As of the July, 2022, release via CMS

GRAND STRAND REGIONAL MEDICAL CENTER

CMS id: 420085
809 82ND PARKWAY NORTH, MYRTLE BEACH SC 29572. County: HORRY
System: HCA
CBSA: Myrtle Beach-Conway-North Myrtle Beach, SC-NC

The 371-bed, acute-care hospital had $147,980,491 in net service to patients*, with a total profit margin of 31.94657% in fiscal year 2021, the latest year available.
It spent 7.57% 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	245 118	313 118	269 119.5	269 118	269 119
Total beds Median	301 162	369 162	369 162	371 162	371 163.5
FTEs Median	1,129.95 788.06	1,272.42 793.42	1,425.51 806.03	1,440.48 787.61	1,424.61 804.34

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	388,136,795 150,932,746	415,330,721 158,950,878	446,193,170 168,696,998	459,916,904 163,454,693	490,574,824 186,589,412
Operating expenses Median	299,569,137 149,311,209	325,405,222 156,110,414	350,008,373 164,890,568	356,868,057 166,516,854	342,594,333 180,120,888
Net income from service 2 patients (NS2P) ? Median	88,567,658 -964,173	89,925,499 -643,601.5	96,184,797 -116,254	103,048,847 -5,025,862	147,980,491 -1,284,564
NS2P margin ? Median	22.82% -0.62	21.65% -0.29	21.56% 0.18	22.41% -5.07	30.16% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for GRAND STRAND 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	11,168,547 5,089,215	8,886,120 4,572,541	12,121,856 5,268,134	11,096,154 13,092,619	12,844,841 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	3 375,329
⊳ 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	465,066
⊳ 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	47,836
⊳ 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	11,935,133 1,597,664
⊳ Sum Line 24	11,168,547	8,886,120	12,121,856	11,096,154	396,803
Total income ? Median	99,736,205 6,586,430	98,811,619 6,767,106	108,306,653 8,419,950	114,145,001 8,094,175	160,825,332 15,162,888
Non-operating expenses Median	40,499 146,289.5	17,598 164,857	2,188 89,880.5	89,003 106,761	0 31,473.5
Net income Median	99,695,706 6,043,842	98,794,021 5,845,112	108,304,465 7,606,259	114,055,998 7,283,041	160,825,332 14,957,241
Net margin Median	24.96729% 4.62%	23.28857% 4.42%	23.63101% 5.16%	24.21504% 5.2%	31.94657% 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 GRAND STRAND 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	93,836,735 23,241,334	104,207,820 23,709,545	121,381,264 24,248,380	134,570,038 22,858,541	130,102,571 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	93,836,735 21,577,146	104,207,820 22,041,594	114,526,704 22,722,063	124,877,417 21,570,441	119,358,884 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	968,799 1,738,842	1,098,283 1,510,463	1,029,688 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	0 3,535,627	0 3,746,588	5,885,761 3,782,288	8,594,338 3,865,578	9,713,999 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	26,370,511 11,160,864	29,439,732 11,987,345	32,094,158 12,926,866	30,667,298 11,884,480	32,518,280 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	26,370,511 10,918,923	29,439,732 11,706,976	32,094,158 12,615,917	30,667,298 11,458,116	32,518,280 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	8,269,184 3,284,314	13,534,651 3,250,551	17,257,726 3,386,837	22,168,159 3,360,806	20,322,240 3,508,953
Disproportionate-share hospital (DSH) Median	916,592 594,888	980,579 595,761	1,351,964 577,894	1,145,504 542,168	918,839 549,667
Outlier Median	3,392,325 582,572	1,340,700 538,116	2,909,874 212,434	1,501,024 126,559	860,621 139,139

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	22,318,047 2,654,636	25,267,424 2,940,659	27,047,140 3,380,215	25,626,217 3,488,738	23,595,090 3,233,405
Uncompensated care (UCC) Median	25,755,708 5,147,790	29,019,371 5,337,617	30,533,626 5,711,082	28,782,296 5,923,418	25,922,002 5,508,107
UCC as a % of operating expenses Median	8.60% 3.24	8.92% 3.12	8.72% 3.21	8.07% 3.3	7.57% 2.86
Total shortfall/UCC Median	25,755,708 9,489,989	29,019,371 9,424,297	30,533,626 10,120,158	28,782,296 11,171,337	25,922,002 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	69,406,986 52,142,039	80,585,556 54,485,252	93,155,173 57,395,589	95,753,303 58,830,919	97,230,247 61,722,907
Salaries as a % of operating expenses Median	23.17 36.68	24.76 36.56	26.62 36.37	26.83 35.93	28.38 35.24
Intern, resident salaries* Median	2,601,160 2,598,592	4,454,333 2,686,824	5,463,899 2,753,773	6,368,430 2,937,156	7,384,779 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	9,194,495 1,449,244	7,312,390 1,475,986	7,292,387 1,563,078	8,460,901 1,721,954	4,890,075 2,991,828
Contract hours, direct-care Median	150,721.00 22,725	112,733.00 23,018.5	113,071.00 24,503.48	137,937.00 25,026.5	68,082.00 33,786
Contract wages, direct-care Median	61.00 64.67	64.86 64.53	64.49 65.06	61.34 68.97	71.83 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.