As of the July, 2022, release via CMS

OSU MEDICAL CENTER

CMS id: 370078
744 WEST 9TH STREET, TULSA OK 74127. County: TULSA
System: --
CBSA: Tulsa, OK

The 171-bed, acute-care hospital had $-37,363,824 in net service to patients*, with a total profit margin of 10.39907% in fiscal year 2021, the latest year available.
It spent 12.95% 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	gov	gov	gov	gov
Acute beds Median	138 118	138 118	138 119.5	138 118	138 119
Total beds Median	171 162	171 162	171 162	171 162	171 163.5
FTEs Median	1,151.27 788.06	998.34 793.42	985.39 806.03	892.80 787.61	916.75 804.34

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	109,161,041 150,932,746	110,784,217 158,950,878	108,966,211 168,696,998	98,716,283 163,454,693	125,089,363 186,589,412
Operating expenses Median	142,668,715 149,311,209	134,865,902 156,110,414	135,774,447 164,890,568	137,397,700 166,516,854	162,453,187 180,120,888
Net income from service 2 patients (NS2P) ? Median	-33,507,674 -964,173	-24,081,685 -643,601.5	-26,808,236 -116,254	-38,681,417 -5,025,862	-37,363,824 -1,284,564
NS2P margin ? Median	-30.70% -0.62	-21.74% -0.29	-24.60% 0.18	-39.18% -5.07	-29.87% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for OSU 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	40,681,391 5,089,215	33,682,818 4,572,541	34,278,897 5,268,134	71,004,850 13,092,619	56,218,115 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	6,681,293 224,999	1,435,383 199,009	1,725,077 206,870.5	8,507,249 194,343	10,477,849 249,496
⊳ Line 7: Investments ? ⊳ Median	27,289 299,524	38,418 188,688.5	575,929 370,813	398,931 309,361.5	91,206 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	98	324	271	8	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	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	919,063	743,584	756,131	699,200	608,736
⊳ Line 15: Revenue from rental of living quarters	0	0	0	0	0
⊳ Line 16: Revenue from sale of medical and surgical supplies	30,432	0	25,503	0	0
⊳ Line 17: Revenue from sale of drugs to other than patients	52,490	17,778	639	2,112	56,078
⊳ Line 18: Revenue from sale of medical records and abstracts	432	514	399	338	586
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	36,310	35,526	31,762	21,903	3,183
⊳ Line 21: Rental of vending machines	0	0	2,997	26,147	492
⊳ Line 22: Rental of hospital space	0	0	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	32,933,984	31,411,291	31,160,189	61,348,962	44,979,985
Total income ? Median	7,173,717 6,586,430	9,601,133 6,767,106	7,470,661 8,419,950	32,323,433 8,094,175	18,854,291 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	7,173,717 6,043,842	9,601,133 5,845,112	7,470,661 7,606,259	32,323,433 7,283,041	18,854,291 14,957,241
Net margin Median	4.78751% 4.62%	6.64590% 4.42%	5.21530% 5.16%	19.04503% 5.2%	10.39907% 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 OSU 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	38,694,683 23,241,334	36,610,943 23,709,545	34,663,862 24,248,380	29,340,610 22,858,541	43,282,144 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	38,694,683 21,577,146	36,610,943 22,041,594	34,663,862 22,722,063	29,340,610 21,570,441	43,282,144 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	0 3,535,627	0 3,746,588	0 3,782,288	0 3,865,578	0 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	9,188,892 11,160,864	9,165,556 11,987,345	8,368,076 12,926,866	6,996,002 11,884,480	6,103,851 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	9,188,892 10,918,923	9,165,556 11,706,976	8,368,076 12,615,917	6,996,002 11,458,116	6,103,851 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	10,400,684 3,284,314	9,872,711 3,250,551	9,911,604 3,386,837	9,337,463 3,360,806	13,011,615 3,508,953
Disproportionate-share hospital (DSH) Median	1,149,232 594,888	829,760 595,761	743,653 577,894	554,795 542,168	722,013 549,667
Outlier Median	1,392,815 582,572	1,647,412 538,116	1,183,159 212,434	103,036 126,559	72,773 139,139

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	2,603,824 2,654,636	8,826,763 2,940,659	7,173,184 3,380,215	7,394,561 3,488,738	9,442,636 3,233,405
Uncompensated care (UCC) Median	6,163,937 5,147,790	17,538,368 5,337,617	16,787,332 5,711,082	17,903,088 5,923,418	21,037,364 5,508,107
UCC as a % of operating expenses Median	4.32% 3.24	13.00% 3.12	12.36% 3.21	13.03% 3.3	12.95% 2.86
Total shortfall/UCC Median	6,163,937 9,489,989	17,538,368 9,424,297	16,787,332 10,120,158	17,903,088 11,171,337	21,037,364 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	60,211,057 52,142,039	55,367,513 54,485,252	55,891,071 57,395,589	58,447,944 58,830,919	60,169,990 61,722,907
Salaries as a % of operating expenses Median	42.20 36.68	41.05 36.56	41.16 36.37	42.54 35.93	37.04 35.24
Intern, resident salaries* Median	7,179,315 2,598,592	7,806,054 2,686,824	8,407,419 2,753,773	9,538,025 2,937,156	10,238,117 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	1,242,497 1,449,244	2,699,147 1,475,986	4,408,135 1,563,078	4,978,265 1,721,954	12,595,546 2,991,828
Contract hours, direct-care Median	30,202.00 22,725	43,511.99 23,018.5	67,061.00 24,503.48	83,069.00 25,026.5	156,862.00 33,786
Contract wages, direct-care Median	41.14 64.67	62.03 64.53	65.73 65.06	59.93 68.97	80.30 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.