As of the July, 2022, release via CMS

NORMAN REGIONAL HOSPITAL AUTHORITY

CMS id: 370008
901 N PORTER, NORMAN OK 73070. County: CLEVELAND
System: --
CBSA: Oklahoma City, OK

The 383-bed, acute-care hospital had $-14,293,361 in net service to patients*, with a total profit margin of 9.04262% in fiscal year 2021, the latest year available.
It spent 5.07% 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	gov	gov	gov	gov	gov
Acute beds Median	246 118	254 118	254 119.5	256 118	256 119
Total beds Median	372 162	381 162	381 162	383 162	383 163.5
FTEs Median	2,426.00 788.06	2,456.71 793.42	2,542.26 806.03	2,684.60 787.61	2,790.60 804.34

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	377,389,608 150,932,746	419,514,609 158,950,878	445,129,033 168,696,998	461,770,644 163,454,693	504,929,599 186,589,412
Operating expenses Median	375,598,563 149,311,209	406,807,819 156,110,414	437,870,349 164,890,568	487,583,681 166,516,854	519,222,960 180,120,888
Net income from service 2 patients (NS2P) ? Median	1,791,045 -964,173	12,706,790 -643,601.5	7,258,684 -116,254	-25,813,037 -5,025,862	-14,293,361 -1,284,564
NS2P margin ? Median	0.47% -0.62	3.03% -0.29	1.63% 0.18	-5.59% -5.07	-2.83% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for NORMAN REGIONAL HOSPITAL AUTHORITY 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	17,099,230 5,089,215	17,032,598 4,572,541	18,661,014 5,268,134	28,224,634 13,092,619	65,912,406 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	928,791 224,999	642,080 199,009	0 206,870.5	0 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	11,216,007 299,524	11,362,203 188,688.5	14,106,858 370,813	12,729,730 309,361.5	42,352,011 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	59,877	82,188	0	0	0
⊳ 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	23,201	23,006	12,614
⊳ Line 14: Revenue from meals sold to emplyees and guests	1,967,835	1,959,717	2,057,780	1,967,584	1,698,254
⊳ Line 15: Revenue from rental of living quarters	0	0	0	0	0
⊳ Line 16: Revenue from sale of medical and surgical supplies	4,580	4,753	2,932	2,126	929
⊳ Line 17: Revenue from sale of drugs to other than patients	0	0	15,709	29,582	77,444
⊳ Line 18: Revenue from sale of medical records and abstracts	2,621	1,192	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	0	0	0	0	0
⊳ Line 21: Rental of vending machines	85,550	78,943	0	0	0
⊳ Line 22: Rental of hospital space	191,674	243,086	0	0	0
⊳ 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	2,642,295	2,658,436	2,454,534	13,472,606	21,771,154
Total income ? Median	18,890,275 6,586,430	29,739,388 6,767,106	25,919,698 8,419,950	2,411,597 8,094,175	51,619,045 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	0 106,761	0 31,473.5
Net income Median	18,890,275 6,043,842	29,739,388 5,845,112	25,919,698 7,606,259	2,411,597 7,283,041	51,619,045 14,957,241
Net margin Median	4.78854% 4.62%	6.81241% 4.42%	5.58867% 5.16%	0.49217% 5.2%	9.04262% 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 NORMAN REGIONAL HOSPITAL AUTHORITY 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	68,825,950 23,241,334	78,303,654 23,709,545	80,271,223 24,248,380	75,551,428 22,858,541	73,877,145 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	62,824,465 21,577,146	70,534,883 22,041,594	72,313,573 22,722,063	66,915,266 21,570,441	66,785,323 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	1,089,948 1,845,420	1,201,165 1,757,392	1,145,840 1,738,842	716,305 1,510,463	565,729 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	4,911,537 3,535,627	6,567,606 3,746,588	6,811,810 3,782,288	7,919,857 3,865,578	6,526,093 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	38,723,109 11,160,864	46,422,134 11,987,345	50,534,833 12,926,866	48,577,192 11,884,480	48,053,465 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	38,723,109 10,918,923	46,422,134 11,706,976	50,534,833 12,615,917	48,577,192 11,458,116	48,053,465 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	2,048,270 3,284,314	2,899,146 3,250,551	3,572,866 3,386,837	2,801,291 3,360,806	2,708,675 3,508,953
Disproportionate-share hospital (DSH) Median	1,150,403 594,888	1,435,315 595,761	1,170,011 577,894	970,305 542,168	937,102 549,667
Outlier Median	2,856,469 582,572	2,688,998 538,116	2,411,145 212,434	510,484 126,559	425,539 139,139

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	12,932,364 2,654,636	16,526,909 2,940,659	15,715,666 3,380,215	16,615,708 3,488,738	15,570,039 3,233,405
Uncompensated care (UCC) Median	19,295,208 5,147,790	23,578,772 5,337,617	21,269,831 5,711,082	28,006,549 5,923,418	26,321,344 5,508,107
UCC as a % of operating expenses Median	5.14% 3.24	5.80% 3.12	4.86% 3.21	5.74% 3.3	5.07% 2.86
Total shortfall/UCC Median	19,295,208 9,489,989	23,578,772 9,424,297	21,269,831 10,120,158	28,006,549 11,171,337	26,321,344 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	171,058,190 52,142,039	183,289,793 54,485,252	201,684,480 57,395,589	228,885,772 58,830,919	243,017,815 61,722,907
Salaries as a % of operating expenses Median	45.54 36.68	45.06 36.56	46.06 36.37	46.94 35.93	46.80 35.24
Intern, resident salaries* Median	940,721 2,598,592	1,275,603 2,686,824	1,497,163 2,753,773	1,664,387 2,937,156	1,757,473 2,909,848
Contract intern, resident salaries* Median	0 1,251,927	0 1,186,494	0 1,204,885	0 1,279,653	0 1,469,317
Contract adjusted salaries, direct-care Median	738,392 1,449,244	535,397 1,475,986	715,896 1,563,078	639,912 1,721,954	2,878,721 2,991,828
Contract hours, direct-care Median	24,812.00 22,725	25,530.00 23,018.5	35,916.50 24,503.48	26,739.00 25,026.5	33,522.00 33,786
Contract wages, direct-care Median	29.76 64.67	20.97 64.53	19.93 65.06	23.93 68.97	85.88 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.