As of the July, 2022, release via CMS

HILLCREST MEDICAL CENTER

CMS id: 370001
1120 SOUTH UTICA, TULSA OK 74104. County: TULSA
System: ARDENT HEALTH SERVICES LLC
CBSA: Tulsa, OK

The 421-bed, acute-care hospital had $-143,718 in net service to patients*, with a total profit margin of 3.61810% in fiscal year 2021, the latest year available.
It spent 5.88% of its operating expenses on uncompensated care and reported $0 in Medicaid shortfall.

* For more about Net Service to Patients and operating revenue, please the finance section below.

Note: Medians are from acute-care hospitals with "complete" fiscal years. For more about how we calculated medians and cost reports in general, please click here.

Details

	2017	2018	2019	2020	2021
# of days in fyear	365	365	365	366	365
Ownership	forprofit	forprofit	forprofit	forprofit	forprofit
Acute beds Median	322 118	322 118	319 119.5	305 118	275 119
Total beds Median	475 162	483 162	480 162	465 162	421 163.5
FTEs Median	2,129.30 788.06	2,136.56 793.42	2,072.49 806.03	2,025.20 787.61	2,053.77 804.34

Finances As they appear in worksheet G3 of the cost reports.

Note: Net Patient Revenue is considered operating revenue, which means Net Service to Patients is considered operating profit. Click here for more about cost report financials

Hospital cost reports are an enormously complicated dataset. There are whole organizations and an offical CMS vendor dedicated to helping researchers work with the data.
It's important to understand that hospital financials in cost reports are not organized in the same as other sources such as annual financial reports to bond holders.

The biggest difference is the concept of operating revenue and profit. Net Service to patients (NS2P), which is the sum of net patient revenue minus operating expenses, is considered the equivalent of operating profit according to the Medicaid and CHIP Payment and Access Commission (MACPAC). See the last paragraph of "Primary Data Sources" on page 55 of Annual Analysis of Disproportionate Share Hospital Allotments to States (PDF).

That would make Net Patient Revenue = operating revenue.

All this makes things challenging when comparing what's reported in cost reports to other sources. It becomes clearer when you consider that, beyond the purpose of reimbursement, cost reports are a tool for policymakers trying to understand the financial situation of a hospital doing the tasks specific to hospitals.

In other words, while a facility with a division that formulates drugs might include earnings from that as operating revenue in their corporate annual result, this is not central to the operations of a hospital caring for patients and so it is counted as "other income." (See below the financials section for more on "other income")

The healthcare consulting firm HMP, in a former partnership with Modern Healthcare, did develop a formula for estimating operating revenue closer to what one might find in other sources. We no longer use this for the following reasons:

The measure was not widely used beyond HMP and Modern Healthcare. Many hospitals had their own internal estimates of operating revenue and profit.
Because of this, there was confusion when reporting operating results for individual hospitals. There was often pushback when a facility's internal numbers did not match what Modern Healthcare was reporting.
The formula includes revenue from portions of the "other income" section, which may also include non-operating revenue. HMP themselves point out in a caveat on their site that they cannot exclude all non-operating revenue from their measure.

HMP's operating measure has proven problematic in the past for our reporting and the partnership with them ended years ago. It's best to not use a measure that we alone cannot defend.

	2017	2018	2019	2020	2021
Net patient revenue ? Median	521,076,467 150,932,746	521,131,046 158,950,878	554,903,663 168,696,998	591,424,777 163,454,693	517,015,270 186,589,412
Operating expenses Median	515,888,637 149,311,209	508,942,087 156,110,414	540,663,665 164,890,568	585,220,852 166,516,854	517,158,988 180,120,888
Net income from service 2 patients (NS2P) ? Median	5,187,830 -964,173	12,188,959 -643,601.5	14,239,998 -116,254	6,203,925 -5,025,862	-143,718 -1,284,564
NS2P margin ? Median	1.00% -0.62	2.34% -0.29	2.57% 0.18	1.05% -5.07	-0.03% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for HILLCREST MEDICAL CENTER compared to all** acute-care hospitals, from CMS cost reports.
Note: NS2P is considered operating margin by MACPAC. The chart below is interactive: click or touch to see more.

