As of the July, 2022, release via CMS

SAINT FRANCIS HOSPITAL SOUTH

CMS id: 370218
10501 EAST 91ST STREET SOUTH, TULSA OK 74133. County: TULSA
System: SAINT FRANCIS HEALTH SYSTEM
CBSA: Tulsa, OK

The 96-bed, acute-care hospital had $69,811,716 in net service to patients*, with a total profit margin of 41.42772% in fiscal year 2021, the latest year available.
It spent 8.47% 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	nfp	nfp	nfp	nfp	nfp
Acute beds Median	88 118	88 118	88 119.5	88 118	96 119
Total beds Median	88 162	88 162	88 162	88 162	96 163.5
FTEs Median	468.61 788.06	485.32 793.42	535.56 806.03	564.66 787.61	598.98 804.34

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	108,193,271 150,932,746	117,435,416 158,950,878	142,843,505 168,696,998	150,798,609 163,454,693	175,244,088 186,589,412
Operating expenses Median	72,483,598 149,311,209	76,595,183 156,110,414	88,105,631 164,890,568	94,522,939 166,516,854	105,432,372 180,120,888
Net income from service 2 patients (NS2P) ? Median	35,709,673 -964,173	40,840,233 -643,601.5	54,737,874 -116,254	56,275,670 -5,025,862	69,811,716 -1,284,564
NS2P margin ? Median	33.01% -0.62	34.78% -0.29	38.32% 0.18	37.32% -5.07	39.84% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for SAINT FRANCIS HOSPITAL SOUTH 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	1,957,937 5,089,215	591,463 4,572,541	1,195,585 5,268,134	4,681,073 13,092,619	4,759,776 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	7,214 224,999	43 199,009	100 206,870.5	0 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	1,239 299,524	1,863 188,688.5	0 370,813	0 309,361.5	0 375,329
⊳ 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	444,269	457,421	498,570	524,959	500,651
⊳ 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	102,495	91,397	84,676	63,247	213
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ Line 22: Rental of hospital space	293,465	281,015	263,629	413,581	492,309
⊳ Line 23: Gov appropriations ? ⊳ Median	466,754 1,017,693	0 983,261.5	0 1,173,286	0 1,987,202	0 1,597,664
⊳ Sum Line 24	642,501	-240,276	348,610	3,679,286	3,766,603
Total income ? Median	37,667,610 6,586,430	41,431,696 6,767,106	55,933,459 8,419,950	60,956,743 8,094,175	74,571,492 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	0 106,761	0 31,473.5
Net income Median	37,667,610 6,043,842	41,431,696 5,845,112	55,933,459 7,606,259	60,956,743 7,283,041	74,571,492 14,957,241
Net margin Median	34.19627% 4.62%	35.10361% 4.42%	38.83214% 5.16%	39.20560% 5.2%	41.42772% 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 SAINT FRANCIS HOSPITAL SOUTH 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	13,431,833 23,241,334	13,241,096 23,709,545	16,210,707 24,248,380	16,837,863 22,858,541	18,662,425 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	13,431,833 21,577,146	13,241,096 22,041,594	16,210,707 22,722,063	16,837,863 21,570,441	18,662,425 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	7,154,792 11,160,864	8,510,064 11,987,345	10,194,832 12,926,866	9,900,978 11,884,480	10,164,060 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	7,154,792 10,918,923	8,510,064 11,706,976	10,194,832 12,615,917	9,900,978 11,458,116	10,164,060 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	265,467 594,888	249,730 595,761	220,179 577,894	262,294 542,168	207,490 549,667
Outlier Median	161,126 582,572	45,886 538,116	13,392 212,434	11,321 126,559	16,788 139,139

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	4,687,186 2,654,636	3,288,555 2,940,659	4,204,202 3,380,215	4,464,696 3,488,738	5,970,478 3,233,405
Uncompensated care (UCC) Median	7,779,003 5,147,790	6,312,766 5,337,617	7,338,461 5,711,082	9,534,170 5,923,418	8,933,905 5,508,107
UCC as a % of operating expenses Median	10.73% 3.24	8.24% 3.12	8.33% 3.21	10.09% 3.3	8.47% 2.86
Total shortfall/UCC Median	7,779,003 9,489,989	6,312,766 9,424,297	7,338,461 10,120,158	9,534,170 11,171,337	8,933,905 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	29,481,026 52,142,039	31,865,797 54,485,252	35,345,691 57,395,589	38,971,500 58,830,919	42,099,165 61,722,907
Salaries as a % of operating expenses Median	40.67 36.68	41.60 36.56	40.12 36.37	41.23 35.93	39.93 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	198,915 1,449,244	363,040 1,475,986	183,273 1,563,078	393,908 1,721,954	320,912 2,991,828
Contract hours, direct-care Median	2,585.00 22,725	4,857.00 23,018.5	2,743.00 24,503.48	5,995.00 25,026.5	3,091.00 33,786
Contract wages, direct-care Median	76.95 64.67	74.75 64.53	66.81 65.06	65.71 68.97	103.82 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.