As of the July, 2022, release via CMS

AIKEN REGIONAL MEDICAL CENTER

CMS id: 420082
302 UNIVERSITY PARKWAY, AIKEN SC 29801. County: AIKEN
System: UNIVERSAL HEATLH SERVICES INC
CBSA: Augusta-Richmond County, GA-SC

The 273-bed, acute-care hospital had $8,037,504 in net service to patients*, with a total profit margin of 7.02097% in fiscal year 2021, the latest year available.
It spent 7.25% 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	165 118	169 118	176 119.5	176 118	176 119
Total beds Median	248 162	266 162	273 162	273 162	273 163.5
FTEs Median	1,027.67 788.06	1,047.21 793.42	1,043.25 806.03	977.60 787.61	978.83 804.34

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	208,127,176 150,932,746	226,256,124 158,950,878	184,709,473 168,696,998	173,181,105 163,454,693	196,445,510 186,589,412
Operating expenses Median	189,851,155 149,311,209	205,165,551 156,110,414	174,575,580 164,890,568	173,505,498 166,516,854	188,408,006 180,120,888
Net income from service 2 patients (NS2P) ? Median	18,276,021 -964,173	21,090,573 -643,601.5	10,133,893 -116,254	-324,393 -5,025,862	8,037,504 -1,284,564
NS2P margin ? Median	8.78% -0.62	9.32% -0.29	5.49% 0.18	-0.19% -5.07	4.09% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for AIKEN 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	3,096,287 5,089,215	3,078,399 4,572,541	2,903,184 5,268,134	11,496,498 13,092,619	6,189,437 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	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	3,096,287	3,078,399	2,903,184	11,496,498	6,189,437
Total income ? Median	21,372,308 6,586,430	24,168,972 6,767,106	13,037,077 8,419,950	11,172,105 8,094,175	14,226,941 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	21,372,308 6,043,842	24,168,972 5,845,112	13,037,077 7,606,259	11,172,105 7,283,041	14,226,941 14,957,241
Net margin Median	10.11834% 4.62%	10.53874% 4.42%	6.94893% 5.16%	6.04952% 5.2%	7.02097% 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 AIKEN 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	37,426,083 23,241,334	37,409,500 23,709,545	36,147,479 24,248,380	36,472,837 22,858,541	36,121,679 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	34,482,868 21,577,146	32,592,413 22,041,594	31,188,169 22,722,063	31,200,890 21,570,441	31,865,199 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	2,943,215 1,845,420	2,840,416 1,757,392	2,412,912 1,738,842	2,277,086 1,510,463	1,636,967 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	0 3,535,627	1,976,671 3,746,588	2,546,398 3,782,288	2,994,861 3,865,578	2,619,513 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	13,271,538 11,160,864	14,246,496 11,987,345	14,791,790 12,926,866	12,043,130 11,884,480	12,847,114 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	13,271,538 10,918,923	14,246,496 11,706,976	14,791,790 12,615,917	12,043,130 11,458,116	12,847,114 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	499,243 3,284,314	493,369 3,250,551	462,181 3,386,837	465,085 3,360,806	477,348 3,508,953
Disproportionate-share hospital (DSH) Median	1,060,652 594,888	951,817 595,761	936,475 577,894	912,258 542,168	962,646 549,667
Outlier Median	1,331,036 582,572	680,433 538,116	251,581 212,434	838,415 126,559	423,764 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	0 3,662,910	1,339,695 3,730,911	884,646 4,081,319	872,427 4,643,908	0 4,389,147
Charity care Median	11,285,884 2,654,636	7,799,490 2,940,659	7,626,721 3,380,215	9,269,641 3,488,738	6,927,203 3,233,405
Uncompensated care (UCC) Median	15,321,173 5,147,790	12,752,289 5,337,617	13,248,792 5,711,082	15,029,538 5,923,418	13,658,116 5,508,107
UCC as a % of operating expenses Median	8.07% 3.24	6.22% 3.12	7.59% 3.21	8.66% 3.3	7.25% 2.86
Total shortfall/UCC Median	15,321,173 9,489,989	14,091,984 9,424,297	14,133,438 10,120,158	15,901,965 11,171,337	13,658,116 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	56,400,790 52,142,039	58,649,693 54,485,252	61,114,944 57,395,589	58,569,453 58,830,919	58,685,452 61,722,907
Salaries as a % of operating expenses Median	29.31 36.68	28.28 36.56	26.29 36.37	26.65 35.93	24.38 35.24
Intern, resident salaries* Median	0 2,598,592	0 2,686,824	0 2,753,773	0 2,937,156	168,664 2,909,848
Contract intern, resident salaries* Median	1,177,925 1,251,927	1,156,119 1,186,494	1,196,639 1,204,885	1,150,251 1,279,653	1,410,730 1,469,317
Contract adjusted salaries, direct-care Median	4,193,874 1,449,244	4,167,220 1,475,986	3,063,318 1,563,078	3,806,465 1,721,954	12,684,577 2,991,828
Contract hours, direct-care Median	64,109.00 22,725	60,564.00 23,018.5	44,573.11 24,503.48	52,116.00 25,026.5	116,328.00 33,786
Contract wages, direct-care Median	65.42 64.67	68.81 64.53	68.73 65.06	73.04 68.97	109.04 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.