As of the July, 2022, release via CMS

ST ANTHONY HOSPITAL

CMS id: 370037
205, OKLAHOMA CITY OK 73101. County: OKLAHOMA
System: SSM HEALTHCARE
CBSA: Oklahoma City, OK

The 564-bed, acute-care hospital had $-124,428,351 in net service to patients*, with a total profit margin of 8.81807% in fiscal year 2021, the latest year available.
It spent 5.92% of its operating expenses on uncompensated care and reported $56,482,807 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	nfp	nfp	nfp	nfp	nfp
Acute beds Median	306 118	309 118	331 119.5	334 118	328 119
Total beds Median	597 162	600 162	572 162	529 162	564 163.5
FTEs Median	2,824.26 788.06	2,562.61 793.42	2,601.25 806.03	2,351.74 787.61	2,159.83 804.34

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	507,878,025 150,932,746	550,169,408 158,950,878	581,456,592 168,696,998	541,567,781 163,454,693	624,540,980 186,589,412
Operating expenses Median	516,388,481 149,311,209	562,074,759 156,110,414	593,244,247 164,890,568	627,069,841 166,516,854	748,969,331 180,120,888
Net income from service 2 patients (NS2P) ? Median	-8,510,456 -964,173	-11,905,351 -643,601.5	-11,787,655 -116,254	-85,502,060 -5,025,862	-124,428,351 -1,284,564
NS2P margin ? Median	-1.68% -0.62	-2.16% -0.29	-2.03% 0.18	-15.79% -5.07	-19.92% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ST ANTHONY HOSPITAL 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	23,594,028 5,089,215	38,314,692 4,572,541	61,324,937 5,268,134	118,481,425 13,092,619	196,860,058 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	0 206,870.5	0 194,343	1,348,086 249,496
⊳ Line 7: Investments ? ⊳ Median	0 299,524	0 188,688.5	2,118,377 370,813	17,776,261 309,361.5	19,053,917 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	0	0	0	0	8,012
⊳ 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	4,051,381
⊳ 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	73,925,880
⊳ 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	0	0	0	0	0
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ Line 22: Rental of hospital space	0	0	0	0	747,706
⊳ 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	23,594,028	38,314,692	59,206,560	100,705,164	97,725,076
Total income ? Median	15,083,572 6,586,430	26,409,341 6,767,106	49,537,282 8,419,950	32,979,365 8,094,175	72,431,707 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	15,083,572 6,043,842	26,409,341 5,845,112	49,537,282 7,606,259	32,979,365 7,283,041	72,431,707 14,957,241
Net margin Median	2.83807% 4.62%	4.48769% 4.42%	7.70671% 5.16%	4.99650% 5.2%	8.81807% 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 ST ANTHONY HOSPITAL 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	100,213,054 23,241,334	99,526,468 23,709,545	99,940,172 24,248,380	88,452,345 22,858,541	85,948,127 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	89,366,130 21,577,146	89,348,905 22,041,594	94,890,486 22,722,063	83,883,950 21,570,441	80,634,543 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	8,288,776 1,845,420	7,925,996 1,757,392	3,414,739 1,738,842	2,983,025 1,510,463	3,497,454 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	2,558,148 3,535,627	2,251,567 3,746,588	1,634,947 3,782,288	1,585,370 3,865,578	1,816,130 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	43,830,378 11,160,864	55,329,953 11,987,345	59,774,068 12,926,866	53,141,314 11,884,480	63,234,013 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	43,830,378 10,918,923	55,329,953 11,706,976	59,774,068 12,615,917	53,141,314 11,458,116	63,234,013 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	4,729,642 3,284,314	4,649,658 3,250,551	4,939,622 3,386,837	4,517,762 3,360,806	4,243,267 3,508,953
Disproportionate-share hospital (DSH) Median	2,902,513 594,888	2,305,354 595,761	2,888,751 577,894	2,275,134 542,168	2,786,279 549,667
Outlier Median	3,451,955 582,572	3,125,178 538,116	600,568 212,434	520,659 126,559	1,358,614 139,139

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	56,482,807 4,389,147
Charity care Median	29,917,679 2,654,636	27,133,951 2,940,659	38,490,996 3,380,215	39,477,929 3,488,738	30,654,990 3,233,405
Uncompensated care (UCC) Median	38,769,213 5,147,790	39,281,899 5,337,617	46,744,647 5,711,082	51,748,848 5,923,418	44,348,489 5,508,107
UCC as a % of operating expenses Median	7.51% 3.24	6.99% 3.12	7.88% 3.21	8.25% 3.3	5.92% 2.86
Total shortfall/UCC Median	38,769,213 9,489,989	39,281,899 9,424,297	46,744,647 10,120,158	51,748,848 11,171,337	100,831,296 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	170,534,875 52,142,039	178,254,244 54,485,252	189,576,756 57,395,589	194,456,131 58,830,919	216,769,154 61,722,907
Salaries as a % of operating expenses Median	33.02 36.68	31.71 36.56	31.96 36.37	31.01 35.93	30.95 35.24
Intern, resident salaries* Median	5,485,942 2,598,592	5,432,047 2,686,824	5,220,561 2,753,773	5,172,190 2,937,156	5,882,869 2,909,848
Contract intern, resident salaries* Median	0 1,251,927	15,881 1,186,494	0 1,204,885	26,125 1,279,653	0 1,469,317
Contract adjusted salaries, direct-care Median	933,970 1,449,244	2,162,946 1,475,986	3,051,848 1,563,078	8,262,783 1,721,954	13,932,393 2,991,828
Contract hours, direct-care Median	22,747.00 22,725	60,922.33 23,018.5	84,698.36 24,503.48	109,542.00 25,026.5	156,205.75 33,786
Contract wages, direct-care Median	41.06 64.67	35.50 64.53	36.03 65.06	75.43 68.97	89.19 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.