As of the July, 2022, release via CMS

OKLAHOMA SURGICAL HOSPITAL

CMS id: 370210
2408 EAST 81ST STREET, TULSA OK 74137. County: TULSA
System: --
CBSA: Tulsa, OK

The 75-bed, acute-care hospital had $30,948,960 in net service to patients*, with a total profit margin of 22.51767% in fiscal year 2021, the latest year available.
It spent 1.73% of its operating expenses on uncompensated care and reported $406,608 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	forprofit	forprofit	forprofit	forprofit
Acute beds Median	69 118	69 118	69 119.5	69 118	69 119
Total beds Median	75 162	75 162	75 162	75 162	75 163.5
FTEs Median	408.39 788.06	439.64 793.42	439.64 806.03	455.03 787.61	461.95 804.34

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	124,242,418 150,932,746	139,941,467 158,950,878	141,859,036 168,696,998	140,638,492 163,454,693	149,426,491 186,589,412
Operating expenses Median	95,848,572 149,311,209	111,957,008 156,110,414	117,736,381 164,890,568	120,213,200 166,516,854	118,477,531 180,120,888
Net income from service 2 patients (NS2P) ? Median	28,393,846 -964,173	27,984,459 -643,601.5	24,122,655 -116,254	20,425,292 -5,025,862	30,948,960 -1,284,564
NS2P margin ? Median	22.85% -0.62	20.00% -0.29	17.00% 0.18	14.52% -5.07	20.71% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for OKLAHOMA SURGICAL 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	2,736,619 5,089,215	4,690,147 4,572,541	9,591,649 5,268,134	6,030,907 13,092,619	3,482,762 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	32,599 299,524	67,922 188,688.5	113,322 370,813	109,074 309,361.5	88,405 375,329
⊳ 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	1,044,242	822,989	1,329,497	1,369,105	1,161,088
⊳ 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	0	0	0	0	0
⊳ 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	30,325	59,142	60,416	50,505	21,638
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	0
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ 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	1,629,453	3,740,094	8,088,414	4,502,223	2,211,631
Total income ? Median	31,130,465 6,586,430	32,674,606 6,767,106	33,714,304 8,419,950	26,456,199 8,094,175	34,431,722 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	0 106,761	119 31,473.5
Net income Median	31,130,465 6,043,842	32,674,606 5,845,112	33,714,304 7,606,259	26,456,199 7,283,041	34,431,603 14,957,241
Net margin Median	24.51622% 4.62%	22.59161% 4.42%	22.26091% 5.16%	18.03798% 5.2%	22.51767% 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 OKLAHOMA SURGICAL 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	19,125,712 23,241,334	21,795,231 23,709,545	19,585,174 24,248,380	17,749,128 22,858,541	16,976,399 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	19,125,712 21,577,146	21,795,231 22,041,594	19,585,174 22,722,063	17,749,128 21,570,441	16,976,399 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	12,631,201 11,160,864	19,451,829 11,987,345	18,112,769 12,926,866	15,569,841 11,884,480	16,201,666 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	12,631,201 10,918,923	19,451,829 11,706,976	18,112,769 12,615,917	15,569,841 11,458,116	16,201,666 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	0 3,284,314	0 3,250,551	0 3,386,837	0 3,360,806	0 3,508,953
Disproportionate-share hospital (DSH) Median	0 594,888	0 595,761	0 577,894	0 542,168	0 549,667
Outlier Median	29,876 582,572	181,746 538,116	53,416 212,434	24,049 126,559	41,470 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	458,305 3,662,910	1,038,084 3,730,911	608,168 4,081,319	253,824 4,643,908	406,608 4,389,147
Charity care Median	241,881 2,654,636	114,994 2,940,659	1,006,975 3,380,215	1,294,032 3,488,738	1,406,675 3,233,405
Uncompensated care (UCC) Median	870,064 5,147,790	863,436 5,337,617	1,900,213 5,711,082	1,995,190 5,923,418	2,053,703 5,508,107
UCC as a % of operating expenses Median	0.91% 3.24	0.77% 3.12	1.61% 3.21	1.66% 3.3	1.73% 2.86
Total shortfall/UCC Median	1,328,369 9,489,989	1,901,520 9,424,297	2,508,381 10,120,158	2,249,014 11,171,337	2,460,311 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	23,887,477 52,142,039	27,385,382 54,485,252	28,939,862 57,395,589	28,390,121 58,830,919	30,667,931 61,722,907
Salaries as a % of operating expenses Median	24.92 36.68	24.46 36.56	24.58 36.37	23.62 35.93	25.89 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	0 1,186,494	0 1,204,885	0 1,279,653	0 1,469,317
Contract adjusted salaries, direct-care Median	1,045,085 1,449,244	1,442,411 1,475,986	1,146,764 1,563,078	1,255,332 1,721,954	772,110 2,991,828
Contract hours, direct-care Median	18,459.00 22,725	23,190.75 23,018.5	18,972.00 24,503.48	20,387.00 25,026.5	11,658.00 33,786
Contract wages, direct-care Median	56.62 64.67	62.20 64.53	60.45 65.06	61.58 68.97	66.23 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.