As of the July, 2022, release via CMS

STILLWATER MEDICAL CENTER

CMS id: 370049
1323 W 6TH STREET, STILLWATER OK 74074. County: PAYNE
System: STILLWATER MED CENTER HOME OFFICE
CBSA: Stillwater, OK

The 103-bed, acute-care hospital had $-2,614,588 in net service to patients*, with a total profit margin of 12.30022% in fiscal year 2021, the latest year available.
It spent 3.80% 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	80 118	80 118	80 119.5	80 118	80 119
Total beds Median	103 162	103 162	103 162	103 162	103 163.5
FTEs Median	1,049.20 788.06	1,155.53 793.42	1,223.57 806.03	1,288.43 787.61	1,386.30 804.34

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	178,774,525 150,932,746	203,223,308 158,950,878	223,181,928 168,696,998	232,221,588 163,454,693	277,866,509 186,589,412
Operating expenses Median	176,975,350 149,311,209	203,342,280 156,110,414	226,204,377 164,890,568	250,643,057 166,516,854	280,481,097 180,120,888
Net income from service 2 patients (NS2P) ? Median	1,799,175 -964,173	-118,972 -643,601.5	-3,022,449 -116,254	-18,421,469 -5,025,862	-2,614,588 -1,284,564
NS2P margin ? Median	1.01% -0.62	-0.06% -0.29	-1.35% 0.18	-7.93% -5.07	-0.94% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for STILLWATER 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	22,477,607 5,089,215	18,617,467 4,572,541	35,428,658 5,268,134	48,524,963 13,092,619	41,953,099 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	139,949 224,999	1,506,784 199,009	20,903 206,870.5	3,599 194,343	20 249,496
⊳ Line 7: Investments ? ⊳ Median	1,683,110 299,524	2,112,109 188,688.5	2,298,233 370,813	1,712,465 309,361.5	2,258,881 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	149,107	219,691	352,796	403,343	704,524
⊳ 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	1,151,023	1,210,232	1,329,575	1,104,868	1,063,305
⊳ 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	5,785	4,268	253	1,455	833
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	225	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	4,118,854	4,607,756	4,765,478	5,395,762	5,667,752
⊳ 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	15,229,554	8,956,627	26,661,420	39,903,471	32,257,784
Total income ? Median	24,276,782 6,586,430	18,498,495 6,767,106	32,406,209 8,419,950	30,103,494 8,094,175	39,338,511 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	24,276,782 6,043,842	18,498,495 5,845,112	32,406,209 7,606,259	30,103,494 7,283,041	39,338,511 14,957,241
Net margin Median	12.06287% 4.62%	8.33864% 4.42%	12.53089% 5.16%	10.72266% 5.2%	12.30022% 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 STILLWATER 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	20,043,598 23,241,334	21,419,925 23,709,545	24,649,335 24,248,380	27,761,579 22,858,541	27,964,417 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	15,696,248 21,577,146	16,541,852 22,041,594	18,502,150 22,722,063	21,627,262 21,570,441	22,442,472 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	4,347,350 3,535,627	4,878,073 3,746,588	6,147,185 3,782,288	6,134,317 3,865,578	5,521,945 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	26,703,747 11,160,864	33,728,771 11,987,345	37,268,746 12,926,866	36,228,784 11,884,480	36,918,449 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	25,340,861 10,918,923	32,391,911 11,706,976	35,977,837 12,615,917	34,993,959 11,458,116	36,196,159 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	1,362,886 1,282,808	1,336,860 1,407,728	1,290,909 1,341,512	1,234,825 1,407,046	722,290 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	0 3,284,314	0 3,250,551	0 3,386,837	0 3,360,806	0 3,508,953
Disproportionate-share hospital (DSH) Median	270,081 594,888	292,651 595,761	380,795 577,894	413,641 542,168	454,915 549,667
Outlier Median	389,289 582,572	479,293 538,116	558,790 212,434	847,382 126,559	379,220 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	2,123,545 3,662,910	25,772 3,730,911	0 4,081,319	0 4,643,908	0 4,389,147
Charity care Median	6,881,124 2,654,636	4,661,786 2,940,659	3,652,542 3,380,215	4,544,119 3,488,738	4,265,361 3,233,405
Uncompensated care (UCC) Median	11,445,631 5,147,790	9,600,794 5,337,617	10,120,158 5,711,082	11,941,834 5,923,418	10,648,136 5,508,107
UCC as a % of operating expenses Median	6.47% 3.24	4.72% 3.12	4.47% 3.21	4.76% 3.3	3.80% 2.86
Total shortfall/UCC Median	13,569,176 9,489,989	9,626,566 9,424,297	10,120,158 10,120,158	11,941,834 11,171,337	10,648,136 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	75,136,002 52,142,039	84,262,086 54,485,252	94,391,963 57,395,589	104,558,546 58,830,919	115,642,522 61,722,907
Salaries as a % of operating expenses Median	42.46 36.68	41.44 36.56	41.73 36.37	41.72 35.93	41.23 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	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	588,051 1,449,244	754,073 1,475,986	647,095 1,563,078	787,046 1,721,954	3,623,561 2,991,828
Contract hours, direct-care Median	7,138.00 22,725	6,988.00 23,018.5	8,026.00 24,503.48	8,849.00 25,026.5	44,277.00 33,786
Contract wages, direct-care Median	82.38 64.67	107.91 64.53	80.62 65.06	88.94 68.97	81.84 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.