Hospital

OSF LITTLE COMPANY OF MARY MEDICAL CENTER

CCN: 140179 · EVERGREEN PARK, IL 60805 · COOK County

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

Overview

Address
2800 W 95TH ST, EVERGREEN PARK, IL 60805
Phone
(708) 422-6200
Hospital Type
Acute Care
Ownership
Non-Profit (Other)
Emergency Services
Yes
Birthing Friendly
Yes
2 /5
★★★★★
CMS Overall Rating
p7
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 6 of 7 measures reported
3
3
Better No different Worse
30-day death rates for heart attack, heart failure, pneumonia, COPD, stroke, CABG, and kidney disease.
Safety of Care 7 of 8 measures reported
1
6
Better No different Worse
Healthcare-associated infections and patient safety indicators (PSI-90 composite).
Readmission 10 of 11 measures reported
6
4
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 11 of 12 measures reported
11 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) 91 discharges
1.1116 p94
Heart Failure 511 discharges
1.1180 p96
Pneumonia 404 discharges
1.0921 p90
COPD 152 discharges
1.0710 p93
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.

29.7 p51
Total Performance Score
National median: 29.5
Clinical Outcomes 25% weight
10.6 p84
Nat'l median: 5.0
Measures mortality rates for conditions like heart attack, heart failure, pneumonia, and COPD. Based on 30-day risk-standardized mortality.
Safety 25% weight
7.1 p25
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
7.0 p35
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
5.0 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: 1.1180
Value-Based Purchasing
29.7 TPS
Above national median
HAC Reduction
Payment Reduced
HAC Score: 0.3837

