As of the July, 2022, release via CMS

TRIDENT REGIONAL MEDICAL CENTER

CMS id: 420079
9330 MEDICAL PLAZA DRIVE, CHARLESTON SC 29418. County: CHARLESTON
System: HCA
CBSA: Charleston-North Charleston, SC

The 450-bed, acute-care hospital had $105,491,489 in net service to patients*, with a total profit margin of 20.99741% in fiscal year 2021, the latest year available.
It spent 7.60% 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	forprofit	forprofit	forprofit	forprofit	forprofit
Acute beds Median	354 118	354 118	384 119.5	372 118	368 119
Total beds Median	421 162	421 162	451 162	463 162	450 163.5
FTEs Median	1,731.27 788.06	1,719.35 793.42	1,771.80 806.03	1,794.66 787.61	1,613.63 804.34

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	470,766,496 150,932,746	506,104,421 158,950,878	540,619,011 168,696,998	553,710,556 163,454,693	543,395,553 186,589,412
Operating expenses Median	401,093,888 149,311,209	416,439,648 156,110,414	449,617,272 164,890,568	476,175,981 166,516,854	437,904,064 180,120,888
Net income from service 2 patients (NS2P) ? Median	69,672,608 -964,173	89,664,773 -643,601.5	91,001,739 -116,254	77,534,575 -5,025,862	105,491,489 -1,284,564
NS2P margin ? Median	14.80% -0.62	17.72% -0.29	16.83% 0.18	14.00% -5.07	19.41% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for TRIDENT 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	13,491,245 5,089,215	10,790,238 4,572,541	16,950,595 5,268,134	11,029,205 13,092,619	10,895,279 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	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	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	1,289,448	1,346,518	1,321,957	1,345,058	1,102,575
⊳ 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	180	5,381	3,228	1,628	4,317
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	2,225	6,568	0	0	6,450
⊳ Line 21: Rental of vending machines	34,477	32,799	28,048	45,340	20,624
⊳ Line 22: Rental of hospital space	1,117,137	1,355,698	1,164,033	33,185	5,734
⊳ 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	11,047,778	8,043,274	14,433,329	9,603,994	9,755,579
Total income ? Median	83,163,853 6,586,430	100,455,011 6,767,106	107,952,334 8,419,950	88,563,780 8,094,175	116,386,768 15,162,888
Non-operating expenses Median	34 146,289.5	18 164,857	45 89,880.5	34 106,761	22 31,473.5
Net income Median	83,163,819 6,043,842	100,454,993 5,845,112	107,952,289 7,606,259	88,563,746 7,283,041	116,386,746 14,957,241
Net margin Median	17.17346% 4.62%	19.43433% 4.42%	19.36122% 5.16%	15.68222% 5.2%	20.99741% 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 TRIDENT 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	83,761,046 23,241,334	85,465,768 23,709,545	92,162,474 24,248,380	97,284,370 22,858,541	93,246,605 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	82,734,793 21,577,146	84,350,312 22,041,594	91,077,906 22,722,063	91,314,955 21,570,441	86,925,214 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	1,026,253 1,845,420	1,115,456 1,757,392	1,084,568 1,738,842	1,197,970 1,510,463	1,278,900 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	0 3,535,627	0 3,746,588	0 3,782,288	4,771,445 3,865,578	5,042,491 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	31,830,082 11,160,864	34,968,966 11,987,345	39,279,684 12,926,866	40,168,489 11,884,480	36,838,900 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	31,830,082 10,918,923	34,968,966 11,706,976	39,279,684 12,615,917	40,168,489 11,458,116	36,838,900 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	2,553,178 3,284,314	2,642,773 3,250,551	3,026,828 3,386,837	3,114,445 3,360,806	2,160,340 3,508,953
Disproportionate-share hospital (DSH) Median	1,995,828 594,888	1,924,802 595,761	1,972,876 577,894	2,080,789 542,168	1,991,738 549,667
Outlier Median	2,077,125 582,572	1,740,169 538,116	1,296,156 212,434	2,846,711 126,559	1,863,853 139,139

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	31,980,604 2,654,636	31,782,922 2,940,659	32,706,206 3,380,215	35,748,915 3,488,738	29,405,340 3,233,405
Uncompensated care (UCC) Median	38,528,965 5,147,790	37,351,020 5,337,617	38,156,239 5,711,082	40,667,818 5,923,418	33,294,449 5,508,107
UCC as a % of operating expenses Median	9.61% 3.24	8.97% 3.12	8.49% 3.21	8.54% 3.3	7.60% 2.86
Total shortfall/UCC Median	38,528,965 9,489,989	37,351,020 9,424,297	38,156,239 10,120,158	40,667,818 11,171,337	33,294,449 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	112,413,400 52,142,039	114,711,136 54,485,252	120,706,150 57,395,589	125,072,481 58,830,919	117,816,906 61,722,907
Salaries as a % of operating expenses Median	28.00 36.68	27.52 36.56	26.83 36.37	26.26 35.93	26.90 35.24
Intern, resident salaries* Median	1,889,575 2,598,592	1,942,612 2,686,824	2,017,580 2,753,773	1,809,130 2,937,156	406,373 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	5,876,595 1,449,244	4,752,349 1,475,986	7,002,165 1,563,078	7,744,279 1,721,954	9,710,898 2,991,828
Contract hours, direct-care Median	97,842.00 22,725	83,084.00 23,018.5	123,637.00 24,503.48	138,184.00 25,026.5	162,218.00 33,786
Contract wages, direct-care Median	60.06 64.67	57.20 64.53	56.63 65.06	56.04 68.97	59.86 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.