John H. Stroger Jr. Hosp Of Cook Cty
dba John H. Stroger, Jr Hospital Of Cook County ·
Chicago, Cook County, IL
· CCN 140124
Licensed to Cook County
Composite
12.6
rank score
Distress
25
FY2023
Fit
50
vs thesis
Estimated ticket
$214M–$858M
429 beds ·
over envelope
Ownership
government
STH
Why it ranks here
- operating margin below -10%
- urban — higher occupancy and iteration surface
- very large — likely out of range
- estimated price exceeds the capital envelope
- strong occupancy — good iteration surface
- government-owned — public process likely
Latest financials · FY2023
| Net patient revenue | $1.0B |
| Operating margin | -10.1% |
| Total margin | 30.8% |
| Days cash on hand | 539 |
| Current ratio | 9.63 |
| Occupancy | 60% |
Facility
| Beds | 429 |
| Facility type | STH |
| Setting | urban |
| Ownership class | government |
| Per-bed (low) | $500K |
| Per-bed (high) | $2.0M |
Financial history
| FY | Beds | Net patient rev | Net income | Op margin | Total margin | Days cash | Current ratio | Occupancy | Discharges | Distress |
|---|---|---|---|---|---|---|---|---|---|---|
| 2020 | 423 | $802M | $84.7M | -19.5% | 8.1% | 101 | 8.17 | 54% | 15,808 | 34 |
| 2021 | 423 | $711M | $158M | -33.1% | 14.3% | 176 | 7.75 | 55% | 15,950 | 30 |
| 2022 | 423 | $985M | $304M | -24.6% | 19.9% | 313 | 5.77 | 57% | 15,773 | 30 |
| 2023 | 429 | $1.0B | $493M | -10.1% | 30.8% | 539 | 9.63 | 60% | 15,873 | 25 |
Owners
| Owner | Role | % | Since | Type |
|---|---|---|---|---|
| Cook County | 5% or greater direct ownership interest | 100 | 2010-10 | |
| Eze Nwaezeigwe | corporate director | 2018-11 | ||
| Eze Nwaezeigwe | w-2 managing employee | 2018-11 | ||
| Scott Spencer | corporate officer | 2025-12 |
Ownership changes
No CMS ownership change on record since 2016 — this hospital has not traded in at least a decade.
Who has been buying in IL
Completed CMS ownership changes in this state. These buyers already cleared the licensure process here — and whoever advised them knows this market.
| Date | Buyer | Seller | Hospital | Beds |
|---|---|---|---|---|
| 2025-03-01 | Saint Joseph Medical Center - Joliet Llc | Presence Central And Suburban... | Presence St. Joseph Medical Center | 425 |
| 2025-03-01 | St Marys Hospital - Kankakee Llc | Presence Central And Suburban... | Presence St. Marys Hospital | 169 |
| 2025-03-01 | Mercy Medical Center - Aurora Llc | Presence Central And Suburban... | Presence Mercy Medical Center | 190 |
| 2025-03-01 | Saint Joseph Hospital - Elgin Llc | Presence Central And Suburban... | Presence Saint Joseph Hospital Elgin | 144 |
| 2025-03-01 | Saint Francis Hospital - Evanston Llc | Presence Chicago Hospitals Network | Presence Saint Francis Hospital | 146 |
| 2025-03-01 | Resurrection Medical Center - Chicago Llc | Presence Chicago Hospitals Network | Presence Resurrection Medical Center | 221 |
| 2025-03-01 | Saint Mary Of Nazareth Hospital -... | Presence Chicago Hospitals Network | Presence Saints Mary & Elizabeth Med | 296 |
| 2025-01-01 | Osf Healthcare System | Katherine Shaw Bethea Hospital | Katherine Shaw Bethea Hospital | 80 |
| 2023-03-01 | American Healthcare Systems Illinois Llc | Granite City Illinois Hospital Company Llc | Gateway Regional | 288 |
| 2023-01-14 | Deaconess Illinois Crossroads Inc | National Healthcare Of Mt Vernon Inc | Crossroads Community Hospital | 47 |
| 2023-01-14 | Deaconess Regional Healthcare... | Marion Hospital Corporation | Heartland Regional Medical Center | 94 |
| 2020-12-01 | Advocate Health And Hospitals Corporation | Advocate Health And Hospitals Corporation | Advocate Southland Health Network | 438 |
| 2020-07-01 | Carle Bromenn Medical Center | Advocate Health And Hospitals Corporation | Carle Bromenn Medical Center | 206 |
| 2020-02-01 | Osf Healthcare System | Little Company Of Mary Hospital Inc | Little Company Of Mary | 222 |
| 2019-10-01 | Thorek Memorial Hospital | Bethany Homes And Methodist Hospital | Methodist Hospital Of Chicago | 141 |