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 4.50 No Different Than the National Rate 970
MORT_30_AMI 11.90 No Different Than the National Rate 101
MORT_30_CABG — — —
MORT_30_COPD 6.30 No Different Than the National Rate 122
MORT_30_HF 9.10 Better Than the National Rate 451
MORT_30_PN 14.90 No Different Than the National Rate 402
MORT_30_STK 10.10 Better Than the National Rate 178
PSI_03 0.34 No Different Than the National Rate 4,526
PSI_04 200.98 No Different Than the National Rate 50
PSI_06 0.16 No Different Than the National Rate 5,395
PSI_08 0.22 No Different Than the National Rate 5,581
PSI_09 1.98 No Different Than the National Rate 610
PSI_10 2.07 No Different Than the National Rate 88
PSI_11 6.97 No Different Than the National Rate 105
PSI_12 4.59 No Different Than the National Rate 622
PSI_13 6.30 No Different Than the National Rate 98
PSI_14 1.65 No Different Than the National Rate 165
PSI_15 1.13 No Different Than the National Rate 920
PSI_90 0.93 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 80% —
H_COMP_1_SN_P: Nurses "sometimes" or "never" communicated well 5% —
H_COMP_1_U_P: Nurses "usually" communicated well 15% —
H_COMP_1_LINEAR_SCORE: Nurse communication - linear mean score — —
H_COMP_1_STAR_RATING: Nurse communication - star rating — 3
H_NURSE_RESPECT_A_P: Nurses "always" treated them with courtesy and respect 88% —
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 9% —
H_NURSE_LISTEN_A_P: Nurses "always" listened carefully 76% —
H_NURSE_LISTEN_SN_P: Nurses "sometimes" or "never" listened carefully 6% —
H_NURSE_LISTEN_U_P: Nurses "usually" listened carefully 18% —
H_NURSE_EXPLAIN_A_P: Nurses "always" explained things so they could understand 75% —
H_NURSE_EXPLAIN_SN_P: Nurses "sometimes" or "never" explained things so they could understand 6% —
H_NURSE_EXPLAIN_U_P: Nurses "usually" explained things so they could understand 19% —
H_COMP_2_A_P: Doctors "always" communicated well 76% —
H_COMP_2_SN_P: Doctors "sometimes" or "never" communicated well 6% —
H_COMP_2_U_P: Doctors "usually" communicated well 18% —
H_COMP_2_LINEAR_SCORE: Doctor communication - linear mean score — —
H_COMP_2_STAR_RATING: Doctor communication - star rating — 3
H_DOCTOR_RESPECT_A_P: Doctors "always" treated them with courtesy and respect 81% —
H_DOCTOR_RESPECT_SN_P: Doctors "sometimes" or "never" treated them with courtesy and respect 4% —
H_DOCTOR_RESPECT_U_P: Doctors "usually" treated them with courtesy and respect 15% —
H_DOCTOR_LISTEN_A_P: Doctors "always" listened carefully 76% —
H_DOCTOR_LISTEN_SN_P: Doctors "sometimes" or "never" listened carefully 6% —
H_DOCTOR_LISTEN_U_P: Doctors "usually" listened carefully 18% —
H_DOCTOR_EXPLAIN_A_P: Doctors "always" explained things so they could understand 72% —
H_DOCTOR_EXPLAIN_SN_P: Doctors "sometimes" or "never" explained things so they could understand 7% —
H_DOCTOR_EXPLAIN_U_P: Doctors "usually" explained things so they could understand 21% —
H_COMP_5_A_P: Staff "always" explained 62% —
H_COMP_5_SN_P: Staff "sometimes" or "never" explained 23% —
H_COMP_5_U_P: Staff "usually" explained 15% —
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 76% —
H_MED_FOR_SN_P: Staff "sometimes" or "never" explained new medications 10% —
H_MED_FOR_U_P: Staff "usually" explained new medications 14% —
H_SIDE_EFFECTS_A_P: Staff "always" explained possible side effects 48% —
H_SIDE_EFFECTS_SN_P: Staff "sometimes" or "never" explained possible side effects 36% —
H_SIDE_EFFECTS_U_P: Staff "usually" explained possible side effects 16% —
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 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 16% —
H_SYMPTOMS_Y_P: Yes, staff "did" give patients information about possible symptoms 84% —
H_CLEAN_HSP_A_P: Room was "always" clean 70% —
H_CLEAN_HSP_SN_P: Room was "sometimes" or "never" clean 11% —
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 63% —
H_QUIET_HSP_SN_P: "Sometimes" or "never" quiet at night 9% —
H_QUIET_HSP_U_P: "Usually" quiet at night 28% —
H_QUIET_LINEAR_SCORE: Quietness - linear mean score — —
H_QUIET_STAR_RATING: Quietness - star rating — 4
H_HSP_RATING_0_6: Patients who gave a rating of "6" or lower (low) 8% —
H_HSP_RATING_7_8: Patients who gave a rating of "7" or "8" (medium) 23% —
H_HSP_RATING_9_10: Patients who gave a rating of "9" or "10" (high) 69% —
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) 6% —
H_RECMND_DY: "YES", patients would definitely recommend the hospital 69% —
H_RECMND_PY: "YES", patients would probably recommend the hospital 25% —
H_RECMND_LINEAR_SCORE: Recommend hospital - linear mean score — —
H_RECMND_STAR_RATING: Recommend hospital - star rating — 4
H_STAR_RATING: Summary star rating — 3

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 0.278 No Different than National Benchmark
HAI_1_CIUPPER 1.682 No Different than National Benchmark
HAI_1_DOPC 6752.000 No Different than National Benchmark
HAI_1_ELIGCASES 6.590 No Different than National Benchmark
HAI_1_NUMERATOR 5.000 No Different than National Benchmark
HAI_1_SIR 0.759 No Different than National Benchmark
HAI_2_CILOWER 0.466 No Different than National Benchmark
HAI_2_CIUPPER 2.389 No Different than National Benchmark
HAI_2_DOPC 4299.000 No Different than National Benchmark
HAI_2_ELIGCASES 5.223 No Different than National Benchmark
HAI_2_NUMERATOR 6.000 No Different than National Benchmark
HAI_2_SIR 1.149 No Different than National Benchmark
HAI_3_CILOWER 0.514 No Different than National Benchmark
HAI_3_CIUPPER 3.898 No Different than National Benchmark
HAI_3_DOPC 88.000 No Different than National Benchmark
HAI_3_ELIGCASES 2.475 No Different than National Benchmark
HAI_3_NUMERATOR 4.000 No Different than National Benchmark
HAI_3_SIR 1.616 No Different than National Benchmark
HAI_4_CILOWER — —
HAI_4_CIUPPER — —
HAI_4_DOPC 65.000 —
HAI_4_ELIGCASES 0.641 —
HAI_4_NUMERATOR 0.000 —
HAI_4_SIR — —
HAI_5_CILOWER 0.019 No Different than National Benchmark
HAI_5_CIUPPER 1.876 No Different than National Benchmark
HAI_5_DOPC 53924.000 No Different than National Benchmark
HAI_5_ELIGCASES 2.629 No Different than National Benchmark
HAI_5_NUMERATOR 1.000 No Different than National Benchmark
HAI_5_SIR 0.380 No Different than National Benchmark
HAI_6_CILOWER 0.080 Better than the National Benchmark
HAI_6_CIUPPER 0.486 Better than the National Benchmark
HAI_6_DOPC 51112.000 Better than the National Benchmark
HAI_6_ELIGCASES 22.814 Better than the National Benchmark
HAI_6_NUMERATOR 5.000 Better than the National Benchmark
HAI_6_SIR 0.219 Better than the National Benchmark

