As of the July, 2022, release via CMS

THE REGIONAL MEDICAL CENTER

CMS id: 420068
3000 ST. MATTHEWS ROAD, ORANGEBURG SC 29115. County: ORANGEBURG
System: --
CBSA: Orangeburg, SC

The 286-bed, acute-care hospital had $-37,355,904 in net service to patients*, with a total profit margin of -7.18986% in fiscal year 2021, the latest year available.
It spent 7.74% 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	231 118	231 118	231 119.5	231 118	231 119
Total beds Median	286 162	286 162	286 162	286 162	286 163.5
FTEs Median	1,237.72 788.06	1,259.76 793.42	1,231.19 806.03	1,180.83 787.61	1,124.83 804.34

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	209,683,113 150,932,746	220,425,605 158,950,878	214,466,778 168,696,998	206,277,771 163,454,693	205,490,041 186,589,412
Operating expenses Median	219,515,235 149,311,209	224,878,807 156,110,414	225,890,214 164,890,568	237,023,463 166,516,854	242,845,945 180,120,888
Net income from service 2 patients (NS2P) ? Median	-9,832,122 -964,173	-4,453,202 -643,601.5	-11,423,436 -116,254	-30,745,692 -5,025,862	-37,355,904 -1,284,564
NS2P margin ? Median	-4.69% -0.62	-2.02% -0.29	-5.33% 0.18	-14.90% -5.07	-18.18% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for THE 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	4,645,317 5,089,215	5,243,803 4,572,541	10,357,685 5,268,134	22,987,374 13,092,619	21,066,781 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	752,699 224,999	635,718 199,009	1,581,527 206,870.5	1,897,617 194,343	-2,734,625 249,496
⊳ Line 7: Investments ? ⊳ Median	-341,021 299,524	-160,248 188,688.5	3,474,175 370,813	2,009,493 309,361.5	126,381 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	699,926	645,071	435,739	213,990	487,087
⊳ 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	8,703	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	186	0
⊳ Line 18: Revenue from sale of medical records and abstracts	0	0	0	18,889	6,147
⊳ 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	43,994	75,710	61,100	14,650	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	3,481,016	4,047,552	4,805,144	18,832,549	23,181,791
Total income ? Median	-5,186,805 6,586,430	790,601 6,767,106	-1,065,751 8,419,950	-7,758,318 8,094,175	-16,289,123 15,162,888
Non-operating expenses Median	-750 146,289.5	0 164,857	0 89,880.5	0 106,761	0 31,473.5
Net income Median	-5,186,055 6,043,842	790,601 5,845,112	-1,065,751 7,606,259	-7,758,318 7,283,041	-16,289,123 14,957,241
Net margin Median	-2.41968% 4.62%	0.35034% 4.42%	-0.47404% 5.16%	-3.38399% 5.2%	-7.18986% 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 THE 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	33,917,167 23,241,334	35,807,403 23,709,545	32,453,328 24,248,380	33,515,324 22,858,541	30,156,561 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	29,267,259 21,577,146	30,904,125 22,041,594	27,636,670 22,722,063	27,182,698 21,570,441	24,063,383 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	329,138 1,845,420	419,821 1,757,392	361,920 1,738,842	444,975 1,510,463	1,166,230 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	4,320,770 3,535,627	4,483,457 3,746,588	4,454,738 3,782,288	5,887,651 3,865,578	4,926,948 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	27,785,996 11,160,864	28,012,916 11,987,345	29,274,812 12,926,866	25,166,433 11,884,480	21,263,529 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	27,008,747 10,918,923	27,435,665 11,706,976	28,787,424 12,615,917	24,433,429 11,458,116	20,738,408 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	777,249 1,282,808	577,251 1,407,728	487,388 1,341,512	733,004 1,407,046	525,121 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	812,183 594,888	1,038,730 595,761	874,614 577,894	805,683 542,168	683,444 549,667
Outlier Median	1,208,917 582,572	1,297,201 538,116	326,857 212,434	96,755 126,559	208,540 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	0 3,662,910	0 3,730,911	0 4,081,319	11,189,672 4,643,908	0 4,389,147
Charity care Median	9,601,878 2,654,636	9,961,484 2,940,659	11,371,814 3,380,215	8,361,086 3,488,738	8,565,522 3,233,405
Uncompensated care (UCC) Median	16,616,334 5,147,790	19,690,260 5,337,617	19,236,854 5,711,082	18,418,279 5,923,418	18,804,750 5,508,107
UCC as a % of operating expenses Median	7.57% 3.24	8.76% 3.12	8.52% 3.21	7.77% 3.3	7.74% 2.86
Total shortfall/UCC Median	16,616,334 9,489,989	19,690,260 9,424,297	19,236,854 10,120,158	29,607,951 11,171,337	18,804,750 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	92,790,869 52,142,039	92,135,336 54,485,252	85,863,922 57,395,589	84,020,445 58,830,919	86,392,745 61,722,907
Salaries as a % of operating expenses Median	42.27 36.68	40.97 36.56	38.01 36.37	35.45 35.93	35.58 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	4,793,624 1,449,244	7,931,330 1,475,986	3,483,025 1,563,078	3,665,553 1,721,954	8,020,875 2,991,828
Contract hours, direct-care Median	74,976.96 22,725	124,601.46 23,018.5	51,124.88 24,503.48	56,752.13 25,026.5	196,003.47 33,786
Contract wages, direct-care Median	63.93 64.67	63.65 64.53	68.13 65.06	64.59 68.97	40.92 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.