CCN 420004CHARLESTON CountyGovernment - Hospital District or AuthorityUrban (USDA RUCC)657 bedsLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read
A hospital in Charleston, SC. It ran an operating loss of 35.1% in FY25 on $2611.2M of operating revenue. It held 132 days of cash on hand (75th percentile among Urban PPS hospitals on liquidity). Operating margin declined from -10.3% in FY21 to -35.1% in FY25. Including nonoperating items, the all-in result was positive at 5.4%.
Operating margin · FY25
-35.1%
vs Urban PPS hospitals4th pctl of 1,475 (FY25)
Days cash on hand · FY25
132d
all sources
vs Urban PPS hospitals75th pctl of 1,386 (FY25)
Total operating revenue · FY25
$2.61B
vs Urban PPS hospitals97th pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
+5.4%
vs Urban PPS hospitals47th pctl of 1,475 (FY25)
One point of operating margin at MUSC MEDICAL CENTER is about $26.1M per year (1% of FY25 total operating revenue).
Where MUSC MEDICAL CENTER sits among Urban PPS hospitals
Operating margin · FY25 pool · n = 1,475 of 2,681 filed
Each point is one Urban PPS hospital in the national distribution for this provider type, placed by operating margin. Facilities are not matched on size, case mix, or market — that is the matched-peer comparison in the paid benchmark. The Urban PPS hospital median is +1.3%. Descriptive context only, not a ranking.
One urban pps hospitalMUSC MEDICALUrban PPS hospital median
The money
$ thousands · HCRIS cost-report basis · as filed, QA-gated
Ratios tell you how this hospital is doing. Statements tell you what kind of organization it is, and where the money comes from. Every figure below traces to a public cost-report filing, shown as filed. A ratio renders only when every input is reported in the filing; a year missing its core lines is not shown; a year whose balance sheet does not reconcile is labeled. Not audited by Astrelis.
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line item
FY23
FY24
FY25
Patient revenue
2,609,674
3,280,842
2,511,690
Other operating revenue
85,678
180,597
99,508
Total operating revenue
2,695,352
3,461,439
2,611,198
Total operating expenses
2,662,164
3,308,772
3,528,408
Operating income
33,188
152,667
(917,210)
Operating margin %
+1.2%
+4.4%
-35.1%
Grants & contributions
3,955
3,134
392,881
Investment income
12,890
41,314
44,127
Other non-operating, net
43,612
49,266
690,197
Net income
93,645
246,381
209,995
Net income %
+3.4%
+6.9%
+5.6%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY21–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income
How it operates
quality & operational context · CMS public reporting
A 657-bed hospital at 81% occupancy 47% of patient revenue is outpatient.
The metrics this hospital type is judged on: care quality, patient experience, and scale. Each is labeled by evidence class and public source; descriptive context only, never a ranking or adequacy claim.
Scale and flow
Occupancy
80.7%
Verified fact2025
HCRIS WS S-3
Average daily census
531.50
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
657
Verified fact2025
HCRIS WS S-3
Annual discharges
44,220
Verified fact2025
HCRIS WS S-3
Average length of stay
4.4d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
46.8%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
8,233
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
24.1%
Verified fact2025
HCRIS WS S-3 Pt V
How the care measures up
C. difficile infection (SIR)
0.621
Better than the National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
15.7%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
0.98
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
1.475339
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare
Trajectory
Cost-report basis · 5 reporting years
Operating margin
Days cash on hand
The county this hospital serves
CHARLESTON County, SC
Median household income
$84.3K
vs $82.1K US · $59.7K rural median
Poverty rate
11.6%
vs 12.5% US · 14.3% rural median
Uninsured
8.9%
vs 8.6% US · 8.4% rural median
Age 65+
17.5%
vs 16.8% US · 20.6% rural median
Fair or poor health
14.8%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 5.1% of county personal income is Medicare/Medicaid medical benefits; 13.4% arrives as government transfers (BEA, 2022).
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