effects 30%
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 2
H_DISCH_HELP_N_P: No, staff "did not" give patients information about help after discharge 19%
H_DISCH_HELP_Y_P: Yes, staff "did" give patients information about help after discharge 81%
H_SYMPTOMS_N_P: No, staff "did not" give patients information about possible symptoms 19%
H_SYMPTOMS_Y_P: Yes, staff "did" give patients information about possible symptoms 81%
H_CLEAN_HSP_A_P: Room was "always" clean 69%
H_CLEAN_HSP_SN_P: Room was "sometimes" or "never" clean 12%
H_CLEAN_HSP_U_P: Room was "usually" clean 19%
H_CLEAN_LINEAR_SCORE: Cleanliness - linear mean score
H_CLEAN_STAR_RATING: Cleanliness - star rating 3
H_QUIET_HSP_A_P: "Always" quiet at night 57%
H_QUIET_HSP_SN_P: "Sometimes" or "never" quiet at night 12%
H_QUIET_HSP_U_P: "Usually" quiet at night 31%
H_QUIET_LINEAR_SCORE: Quietness - linear mean score
H_QUIET_STAR_RATING: Quietness - star rating 3
H_HSP_RATING_0_6: Patients who gave a rating of "6" or lower (low) 11%
H_HSP_RATING_7_8: Patients who gave a rating of "7" or "8" (medium) 27%
H_HSP_RATING_9_10: Patients who gave a rating of "9" or "10" (high) 62%
H_HSP_RATING_LINEAR_SCORE: Overall hospital rating - linear mean score
H_HSP_RATING_STAR_RATING: Overall hospital rating - star rating 3
H_RECMND_DN: "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it) 12%
H_RECMND_DY: "YES", patients would definitely recommend the hospital 58%
H_RECMND_PY: "YES", patients would probably recommend the hospital 30%
H_RECMND_LINEAR_SCORE: Recommend hospital - linear mean score
H_RECMND_STAR_RATING: Recommend hospital - star rating 2
H_STAR_RATING: Summary star rating 2

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 1029.000
HAI_1_ELIGCASES 0.961
HAI_1_NUMERATOR 2.000
HAI_1_SIR
HAI_2_CILOWER 0.308 No Different than National Benchmark
HAI_2_CIUPPER 6.068 No Different than National Benchmark
HAI_2_DOPC 1133.000 No Different than National Benchmark
HAI_2_ELIGCASES 1.089 No Different than National Benchmark
HAI_2_NUMERATOR 2.000 No Different than National Benchmark
HAI_2_SIR 1.837 No Different than National Benchmark
HAI_3_CILOWER
HAI_3_CIUPPER
HAI_3_DOPC 18.000
HAI_3_ELIGCASES 0.437
HAI_3_NUMERATOR 0.000
HAI_3_SIR
HAI_4_CILOWER
HAI_4_CIUPPER
HAI_4_DOPC 2.000
HAI_4_ELIGCASES 0.016
HAI_4_NUMERATOR 0.000
HAI_4_SIR
HAI_5_CILOWER
HAI_5_CIUPPER
HAI_5_DOPC 11382.000
HAI_5_ELIGCASES 0.428
HAI_5_NUMERATOR 0.000
HAI_5_SIR
HAI_6_CILOWER 0.114 No Different than National Benchmark
HAI_6_CIUPPER 1.218 No Different than National Benchmark
HAI_6_DOPC 11230.000 No Different than National Benchmark
HAI_6_ELIGCASES 6.705 No Different than National Benchmark
HAI_6_NUMERATOR 3.000 No Different than National Benchmark
HAI_6_SIR 0.447 No Different than National Benchmark

Timely & Effective Care

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

Measure Score Condition
EDV 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 37.0 Healthcare Personnel Vaccination
OP_18a 214.0 Emergency Department
OP_18b 202.0 Emergency Department
OP_18c 331.0 Emergency Department
OP_18d Emergency Department
OP_22 Emergency Department
OP_23 91.0 Emergency Department
OP_29 Colonoscopy care
OP_31 Cataract surgery outcome
OP_40 Electronic Clinical Quality Measure
SAFE_USE_OF_OPIOIDS Electronic Clinical Quality Measure
SEP_1 65.0 Sepsis Care
SEP_SH_3HR 79.0 Sepsis Care
SEP_SH_6HR 82.0 Sepsis Care
SEV_SEP_3HR 76.0 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 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 23.20 More Days Than Average per 100 Discharges
EDAC_30_HF 1.50 Average Days per 100 Discharges
EDAC_30_PN -16.20 Fewer Days Than Average per 100 Discharges
Hybrid_HWR 14.40 No Different Than the National Rate
OP_32 13.00 No Different Than the National Rate
OP_35_ADM 11.60 No Different Than the National Rate
OP_35_ED 5.40 No Different Than the National Rate
OP_36 1.00 No Different than expected
READM_30_AMI 14.30 No Different Than the National Rate
READM_30_CABG Number of Cases Too Small
READM_30_COPD 19.80 No Different Than the National Rate
READM_30_HF 21.60 No Different Than the National Rate
READM_30_HIP_KNEE Number of Cases Too Small
READM_30_PN 15.90 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
0.93
Footnote
29.00

