As of the July, 2022, release via CMS

LEXINGTON MEDICAL CENTER

CMS id: 420073
2720 SUNSET BLVD, WEST COLUMBIA SC 29169. County: LEXINGTON
System: --
CBSA: Columbia, SC

The 527-bed, acute-care hospital had $54,785,491 in net service to patients*, with a total profit margin of 7.93528% in fiscal year 2021, the latest year available.
It spent 3.19% of its operating expenses on uncompensated care and reported $2,132,717 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	242
Ownership	gov	gov	gov	gov	gov
Acute beds Median	389 118	397 118	440 119.5	461 118	484 119
Total beds Median	428 162	436 162	481 162	508 162	527 163.5
FTEs Median	5,160.00 788.06	5,254.00 793.42	5,398.00 806.03	5,673.00 787.61	6,247.00 804.34

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	941,582,734 150,932,746	1,005,515,351 158,950,878	1,101,570,316 168,696,998	1,166,287,928 163,454,693	958,073,163 186,589,412
Operating expenses Median	976,959,200 149,311,209	994,755,005 156,110,414	1,086,512,112 164,890,568	1,204,548,352 166,516,854	903,287,672 180,120,888
Net income from service 2 patients (NS2P) ? Median	-35,376,466 -964,173	10,760,346 -643,601.5	15,058,204 -116,254	-38,260,424 -5,025,862	54,785,491 -1,284,564
NS2P margin ? Median	-3.76% -0.62	1.07% -0.29	1.37% 0.18	-3.28% -5.07	5.72% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for LEXINGTON 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	11,053,144 5,089,215	5,666,845 4,572,541	41,578,355 5,268,134	81,760,863 13,092,619	23,071,070 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	0 206,870.5	0 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	4,993,497 299,524	5,459,291 188,688.5	30,175,253 370,813	26,414,232 309,361.5	-814,049 375,329
⊳ 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	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.)	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	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	6,059,647	207,554	11,403,102	55,346,631	23,885,119
Total income ? Median	-24,323,322 6,586,430	16,427,191 6,767,106	56,636,559 8,419,950	43,500,439 8,094,175	77,856,561 15,162,888
Non-operating expenses Median	-15,122,884 146,289.5	0 164,857	15,154,417 89,880.5	18,579,002 106,761	0 31,473.5
Net income Median	-9,200,438 6,043,842	16,427,191 5,845,112	41,482,142 7,606,259	24,921,437 7,283,041	77,856,561 14,957,241
Net margin Median	-0.96579% 4.62%	1.62455% 4.42%	3.62876% 5.16%	1.99683% 5.2%	7.93528% 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 LEXINGTON 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	93,301,173 23,241,334	98,965,495 23,709,545	103,773,527 24,248,380	106,243,367 22,858,541	72,734,210 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	93,301,173 21,577,146	98,965,495 22,041,594	103,773,527 22,722,063	106,243,367 21,570,441	72,734,210 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	37,061,925 11,160,864	41,080,237 11,987,345	45,091,393 12,926,866	49,832,287 11,884,480	38,547,532 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	37,061,925 10,918,923	41,080,237 11,706,976	45,091,393 12,615,917	49,832,287 11,458,116	38,547,532 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	1,442,402 594,888	1,498,685 595,761	1,516,230 577,894	1,340,538 542,168	842,939 549,667
Outlier Median	4,223,150 582,572	3,395,147 538,116	337,307 212,434	405,660 126,559	424,635 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	5,125,054 3,662,910	4,208,369 3,730,911	866,197 4,081,319	4,114,423 4,643,908	2,132,717 4,389,147
Charity care Median	14,880,456 2,654,636	14,737,924 2,940,659	15,707,763 3,380,215	16,964,373 3,488,738	20,751,676 3,233,405
Uncompensated care (UCC) Median	45,350,851 5,147,790	42,314,936 5,337,617	42,958,760 5,711,082	44,849,312 5,923,418	28,857,339 5,508,107
UCC as a % of operating expenses Median	4.64% 3.24	4.25% 3.12	3.95% 3.21	3.72% 3.3	3.19% 2.86
Total shortfall/UCC Median	50,475,905 9,489,989	46,523,305 9,424,297	43,824,957 10,120,158	48,963,735 11,171,337	30,990,056 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	426,603,196 52,142,039	449,853,469 54,485,252	475,359,860 57,395,589	532,370,794 58,830,919	414,458,947 61,722,907
Salaries as a % of operating expenses Median	46.22 36.68	46.46 36.56	43.25 36.37	43.26 35.93	45.88 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	1,183,767 1,449,244	486,229 1,475,986	72,576 1,563,078	1,595,189 1,721,954	3,935,524 2,991,828
Contract hours, direct-care Median	16,295.59 22,725	6,427.63 23,018.5	1,286.00 24,503.48	15,763.85 25,026.5	26,425.55 33,786
Contract wages, direct-care Median	72.64 64.67	75.65 64.53	56.44 65.06	101.19 68.97	148.93 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.