As of the July, 2022, release via CMS

MCLEOD REGIONAL MEDICAL CENTER

CMS id: 420051
555 EAST CHEVES STREET, FLORENCE SC 59506. County: FLORENCE
System: MCLEOD HEALTH INC.
CBSA: Florence, SC

The 571-bed, acute-care hospital had $15,007,166 in net service to patients*, with a total profit margin of 9.53566% in fiscal year 2021, the latest year available.
It spent 6.30% of its operating expenses on uncompensated care and reported $32,994,758 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	360 118	360 118	381 119.5	381 118	381 119
Total beds Median	533 162	533 162	548 162	548 162	571 163.5
FTEs Median	3,306.16 788.06	3,263.61 793.42	3,328.98 806.03	3,233.60 787.61	3,141.94 804.34

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	684,402,278 150,932,746	689,414,493 158,950,878	712,662,450 168,696,998	700,368,345 163,454,693	782,438,359 186,589,412
Operating expenses Median	592,214,311 149,311,209	630,147,041 156,110,414	667,845,072 164,890,568	692,126,786 166,516,854	767,431,193 180,120,888
Net income from service 2 patients (NS2P) ? Median	92,187,967 -964,173	59,267,452 -643,601.5	44,817,378 -116,254	8,241,559 -5,025,862	15,007,166 -1,284,564
NS2P margin ? Median	13.47% -0.62	8.60% -0.29	6.29% 0.18	1.18% -5.07	1.92% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for MCLEOD 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	25,247,326 5,089,215	29,686,014 4,572,541	33,089,863 5,268,134	67,571,268 13,092,619	65,886,224 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	1,908,652 224,999	2,731,628 199,009	1,541,869 206,870.5	3,435,814 194,343	4,152,064 249,496
⊳ 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	82,642	71,442	97,417	50,775	80,435
⊳ 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	0	0
⊳ 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	0	0	0	0	0
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	10,825	10,625	37,391	26,500	3,890
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	647,360	693,203	617,865	741,982
⊳ Line 21: Rental of vending machines	105	34	22	381	0
⊳ Line 22: Rental of hospital space	465,739	476,255	401,208	314,690	416,668
⊳ 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	22,779,363	25,748,670	30,318,753	63,125,243	60,491,185
Total income ? Median	117,435,293 6,586,430	88,953,466 6,767,106	77,907,241 8,419,950	75,812,827 8,094,175	80,893,390 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	117,435,293 6,043,842	88,953,466 5,845,112	77,907,241 7,606,259	75,812,827 7,283,041	80,893,390 14,957,241
Net margin Median	16.54835% 4.62%	12.37010% 4.42%	10.44680% 5.16%	9.87224% 5.2%	9.53566% 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 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	121,781,454 23,241,334	117,949,271 23,709,545	113,403,217 24,248,380	109,668,790 22,858,541	110,228,373 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	121,781,454 21,577,146	117,949,271 22,041,594	113,403,217 22,722,063	109,668,790 21,570,441	109,952,440 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	275,933 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	68,963,180 11,160,864	78,497,633 11,987,345	79,659,521 12,926,866	81,882,141 11,884,480	81,044,419 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	63,162,751 10,918,923	72,184,051 11,706,976	73,512,918 12,615,917	75,939,629 11,458,116	75,747,358 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	5,800,429 1,282,808	6,313,582 1,407,728	6,146,603 1,341,512	5,942,512 1,407,046	5,297,061 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	3,005,835 3,284,314	2,976,367 3,250,551	2,995,466 3,386,837	3,191,187 3,360,806	3,730,268 3,508,953
Disproportionate-share hospital (DSH) Median	4,112,643 594,888	3,836,014 595,761	3,592,436 577,894	3,061,184 542,168	3,542,381 549,667
Outlier Median	4,380,870 582,572	2,137,451 538,116	481,497 212,434	691,874 126,559	462,513 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	21,861,787 3,662,910	2,473,851 3,730,911	11,043,747 4,081,319	23,815,586 4,643,908	32,994,758 4,389,147
Charity care Median	29,275,695 2,654,636	73,519,313 2,940,659	33,266,841 3,380,215	35,462,592 3,488,738	34,389,057 3,233,405
Uncompensated care (UCC) Median	56,591,738 5,147,790	91,049,603 5,337,617	50,218,421 5,711,082	50,704,783 5,923,418	48,313,412 5,508,107
UCC as a % of operating expenses Median	9.56% 3.24	14.45% 3.12	7.52% 3.21	7.33% 3.3	6.30% 2.86
Total shortfall/UCC Median	78,453,525 9,489,989	93,523,454 9,424,297	61,262,168 10,120,158	74,520,369 11,171,337	81,308,170 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	212,867,418 52,142,039	218,249,603 54,485,252	232,351,754 57,395,589	233,163,958 58,830,919	246,916,578 61,722,907
Salaries as a % of operating expenses Median	35.94 36.68	34.63 36.56	34.79 36.37	33.69 35.93	32.17 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	4,666,369 1,449,244	9,091,389 1,475,986	4,771,919 1,563,078	9,422,551 1,721,954	0 2,991,828
Contract hours, direct-care Median	71,226.00 22,725	106,934.60 23,018.5	64,566.48 24,503.48	123,200.95 25,026.5	0.00 33,786
Contract wages, direct-care Median	65.51 64.67	85.02 64.53	73.91 65.06	76.48 68.97	0.00 88.94

* in an approved program

Return to top

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.