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 0.16 metrics.cost_to_charge_ratio
Cost Report Current Ratio 1.46 metrics.current_ratio
Cost Report Employees per Bed 2.70 metrics.employees_per_bed
Cost Report fiscal_year 2,024 fiscal_year
Cost Report Fund Balance ($) $87,476,543 metrics.fund_balance
Cost Report Net Income ($) $11,212,002 metrics.net_income
Cost Report Net Patient Revenue ($) $183,028,448 metrics.net_patient_revenue
Cost Report Operating Margin (%) 2.6% metrics.operating_margin
Cost Report Total Assets ($) $121,183,686 metrics.total_assets
Cost Report Total Costs ($) $158,250,694 metrics.total_costs
Cost Report Total Liabilities ($) $33,707,143 metrics.total_liabilities
Cost Report Total Margin (%) 5.9% metrics.total_margin
Cost Report Uncompensated Care (%) 5.8% metrics.uncompensated_care_pct
General Information Address 1325 N HIGHLAND AVENUE Address
General Information City/Town AURORA City/Town
General Information Count of Facility MORT Measures 7 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 10 Count of Facility READM Measures
General Information Count of Facility Safety Measures 5 Count of Facility Safety Measures
General Information Count of Facility TE Measures 9 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 7 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 10 Count of READM Measures No Different
General Information Count of READM Measures Worse 0 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 5 Count of Safety Measures No Different
General Information Count of Safety Measures Worse 0 Count of Safety Measures Worse
General Information County/Parish KANE County/Parish
General Information Emergency Services Yes Emergency Services
General Information Facility ID 140174 Facility ID
General Information Facility Name PRESENCE MERCY MEDICAL CENTER Facility Name
General Information Hospital overall rating 3 Hospital overall rating
General Information Hospital overall rating footnote 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 Y 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 (630) 859-2222 Telephone Number
General Information ZIP Code 60506 ZIP Code
HAC Reduction Program fiscal_year 2,026 fiscal_year
HAC Reduction Program measures — cauti — sir 1.35 measures.cauti.sir
HAC Reduction Program measures — cdi — sir 0.50 measures.cdi.sir
HAC Reduction Program measures — clabsi — sir 1 measures.clabsi.sir
HAC Reduction Program measures — ssi — sir 1.54 measures.ssi.sir
HAC Reduction Program payment_reduction Yes payment_reduction
HAC Reduction Program total_hac_score 0.88 total_hac_score
Medicare Spending per Beneficiary End Date 12/31/2024 End Date
Medicare Spending per Beneficiary Footnote 29 Footnote
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 0.93 Value
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Excess readmission ratio 1.06 0.9995 p82 READM-30-AMI-HRRP.excess_readmission_ratio
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Expected readmission rate 14.7% READM-30-AMI-HRRP.expected_readmission_rate
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Number of discharges 71 READM-30-AMI-HRRP.num_discharges
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Number of readmissions 14 READM-30-AMI-HRRP.num_readmissions
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Predicted readmission rate 15.5% READM-30-AMI-HRRP.predicted_readmission_rate
Readmissions (HRRP) COPD — Excess readmission ratio 1.09 0.9969 p96 READM-30-COPD-HRRP.excess_readmission_ratio
Readmissions (HRRP) COPD — Expected readmission rate 17.5% READM-30-COPD-HRRP.expected_readmission_rate
Readmissions (HRRP) COPD — Number of discharges 51 READM-30-COPD-HRRP.num_discharges
Readmissions (HRRP) COPD — Number of readmissions 16 READM-30-COPD-HRRP.num_readmissions
Readmissions (HRRP) COPD — Predicted readmission rate 19.1% READM-30-COPD-HRRP.predicted_readmission_rate
Readmissions (HRRP) Heart Failure — Excess readmission ratio 1.09 0.9983 p91 READM-30-HF-HRRP.excess_readmission_ratio
Readmissions (HRRP) Heart Failure — Expected readmission rate 20.2% READM-30-HF-HRRP.expected_readmission_rate
Readmissions (HRRP) Heart Failure — Number of discharges 198 READM-30-HF-HRRP.num_discharges
Readmissions (HRRP) Heart Failure — Number of readmissions 50 READM-30-HF-HRRP.num_readmissions
Readmissions (HRRP) Heart Failure — Predicted readmission rate 22.0% READM-30-HF-HRRP.predicted_readmission_rate
Readmissions (HRRP) Pneumonia — Excess readmission ratio 0.99 0.9955 p49 READM-30-PN-HRRP.excess_readmission_ratio
Readmissions (HRRP) Pneumonia — Expected readmission rate 15.8% READM-30-PN-HRRP.expected_readmission_rate
Readmissions (HRRP) Pneumonia — Number of discharges 180 READM-30-PN-HRRP.num_discharges
Readmissions (HRRP) Pneumonia — Number of readmissions 28 READM-30-PN-HRRP.num_readmissions
Readmissions (HRRP) Pneumonia — Predicted readmission rate 15.8% READM-30-PN-HRRP.predicted_readmission_rate
Methodology

Full methodology →