* Data range does not show outliers, which fall beyond the minimum and maximum of the range.
** From cost reports with complete fiscal years. Number of acute-care hospitals available to calculate medians:

2017	2018	2019	2020	2021
3,157	3,092	3,050	3,052	2,566

	2017	2018	2019	2020	2021
Other income* Median Click here to show/hide details	6,731,826 5,089,215	6,784,802 4,572,541	6,207,117 5,268,134	16,374,464 13,092,619	19,557,482 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	25,672 224,999	-2,908 199,009	70,000 206,870.5	0 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	0 299,524	0 188,688.5	0 370,813	0 309,361.5	0 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	39,610	20,760	18,290	15,116	17,176
⊳ Line 11: Rebates and refunds of expenses	0	0	0	0	0
⊳ Line 12: Parking lot receipts	0	0	0	0	0
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	0	0	0	0	0
⊳ Line 15: Revenue from rental of living quarters	0	0	0	0	0
⊳ Line 16: Revenue from sale of medical and surgical supplies	0	0	0	0	0
⊳ Line 17: Revenue from sale of drugs to other than patients	0	0	0	0	0
⊳ Line 18: Revenue from sale of medical records and abstracts	0	0	0	0	0
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	417,353	442,557	465,762	357,101	361,360
⊳ Line 21: Rental of vending machines	42,135	25,770	43,262	36,779	22,993
⊳ Line 22: Rental of hospital space	1,450,547	1,478,592	1,490,440	1,302,907	857,947
⊳ Line 23: Gov appropriations ? ⊳ Median	0 1,017,693	0 983,261.5	0 1,173,286	0 1,987,202	0 1,597,664
⊳ Sum Line 24	4,756,509	4,820,031	4,119,363	14,662,561	18,298,006
Total income ? Median	11,919,656 6,586,430	18,973,761 6,767,106	20,447,115 8,419,950	22,578,389 8,094,175	19,413,764 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	-1 89,880.5	0 106,761	0 31,473.5
Net income Median	11,919,656 6,043,842	18,973,761 5,845,112	20,447,116 7,606,259	22,578,389 7,283,041	19,413,764 14,957,241
Net margin Median	2.25833% 4.62%	3.59409% 4.42%	3.64404% 5.16%	3.71478% 5.2%	3.61810% 9.25%

* About "Other income": Other income, or line 25 in worksheet G3, is the sum of lines 6 through 24. It includes three lines that are considered non-operating revenue - contributions, investments and government appropriations. Medians are included for these three lines. It also contains items that are not central to providing healthcare, such as revenue from parking or gift shops.
"Sum Line 24" is a special case. Called "Other (specify)" in the cost reports, CMS allows for this line to be "subscripted," or divided into sublines like 002400, 002401, 002402. And hospitals do that, up to 100 lines, to detail income (and sometimes negative returns) that are otherwise not covered in the previous "other" lines. Therefore, "Sum Line 24" is the sum of all the lines 24.

Range* of total profit (loss) margins

= Total margin for HILLCREST MEDICAL CENTER compared to all** acute-care hospitals, from CMS cost reports.
The chart below is interactive: click or touch to see more.

2017	2018	2019	2020	2021
3,157	3,092	3,050	3,052	2,566

Medicare revenue

Inpatient and outpatient revenue

	2017	2018	2019	2020	2021
All inpatient revenue Median Click here to show/hide details	108,829,456 23,241,334	109,534,810 23,709,545	114,603,471 24,248,380	109,237,246 22,858,541	101,457,822 23,620,613
"All inpatient revenue" is made up of any Medicare payments for routine inpatient, swingbed SNFs, TEFRA, IPF, IRF, inpatient long-term care, CAH and inpatient SNF facilities. Medians are only calculated when there are sufficient facilities reporting revenue.
⊳ Routine inpatient revenue ⊳ Median	104,209,580 21,577,146	104,376,058 22,041,594	108,983,667 22,722,063	102,635,158 21,570,441	96,625,736 22,140,684
⊳ Swingbeds ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Tax Equity and Fiscal Responsibility Act payments (TEFRA) ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Inpatient psychiatric facility (IPF) ⊳ Median	0 1,845,420	0 1,757,392	0 1,738,842	0 1,510,463	0 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	4,619,876 3,535,627	5,158,752 3,746,588	5,619,804 3,782,288	6,602,088 3,865,578	4,832,086 3,983,889
⊳ Long-term care hospital (LTCH) ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Critical-access hospitals ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Skilled-nursing facilities (SNF) ⊳ Median	0 1,203,033	0 1,215,295	0 1,313,657	0 1,365,298	0 1,179,746
All outpatient revenue Median Click here to show/hide details	37,024,933 11,160,864	35,121,938 11,987,345	38,060,385 12,926,866	40,733,023 11,884,480	41,843,179 13,145,163
"All outpatient revenue" is made up of any payments for routine outpatient, HHA, CMHC, rural health and other federally-qualified health clinics. Medians are only calculated when there are sufficient facilities reporting revenue.
⊳ Routine outpatient revenue ⊳ Median	37,024,933 10,918,923	35,121,938 11,706,976	38,060,385 12,615,917	40,733,023 11,458,116	41,843,179 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	0 1,282,808	0 1,407,728	0 1,341,512	0 1,407,046	0 1,476,867
⊳ Community mental health clinics (CMHC) ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Rural health clinics ⊳ Median	0 618,038	0 697,279	0 690,232	0 684,010	0 670,558
⊳ Other federally qualified health clinics ⊳ Median	0 --	0 --	0 --	0 --	0 --

