As of the July, 2022, release via CMS

RENOWN REGIONAL MEDICAL CENTER

CMS id: 290001
1155 MILL STREET, RENO NV 89502. County: WASHOE
System: RENOWN HEALTH
CBSA: Reno, NV

The 650-bed, acute-care hospital had $1,289,784 in net service to patients*, with a total profit margin of 1.38718% in fiscal year 2021, the latest year available.
It spent 4.01% of its operating expenses on uncompensated care and reported $70,505,232 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	nfp	nfp	nfp	nfp
Acute beds Median	313 118	344 118	344 119.5	348 118	349 119
Total beds Median	619 162	637 162	637 162	643 162	650 163.5
FTEs Median	3,018.84 788.06	3,196.50 793.42	3,439.88 806.03	3,465.24 787.61	3,454.87 804.34

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	704,630,831 150,932,746	772,562,788 158,950,878	809,139,413 168,696,998	804,857,147 163,454,693	862,356,806 186,589,412
Operating expenses Median	645,590,479 149,311,209	700,808,486 156,110,414	753,076,087 164,890,568	801,780,364 166,516,854	861,067,022 180,120,888
Net income from service 2 patients (NS2P) ? Median	59,040,352 -964,173	71,754,302 -643,601.5	56,063,326 -116,254	3,076,783 -5,025,862	1,289,784 -1,284,564
NS2P margin ? Median	8.38% -0.62	9.29% -0.29	6.93% 0.18	0.38% -5.07	0.15% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for RENOWN REGIONAL 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	12,951,552 5,089,215	15,313,618 4,572,541	3,536,022 5,268,134	16,642,018 13,092,619	10,822,804 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	0 206,870.5	0 194,343	1,860,867 249,496
⊳ Line 7: Investments ? ⊳ Median	-1,445,624 299,524	-1,128,876 188,688.5	-39,924 370,813	-718,762 309,361.5	-33,353,516 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	0	0	-40,859	-28,699	-42,419
⊳ 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	3,013,946	3,099,327	3,530,484	3,234,828	2,523,304
⊳ 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	987,658	-52,559	621,179	1,442,933	4,042,775
⊳ 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	498,265	502,820	553,501	344,820	270,722
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ Line 22: Rental of hospital space	0	0	37,641	10,235	14,463
⊳ Line 23: Gov appropriations ? ⊳ Median	0 1,017,693	0 983,261.5	0 1,173,286	0 1,987,202	1,476,043 1,597,664
⊳ Sum Line 24	9,897,307	12,892,906	-1,126,000	12,356,663	34,030,565
Total income ? Median	71,991,904 6,586,430	87,067,920 6,767,106	59,599,348 8,419,950	19,718,801 8,094,175	12,112,588 15,162,888
Non-operating expenses Median	8,308,662 146,289.5	-8,026,653 164,857	0 89,880.5	0 106,761	0 31,473.5
Net income Median	63,683,242 6,043,842	95,094,573 5,845,112	59,599,348 7,606,259	19,718,801 7,283,041	12,112,588 14,957,241
Net margin Median	8.87469% 4.62%	12.06973% 4.42%	7.33372% 5.16%	2.40034% 5.2%	1.38718% 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 RENOWN REGIONAL 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	132,395,201 23,241,334	136,681,480 23,709,545	131,911,639 24,248,380	120,555,095 22,858,541	128,149,378 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	132,395,201 21,577,146	136,681,480 22,041,594	131,911,639 22,722,063	120,555,095 21,570,441	128,149,378 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	49,217,000 11,160,864	52,267,662 11,987,345	59,092,160 12,926,866	56,734,182 11,884,480	59,610,090 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	46,300,171 10,918,923	48,849,153 11,706,976	55,712,317 12,615,917	53,803,241 11,458,116	58,584,275 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	2,916,829 1,282,808	3,418,509 1,407,728	3,379,843 1,341,512	2,930,941 1,407,046	1,025,815 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	6,506,235 3,284,314	6,591,306 3,250,551	6,465,184 3,386,837	6,044,059 3,360,806	6,229,735 3,508,953
Disproportionate-share hospital (DSH) Median	4,989,546 594,888	5,696,931 595,761	5,187,499 577,894	3,984,011 542,168	3,946,398 549,667
Outlier Median	3,536,504 582,572	2,135,221 538,116	2,698,885 212,434	822,370 126,559	714,495 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	41,420,693 3,662,910	47,959,588 3,730,911	57,156,624 4,081,319	79,540,600 4,643,908	70,505,232 4,389,147
Charity care Median	7,308,176 2,654,636	19,380,216 2,940,659	19,015,628 3,380,215	18,845,393 3,488,738	23,070,108 3,233,405
Uncompensated care (UCC) Median	16,966,112 5,147,790	30,146,450 5,337,617	34,097,708 5,711,082	32,024,699 5,923,418	34,557,476 5,508,107
UCC as a % of operating expenses Median	2.63% 3.24	4.30% 3.12	4.53% 3.21	3.99% 3.3	4.01% 2.86
Total shortfall/UCC Median	58,386,805 9,489,989	78,106,038 9,424,297	91,254,332 10,120,158	111,565,299 11,171,337	105,062,708 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	182,775,694 52,142,039	201,703,837 54,485,252	224,962,295 57,395,589	234,882,243 58,830,919	253,184,652 61,722,907
Salaries as a % of operating expenses Median	28.31 36.68	28.78 36.56	29.87 36.37	29.30 35.93	29.40 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	6,345,078 1,251,927	7,845,271 1,186,494	0 1,204,885	8,898,170 1,279,653	9,290,455 1,469,317
Contract adjusted salaries, direct-care Median	42,335,928 1,449,244	46,198,352 1,475,986	43,949,731 1,563,078	50,701,060 1,721,954	59,678,571 2,991,828
Contract hours, direct-care Median	574,887.48 22,725	632,696.00 23,018.5	644,558.90 24,503.48	695,855.37 25,026.5	641,950.62 33,786
Contract wages, direct-care Median	73.64 64.67	73.02 64.53	68.19 65.06	72.86 68.97	92.96 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.