As of the July, 2022, release via CMS

MCLEOD MEDICAL CENTER - DILLON

CMS id: 420005
301 EAST JACKSON STREET, DILLON SC 29536. County: DILLON
System: MCLEOD HEALTH
CBSA: Rural South Carolina

The 72-bed, acute-care hospital had $8,327,817 in net service to patients*, with a total profit margin of 20.65446% in fiscal year 2021, the latest year available.
It spent 12.40% of its operating expenses on uncompensated care and reported $445,751 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	nfp	nfp	nfp	nfp	nfp
Acute beds Median	66 118	66 118	66 119.5	66 118	66 119
Total beds Median	72 162	72 162	72 162	72 162	72 163.5
FTEs Median	290.76 788.06	276.04 793.42	271.58 806.03	263.41 787.61	233.13 804.34

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	48,033,039 150,932,746	50,467,731 158,950,878	49,385,723 168,696,998	46,504,693 163,454,693	53,723,557 186,589,412
Operating expenses Median	40,542,294 149,311,209	39,252,348 156,110,414	39,620,042 164,890,568	39,809,479 166,516,854	45,395,740 180,120,888
Net income from service 2 patients (NS2P) ? Median	7,490,745 -964,173	11,215,383 -643,601.5	9,765,681 -116,254	6,695,214 -5,025,862	8,327,817 -1,284,564
NS2P margin ? Median	15.59% -0.62	22.22% -0.29	19.77% 0.18	14.40% -5.07	15.50% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for MCLEOD MEDICAL CENTER - DILLON 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	785,342 5,089,215	610,399 4,572,541	562,471 5,268,134	4,428,561 13,092,619	3,489,162 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	140,333 224,999	44,607 199,009	64,126 206,870.5	255,124 194,343	20,719 249,496
⊳ 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	27,804	45,239	254	251	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	274,254	322,991	0	238,807	196,433
⊳ 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	3,709	3,296	0	793	952
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	46,819	36,259	0	49,903	24,320
⊳ Line 21: Rental of vending machines	6,401	18,048	24,826	13,275	11,687
⊳ Line 22: Rental of hospital space	0	0	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	286,022	139,959	473,265	3,870,408	3,235,051
Total income ? Median	8,276,087 6,586,430	11,825,782 6,767,106	10,328,152 8,419,950	11,123,775 8,094,175	11,816,979 15,162,888
Non-operating expenses Median	8,587 146,289.5	9,765 164,857	-69,050 89,880.5	2 106,761	0 31,473.5
Net income Median	8,267,500 6,043,842	11,816,017 5,845,112	10,397,202 7,606,259	11,123,773 7,283,041	11,816,979 14,957,241
Net margin Median	16.93522% 4.62%	23.13322% 4.42%	20.81597% 5.16%	21.83990% 5.2%	20.65446% 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 MCLEOD MEDICAL CENTER - DILLON 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	5,828,068 23,241,334	5,662,727 23,709,545	5,464,010 24,248,380	6,485,902 22,858,541	8,617,922 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	5,828,068 21,577,146	5,662,727 22,041,594	5,464,010 22,722,063	6,485,902 21,570,441	8,617,922 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	3,735,588 11,160,864	3,856,793 11,987,345	3,473,827 12,926,866	2,908,927 11,884,480	2,639,829 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	3,735,588 10,918,923	3,856,793 11,706,976	3,473,827 12,615,917	2,908,927 11,458,116	2,639,829 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	0 3,284,314	0 3,250,551	0 3,386,837	0 3,360,806	0 3,508,953
Disproportionate-share hospital (DSH) Median	126,065 594,888	113,883 595,761	97,083 577,894	112,741 542,168	139,340 549,667
Outlier Median	12,302 582,572	5,555 538,116	8,467 212,434	1,757 126,559	8,110 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	4,539,668 3,662,910	2,713,411 3,730,911	0 4,081,319	1,205,251 4,643,908	445,751 4,389,147
Charity care Median	3,373,660 2,654,636	3,885,082 2,940,659	4,200,470 3,380,215	3,944,636 3,488,738	3,627,613 3,233,405
Uncompensated care (UCC) Median	7,859,838 5,147,790	6,279,584 5,337,617	6,520,304 5,711,082	6,155,893 5,923,418	5,630,153 5,508,107
UCC as a % of operating expenses Median	19.39% 3.24	16.00% 3.12	16.46% 3.21	15.46% 3.3	12.40% 2.86
Total shortfall/UCC Median	12,399,506 9,489,989	8,992,995 9,424,297	6,520,304 10,120,158	7,361,144 11,171,337	6,075,904 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	17,858,669 52,142,039	17,434,600 54,485,252	17,544,769 57,395,589	17,664,018 58,830,919	17,974,184 61,722,907
Salaries as a % of operating expenses Median	44.05 36.68	44.42 36.56	44.28 36.37	44.37 35.93	39.59 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	296,460 1,449,244	282,105 1,475,986	33,851 1,563,078	1,075,237 1,721,954	0 2,991,828
Contract hours, direct-care Median	3,285.00 22,725	3,743.34 23,018.5	499.50 24,503.48	10,897.00 25,026.5	0.00 33,786
Contract wages, direct-care Median	90.25 64.67	75.36 64.53	67.77 65.06	98.67 68.97	0.00 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.