As of the July, 2022, release via CMS

UNIVERSITY MEDICAL CENTER

CMS id: 290007
1800 W CHARLESTON BLVD, LAS VEGAS NV 89102. County: CLARK
System: --
CBSA: Las Vegas-Henderson-Paradise, NV

The 508-bed, acute-care hospital had $-39,661,041 in net service to patients*, with a total profit margin of 7.07729% in fiscal year 2021, the latest year available.
It spent 5.05% of its operating expenses on uncompensated care and reported $21,138,550 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	gov	gov	gov	gov	gov
Acute beds Median	365 118	357 118	358 119.5	358 118	368 119
Total beds Median	505 162	497 162	498 162	498 162	508 163.5
FTEs Median	3,427.66 788.06	3,597.25 793.42	3,632.29 806.03	3,456.23 787.61	3,321.12 804.34

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	632,093,941 150,932,746	649,511,610 158,950,878	682,222,696 168,696,998	591,637,891 163,454,693	769,607,173 186,589,412
Operating expenses Median	631,802,315 149,311,209	678,764,506 156,110,414	698,084,973 164,890,568	730,361,581 166,516,854	809,268,214 180,120,888
Net income from service 2 patients (NS2P) ? Median	291,626 -964,173	-29,252,896 -643,601.5	-15,862,277 -116,254	-138,723,690 -5,025,862	-39,661,041 -1,284,564
NS2P margin ? Median	0.05% -0.62	-4.50% -0.29	-2.33% 0.18	-23.45% -5.07	-5.15% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for UNIVERSITY 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	43,156,715 5,089,215	42,234,158 4,572,541	47,512,913 5,268,134	91,499,094 13,092,619	101,297,527 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	32,971,383 224,999	2,320,308 199,009	2,324,207 206,870.5	2,551,128 194,343	6,539,531 249,496
⊳ Line 7: Investments ? ⊳ Median	403,819 299,524	936,229 188,688.5	8,810,497 370,813	10,261,725 309,361.5	-1,295,236 375,329
⊳ 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	1,456,303	1,288,993	1,309,681	1,150,509	1,655,598
⊳ 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	2,683	2,514	291	-229	1,066
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	285,811	527,244	436,094	140,079	687,639
⊳ 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	1,389,155	1,844,929	1,533,046	1,302,085	1,341,932
⊳ Line 23: Gov appropriations ? ⊳ Median	1,000,000 1,017,693	31,416,959 983,261.5	26,639,546 1,173,286	40,000,000 1,987,202	31,000,000 1,597,664
⊳ Sum Line 24	5,647,541	3,896,982	6,459,551	36,093,797	61,366,997
Total income ? Median	43,448,341 6,586,430	12,981,262 6,767,106	31,650,636 8,419,950	-47,224,596 8,094,175	61,636,486 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	2 89,880.5	-2 106,761	0 31,473.5
Net income Median	43,448,341 6,043,842	12,981,262 5,845,112	31,650,634 7,606,259	-47,224,594 7,283,041	61,636,486 14,957,241
Net margin Median	6.43440% 4.62%	1.87659% 4.42%	4.33727% 5.16%	-6.91290% 5.2%	7.07729% 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 UNIVERSITY 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	82,320,282 23,241,334	84,127,320 23,709,545	94,702,525 24,248,380	81,237,195 22,858,541	95,294,571 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	82,320,282 21,577,146	84,127,320 22,041,594	94,702,525 22,722,063	81,237,195 21,570,441	95,294,571 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	12,853,632 11,160,864	12,038,968 11,987,345	13,737,965 12,926,866	13,558,651 11,884,480	11,311,307 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	12,853,632 10,918,923	12,038,968 11,706,976	13,737,965 12,615,917	13,558,651 11,458,116	11,311,307 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	10,704,551 3,284,314	10,893,348 3,250,551	11,141,485 3,386,837	10,593,239 3,360,806	12,202,361 3,508,953
Disproportionate-share hospital (DSH) Median	3,984,350 594,888	3,575,476 595,761	3,997,809 577,894	3,324,501 542,168	3,483,298 549,667
Outlier Median	7,785,000 582,572	5,512,974 538,116	6,831,513 212,434	686,247 126,559	673,845 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	9,824,081 3,662,910	21,801,955 3,730,911	16,758,295 4,081,319	21,702,987 4,643,908	21,138,550 4,389,147
Charity care Median	1,417,437 2,654,636	11,705,809 2,940,659	13,424,667 3,380,215	10,864,849 3,488,738	11,987,153 3,233,405
Uncompensated care (UCC) Median	41,607,993 5,147,790	45,481,670 5,337,617	38,606,239 5,711,082	42,627,988 5,923,418	40,864,253 5,508,107
UCC as a % of operating expenses Median	6.59% 3.24	6.70% 3.12	5.53% 3.21	5.84% 3.3	5.05% 2.86
Total shortfall/UCC Median	51,432,074 9,489,989	67,283,625 9,424,297	55,364,534 10,120,158	64,330,975 11,171,337	62,002,803 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	261,221,071 52,142,039	281,932,057 54,485,252	300,847,955 57,395,589	301,937,686 58,830,919	306,000,385 61,722,907
Salaries as a % of operating expenses Median	41.35 36.68	41.54 36.56	43.10 36.37	41.34 35.93	37.81 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	13,226,436 1,251,927	12,707,274 1,186,494	13,969,835 1,204,885	14,602,264 1,279,653	14,928,245 1,469,317
Contract adjusted salaries, direct-care Median	21,929,156 1,449,244	23,690,831 1,475,986	20,415,803 1,563,078	24,734,524 1,721,954	39,293,876 2,991,828
Contract hours, direct-care Median	505,701.00 22,725	530,552.00 23,018.5	494,788.00 24,503.48	546,853.00 25,026.5	648,850.00 33,786
Contract wages, direct-care Median	43.36 64.67	44.65 64.53	41.26 65.06	45.23 68.97	60.56 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.