Four of Nevada's six biggest hospitals made profits last fiscal year. But a new report released Friday shows more than half of the state's small urban and rural hospitals had losses in net operating revenue.
The report from the state Health Care Financing and Policy Division shows the "Big Six" hospitals in Las Vegas and Reno had a combined $33.5 million operating revenue profit. Small urban hospitals made a combined $54.2 million, and rural hospitals posted an operating revenue loss of $612,658.
Combining those three figures produces a statewide net operating revenue total of $87.1 million. That's up 64 percent from the prior fiscal year, but the state report notes the prior year was down due to a general economic slump following the Sept. 11, 2001, terrorist attacks.
When compared with hospital profits before the attacks, for the fiscal year that ended in June 2001, the report notes that the latest revenues are up 8.1 percent.
"Net operating revenue" represents the money made or lost in day-to-day hospital operations, and is viewed as a gauge of management abilities. The total revenue for all hospitals in the state climbs to $122.2 million when other money sources - such as government subsidies, investment income, donations or rents - are added in.
The latest figures, for the fiscal year that ended last June, show that the most profitable hospital in the state was Sunrise Hospital and Medical Center in Las Vegas, accounting for $18.3 million of the total net operating revenue for "Big Six" hospitals.
Next in line were Valley Hospital Medical Center in Las Vegas and Washoe Medical Center in Reno, both with $13.2 million; Saint Mary's Regional Medical Center in Reno with $7.3 million.
Desert Springs Hospital in southern Nevada showed a loss of $811,267; and University Medical Center in Las Vegas showed a loss of $17.7 million.
The net operating revenue income or loss for Nevada's small urban and rural hospitals includes:
* SOUTHERN NEVADA: $980,835 loss for Boulder City Hospital; $2.4 million gain for Lake Mead Hospital; $9.8 million gain for MountainView Hospital; $7 million increase for Summerlin Hospital Medical Center; and a $3.8 million loss for Rose de Lima Campus and a $15.2 million net for Siena Campus. Both are part of St. Rose Dominican Hospital.
* NORTHERN NEVADA: $11.8 million increase for Carson-Tahoe Hospital; $12.7 million gain for Northern Nevada Medical Center; and a loss of $23,267 for Incline Village Health Center.
* RURAL: Decrease of $1.8 million for Battle Mountain General; $74,460 gain for Churchill Community Hospital; a $525,421 decrease for Grover C. Dils Medical Center; a $2.5 million slump for Humboldt General; a $91,924 drop for Mt. Grant General; a $5.6 million gain for Northeastern Nevada Regional Hospital; a $955,617 decline for Nye Regional Medical Center; a $1 million slump for Pershing General, a $689,355 gain for South Lyon Medical Center, and a $21,662 drop for William B. Ririe Hospital in Ely.
On the basis of operating revenues, a dozen of the 25 hospitals listed in the report showed year-to-year declines. When revenue from other, non-operating sources is added in, only seven hospitals showed net income losses. That included six in outlying areas and one - Desert Springs - in the Las Vegas area.