As of the July, 2022, release via CMS

SPRING VALLEY HOSPITAL MEDICAL CNTR

CMS id: 290046
5400 SOUTH RAINBOW BLVD, LAS VEGAS NV 89119. County: CLARK
System: UHS OF DELAWARE INC.
CBSA: Las Vegas-Henderson-Paradise, NV

The 338-bed, acute-care hospital had $56,572,634 in net service to patients*, with a total profit margin of 15.50781% in fiscal year 2021, the latest year available.
It spent 3.81% of its operating expenses on uncompensated care and reported $27,744,488 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	207 118	279 118	243 119.5	253 118	239 119
Total beds Median	292 162	359 162	332 162	342 162	338 163.5
FTEs Median	1,303.11 788.06	1,309.28 793.42	1,348.02 806.03	1,356.92 787.61	1,477.82 804.34

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	350,171,286 150,932,746	375,853,471 158,950,878	355,021,386 168,696,998	331,344,434 163,454,693	384,325,047 186,589,412
Operating expenses Median	299,951,965 149,311,209	320,138,442 156,110,414	290,456,234 164,890,568	294,167,136 166,516,854	327,752,413 180,120,888
Net income from service 2 patients (NS2P) ? Median	50,219,321 -964,173	55,715,029 -643,601.5	64,565,152 -116,254	37,177,298 -5,025,862	56,572,634 -1,284,564
NS2P margin ? Median	14.34% -0.62	14.82% -0.29	18.19% 0.18	11.22% -5.07	14.72% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for SPRING VALLEY HOSPITAL MEDICAL CNTR 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	805,070 5,089,215	943,794 4,572,541	952,002 5,268,134	19,105,287 13,092,619	3,583,503 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	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	685,983	668,765	761,680	551,197	384,850
⊳ 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	311	13,973	3,492	1,554	2,451
⊳ 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	118,776	261,056	186,830	18,552,536	3,196,202
Total income ? Median	51,024,391 6,586,430	56,658,823 6,767,106	65,517,154 8,419,950	56,282,585 8,094,175	60,156,137 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	51,024,391 6,043,842	56,658,823 5,845,112	65,517,154 7,606,259	56,282,585 7,283,041	60,156,137 14,957,241
Net margin Median	14.53784% 4.62%	15.03695% 4.42%	18.40507% 5.16%	16.06010% 5.2%	15.50781% 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 SPRING VALLEY HOSPITAL MEDICAL CNTR 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	55,719,720 23,241,334	57,194,909 23,709,545	65,024,341 24,248,380	61,008,740 22,858,541	69,664,261 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	48,950,345 21,577,146	50,274,111 22,041,594	56,774,325 22,722,063	53,716,719 21,570,441	58,030,691 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	6,769,375 3,535,627	6,920,798 3,746,588	8,250,016 3,782,288	7,292,021 3,865,578	11,633,570 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	7,883,552 11,160,864	9,103,452 11,987,345	9,827,764 12,926,866	8,341,198 11,884,480	9,825,894 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	7,883,552 10,918,923	9,103,452 11,706,976	9,827,764 12,615,917	8,341,198 11,458,116	9,825,894 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	543,559 3,386,837	1,810,787 3,360,806	2,772,619 3,508,953
Disproportionate-share hospital (DSH) Median	1,985,097 594,888	1,914,098 595,761	2,042,506 577,894	1,761,952 542,168	1,871,780 549,667
Outlier Median	838,482 582,572	1,271,847 538,116	138,496 212,434	95,047 126,559	240,714 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	17,774,739 3,662,910	19,202,286 3,730,911	21,078,126 4,081,319	22,693,335 4,643,908	27,744,488 4,389,147
Charity care Median	6,484,282 2,654,636	6,992,341 2,940,659	8,194,430 3,380,215	7,373,533 3,488,738	7,384,192 3,233,405
Uncompensated care (UCC) Median	9,896,941 5,147,790	11,679,351 5,337,617	14,241,417 5,711,082	13,215,638 5,923,418	12,496,560 5,508,107
UCC as a % of operating expenses Median	3.30% 3.24	3.65% 3.12	4.90% 3.21	4.49% 3.3	3.81% 2.86
Total shortfall/UCC Median	27,671,680 9,489,989	30,881,637 9,424,297	35,319,543 10,120,158	35,908,973 11,171,337	40,241,048 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	98,810,605 52,142,039	100,543,246 54,485,252	103,704,574 57,395,589	103,597,270 58,830,919	112,679,337 61,722,907
Salaries as a % of operating expenses Median	32.94 36.68	31.41 36.56	28.56 36.37	29.54 35.93	29.87 35.24
Intern, resident salaries* Median	0 2,598,592	0 2,686,824	904,733 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	521,510 1,449,244	17,539 1,475,986	7,263 1,563,078	669,771 1,721,954	5,496,199 2,991,828
Contract hours, direct-care Median	7,103.29 22,725	159.84 23,018.5	214.05 24,503.48	6,261.68 25,026.5	37,264.27 33,786
Contract wages, direct-care Median	73.42 64.67	109.73 64.53	33.93 65.06	106.96 68.97	147.49 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.