As of the July, 2022, release via CMS

CENTENNIAL HILLS HOSPITAL

CMS id: 290054
6900 N. DURANGO DRIVE, LAS VEGAS NV 89149. County: CLARK
System: UHS OF DELAWARE INC.
CBSA: Las Vegas-Henderson-Paradise, NV

The 309-bed, acute-care hospital had $51,528,567 in net service to patients*, with a total profit margin of 16.92399% in fiscal year 2021, the latest year available.
It spent 2.57% of its operating expenses on uncompensated care and reported $19,994,855 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	218 118	217 118	217 119.5	227 118	252 119
Total beds Median	249 162	248 162	248 162	258 162	309 163.5
FTEs Median	1,019.53 788.06	1,062.25 793.42	1,060.28 806.03	1,112.04 787.61	1,240.79 804.34

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	263,284,766 150,932,746	284,778,447 158,950,878	267,495,440 168,696,998	260,070,724 163,454,693	315,754,732 186,589,412
Operating expenses Median	215,724,470 149,311,209	234,068,177 156,110,414	215,861,987 164,890,568	224,604,365 166,516,854	264,226,165 180,120,888
Net income from service 2 patients (NS2P) ? Median	47,560,296 -964,173	50,710,270 -643,601.5	51,633,453 -116,254	35,466,359 -5,025,862	51,528,567 -1,284,564
NS2P margin ? Median	18.06% -0.62	17.81% -0.29	19.30% 0.18	13.64% -5.07	16.32% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for CENTENNIAL HILLS HOSPITAL 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	626,066 5,089,215	660,045 4,572,541	700,779 5,268,134	10,459,553 13,092,619	2,298,769 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	462,280	493,764	559,998	414,309	469,326
⊳ 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	1,716
⊳ 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	188	11,974	2,542	1,326	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	163,598	154,307	138,239	10,043,918	1,827,727
Total income ? Median	48,186,362 6,586,430	51,370,315 6,767,106	52,334,232 8,419,950	45,925,912 8,094,175	53,827,336 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	48,186,362 6,043,842	51,370,315 5,845,112	52,334,232 7,606,259	45,925,912 7,283,041	53,827,336 14,957,241
Net margin Median	18.25858% 4.62%	17.99698% 4.42%	19.51341% 5.16%	16.97626% 5.2%	16.92399% 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 CENTENNIAL HILLS HOSPITAL 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	36,721,788 23,241,334	41,695,220 23,709,545	41,426,006 24,248,380	40,428,333 22,858,541	42,893,708 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	36,721,788 21,577,146	41,695,220 22,041,594	41,426,006 22,722,063	40,428,333 21,570,441	42,893,708 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	6,764,029 11,160,864	8,025,746 11,987,345	7,634,656 12,926,866	6,275,371 11,884,480	6,789,705 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	6,764,029 10,918,923	8,025,746 11,706,976	7,634,656 12,615,917	6,275,371 11,458,116	6,789,705 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	52,331 3,250,551	63,010 3,386,837	81,545 3,360,806	213,539 3,508,953
Disproportionate-share hospital (DSH) Median	1,343,338 594,888	1,376,997 595,761	1,453,564 577,894	1,181,684 542,168	1,258,279 549,667
Outlier Median	379,624 582,572	860,311 538,116	61,456 212,434	41,858 126,559	52,694 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	11,420,295 3,662,910	11,414,823 3,730,911	14,474,482 4,081,319	13,962,478 4,643,908	19,994,855 4,389,147
Charity care Median	3,499,368 2,654,636	3,261,943 2,940,659	4,509,384 3,380,215	4,163,686 3,488,738	3,592,315 3,233,405
Uncompensated care (UCC) Median	5,483,862 5,147,790	5,998,028 5,337,617	7,554,034 5,711,082	7,479,980 5,923,418	6,803,524 5,508,107
UCC as a % of operating expenses Median	2.54% 3.24	2.56% 3.12	3.50% 3.21	3.33% 3.3	2.57% 2.86
Total shortfall/UCC Median	16,904,157 9,489,989	17,412,851 9,424,297	22,028,516 10,120,158	21,442,458 11,171,337	26,798,379 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	74,146,137 52,142,039	79,075,396 54,485,252	77,552,996 57,395,589	84,070,840 58,830,919	93,905,212 61,722,907
Salaries as a % of operating expenses Median	34.37 36.68	33.78 36.56	30.87 36.37	31.87 35.93	31.06 35.24
Intern, resident salaries* Median	0 2,598,592	325,885 2,686,824	26,601 2,753,773	-188 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	7,080 1,449,244	15,110 1,475,986	6,210 1,563,078	113,658 1,721,954	3,032,279 2,991,828
Contract hours, direct-care Median	65.97 22,725	137.47 23,018.5	183.01 24,503.48	698.50 25,026.5	22,577.85 33,786
Contract wages, direct-care Median	107.32 64.67	109.91 64.53	33.93 65.06	162.72 68.97	134.30 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.