As of the July, 2022, release via CMS

MEDICAL UNIVERSITY OF SOUTH CAROLINA

CMS id: 420004
1 POSTON ROAD SUITE 103 PARKSHORE, CHARLESTON SC 29425. County: CHARLESTON
System: --
CBSA: Charleston-North Charleston, SC

The 903-bed, acute-care hospital had $-319,794,183 in net service to patients*, with a total profit margin of -0.87966% in fiscal year 2021, the latest year available.
It spent 2.55% of its operating expenses on uncompensated care and reported $80,411,999 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	gov	gov	gov	gov	gov
Acute beds Median	494 118	502 118	501 119.5	629 118	597 119
Total beds Median	773 162	780 162	783 162	962 162	903 163.5
FTEs Median	7,262.31 788.06	7,400.63 793.42	7,637.17 806.03	7,670.92 787.61	7,363.29 804.34

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	1,334,746,080 150,932,746	1,425,364,381 158,950,878	1,538,913,084 168,696,998	1,608,562,414 163,454,693	1,848,701,998 186,589,412
Operating expenses Median	1,375,866,262 149,311,209	1,469,577,773 156,110,414	1,567,329,421 164,890,568	1,787,048,379 166,516,854	2,168,496,181 180,120,888
Net income from service 2 patients (NS2P) ? Median	-41,120,182 -964,173	-44,213,392 -643,601.5	-28,416,337 -116,254	-178,485,965 -5,025,862	-319,794,183 -1,284,564
NS2P margin ? Median	-3.08% -0.62	-3.10% -0.29	-1.85% 0.18	-11.10% -5.07	-17.30% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for MEDICAL UNIVERSITY OF SOUTH CAROLINA 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	105,571,010 5,089,215	74,240,655 4,572,541	113,514,301 5,268,134	142,162,164 13,092,619	269,008,735 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	11,913,565 206,870.5	15,643,537 194,343	15,320,396 249,496
⊳ Line 7: Investments ? ⊳ Median	0 299,524	406,408 188,688.5	6,143,657 370,813	8,405,020 309,361.5	43,441 375,329
⊳ 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	0	0	0	8,404,972	6,955,673
⊳ 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	6,015,813	5,817,442
⊳ 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	0	0	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	0	11,033,422	0	252,767	949
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ Line 22: Rental of hospital space	0	0	0	0	0
⊳ Line 23: Gov appropriations ? ⊳ Median	29,000,000 1,017,693	25,237,209 983,261.5	28,377,800 1,173,286	0 1,987,202	0 1,597,664
⊳ Sum Line 24	76,571,010	37,563,616	67,079,279	103,440,055	240,870,834
Total income ? Median	64,450,828 6,586,430	30,027,263 6,767,106	85,097,964 8,419,950	-36,323,801 8,094,175	-50,785,448 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	36,241,389 89,880.5	-52,065,438 106,761	-32,156,751 31,473.5
Net income Median	64,450,828 6,043,842	30,027,263 5,845,112	48,856,575 7,606,259	15,741,637 7,283,041	-18,628,697 14,957,241
Net margin Median	4.47477% 4.62%	2.00234% 4.42%	2.95665% 5.16%	0.89915% 5.2%	-0.87966% 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 MEDICAL UNIVERSITY OF SOUTH CAROLINA 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	220,020,868 23,241,334	235,261,287 23,709,545	250,640,139 24,248,380	245,199,559 22,858,541	272,679,211 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	213,834,003 21,577,146	228,657,834 22,041,594	243,734,780 22,722,063	240,567,719 21,570,441	268,683,128 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	6,186,865 1,845,420	6,603,453 1,757,392	6,905,359 1,738,842	4,631,840 1,510,463	3,996,083 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	102,141,060 11,160,864	106,090,753 11,987,345	108,793,100 12,926,866	109,750,706 11,884,480	118,100,458 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	102,141,060 10,918,923	106,090,753 11,706,976	108,793,100 12,615,917	109,750,706 11,458,116	118,100,458 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	36,650,881 3,284,314	38,454,539 3,250,551	39,243,988 3,386,837	35,718,453 3,360,806	38,705,462 3,508,953
Disproportionate-share hospital (DSH) Median	7,724,542 594,888	7,868,846 595,761	8,354,770 577,894	7,590,198 542,168	7,650,142 549,667
Outlier Median	25,948,017 582,572	27,267,806 538,116	28,857,617 212,434	5,841,911 126,559	6,839,548 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	0 3,662,910	0 3,730,911	11,371,112 4,081,319	298,323,399 4,643,908	80,411,999 4,389,147
Charity care Median	49,252,901 2,654,636	53,857,172 2,940,659	61,394,145 3,380,215	26,982,783 3,488,738	31,330,315 3,233,405
Uncompensated care (UCC) Median	77,549,774 5,147,790	104,861,397 5,337,617	83,342,179 5,711,082	54,346,541 5,923,418	55,276,501 5,508,107
UCC as a % of operating expenses Median	5.64% 3.24	7.14% 3.12	5.32% 3.21	3.04% 3.3	2.55% 2.86
Total shortfall/UCC Median	77,549,774 9,489,989	104,861,397 9,424,297	94,713,291 10,120,158	352,669,940 11,171,337	135,688,500 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	462,322,435 52,142,039	502,200,096 54,485,252	511,953,059 57,395,589	540,102,020 58,830,919	522,533,459 61,722,907
Salaries as a % of operating expenses Median	33.60 36.68	33.81 36.56	32.36 36.37	30.22 35.93	24.10 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	0 1,251,927	0 1,186,494	0 1,204,885	0 1,279,653	0 1,469,317
Contract adjusted salaries, direct-care Median	4,194,296 1,449,244	8,349,331 1,475,986	6,173,248 1,563,078	9,570,887 1,721,954	18,566,681 2,991,828
Contract hours, direct-care Median	58,452.67 22,725	107,348.00 23,018.5	83,292.00 24,503.48	135,494.00 25,026.5	268,399.00 33,786
Contract wages, direct-care Median	71.76 64.67	77.78 64.53	74.12 65.06	70.64 68.97	69.18 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.