As of the July, 2022, release via CMS

ST MARYS REGIONAL MEDICAL CENTER

CMS id: 290009
235 WEST SIXTH STREET, RENO NV 89503. County: WASHOE
System: PRIME HEALTHCARE SERVICES INC
CBSA: Reno, NV

The 380-bed, acute-care hospital had $10,537,069 in net service to patients*, with a total profit margin of 7.87274% in fiscal year 2021, the latest year available.
It spent 0.66% of its operating expenses on uncompensated care and reported $19,511,634 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	195 118	195 118	181 119.5	299 118	299 119
Total beds Median	252 162	252 162	262 162	376 162	380 163.5
FTEs Median	1,428.75 788.06	1,386.50 793.42	1,362.77 806.03	1,354.41 787.61	1,304.78 804.34

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	249,845,599 150,932,746	265,375,250 158,950,878	291,502,674 168,696,998	283,744,975 163,454,693	293,900,112 186,589,412
Operating expenses Median	249,791,803 149,311,209	250,376,036 156,110,414	273,393,965 164,890,568	279,387,586 166,516,854	283,363,043 180,120,888
Net income from service 2 patients (NS2P) ? Median	53,796 -964,173	14,999,214 -643,601.5	18,108,709 -116,254	4,357,389 -5,025,862	10,537,069 -1,284,564
NS2P margin ? Median	0.02% -0.62	5.65% -0.29	6.21% 0.18	1.54% -5.07	3.59% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ST MARYS 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	7,507,905 5,089,215	8,621,986 4,572,541	5,200,445 5,268,134	6,880,899 13,092,619	13,677,750 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	0 299,524	0 188,688.5	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	3,605	1,187	930	26	21
⊳ Line 11: Rebates and refunds of expenses	571,903	310,813	172,204	102,238	159,216
⊳ Line 12: Parking lot receipts	24,593	28,891	30,794	78,863	84,248
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	1,687,421	1,588,507	1,634,867	1,223,370	1,187,296
⊳ 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	8,834	12,448	480	935	121
⊳ Line 18: Revenue from sale of medical records and abstracts	24,225	9,626	6,057	7,539	5,526
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	50	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	0
⊳ Line 21: Rental of vending machines	2,305	1,951	3,875	5,199	2,053
⊳ Line 22: Rental of hospital space	0	0	1,743,670	2,558,455	2,272,421
⊳ 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	5,185,019	6,668,513	1,607,568	2,904,274	9,966,848
Total income ? Median	7,561,701 6,586,430	23,621,200 6,767,106	23,309,154 8,419,950	11,238,288 8,094,175	24,214,819 15,162,888
Non-operating expenses Median	16,865,454 146,289.5	376,518 164,857	3,590 89,880.5	360,011 106,761	0 31,473.5
Net income Median	-9,303,753 6,043,842	23,244,682 5,845,112	23,305,564 7,606,259	10,878,277 7,283,041	24,214,819 14,957,241
Net margin Median	-3.61516% 4.62%	8.48355% 4.42%	7.85484% 5.16%	3.74305% 5.2%	7.87274% 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 ST MARYS 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	56,855,943 23,241,334	67,440,904 23,709,545	74,401,567 24,248,380	69,870,391 22,858,541	61,685,100 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	56,855,943 21,577,146	67,440,904 22,041,594	72,360,815 22,722,063	67,588,886 21,570,441	59,064,974 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	2,040,752 1,738,842	2,281,505 1,510,463	2,620,126 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	18,224,681 11,160,864	20,379,538 11,987,345	23,341,145 12,926,866	22,543,941 11,884,480	21,106,976 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	16,983,055 10,918,923	19,279,957 11,706,976	23,341,145 12,615,917	22,543,941 11,458,116	21,106,976 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	1,241,626 1,282,808	1,099,581 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	2,199,179 594,888	2,476,777 595,761	2,630,820 577,894	2,279,717 542,168	1,985,323 549,667
Outlier Median	1,299,456 582,572	564,004 538,116	266,128 212,434	409,472 126,559	557,694 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	22,951,906 3,662,910	16,719,141 3,730,911	15,613,724 4,081,319	16,486,087 4,643,908	19,511,634 4,389,147
Charity care Median	1,686,515 2,654,636	848,289 2,940,659	1,392,825 3,380,215	8,983,062 3,488,738	1,060,788 3,233,405
Uncompensated care (UCC) Median	9,939,700 5,147,790	2,721,513 5,337,617	10,022,296 5,711,082	21,299,085 5,923,418	1,868,232 5,508,107
UCC as a % of operating expenses Median	3.98% 3.24	1.09% 3.12	3.67% 3.21	7.62% 3.3	0.66% 2.86
Total shortfall/UCC Median	32,891,606 9,489,989	19,440,654 9,424,297	25,636,020 10,120,158	37,785,172 11,171,337	21,379,866 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	101,864,258 52,142,039	96,250,444 54,485,252	98,068,898 57,395,589	100,179,298 58,830,919	103,867,493 61,722,907
Salaries as a % of operating expenses Median	33.45 36.68	32.10 36.56	35.87 36.37	35.86 35.93	36.66 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	447,458 1,449,244	1,611,293 1,475,986	1,079,025 1,563,078	2,787,667 1,721,954	5,479,814 2,991,828
Contract hours, direct-care Median	5,233.00 22,725	20,906.00 23,018.5	11,852.00 24,503.48	34,237.00 25,026.5	38,428.00 33,786
Contract wages, direct-care Median	85.51 64.67	77.07 64.53	91.04 65.06	81.42 68.97	142.60 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.