As of the July, 2022, release via CMS

SAINT FRANCIS HOSPITAL

CMS id: 370091
6161 S. YALE, TULSA OK 74136. County: TULSA
System: SAINT FRANCIS HEALTH SYSTEM
CBSA: Tulsa, OK

The 887-bed, acute-care hospital had $155,790,546 in net service to patients*, with a total profit margin of 29.46928% in fiscal year 2021, the latest year available.
It spent 5.72% 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	nfp	nfp	nfp	nfp	nfp
Acute beds Median	640 118	647 118	665 119.5	673 118	669 119
Total beds Median	858 162	865 162	883 162	891 162	887 163.5
FTEs Median	5,190.29 788.06	5,338.26 793.42	5,577.72 806.03	5,782.21 787.61	5,796.42 804.34

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	980,151,788 150,932,746	1,073,829,554 158,950,878	1,139,613,219 168,696,998	1,189,327,566 163,454,693	1,268,675,711 186,589,412
Operating expenses Median	834,578,285 149,311,209	928,320,323 156,110,414	986,706,091 164,890,568	1,046,778,077 166,516,854	1,112,885,165 180,120,888
Net income from service 2 patients (NS2P) ? Median	145,573,503 -964,173	145,509,231 -643,601.5	152,907,128 -116,254	142,549,489 -5,025,862	155,790,546 -1,284,564
NS2P margin ? Median	14.85% -0.62	13.55% -0.29	13.42% 0.18	11.99% -5.07	12.28% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for SAINT FRANCIS 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	80,983,127 5,089,215	83,408,239 4,572,541	75,342,316 5,268,134	108,860,516 13,092,619	309,197,221 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	0 206,870.5	0 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	44,635,344 299,524	46,463,114 188,688.5	28,112,944 370,813	34,141,551 309,361.5	223,464,557 375,329
⊳ 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	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	4,592,453	4,469,223	6,546,908	6,274,238	6,072,504
⊳ 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	480,106	215,524	1,479,552	1,701,093	2,486,919
⊳ Line 18: Revenue from sale of medical records and abstracts	270,709	404,753	462,112	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	911,064	779,479	774,289	523,031	3,319
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ Line 22: Rental of hospital space	184,634	184,634	184,634	185,122	185,122
⊳ Line 23: Gov appropriations ? ⊳ Median	762,689 1,017,693	0 983,261.5	0 1,173,286	0 1,987,202	0 1,597,664
⊳ Sum Line 24	29,146,128	30,891,512	37,781,877	66,035,481	76,984,800
Total income ? Median	226,556,630 6,586,430	228,917,470 6,767,106	228,249,444 8,419,950	251,410,005 8,094,175	464,987,767 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	0 106,761	-2 31,473.5
Net income Median	226,556,630 6,043,842	228,917,470 5,845,112	228,249,444 7,606,259	251,410,005 7,283,041	464,987,769 14,957,241
Net margin Median	21.35041% 4.62%	19.78137% 4.42%	18.78665% 5.16%	19.36622% 5.2%	29.46928% 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 SAINT FRANCIS 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	149,590,301 23,241,334	161,101,042 23,709,545	174,284,354 24,248,380	171,117,837 22,858,541	170,199,859 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	145,756,661 21,577,146	157,499,417 22,041,594	170,312,209 22,722,063	166,522,485 21,570,441	165,126,116 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	3,833,640 3,535,627	3,601,625 3,746,588	3,972,145 3,782,288	4,595,352 3,865,578	5,073,743 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	64,926,833 11,160,864	71,094,016 11,987,345	75,030,457 12,926,866	77,073,128 11,884,480	77,098,779 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	61,416,388 10,918,923	67,548,647 11,706,976	71,773,075 12,615,917	74,168,328 11,458,116	74,408,138 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	3,510,445 1,282,808	3,545,369 1,407,728	3,257,382 1,341,512	2,904,800 1,407,046	2,690,641 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	4,347,736 3,284,314	5,127,628 3,250,551	5,386,781 3,386,837	5,139,753 3,360,806	5,052,312 3,508,953
Disproportionate-share hospital (DSH) Median	3,842,091 594,888	3,922,315 595,761	4,365,166 577,894	4,579,399 542,168	4,102,778 549,667
Outlier Median	7,917,770 582,572	5,426,425 538,116	3,851,514 212,434	360,362 126,559	425,823 139,139

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	27,634,225 2,654,636	37,243,948 2,940,659	40,426,429 3,380,215	42,855,938 3,488,738	52,397,126 3,233,405
Uncompensated care (UCC) Median	45,474,551 5,147,790	55,068,980 5,337,617	59,728,348 5,711,082	66,555,445 5,923,418	63,700,234 5,508,107
UCC as a % of operating expenses Median	5.45% 3.24	5.93% 3.12	6.05% 3.21	6.36% 3.3	5.72% 2.86
Total shortfall/UCC Median	45,474,551 9,489,989	55,068,980 9,424,297	59,728,348 10,120,158	66,555,445 11,171,337	63,700,234 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	326,525,474 52,142,039	349,016,975 54,485,252	369,944,297 57,395,589	393,102,771 58,830,919	415,183,838 61,722,907
Salaries as a % of operating expenses Median	39.12 36.68	37.60 36.56	37.49 36.37	37.55 35.93	37.31 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	2,793,841 1,251,927	3,135,972 1,186,494	3,098,143 1,204,885	3,186,947 1,279,653	3,424,028 1,469,317
Contract adjusted salaries, direct-care Median	9,176,631 1,449,244	11,370,793 1,475,986	9,054,130 1,563,078	8,098,076 1,721,954	10,977,201 2,991,828
Contract hours, direct-care Median	172,530.00 22,725	208,770.00 23,018.5	174,171.00 24,503.48	164,506.00 25,026.5	197,375.00 33,786
Contract wages, direct-care Median	53.19 64.67	54.47 64.53	51.98 65.06	49.23 68.97	55.62 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.