As of the July, 2022, release via CMS

ST. JOHN MEDICAL CENTER

CMS id: 370114
1923 SOUTH UTICA AVENUE, TULSA OK 74104. County: TULSA
System: ST JOHN HEALTH SYSTEM
CBSA: Tulsa, OK

The 495-bed, acute-care hospital had $17,932,722 in net service to patients*, with a total profit margin of 9.82282% in fiscal year 2021, the latest year available.
It spent 10.04% 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	273	366	365
Ownership	nfp	nfp	nfp	nfp	nfp
Acute beds Median	402 118	394 118	394 119.5	394 118	394 119
Total beds Median	503 162	495 162	495 162	495 162	495 163.5
FTEs Median	2,361.23 788.06	2,317.93 793.42	2,244.74 806.03	2,205.47 787.61	2,195.53 804.34

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	552,545,266 150,932,746	549,044,335 158,950,878	427,472,016 168,696,998	531,361,708 163,454,693	567,734,811 186,589,412
Operating expenses Median	551,008,584 149,311,209	502,487,607 156,110,414	391,453,289 164,890,568	525,093,016 166,516,854	549,802,089 180,120,888
Net income from service 2 patients (NS2P) ? Median	1,536,682 -964,173	46,556,728 -643,601.5	36,018,727 -116,254	6,268,692 -5,025,862	17,932,722 -1,284,564
NS2P margin ? Median	0.28% -0.62	8.48% -0.29	8.43% 0.18	1.18% -5.07	3.16% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ST. JOHN 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	31,679,124 5,089,215	16,270,506 4,572,541	12,543,715 5,268,134	25,410,901 13,092,619	43,089,760 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	105,888 299,524	60,586 188,688.5	116,741 370,813	53,432 309,361.5	-49,246 375,329
⊳ 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	2,226,156	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	3,015,755	3,114,488	2,396,853	2,687,417	2,280,665
⊳ Line 15: Revenue from rental of living quarters	0	0	0	0	0
⊳ Line 16: Revenue from sale of medical and surgical supplies	14,020	0	0	2,920,187	952,272
⊳ Line 17: Revenue from sale of drugs to other than patients	788,628	670,362	357,017	498,905	506,465
⊳ Line 18: Revenue from sale of medical records and abstracts	182,117	182,642	119,457	150,095	7,798
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	46,701	45,042	43,089	18,035	25,130
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	0
⊳ Line 21: Rental of vending machines	103,614	143,291	102,713	120,289	52,888
⊳ Line 22: Rental of hospital space	870,818	522,609	494,928	828,904	812,258
⊳ 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	24,105,818	11,342,879	8,650,135	18,014,887	38,380,131
Total income ? Median	33,215,806 6,586,430	62,827,234 6,767,106	48,562,442 8,419,950	31,679,593 8,094,175	61,022,482 15,162,888
Non-operating expenses Median	7,163,783 146,289.5	-2,815,372 164,857	0 89,880.5	0 106,761	1,022,295 31,473.5
Net income Median	26,052,023 6,043,842	65,642,606 5,845,112	48,562,442 7,606,259	31,679,593 7,283,041	60,000,187 14,957,241
Net margin Median	4.45925% 4.62%	11.61169% 4.42%	11.03652% 5.16%	5.68986% 5.2%	9.82282% 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. JOHN 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	123,549,300 23,241,334	135,360,626 23,709,545	105,575,722 24,248,380	129,069,611 22,858,541	135,008,011 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	123,549,300 21,577,146	135,360,626 22,041,594	105,575,722 22,722,063	129,069,611 21,570,441	135,008,011 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	42,619,131 11,160,864	45,798,375 11,987,345	33,146,390 12,926,866	38,297,152 11,884,480	35,568,332 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	42,619,131 10,918,923	45,798,375 11,706,976	33,146,390 12,615,917	38,297,152 11,458,116	35,568,332 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	6,188,984 3,284,314	6,978,312 3,250,551	5,740,401 3,386,837	7,122,034 3,360,806	7,240,305 3,508,953
Disproportionate-share hospital (DSH) Median	2,018,432 594,888	1,944,683 595,761	1,422,528 577,894	1,479,270 542,168	1,450,003 549,667
Outlier Median	4,023,350 582,572	4,246,234 538,116	259,155 212,434	327,337 126,559	206,804 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	3,293,251 3,662,910	0 3,730,911	0 4,081,319	0 4,643,908	0 4,389,147
Charity care Median	58,075,288 2,654,636	50,389,904 2,940,659	32,176,696 3,380,215	44,838,450 3,488,738	42,009,378 3,233,405
Uncompensated care (UCC) Median	69,566,910 5,147,790	62,457,282 5,337,617	40,329,620 5,711,082	57,668,737 5,923,418	55,206,696 5,508,107
UCC as a % of operating expenses Median	12.63% 3.24	12.43% 3.12	10.30% 3.21	10.98% 3.3	10.04% 2.86
Total shortfall/UCC Median	72,860,161 9,489,989	62,457,282 9,424,297	40,329,620 10,120,158	57,668,737 11,171,337	55,206,696 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	151,540,531 52,142,039	148,038,201 54,485,252	109,681,409 57,395,589	146,895,564 58,830,919	155,261,474 61,722,907
Salaries as a % of operating expenses Median	27.50 36.68	29.46 36.56	28.02 36.37	27.98 35.93	28.24 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	5,113,630 1,186,494	0 1,204,885	5,517,381 1,279,653	5,362,308 1,469,317
Contract adjusted salaries, direct-care Median	15,693,587 1,449,244	14,888,593 1,475,986	8,656,975 1,563,078	16,530,862 1,721,954	7,448,654 2,991,828
Contract hours, direct-care Median	255,324.48 22,725	327,348.12 23,018.5	119,309.14 24,503.48	322,532.97 25,026.5	69,789.10 33,786
Contract wages, direct-care Median	61.47 64.67	45.48 64.53	72.56 65.06	51.25 68.97	106.73 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.