As of the July, 2022, release via CMS

HURON VALLEY-SINAI HOSPITAL

CMS id: 230277
1 WILLIAM CARLS DRIVE, COMMERCE TOWNSHIP MI 48382. County: OAKLAND
System: TENET HEALTHCARE CORPORATION
CBSA: Detroit-Warren-Dearborn, MI

The 153-bed, acute-care hospital had $17,225,215 in net service to patients*, with a total profit margin of 12.50860% in fiscal year 2021, the latest year available.
It spent 1.00% of its operating expenses on uncompensated care and reported $307,367 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	110 118	118 118	121 119.5	117 118	143 119
Total beds Median	128 162	130 162	131 162	127 162	153 163.5
FTEs Median	827.21 788.06	801.06 793.42	803.40 806.03	763.94 787.61	603.00 804.34

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	182,237,617 150,932,746	178,106,681 158,950,878	178,196,381 168,696,998	169,260,111 163,454,693	185,079,161 186,589,412
Operating expenses Median	163,302,959 149,311,209	161,166,655 156,110,414	161,629,126 164,890,568	156,880,061 166,516,854	167,853,946 180,120,888
Net income from service 2 patients (NS2P) ? Median	18,934,658 -964,173	16,940,026 -643,601.5	16,567,255 -116,254	12,380,050 -5,025,862	17,225,215 -1,284,564
NS2P margin ? Median	10.39% -0.62	9.51% -0.29	9.30% 0.18	7.31% -5.07	9.31% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for HURON VALLEY-SINAI 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	4,021,422 5,089,215	3,955,612 4,572,541	2,266,456 5,268,134	10,843,736 13,092,619	6,772,784 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	446,749 188,688.5	0 370,813	0 309,361.5	16 375,329
⊳ 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	33,256	58,143	157,098
⊳ Line 12: Parking lot receipts	1,303	1,193	20,134	29,367	23,290
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	0	0	0	0	0
⊳ 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	244	0	51	334	26,496
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	3,910
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	111,661	70,113	148,013
⊳ Line 21: Rental of vending machines	20,308	20,636	15,922	21,134	23,907
⊳ Line 22: Rental of hospital space	1,067,305	1,011,630	1,184,564	874,242	975,196
⊳ 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	2,932,262	2,475,404	900,868	9,790,403	5,414,858
Total income ? Median	22,956,080 6,586,430	20,895,638 6,767,106	18,833,711 8,419,950	23,223,786 8,094,175	23,997,999 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	22,956,080 6,043,842	20,895,638 5,845,112	18,833,711 7,606,259	23,223,786 7,283,041	23,997,999 14,957,241
Net margin Median	12.32481% 4.62%	11.47719% 4.42%	10.43634% 5.16%	12.89466% 5.2%	12.50860% 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 HURON VALLEY-SINAI 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	31,280,243 23,241,334	27,647,404 23,709,545	27,369,876 24,248,380	26,403,995 22,858,541	26,714,976 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	31,280,243 21,577,146	27,647,404 22,041,594	27,369,876 22,722,063	26,403,995 21,570,441	26,714,976 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	16,478,588 11,160,864	15,849,986 11,987,345	16,290,675 12,926,866	13,506,715 11,884,480	14,664,319 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	16,478,588 10,918,923	15,849,986 11,706,976	16,290,675 12,615,917	13,506,715 11,458,116	14,664,319 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	4,422,228 3,284,314	4,148,979 3,250,551	4,486,440 3,386,837	4,607,070 3,360,806	4,864,515 3,508,953
Disproportionate-share hospital (DSH) Median	307,684 594,888	240,905 595,761	187,675 577,894	194,835 542,168	210,607 549,667
Outlier Median	1,683,595 582,572	1,231,767 538,116	293,545 212,434	330,050 126,559	282,703 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	4,942,719 3,662,910	3,664,393 3,730,911	3,873,042 4,081,319	2,024,014 4,643,908	307,367 4,389,147
Charity care Median	70,870 2,654,636	116,687 2,940,659	93,152 3,380,215	329,308 3,488,738	264,698 3,233,405
Uncompensated care (UCC) Median	2,149,078 5,147,790	2,164,533 5,337,617	1,017,374 5,711,082	2,329,999 5,923,418	1,680,329 5,508,107
UCC as a % of operating expenses Median	1.32% 3.24	1.34% 3.12	0.63% 3.21	1.49% 3.3	1.00% 2.86
Total shortfall/UCC Median	7,091,797 9,489,989	5,828,926 9,424,297	4,890,416 10,120,158	4,354,013 11,171,337	1,987,696 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	55,457,980 52,142,039	54,911,044 54,485,252	54,886,090 57,395,589	53,633,744 58,830,919	54,573,122 61,722,907
Salaries as a % of operating expenses Median	33.96 36.68	34.07 36.56	33.96 36.37	34.19 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	2,469,897 1,251,927	2,458,612 1,186,494	2,680,871 1,204,885	2,754,495 1,279,653	2,766,289 1,469,317
Contract adjusted salaries, direct-care Median	2,582,012 1,449,244	2,728,204 1,475,986	3,325,892 1,563,078	2,829,655 1,721,954	1,600,544 2,991,828
Contract hours, direct-care Median	79,584.00 22,725	80,566.00 23,018.5	87,104.00 24,503.48	79,566.00 25,026.5	14,194.00 33,786
Contract wages, direct-care Median	32.44 64.67	33.86 64.53	38.18 65.06	35.56 68.97	112.76 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.