SOURCE
LOCKED
2026
LOCKED
2026
Case file / CCN 290003 / Las Vegas, Nevada
What the Sunrise record actually answers.
A public edition built only from answered or meaningfully partial questions. The record shows a profitable for-profit hospital with substantial local value, real capital investment, favorable mortality and debt-collection evidence, and persistent staffing, access, safety, and accountability concerns.
The receipts, at a glance
Five numbers. Five different meanings.
Every amount stays attached to its legal entity, time period, and money type. That is the difference between an evidence board and a pile of headlines.
Money map / keep the ledgers separate
Three answered levels of the story
Facility performance, parent capital allocation, and the human result are related but cannot be collapsed into one pool of money.
Facility ledger
Sunrise LLC
Patient reimbursement, Medicaid supplements, labor, capital, and home-office allocations all land here first.
Control layer
HCA / treasury
Public-company cash, dividends, buybacks, debt, and centralized services are disclosed at parent scope.
Human result
Patients + staff
When capacity lags demand, the cost is measured in waits, floats, communication failures, and trust.
The balanced record
Strengths, corrections, and warning signals
Favorable findings appear beside red flags because the evidence supports a mixed record, not a one-note indictment.
Public, not PE
Sunrise sits inside HCA Healthcare’s publicly traded chain. The historical PE period is real, but it is not the current ownership route.
Hiring improved
The reported RN vacancy rate improved from 28% with 465 openings in 2022 to 5.77% with 63 openings in 2024.
Capital reached the campus
Sunrise reported $47.30 million of 2023 capital and $26.09 million of construction in progress in 2025.
Mortality is not the headline
Current CMS mortality measures are mostly better or no different. The supported harm story is access.
A collection grade
The 100-hospital study recorded zero Sunrise court actions and gave the hospital an A predatory debt-collection grade for the study period.
Markup, not lawsuits
Sunrise ranked second for its approximately 12.94-times list-price markup - not for filing patient lawsuits.
Dated spine
The timeline in six turns
A visual way to keep historical ownership, current operations, and later enforcement from collapsing into one story.
1958 → 1999
From local hospital to layered LLC
Sunrise opened in 1958, moved through American Medicorp, Humana/Galen, Columbia, and HCA, then registered as Sunrise Hospital and Medical Center, LLC in Nevada in 1999.
2012
Positions reduced
Reporting described 144 eliminated positions, with lower actual job loss after vacancies and contract reductions. The source record does not show a current closure signature.
2017–2021
Medicare audit, then air-permit penalty
OIG reviewed 2017–2018 claims and recommended a $23.6m refund. Sunrise disputed the findings; the official tracker later marked recommendations closed/implemented. Clark County imposed a separate $9,000 air penalty in 2021.
2022–2024
Profit swings; staffing improves in aggregate
The facility moved from profit to a small 2023 loss and then a large 2024 reported profit. Employed RN FTE rose while own filings still documented unit-level overflow and out-of-ratio assignments.
2024–2025
Union power and access failure
SEIU won certification 161–45. A later NLRB charge remained open as an allegation. DOJ settled the interpreter case and required corrective action across 190 affiliated facilities.
2026 snapshot
Access, not mortality
CMS reports a 2-star overall rating with mixed domains; mortality is mostly better/no different, while ED duration, readmission-domain weakness, satisfaction, and capacity evidence carry the harm story.
Confirmed discrepancy log
Things that do not line up
Six sourced contradictions and scope corrections are kept visible instead of being smoothed into a single allegation.
ID
Discrepancy
Status
D03
“Top grossing” ranking actually uses net patient revenue; source year is unclear.
confirmed
D08
Nevada’s 2024 narrative repeats 2022 profit while its 2023 exhibit reports a loss.
confirmed
D14
Aggregate RN growth coexists with unit-level overflow and out-of-ratio events.
confirmed
D17
Leapfrog, Lown, and CMS ratings use different methods and periods.
confirmed
D24
OIG’s $23.6m recommendation is not an adjudicated fraud judgment.
confirmed
D30
The evidence supports access risk, not a proven fraud-and-death scheme.
confirmed
Editorial discipline
Every red flag gets an innocent explanation hunt.
Volume, acuity, rates, reporting periods, acquisitions, legitimate centralized services, and ordinary corporate separateness can all explain a pattern. The page keeps those alternatives beside the flag so the reader can see what remains unresolved.
Your checklist / answered record only
The public answer book
Only answered, meaningfully partial, analytical, or not-applicable questions appear here. Open a card for the direct answer, what it means, its connection, and its source trail.
Reuse the evidence
Download the public edition
The HTML is upload-ready, the PDF is a fixed reading copy, and the source file preserves every published answer with its evidence trail.