Astrelis
Urban PPS hospital · Las Vegas, NV

UNIVERSITY MEDICAL CENTER

CCN 290007CLARK CountyVoluntary non-profit - OtherUrban (USDA RUCC)345 bedsLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read

A hospital in Las Vegas, NV. It ran an operating loss of 1.8% in FY25 on $1036.7M of operating revenue. It held 47 days of cash on hand (58th percentile among Urban PPS hospitals on liquidity). Including nonoperating items, the all-in result was positive at 0.5%.

Operating margin · FY25
-1.8%
1.8 pts vs FY24
vs Urban PPS hospitals40th pctl of 1,475 (FY25)
Days cash on hand · FY25
47d
all sources
45.6 days vs FY24
vs Urban PPS hospitals58th pctl of 1,386 (FY25)
Total operating revenue · FY25
$1.04B
71.3 $M vs FY24
vs Urban PPS hospitals88th pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
+0.5%
1.8 pts vs FY24
vs Urban PPS hospitals28th pctl of 1,475 (FY25)
One point of operating margin at UNIVERSITY MEDICAL CENTER is about $10.4M per year (1% of FY25 total operating revenue).

Where UNIVERSITY MEDICAL CENTER sits among Urban PPS hospitals

Operating margin · FY25 pool · n = 1,475 of 2,681 filed

Each point is one Urban PPS hospital in the national distribution for this provider type, placed by operating margin. Facilities are not matched on size, case mix, or market — that is the matched-peer comparison in the paid benchmark. The Urban PPS hospital median is +1.3%. Descriptive context only, not a ranking.

-20%-10%0%+10%+20%Urban PPS hospital median +1.3311360264910879%UNIVERSITY MEDICAL -1.7675504644069164%-20%0%+20%Urban PPS hospital median +1.3311360264910879%UNIVERSITY MEDICAL -1.7675504644069164%
One urban pps hospitalUNIVERSITY MEDICALUrban PPS hospital median

The money

$ thousands · HCRIS cost-report basis · as filed, QA-gated

Ratios tell you how this hospital is doing. Statements tell you what kind of organization it is, and where the money comes from. Every figure below traces to a public cost-report filing, shown as filed. A ratio renders only when every input is reported in the filing; a year missing its core lines is not shown; a year whose balance sheet does not reconcile is labeled. Not audited by Astrelis.

Operating margin
-1.8% (FY25)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
+0.5% (FY25)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
47d (FY25)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
HCRIS WS G / G-3
Current ratio
2.71× (FY25)
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
-24% (FY25)
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
100d (FY25)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line itemFY23FY24FY25
Patient revenue848,981959,5371,030,335
Other operating revenue4,2605,8416,331
Total operating revenue853,241965,3771,036,666
Total operating expenses861,977999,6441,054,990
Operating income(8,736)(34,266)(18,324)
Operating margin %-1.0%-3.5%-1.8%
Grants & contributions34,02613,7158,500
Investment income8,4784,80711,382
Other non-operating, net2,8182,8453,242
Net income36,586(12,899)4,800
Net income %+4.1%-1.3%+0.5%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY21–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income
FY21, FY22, FY23, FY24, FY25 net patient A/R is not shown: gross A/R was not reported on the filing, making the derived net figure spurious (AR quality flag).

How it operates

quality & operational context · CMS public reporting

A 345-bed hospital at 78% occupancy 38% of patient revenue is outpatient.

The metrics this hospital type is judged on: care quality, patient experience, and scale. Each is labeled by evidence class and public source; descriptive context only, never a ranking or adequacy claim.

Scale and flow
Occupancy
78.3%
Verified fact2025
HCRIS WS S-3
Average daily census
270.80
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
345
Verified fact2025
HCRIS WS S-3
Annual discharges
23,997
Verified fact2025
HCRIS WS S-3
Average length of stay
4.1d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
38.2%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
3,903
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
24.6%
Verified fact2025
HCRIS WS S-3 Pt V
How the care measures up
C. difficile infection (SIR)
0.583
Better than the National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
15.6%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
1.08
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
1.044487
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare

Trajectory

Cost-report basis · 5 reporting years
Operating margin
-1.6%+4.4%-1.0%-3.5%-1.8%FY21FY22FY23FY24FY25
Days cash on hand
101 days128 days51 days92 days47 daysFY21FY22FY23FY24FY25

The county this hospital serves

CLARK County, NV
Median household income
$73.8K
vs $82.1K US · $59.7K rural median
Poverty rate
13.2%
vs 12.5% US · 14.3% rural median
Uninsured
12.1%
vs 8.6% US · 8.4% rural median
Age 65+
15.6%
vs 16.8% US · 20.6% rural median
Fair or poor health
21.8%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 7.0% of county personal income is Medicare/Medicaid medical benefits; 17.4% arrives as government transfers (BEA, 2022).

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