As of the July, 2022, release via CMS

CTR FOR ORTHOPEDIC & MULTI - SPEC

CMS id: 370212
8100 SOUTH WALKER, OKLAHOMA CITY OK 73139. County: OKLAHOMA
System: --
CBSA: Oklahoma City, OK

The 9-bed, acute-care hospital had $17,988,386 in net service to patients*, with a total profit margin of 26.49765% in fiscal year 2021, the latest year available.
It spent 1.64% 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	forprofit	forprofit	forprofit	forprofit	forprofit
Acute beds Median	10 118	10 118	9 119.5	9 118	9 119
Total beds Median	10 162	10 162	9 162	9 162	9 163.5
FTEs Median	215.01 788.06	202.79 793.42	175.62 806.03	184.72 787.61	184.58 804.34

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	61,908,468 150,932,746	64,963,289 158,950,878	59,106,293 168,696,998	55,577,333 163,454,693	60,847,014 186,589,412
Operating expenses Median	50,614,324 149,311,209	50,902,761 156,110,414	44,066,074 164,890,568	39,572,893 166,516,854	42,858,628 180,120,888
Net income from service 2 patients (NS2P) ? Median	11,294,144 -964,173	14,060,528 -643,601.5	15,040,219 -116,254	16,004,440 -5,025,862	17,988,386 -1,284,564
NS2P margin ? Median	18.24% -0.62	21.64% -0.29	25.45% 0.18	28.80% -5.07	29.56% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for CTR FOR ORTHOPEDIC & MULTI - SPEC 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	3,880,773 5,089,215	3,278,316 4,572,541	1,696,148 5,268,134	2,302,035 13,092,619	1,266,270 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	21,122 299,524	16,706 188,688.5	15,663 370,813	20,128 309,361.5	22,679 375,329
⊳ 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	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	1,142	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	1,216	0	2,111	7,375	1,637
⊳ 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	3,858,435	3,260,468	1,678,374	2,274,532	1,241,954
Total income ? Median	15,174,917 6,586,430	17,338,844 6,767,106	16,736,367 8,419,950	18,306,475 8,094,175	19,254,656 15,162,888
Non-operating expenses Median	1,514,386 146,289.5	1,617,501 164,857	59,288 89,880.5	0 106,761	2,796,096 31,473.5
Net income Median	13,660,531 6,043,842	15,721,343 5,845,112	16,677,079 7,606,259	18,306,475 7,283,041	16,458,560 14,957,241
Net margin Median	20.76408% 4.62%	23.03777% 4.42%	27.42831% 5.16%	31.62867% 5.2%	26.49765% 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 CTR FOR ORTHOPEDIC & MULTI - SPEC 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	3,689,211 23,241,334	3,920,315 23,709,545	3,571,033 24,248,380	2,131,439 22,858,541	1,461,937 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	3,689,211 21,577,146	3,920,315 22,041,594	3,571,033 22,722,063	2,131,439 21,570,441	1,461,937 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	9,124,120 11,160,864	8,554,802 11,987,345	6,747,028 12,926,866	5,191,650 11,884,480	7,135,185 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	9,124,120 10,918,923	8,554,802 11,706,976	6,747,028 12,615,917	5,191,650 11,458,116	7,135,185 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	24,332 582,572	17,830 538,116	19,624 212,434	1,722 126,559	6,670 139,139

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	62,139 2,654,636	65,696 2,940,659	0 3,380,215	84,767 3,488,738	288,919 3,233,405
Uncompensated care (UCC) Median	352,705 5,147,790	371,153 5,337,617	311,504 5,711,082	527,602 5,923,418	704,768 5,508,107
UCC as a % of operating expenses Median	0.70% 3.24	0.73% 3.12	0.71% 3.21	1.33% 3.3	1.64% 2.86
Total shortfall/UCC Median	352,705 9,489,989	371,153 9,424,297	311,504 10,120,158	527,602 11,171,337	704,768 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	11,534,071 52,142,039	11,749,753 54,485,252	10,422,950 57,395,589	9,497,426 58,830,919	10,721,105 61,722,907
Salaries as a % of operating expenses Median	22.79 36.68	23.08 36.56	23.65 36.37	25.28 35.93	25.02 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	153,391 1,449,244	31,566 1,475,986	126,958 1,563,078	110,742 1,721,954	289,664 2,991,828
Contract hours, direct-care Median	2,068.37 22,725	487.23 23,018.5	1,664.93 24,503.48	1,704.19 25,026.5	2,238.99 33,786
Contract wages, direct-care Median	74.16 64.67	64.79 64.53	76.25 65.06	64.98 68.97	129.37 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.