As of the July, 2022, release via CMS

SPARTANBURG REGIONAL MEDICAL CENTER

CMS id: 420007
101 E WOOD ST, SPARTANBURG SC 29303. County: SPARTANBURG
System: SPARTANBURG REGIONAL HEALTHCARE DIST
CBSA: Spartanburg, SC

The 716-bed, acute-care hospital had $92,989,806 in net service to patients*, with a total profit margin of 12.04268% in fiscal year 2021, the latest year available.
It spent 8.18% of its operating expenses on uncompensated care and reported $0 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	410 118	410 118	511 119.5	556 118	578 119
Total beds Median	477 162	493 162	668 162	690 162	716 163.5
FTEs Median	3,704.00 788.06	3,765.55 793.42	6,607.00 806.03	4,880.81 787.61	4,892.67 804.34

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	659,667,670 150,932,746	742,780,796 158,950,878	947,852,158 168,696,998	967,023,485 163,454,693	1,117,148,745 186,589,412
Operating expenses Median	708,050,626 149,311,209	748,869,401 156,110,414	874,361,561 164,890,568	940,801,030 166,516,854	1,024,158,939 180,120,888
Net income from service 2 patients (NS2P) ? Median	-48,382,956 -964,173	-6,088,605 -643,601.5	73,490,597 -116,254	26,222,455 -5,025,862	92,989,806 -1,284,564
NS2P margin ? Median	-7.33% -0.62	-0.82% -0.29	7.75% 0.18	2.71% -5.07	8.32% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for SPARTANBURG REGIONAL 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	100,651,956 5,089,215	85,989,605 4,572,541	22,401,003 5,268,134	80,634,870 13,092,619	47,233,000 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	3,045,745 206,870.5	0 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	1,110,673 299,524	-1,983,613 188,688.5	11,166,397 370,813	15,037,000 309,361.5	642,000 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	216,678	33,736	29,428	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	101,331	0	7,004	8,537	0
⊳ Line 15: Revenue from rental of living quarters	0	0	0	302,469	0
⊳ Line 16: Revenue from sale of medical and surgical supplies	4,845	4,845	173	578	0
⊳ Line 17: Revenue from sale of drugs to other than patients	89,152	30,462	0	0	0
⊳ Line 18: Revenue from sale of medical records and abstracts	150,786	150,786	158,407	134,779	0
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	25,635	65,285	3,839	9,460	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	362,006	301,511	363,911	0	0
⊳ Line 21: Rental of vending machines	100,495	8,450	133,001	22,047	0
⊳ Line 22: Rental of hospital space	328,444	349,666	341,148	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	98,161,911	87,028,477	7,151,950	65,120,000	46,591,000
Total income ? Median	52,269,000 6,586,430	79,901,000 6,767,106	95,891,600 8,419,950	106,857,325 8,094,175	140,222,806 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	0 106,761	0 31,473.5
Net income Median	52,269,000 6,043,842	79,901,000 5,845,112	95,891,600 7,606,259	106,857,325 7,283,041	140,222,806 14,957,241
Net margin Median	6.87461% 4.62%	9.64091% 4.42%	9.88315% 5.16%	10.19963% 5.2%	12.04268% 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 SPARTANBURG REGIONAL 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	101,389,836 23,241,334	105,065,953 23,709,545	125,916,412 24,248,380	131,013,127 22,858,541	136,426,939 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	101,389,836 21,577,146	105,065,953 22,041,594	125,240,486 22,722,063	128,342,838 21,570,441	130,369,995 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	579,995 1,738,842	1,134,478 1,510,463	1,116,428 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	0 3,535,627	0 3,746,588	95,931 3,782,288	1,535,811 3,865,578	4,940,516 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	63,570,475 11,160,864	73,641,647 11,987,345	84,092,083 12,926,866	86,915,806 11,884,480	82,594,056 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	58,267,432 10,918,923	68,322,349 11,706,976	79,190,433 12,615,917	80,994,041 11,458,116	75,799,444 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	5,303,043 1,282,808	5,319,298 1,407,728	4,901,650 1,341,512	5,921,765 1,407,046	6,794,612 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	7,991,628 3,284,314	7,945,325 3,250,551	7,628,710 3,386,837	7,940,730 3,360,806	8,014,819 3,508,953
Disproportionate-share hospital (DSH) Median	2,521,204 594,888	2,231,845 595,761	2,656,687 577,894	2,636,345 542,168	2,537,452 549,667
Outlier Median	3,723,239 582,572	4,668,709 538,116	745,521 212,434	652,717 126,559	956,802 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	0 3,662,910	0 3,730,911	0 4,081,319	0 4,643,908	0 4,389,147
Charity care Median	25,892,069 2,654,636	24,486,058 2,940,659	36,984,404 3,380,215	26,729,096 3,488,738	33,965,802 3,233,405
Uncompensated care (UCC) Median	39,468,325 5,147,790	55,837,035 5,337,617	73,135,218 5,711,082	68,715,518 5,923,418	83,785,363 5,508,107
UCC as a % of operating expenses Median	5.57% 3.24	7.46% 3.12	8.36% 3.21	7.30% 3.3	8.18% 2.86
Total shortfall/UCC Median	39,468,325 9,489,989	55,837,035 9,424,297	73,135,218 10,120,158	68,715,518 11,171,337	83,785,363 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	237,272,798 52,142,039	251,918,779 54,485,252	296,355,261 57,395,589	329,914,381 58,830,919	383,187,471 61,722,907
Salaries as a % of operating expenses Median	33.51 36.68	33.64 36.56	33.89 36.37	35.07 35.93	37.41 35.24
Intern, resident salaries* Median	5,346,490 2,598,592	4,645,483 2,686,824	4,947,286 2,753,773	6,386,200 2,937,156	6,927,036 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	6,185,981 1,449,244	4,657,255 1,475,986	3,306,988 1,563,078	10,254,616 1,721,954	35,129,256 2,991,828
Contract hours, direct-care Median	155,514.00 22,725	97,859.00 23,018.5	49,438.00 24,503.48	215,478.00 25,026.5	738,165.00 33,786
Contract wages, direct-care Median	39.78 64.67	47.59 64.53	66.89 65.06	47.59 68.97	47.59 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.