As of the July, 2022, release via CMS

RENOWN SOUTH MEADOWS MED CTR

CMS id: 290049
1155 MILL STREET, RENO NV 89502. County: WASHOE
System: RENOWN HEALTH
CBSA: Reno, NV

The 138-bed, acute-care hospital had $12,136,648 in net service to patients*, with a total profit margin of 10.88181% in fiscal year 2021, the latest year available.
It spent 2.80% of its operating expenses on uncompensated care and reported $6,990,472 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	nfp	nfp	nfp
Acute beds Median	35 118	39 118	42 119.5	45 118	48 119
Total beds Median	138 162	138 162	138 162	138 162	138 163.5
FTEs Median	560.95 788.06	579.32 793.42	612.15 806.03	612.53 787.61	636.56 804.34

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	120,714,716 150,932,746	129,745,678 158,950,878	139,091,345 168,696,998	134,664,851 163,454,693	152,806,088 186,589,412
Operating expenses Median	99,924,421 149,311,209	106,657,934 156,110,414	118,529,926 164,890,568	120,407,743 166,516,854	140,669,440 180,120,888
Net income from service 2 patients (NS2P) ? Median	20,790,295 -964,173	23,087,744 -643,601.5	20,561,419 -116,254	14,257,108 -5,025,862	12,136,648 -1,284,564
NS2P margin ? Median	17.22% -0.62	17.79% -0.29	14.78% 0.18	10.59% -5.07	7.94% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for RENOWN SOUTH MEADOWS MED CTR 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	4,083,204 5,089,215	4,591,109 4,572,541	4,194,907 5,268,134	5,817,725 13,092,619	5,039,842 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	839,996	611,918	682,291	413,136	283,146
⊳ 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	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	3,243,208	3,979,191	3,512,616	5,404,589	4,756,696
Total income ? Median	24,873,499 6,586,430	27,678,853 6,767,106	24,756,326 8,419,950	20,074,833 8,094,175	17,176,490 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	24,873,499 6,043,842	27,678,853 5,845,112	24,756,326 7,606,259	20,074,833 7,283,041	17,176,490 14,957,241
Net margin Median	19.93102% 4.62%	20.60408% 4.42%	17.27753% 5.16%	14.28991% 5.2%	10.88181% 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 SOUTH MEADOWS MED CTR 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	21,153,567 23,241,334	21,997,462 23,709,545	23,006,938 24,248,380	23,603,252 22,858,541	24,931,772 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	13,832,351 21,577,146	14,481,506 22,041,594	15,402,369 22,722,063	13,860,660 21,570,441	15,618,434 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	7,321,216 3,535,627	7,515,956 3,746,588	7,604,569 3,782,288	9,742,592 3,865,578	9,313,338 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	7,916,840 11,160,864	8,674,274 11,987,345	10,253,633 12,926,866	10,750,990 11,884,480	15,561,568 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	7,916,840 10,918,923	8,674,274 11,706,976	10,253,633 12,615,917	10,750,990 11,458,116	15,561,568 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	105,490 594,888	0 595,761	124,193 577,894	0 542,168	0 549,667
Outlier Median	297,640 582,572	65,588 538,116	83,805 212,434	56,730 126,559	165,222 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	4,044,457 3,662,910	4,809,918 3,730,911	5,841,382 4,081,319	5,562,356 4,643,908	6,990,472 4,389,147
Charity care Median	446,132 2,654,636	1,656,307 2,940,659	1,793,333 3,380,215	1,797,465 3,488,738	2,270,074 3,233,405
Uncompensated care (UCC) Median	2,033,359 5,147,790	3,257,710 5,337,617	3,984,753 5,711,082	3,870,257 5,923,418	3,937,860 5,508,107
UCC as a % of operating expenses Median	2.03% 3.24	3.05% 3.12	3.36% 3.21	3.21% 3.3	2.80% 2.86
Total shortfall/UCC Median	6,077,816 9,489,989	8,067,628 9,424,297	9,826,135 10,120,158	9,432,613 11,171,337	10,928,332 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	34,028,871 52,142,039	36,627,390 54,485,252	40,556,758 57,395,589	42,051,358 58,830,919	45,738,214 61,722,907
Salaries as a % of operating expenses Median	34.05 36.68	34.34 36.56	34.22 36.37	34.92 35.93	32.51 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	928,626 1,449,244	1,531,047 1,475,986	2,711,404 1,563,078	4,842,723 1,721,954	7,307,427 2,991,828
Contract hours, direct-care Median	11,777.00 22,725	19,972.00 23,018.5	37,283.32 24,503.48	64,156.08 25,026.5	63,393.56 33,786
Contract wages, direct-care Median	78.85 64.67	76.66 64.53	72.72 65.06	75.48 68.97	115.27 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.