Timely & Effective Care

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

Measure Score Condition
EDV high 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 3.0 Electronic Clinical Quality Measure
HH_ORAE 0.0 Electronic Clinical Quality Measure
IMM_3 69.0 Healthcare Personnel Vaccination
OP_18a 282.0 Emergency Department
OP_18b 265.0 Emergency Department
OP_18c 421.0 Emergency Department
OP_18d 371.0 Emergency Department
OP_22 4.0 Emergency Department
OP_23 66.0 Emergency Department
OP_29 97.0 Colonoscopy care
OP_31 — Cataract surgery outcome
OP_40 — Electronic Clinical Quality Measure
SAFE_USE_OF_OPIOIDS 9.0 Electronic Clinical Quality Measure
SEP_1 59.0 Sepsis Care
SEP_SH_3HR 71.0 Sepsis Care
SEP_SH_6HR 83.0 Sepsis Care
SEV_SEP_3HR 85.0 Sepsis Care
SEV_SEP_6HR 94.0 Sepsis Care
STK_02 99.0 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 47.70 More Days Than Average per 100 Discharges
EDAC_30_HF 38.20 More Days Than Average per 100 Discharges
EDAC_30_PN 60.90 More Days Than Average per 100 Discharges
Hybrid_HWR 16.50 Worse Than the National Rate
OP_32 14.20 No Different Than the National Rate
OP_35_ADM 13.30 No Different Than the National Rate
OP_35_ED 4.60 No Different Than the National Rate
OP_36 1.00 No Different than expected
READM_30_AMI 14.90 No Different Than the National Rate
READM_30_CABG — —
READM_30_COPD 19.80 No Different Than the National Rate
READM_30_HF 21.80 No Different Than the National Rate
READM_30_HIP_KNEE — Number of Cases Too Small
READM_30_PN 17.50 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
0.95

Financial Health (Cost Report — FY 2023)

