As of the July, 2022, release via CMS

SURGICAL HOSPITAL OF OKLAHOMA

CMS id: 370201
100 SE 59TH STREET, OKLAHOMA CITY OK 73129. County: OKLAHOMA
System: SURGICAL CARE AFFILIATES
CBSA: Oklahoma City, OK

The 12-bed, acute-care hospital had $-6,382,153 in net service to patients*, with a total profit margin of -30.07202% in fiscal year 2020, the latest year available.
It spent 0.14% of its operating expenses on uncompensated care and reported $372,321 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	--
Ownership	forprofit	forprofit	forprofit	forprofit	--
Acute beds Median	12 118	12 118	12 119.5	12 118	-- 119
Total beds Median	12 162	12 162	12 162	12 162	-- 163.5
FTEs Median	61.64 788.06	61.03 793.42	68.32 806.03	65.16 787.61	-- 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	13,303,235 150,932,746	17,682,837 158,950,878	18,585,364 168,696,998	13,997,276 163,454,693	-- 186,589,412
Operating expenses Median	14,786,008 149,311,209	15,453,680 156,110,414	22,438,743 164,890,568	20,379,429 166,516,854	-- 180,120,888
Net income from service 2 patients (NS2P) ? Median	-1,482,773 -964,173	2,229,157 -643,601.5	-3,853,379 -116,254	-6,382,153 -5,025,862	-- -1,284,564
NS2P margin ? Median	-11.15% -0.62	12.61% -0.29	-20.73% 0.18	-45.60% -5.07	--% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for SURGICAL HOSPITAL OF OKLAHOMA 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	279,385 5,089,215	18,669 4,572,541	194,217 5,268,134	1,670,528 13,092,619	-- 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	0 206,870.5	0 194,343	-- 249,496
⊳ Line 7: Investments ? ⊳ Median	0 299,524	0 188,688.5	0 370,813	0 309,361.5	-- 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	--
⊳ Line 11: Rebates and refunds of expenses	0	0	0	0	--
⊳ Line 12: Parking lot receipts	0	0	0	0	--
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	--
⊳ Line 14: Revenue from meals sold to emplyees and guests	0	0	0	0	--
⊳ Line 15: Revenue from rental of living quarters	0	0	0	0	--
⊳ Line 16: Revenue from sale of medical and surgical supplies	0	0	0	0	--
⊳ Line 17: Revenue from sale of drugs to other than patients	0	0	0	0	--
⊳ Line 18: Revenue from sale of medical records and abstracts	0	0	0	0	--
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	--
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	--
⊳ Line 21: Rental of vending machines	0	0	0	0	--
⊳ Line 22: Rental of hospital space	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	-- 1,597,664
⊳ Sum Line 24	279,385	18,669	194,217	1,670,528	--
Total income ? Median	-1,203,388 6,586,430	2,247,826 6,767,106	-3,659,162 8,419,950	-4,711,625 8,094,175	-- 15,162,888
Non-operating expenses Median	0 146,289.5	-1 164,857	0 89,880.5	0 106,761	-- 31,473.5
Net income Median	-1,203,388 6,043,842	2,247,827 5,845,112	-3,659,162 7,606,259	-4,711,625 7,283,041	-- 14,957,241
Net margin Median	-8.85976% 4.62%	12.69851% 4.42%	-19.48479% 5.16%	-30.07202% 5.2%	--% 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 SURGICAL HOSPITAL OF OKLAHOMA 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	809,140 23,241,334	1,076,959 23,709,545	1,910,471 24,248,380	1,509,547 22,858,541	-- 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	809,140 21,577,146	1,076,959 22,041,594	1,910,471 22,722,063	1,509,547 21,570,441	-- 22,140,684
⊳ Swingbeds ⊳ Median	0 --	0 --	0 --	0 --	-- --
⊳ Tax Equity and Fiscal Responsibility Act payments (TEFRA) ⊳ Median	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	-- 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	0 3,535,627	0 3,746,588	0 3,782,288	0 3,865,578	-- 3,983,889
⊳ Long-term care hospital (LTCH) ⊳ Median	0 --	0 --	0 --	0 --	-- --
⊳ Critical-access hospitals ⊳ Median	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	-- 1,179,746
All outpatient revenue Median Click here to show/hide details	2,836,202 11,160,864	2,358,915 11,987,345	3,523,757 12,926,866	3,032,502 11,884,480	-- 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	2,836,202 10,918,923	2,358,915 11,706,976	3,523,757 12,615,917	3,032,502 11,458,116	-- 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	0 1,282,808	0 1,407,728	0 1,341,512	0 1,407,046	-- 1,476,867
⊳ Community mental health clinics (CMHC) ⊳ Median	0 --	0 --	0 --	0 --	-- --
⊳ Rural health clinics ⊳ Median	0 618,038	0 697,279	0 690,232	0 684,010	-- 670,558
⊳ Other federally qualified health clinics ⊳ Median	0 --	0 --	0 --	0 --	-- --

Other payments

Item	2017	2018	2019	2020	2021
Graduate Medical Education (GME) Median	199,500 3,284,314	251,831 3,250,551	392,764 3,386,837	336,851 3,360,806	-- 3,508,953
Disproportionate-share hospital (DSH) Median	0 594,888	14,765 595,761	12,992 577,894	6,201 542,168	-- 549,667
Outlier Median	74,668 582,572	57,670 538,116	87,670 212,434	47,064 126,559	-- 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	898,968 3,662,910	542,185 3,730,911	606,169 4,081,319	372,321 4,643,908	-- 4,389,147
Charity care Median	0 2,654,636	0 2,940,659	0 3,380,215	0 3,488,738	-- 3,233,405
Uncompensated care (UCC) Median	263,056 5,147,790	8,835 5,337,617	81,148 5,711,082	29,021 5,923,418	-- 5,508,107
UCC as a % of operating expenses Median	1.78% 3.24	0.06% 3.12	0.36% 3.21	0.14% 3.3	--% 2.86
Total shortfall/UCC Median	1,162,024 9,489,989	551,020 9,424,297	687,317 10,120,158	401,342 11,171,337	-- 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	3,794,970 52,142,039	3,816,070 54,485,252	4,328,585 57,395,589	4,193,026 58,830,919	-- 61,722,907
Salaries as a % of operating expenses Median	25.67 36.68	24.69 36.56	19.29 36.37	20.57 35.93	-- 35.24
Intern, resident salaries* Median	189,962 2,598,592	173,393 2,686,824	174,406 2,753,773	175,781 2,937,156	-- 2,909,848
Contract intern, resident salaries* Median	0 1,251,927	0 1,186,494	0 1,204,885	0 1,279,653	-- 1,469,317
Contract adjusted salaries, direct-care Median	247,476 1,449,244	199,039 1,475,986	147,240 1,563,078	162,289 1,721,954	-- 2,991,828
Contract hours, direct-care Median	4,771.00 22,725	3,681.25 23,018.5	2,647.75 24,503.48	3,315.05 25,026.5	-- 33,786
Contract wages, direct-care Median	51.87 64.67	54.07 64.53	55.61 65.06	48.96 68.97	-- 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.