Astrelis
Urban PPS hospital · Carson City, NV

CARSON TAHOE REGIONAL MEDICAL CENTER

CCN 290019CARSON CITYVoluntary non-profit - PrivateUrban (USDA RUCC)151 bedsLatest FY 2024
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read

A hospital in Carson City, NV. It ran an operating surplus of 7.3% in FY24 on $421.3M of operating revenue. It held 203 days of cash on hand (85th percentile among Urban PPS hospitals on liquidity). Operating margin improved from -3.4% in FY20 to 7.3% in FY24.

Operating margin · FY24
+7.3%
0.8 pts vs FY23
vs Urban PPS hospitals65th pctl of 2,562 (FY24)
Days cash on hand · FY24
203d
all sources
5.8 days vs FY23
vs Urban PPS hospitals85th pctl of 2,354 (FY24)
Total operating revenue · FY24
$421.3M
61.8 $M vs FY23
vs Urban PPS hospitals66th pctl of 2,608 (FY24)
Total margin · incl. nonoperating · FY24
+12.2%
0.7 pts vs FY23
vs Urban PPS hospitals70th pctl of 2,563 (FY24)
Benchmarked within its own FY24 pool (n=2,562); the Urban PPS hospital cohort's current year is FY25.
One point of operating margin at CARSON TAHOE REGIONAL MEDICAL CENTER is about $4.2M per year (1% of FY24 total operating revenue).

Where CARSON TAHOE REGIONAL sits among Urban PPS hospitals

Operating margin · FY24 pool · n = 2,562 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 +2.0%. Descriptive context only, not a ranking.

Benchmarked within its own FY24 pool (n=2,562); the Urban PPS hospital cohort's current year is FY25.
-20%-10%0%+10%+20%Urban PPS hospital median +2.027429837815152%CARSON TAHOE +7.250687227304882%-20%0%+20%Urban PPS hospital median +2.027429837815152%CARSON TAHOE +7.250687227304882%
One urban pps hospitalCARSON TAHOEUrban 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
+7.3% (FY24)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
+12.2% (FY24)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
203d (FY24)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
HCRIS WS G / G-3
Current ratio
6.09× (FY24)
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
66% (FY24)
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
43d (FY24)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line itemFY22FY23FY24
Patient revenue365,447359,183420,991
Other operating revenue173311267
Total operating revenue365,621359,493421,258
Total operating expenses354,318336,323390,714
Operating income11,30223,17030,544
Operating margin %+3.1%+6.4%+7.3%
Grants & contributions2,0942,7432,298
Investment income(25,059)18,12717,614
Other non-operating, net10,3475,9323,801
Net income(1,316)49,97254,257
Net income %-0.4%+12.9%+12.2%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY24 · FY20–21 may include COVID-era relief funding in nonoperating income

How it operates

quality & operational context · CMS public reporting

A 151-bed hospital at 77% occupancy 60% 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
76.9%
Verified fact2024
HCRIS WS S-3
Average daily census
116.37
Verified fact2024
HCRIS WS S-3
Staffed beds (acute)
151
Verified fact2024
HCRIS WS S-3
Annual discharges
10,995
Verified fact2024
HCRIS WS S-3
Average length of stay
3.9d
Verified fact2024
HCRIS WS S-3
Outpatient share of patient revenue
60.3%
Verified fact2024
HCRIS WS G-2 L28
Total FTEs
1,224
Verified fact2024
HCRIS WS S-3 Pt II
Contract labor share of labor cost
20.9%
Verified fact2024
HCRIS WS S-3 Pt V
Who it serves
Total unreimbursed & uncompensated care
$15.4M
Verified fact2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
0.571
Better than the National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
14%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
0.95
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
1.06509
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare

Trajectory

Cost-report basis · 5 reporting years
Operating margin
-3.4%+3.2%+3.1%+6.4%+7.3%FY20FY21FY22FY23FY24
Days cash on hand
292 days264 days165 days197 days203 daysFY20FY21FY22FY23FY24

The county this hospital serves

CARSON CITY, NV · metro, under 250K
Median household income
$71.8K
vs $82.1K US · $59.7K rural median
Poverty rate
11.1%
vs 12.5% US · 14.3% rural median
Uninsured
10.8%
vs 8.6% US · 8.4% rural median
Age 65+
20.8%
vs 16.8% US · 20.6% rural median
Fair or poor health
20.9%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 11.0% of county personal income is Medicare/Medicaid medical benefits; 22.9% arrives as government transfers (BEA, 2022).

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