As of the July, 2022, release via CMS

PRISMA HEALTH RICHLAND HOSPITAL

CMS id: 420018
5 RICHLAND MEDICAL PARK DRIVE, COLUMBIA SC 29203. County: RICHLAND
System: PRISMA HEALTH MIDLAND
CBSA: Columbia, SC

The 633-bed, acute-care hospital had $-211,018,676 in net service to patients*, with a total profit margin of -20.39813% in fiscal year 2021, the latest year available.
It spent 3.21% 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	nfp	nfp	nfp	nfp	nfp
Acute beds Median	425 118	397 118	403 119.5	377 118	369 119
Total beds Median	721 162	675 162	657 162	636 162	633 163.5
FTEs Median	4,850.57 788.06	4,468.00 793.42	4,623.44 806.03	4,254.45 787.61	0.00 804.34

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	794,727,861 150,932,746	860,721,215 158,950,878	854,724,761 168,696,998	1,058,690,788 163,454,693	921,844,612 186,589,412
Operating expenses Median	822,755,600 149,311,209	877,897,704 156,110,414	884,135,799 164,890,568	1,183,134,126 166,516,854	1,132,863,288 180,120,888
Net income from service 2 patients (NS2P) ? Median	-28,027,739 -964,173	-17,176,489 -643,601.5	-29,411,038 -116,254	-124,443,338 -5,025,862	-211,018,676 -1,284,564
NS2P margin ? Median	-3.53% -0.62	-2.00% -0.29	-3.44% 0.18	-11.75% -5.07	-22.89% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for PRISMA HEALTH RICHLAND HOSPITAL 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	86,582,888 5,089,215	50,771,173 4,572,541	57,377,220 5,268,134	146,500,901 13,092,619	19,086,356 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	0 206,870.5	2,331,905 194,343	2,002,896 249,496
⊳ Line 7: Investments ? ⊳ Median	36,566,277 299,524	7,991,076 188,688.5	10,347,416 370,813	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	0	0	0	0	0
⊳ Line 11: Rebates and refunds of expenses	450,623	1,227,941	1,583,455	6,525,134	5,170,961
⊳ 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	4,094,233	3,789,549	3,609,145	3,219,576	2,384,700
⊳ 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	3,709,538	11,404,097	13,335,134	10,954,389	0
⊳ Line 18: Revenue from sale of medical records and abstracts	0	0	0	0	25
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	0
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ Line 22: Rental of hospital space	5,862,256	5,736,878	6,440,357	5,871,176	718,221
⊳ Line 23: Gov appropriations ? ⊳ Median	683,555 1,017,693	685,059 983,261.5	690,868 1,173,286	0 1,987,202	0 1,597,664
⊳ Sum Line 24	35,216,406	19,936,573	21,370,845	117,598,721	8,809,553
Total income ? Median	58,555,149 6,586,430	33,594,684 6,767,106	27,966,182 8,419,950	22,057,563 8,094,175	-191,932,320 15,162,888
Non-operating expenses Median	55,032,503 146,289.5	67,249,277 164,857	90,244,098 89,880.5	0 106,761	0 31,473.5
Net income Median	3,522,646 6,043,842	-33,654,593 5,845,112	-62,277,916 7,606,259	22,057,563 7,283,041	-191,932,320 14,957,241
Net margin Median	0.39971% 4.62%	-3.69225% 4.42%	-6.82796% 5.16%	1.83021% 5.2%	-20.39813% 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 PRISMA HEALTH RICHLAND HOSPITAL 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	111,952,162 23,241,334	125,568,225 23,709,545	126,790,930 24,248,380	121,252,696 22,858,541	123,833,216 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	110,116,189 21,577,146	124,334,348 22,041,594	125,160,190 22,722,063	119,964,696 21,570,441	122,777,774 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	1,835,973 1,845,420	1,233,877 1,757,392	1,630,740 1,738,842	1,288,000 1,510,463	1,055,442 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	30,883,788 11,160,864	37,284,579 11,987,345	37,964,093 12,926,866	39,147,200 11,884,480	39,088,898 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	30,883,788 10,918,923	37,284,579 11,706,976	37,964,093 12,615,917	39,147,200 11,458,116	39,088,898 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	13,465,642 3,284,314	15,543,008 3,250,551	16,239,994 3,386,837	16,238,817 3,360,806	16,861,939 3,508,953
Disproportionate-share hospital (DSH) Median	4,576,300 594,888	4,873,009 595,761	4,644,263 577,894	4,372,472 542,168	4,780,652 549,667
Outlier Median	13,245,841 582,572	14,183,564 538,116	1,593,752 212,434	1,294,217 126,559	944,871 139,139

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	11,613,100 2,654,636	11,043,061 2,940,659	24,788,386 3,380,215	17,327,716 3,488,738	12,857,069 3,233,405
Uncompensated care (UCC) Median	47,697,398 5,147,790	52,443,034 5,337,617	65,838,919 5,711,082	62,443,852 5,923,418	36,324,690 5,508,107
UCC as a % of operating expenses Median	5.80% 3.24	5.97% 3.12	7.45% 3.21	5.28% 3.3	3.21% 2.86
Total shortfall/UCC Median	47,697,398 9,489,989	52,443,034 9,424,297	65,838,919 10,120,158	62,443,852 11,171,337	36,324,690 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	285,164,501 52,142,039	263,959,524 54,485,252	269,197,549 57,395,589	274,841,557 58,830,919	275,243,360 61,722,907
Salaries as a % of operating expenses Median	34.66 36.68	30.07 36.56	30.45 36.37	25.13 35.93	27.49 35.24
Intern, resident salaries* Median	14,012,930 2,598,592	14,059,554 2,686,824	14,449,980 2,753,773	15,264,445 2,937,156	16,354,667 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	15,359,719 1,449,244	19,940,160 1,475,986	13,304,660 1,563,078	14,495,166 1,721,954	33,441,259 2,991,828
Contract hours, direct-care Median	201,206.53 22,725	267,887.00 23,018.5	208,721.76 24,503.48	219,584.20 25,026.5	305,740.94 33,786
Contract wages, direct-care Median	76.34 64.67	74.43 64.53	63.74 65.06	66.01 68.97	109.38 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.