As of the July, 2022, release via CMS

INTEGRIS SOUTHWEST MEDICAL CENTER

CMS id: 370106
4401 SOUTH WESTERN, OKLAHOMA CITY OK 73109. County: OKLAHOMA
System: INTEGRIS HEALTH SYSTEM
CBSA: Oklahoma City, OK

The 236-bed, acute-care hospital had $-27,440,091 in net service to patients*, with a total profit margin of 3.95635% in fiscal year 2021, the latest year available.
It spent 10.60% of its operating expenses on uncompensated care and reported $676,322 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	175 118	170 118	165 119.5	165 118	149 119
Total beds Median	281 162	265 162	252 162	252 162	236 163.5
FTEs Median	1,009.84 788.06	1,031.95 793.42	1,050.73 806.03	1,020.81 787.61	1,052.01 804.34

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	215,018,432 150,932,746	230,027,223 158,950,878	228,125,968 168,696,998	227,752,444 163,454,693	244,420,624 186,589,412
Operating expenses Median	231,902,470 149,311,209	242,084,805 156,110,414	235,896,353 164,890,568	243,126,571 166,516,854	271,860,715 180,120,888
Net income from service 2 patients (NS2P) ? Median	-16,884,038 -964,173	-12,057,582 -643,601.5	-7,770,385 -116,254	-15,374,127 -5,025,862	-27,440,091 -1,284,564
NS2P margin ? Median	-7.85% -0.62	-5.24% -0.29	-3.41% 0.18	-6.75% -5.07	-11.23% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for INTEGRIS SOUTHWEST 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	27,539,952 5,089,215	16,271,945 4,572,541	14,925,573 5,268,134	21,649,546 13,092,619	38,673,671 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	13,986,047 299,524	3,882,640 188,688.5	1,547,501 370,813	0 309,361.5	21,682,267 375,329
⊳ 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	2,019,168	2,078,353	2,152,296	1,835,968	1,741,481
⊳ 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	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	246,633	275,014	302,781	259,902	228,778
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ Line 22: Rental of hospital space	1,328,574	1,397,810	1,392,718	1,374,712	1,448,198
⊳ 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	9,959,530	8,638,128	9,530,277	18,178,964	13,572,947
Total income ? Median	10,655,914 6,586,430	4,214,363 6,767,106	7,155,188 8,419,950	6,275,419 8,094,175	11,233,580 15,162,888
Non-operating expenses Median	76,557 146,289.5	32,771 164,857	67,116 89,880.5	2,954,398 106,761	33,373 31,473.5
Net income Median	10,579,357 6,043,842	4,181,592 5,845,112	7,088,072 7,606,259	3,321,021 7,283,041	11,200,207 14,957,241
Net margin Median	4.36157% 4.62%	1.69777% 4.42%	2.91628% 5.16%	1.33159% 5.2%	3.95635% 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 INTEGRIS SOUTHWEST 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	55,240,392 23,241,334	61,185,608 23,709,545	61,817,249 24,248,380	60,387,008 22,858,541	63,492,876 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	41,291,408 21,577,146	46,722,553 22,041,594	47,747,063 22,722,063	45,228,329 21,570,441	46,999,558 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	13,948,984 3,535,627	14,463,055 3,746,588	14,070,186 3,782,288	15,158,679 3,865,578	16,493,318 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	17,742,473 11,160,864	20,390,485 11,987,345	18,759,913 12,926,866	17,818,471 11,884,480	16,791,125 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	17,742,473 10,918,923	20,390,485 11,706,976	18,759,913 12,615,917	17,818,471 11,458,116	16,791,125 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	3,233,031 3,284,314	3,569,289 3,250,551	3,511,929 3,386,837	3,327,827 3,360,806	3,475,340 3,508,953
Disproportionate-share hospital (DSH) Median	1,127,657 594,888	1,263,114 595,761	1,158,187 577,894	1,002,466 542,168	967,410 549,667
Outlier Median	1,527,387 582,572	1,865,720 538,116	2,022,052 212,434	1,012,151 126,559	871,227 139,139

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	676,322 4,389,147
Charity care Median	21,612,030 2,654,636	17,970,341 2,940,659	22,390,931 3,380,215	20,881,085 3,488,738	23,757,786 3,233,405
Uncompensated care (UCC) Median	26,104,230 5,147,790	24,189,399 5,337,617	29,480,055 5,711,082	27,032,918 5,923,418	28,824,240 5,508,107
UCC as a % of operating expenses Median	11.26% 3.24	9.99% 3.12	12.50% 3.21	11.12% 3.3	10.60% 2.86
Total shortfall/UCC Median	26,104,230 9,489,989	24,189,399 9,424,297	29,480,055 10,120,158	27,032,918 11,171,337	29,500,562 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	64,624,577 52,142,039	66,767,224 54,485,252	69,428,997 57,395,589	69,338,223 58,830,919	75,364,325 61,722,907
Salaries as a % of operating expenses Median	27.87 36.68	27.58 36.56	29.43 36.37	28.52 35.93	27.72 35.24
Intern, resident salaries* Median	1,938,658 2,598,592	1,834,258 2,686,824	1,752,653 2,753,773	1,682,212 2,937,156	1,763,729 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	7,129,660 1,449,244	7,085,940 1,475,986	5,499,901 1,563,078	6,424,220 1,721,954	6,559,749 2,991,828
Contract hours, direct-care Median	110,201.21 22,725	109,545.00 23,018.5	95,871.87 24,503.48	96,079.28 25,026.5	77,615.36 33,786
Contract wages, direct-care Median	64.70 64.67	64.69 64.53	57.37 65.06	66.86 68.97	84.52 88.94

* in an approved program

Return to top

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.