Other payments

Item	2017	2018	2019	2020	2021
Graduate Medical Education (GME) Median	7,392,805 3,284,314	7,558,553 3,250,551	7,478,615 3,386,837	7,565,544 3,360,806	7,321,261 3,508,953
Disproportionate-share hospital (DSH) Median	4,002,102 594,888	3,609,814 595,761	3,527,841 577,894	3,232,634 542,168	2,920,846 549,667
Outlier Median	3,931,111 582,572	5,700,703 538,116	7,629,759 212,434	1,066,306 126,559	904,031 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	0 3,662,910	0 3,730,911	0 4,081,319	0 4,643,908	0 4,389,147
Charity care Median	24,105,050 2,654,636	18,677,817 2,940,659	13,099,800 3,380,215	16,365,154 3,488,738	17,331,261 3,233,405
Uncompensated care (UCC) Median	33,934,956 5,147,790	25,759,848 5,337,617	20,687,620 5,711,082	33,410,809 5,923,418	30,415,591 5,508,107
UCC as a % of operating expenses Median	6.58% 3.24	5.06% 3.12	3.83% 3.21	5.71% 3.3	5.88% 2.86
Total shortfall/UCC Median	33,934,956 9,489,989	25,759,848 9,424,297	20,687,620 10,120,158	33,410,809 11,171,337	30,415,591 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	126,959,784 52,142,039	125,282,035 54,485,252	128,908,832 57,395,589	128,586,687 58,830,919	139,165,840 61,722,907
Salaries as a % of operating expenses Median	24.60 36.68	24.62 36.56	23.84 36.37	21.97 35.93	26.91 35.24
Intern, resident salaries* Median	0 2,598,592	0 2,686,824	0 2,753,773	0 2,937,156	0 2,909,848
Contract intern, resident salaries* Median	3,821,787 1,251,927	4,181,145 1,186,494	4,023,054 1,204,885	4,321,912 1,279,653	4,291,309 1,469,317
Contract adjusted salaries, direct-care Median	10,044,002 1,449,244	10,726,343 1,475,986	10,738,369 1,563,078	8,664,677 1,721,954	7,188,868 2,991,828
Contract hours, direct-care Median	237,807.00 22,725	236,822.07 23,018.5	241,904.00 24,503.48	202,407.00 25,026.5	160,833.00 33,786
Contract wages, direct-care Median	42.24 64.67	45.29 64.53	44.39 65.06	42.81 68.97	44.70 88.94

* in an approved program

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Cost reports are self-reported by the facility, are subject to revision and should be considered preliminary.

* Net Service to patients (NS2P) equals net patient revenue minus operating expenses. NS2P is considered the equivalent of operating profit according to the Medicaid and CHIP Payment and Access Commission (MACPAC). See the last paragraph of "Primary Data Sources" on page 55 of Annual Analysis of Disproportionate Share Hospital Allotments to States (PDF).

About medians

Medians are calculated from reports with "complete" fiscal years, or reports with fiscal years of at least 300 days and no more than 420 days.

In cases where there are fewer than 50 values reported, medians are not calculated. For childrens' hospitals, it's when fewer than 20 are reported.

Web app by Tim Broderick | email.