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 0.20 — metrics.cost_to_charge_ratio
Cost Report Current Ratio 7.22 — metrics.current_ratio
Cost Report Employees per Bed 4.92 — metrics.employees_per_bed
Cost Report fiscal_year 2,023 — fiscal_year
Cost Report Fund Balance ($) $358,477,470 — metrics.fund_balance
Cost Report Net Income ($) $-44,258,454 — metrics.net_income
Cost Report Net Patient Revenue ($) $249,737,208 — metrics.net_patient_revenue
Cost Report Operating Margin (%) -15.4% — metrics.operating_margin
Cost Report Total Assets ($) $385,391,342 — metrics.total_assets
Cost Report Total Costs ($) $243,657,642 — metrics.total_costs
Cost Report Total Liabilities ($) $26,913,872 — metrics.total_liabilities
Cost Report Total Margin (%) -17.2% — metrics.total_margin
Cost Report Uncompensated Care (%) 2.2% — metrics.uncompensated_care_pct
General Information Address 2800 W 95TH ST — Address
General Information City/Town EVERGREEN PARK — City/Town
General Information Count of Facility MORT Measures 6 — 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 7 — Count of Facility Safety Measures
General Information Count of Facility TE Measures 11 — Count of Facility TE Measures
General Information Count of MORT Measures Better 3 — Count of MORT Measures Better
General Information Count of MORT Measures No Different 3 — 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 6 — Count of READM Measures No Different
General Information Count of READM Measures Worse 4 — Count of READM Measures Worse
General Information Count of Safety Measures Better 1 — Count of Safety Measures Better
General Information Count of Safety Measures No Different 6 — 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 140179 — Facility ID
General Information Facility Name OSF LITTLE COMPANY OF MARY MEDICAL CENTER — Facility Name
General Information Hospital overall rating 2 — Hospital overall rating
General Information Hospital overall rating footnote — — Hospital overall rating footnote
General Information Hospital Ownership Voluntary non-profit - Other — 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 (708) 422-6200 — Telephone Number
General Information ZIP Code 60805 — ZIP Code
HAC Reduction Program fiscal_year 2,026 — fiscal_year
HAC Reduction Program measures — cauti — sir 0.94 — measures.cauti.sir
HAC Reduction Program measures — cdi — sir 0.21 — measures.cdi.sir
HAC Reduction Program measures — clabsi — sir 0.86 — measures.clabsi.sir
HAC Reduction Program measures — mrsa — sir 0.52 — measures.mrsa.sir
HAC Reduction Program measures — ssi — sir 2.18 — measures.ssi.sir
HAC Reduction Program payment_reduction Yes — payment_reduction
HAC Reduction Program total_hac_score 0.38 — 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 0.95 — Value
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Excess readmission ratio 1.11 0.9995 p94 READM-30-AMI-HRRP.excess_readmission_ratio
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Expected readmission rate 15.2% — READM-30-AMI-HRRP.expected_readmission_rate
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Number of discharges 91 — READM-30-AMI-HRRP.num_discharges
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Number of readmissions 21 — READM-30-AMI-HRRP.num_readmissions
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Predicted readmission rate 16.9% — READM-30-AMI-HRRP.predicted_readmission_rate
Readmissions (HRRP) COPD — Excess readmission ratio 1.07 0.9969 p93 READM-30-COPD-HRRP.excess_readmission_ratio
Readmissions (HRRP) COPD — Expected readmission rate 20.1% — READM-30-COPD-HRRP.expected_readmission_rate
Readmissions (HRRP) COPD — Number of discharges 152 — READM-30-COPD-HRRP.num_discharges
Readmissions (HRRP) COPD — Number of readmissions 38 — READM-30-COPD-HRRP.num_readmissions
Readmissions (HRRP) COPD — Predicted readmission rate 21.5% — READM-30-COPD-HRRP.predicted_readmission_rate
Readmissions (HRRP) Heart Failure — Excess readmission ratio 1.12 0.9983 p96 READM-30-HF-HRRP.excess_readmission_ratio
Readmissions (HRRP) Heart Failure — Expected readmission rate 20.9% — READM-30-HF-HRRP.expected_readmission_rate
Readmissions (HRRP) Heart Failure — Number of discharges 511 — READM-30-HF-HRRP.num_discharges
Readmissions (HRRP) Heart Failure — Number of readmissions 128 — READM-30-HF-HRRP.num_readmissions
Readmissions (HRRP) Heart Failure — Predicted readmission rate 23.4% — READM-30-HF-HRRP.predicted_readmission_rate
Readmissions (HRRP) Pneumonia — Excess readmission ratio 1.09 0.9955 p90 READM-30-PN-HRRP.excess_readmission_ratio
Readmissions (HRRP) Pneumonia — Expected readmission rate 17.0% — READM-30-PN-HRRP.expected_readmission_rate
Readmissions (HRRP) Pneumonia — Number of discharges 404 — READM-30-PN-HRRP.num_discharges
Readmissions (HRRP) Pneumonia — Number of readmissions 81 — READM-30-PN-HRRP.num_readmissions
Readmissions (HRRP) Pneumonia — Predicted readmission rate 18.5% — READM-30-PN-HRRP.predicted_readmission_rate
Value-Based Purchasing Clinical Outcomes 10.63 5.00 p84 clinical_outcomes_score
Value-Based Purchasing Efficiency & Cost Reduction 5.00 2.50 p56 efficiency_score
Value-Based Purchasing Person & Community Engagement 7.00 8.75 p35 person_community_score
Value-Based Purchasing Safety 7.08 10.00 p25 safety_score
Value-Based Purchasing Total Performance Score 29.71 29.50 p51 total_performance_score
Methodology

Full methodology →