As of the July, 2022, release via CMS

SUNRISE HOSPITAL AND MEDICAL CENTER

CMS id: 290003
3186 MARYLAND PARKWAY, LAS VEGAS NV 89109. County: CLARK
System: HCA INC
CBSA: Las Vegas-Henderson-Paradise, NV

The 718-bed, acute-care hospital had $27,857,175 in net service to patients*, with a total profit margin of 4.52855% in fiscal year 2021, the latest year available.
It spent 5.53% of its operating expenses on uncompensated care and reported $67,469,098 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	366	365	365	365	366
Ownership	forprofit	forprofit	forprofit	forprofit	forprofit
Acute beds Median	388 118	379 118	376 119.5	424 118	455 119
Total beds Median	608 162	599 162	596 162	646 162	718 163.5
FTEs Median	2,770.73 788.06	2,690.94 793.42	2,608.00 806.03	2,621.20 787.61	2,627.07 804.34

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	622,823,201 150,932,746	602,446,949 158,950,878	590,704,857 168,696,998	658,994,858 163,454,693	660,760,596 186,589,412
Operating expenses Median	594,511,604 149,311,209	590,601,148 156,110,414	584,464,425 164,890,568	625,124,902 166,516,854	632,903,421 180,120,888
Net income from service 2 patients (NS2P) ? Median	28,311,597 -964,173	11,845,801 -643,601.5	6,240,432 -116,254	33,869,956 -5,025,862	27,857,175 -1,284,564
NS2P margin ? Median	4.55% -0.62	1.97% -0.29	1.06% 0.18	5.14% -5.07	4.22% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for SUNRISE HOSPITAL AND MEDICAL CENTER 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	2,872,332 5,089,215	2,939,364 4,572,541	2,501,886 5,268,134	2,576,739 13,092,619	2,163,671 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	391 224,999	180 199,009	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	1,947,511	1,828,830	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	49,057	0	0	0
⊳ Line 18: Revenue from sale of medical records and abstracts	1,261	13,660	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	14,243	14,209	0	0	0
⊳ Line 21: Rental of vending machines	11,961	9,616	0	0	0
⊳ Line 22: Rental of hospital space	320,673	157,980	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	576,292	865,832	2,501,886	2,576,739	2,163,671
Total income ? Median	31,183,929 6,586,430	14,785,165 6,767,106	8,742,318 8,419,950	36,446,695 8,094,175	30,020,846 15,162,888
Non-operating expenses Median	0 146,289.5	-129 164,857	0 89,880.5	0 106,761	0 31,473.5
Net income Median	31,183,929 6,043,842	14,785,294 5,845,112	8,742,318 7,606,259	36,446,695 7,283,041	30,020,846 14,957,241
Net margin Median	4.98388% 4.62%	2.44229% 4.42%	1.47374% 5.16%	5.50911% 5.2%	4.52855% 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 SUNRISE HOSPITAL AND MEDICAL CENTER 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	129,313,834 23,241,334	122,550,343 23,709,545	117,870,523 24,248,380	129,816,894 22,858,541	128,384,670 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	110,640,482 21,577,146	103,705,276 22,041,594	98,747,476 22,722,063	109,379,457 21,570,441	107,534,714 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	18,673,352 3,535,627	18,845,067 3,746,588	19,123,047 3,782,288	20,437,437 3,865,578	20,849,956 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	19,946,988 11,160,864	17,343,243 11,987,345	15,200,876 12,926,866	15,528,583 11,884,480	12,302,595 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	19,946,988 10,918,923	17,343,243 11,706,976	15,200,876 12,615,917	15,528,583 11,458,116	12,302,595 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	1,973,128 3,284,314	2,069,908 3,250,551	2,057,354 3,386,837	2,224,782 3,360,806	1,965,319 3,508,953
Disproportionate-share hospital (DSH) Median	8,225,823 594,888	7,666,645 595,761	7,463,055 577,894	7,556,059 542,168	7,005,375 549,667
Outlier Median	3,838,731 582,572	3,446,030 538,116	3,232,043 212,434	234,459 126,559	395,198 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	68,397,833 3,662,910	59,214,391 3,730,911	68,041,943 4,081,319	69,448,729 4,643,908	67,469,098 4,389,147
Charity care Median	23,882,343 2,654,636	26,445,252 2,940,659	27,506,007 3,380,215	29,962,298 3,488,738	30,350,000 3,233,405
Uncompensated care (UCC) Median	29,493,376 5,147,790	31,591,756 5,337,617	31,962,509 5,711,082	34,357,074 5,923,418	35,007,966 5,508,107
UCC as a % of operating expenses Median	4.96% 3.24	5.35% 3.12	5.47% 3.21	5.50% 3.3	5.53% 2.86
Total shortfall/UCC Median	97,891,209 9,489,989	90,806,147 9,424,297	100,004,452 10,120,158	103,805,803 11,171,337	102,477,064 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	233,200,452 52,142,039	235,558,465 54,485,252	230,932,101 57,395,589	239,398,471 58,830,919	241,964,727 61,722,907
Salaries as a % of operating expenses Median	38.45 36.68	38.85 36.56	38.38 36.37	37.20 35.93	37.27 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	1,718,677 1,251,927	1,193,128 1,186,494	1,204,885 1,204,885	1,195,589 1,279,653	892,102 1,469,317
Contract adjusted salaries, direct-care Median	12,821,393 1,449,244	8,879,121 1,475,986	10,115,444 1,563,078	11,955,821 1,721,954	25,232,457 2,991,828
Contract hours, direct-care Median	186,951.00 22,725	152,311.92 23,018.5	166,517.00 24,503.48	206,909.00 25,026.5	278,169.00 33,786
Contract wages, direct-care Median	68.58 64.67	58.30 64.53	60.75 65.06	57.78 68.97	90.71 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.