1 location registered under this record — data as of November 4, 2026
Critical access hospital · KINGSTREE, SC
WILLIAMSBURG REGIONAL HOSPITAL
Taking partNoTermination date filedOctober 1, 2022Last certifiedSeptember 2, 2021
- 1Registered locations
- 1Associated locations
- 0Contract pharmacies
- 0With no end date
- January 1, 2011In 340B since
Every Medicare cost report this hospital has filed is on its cost-report record.
Fiscal year 2023 is on file, as submitted; its net patient revenue differs from the prior filing by 4.1×. It is shown in the filing list below with that note.
Finances, as filed
From this hospital’s Medicare cost report for the year ended September 30, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $57,614,643 | CMS-2552-10 worksheet G300000 line 100 column 100 |
| Contractual allowances | $35,128,881 | CMS-2552-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $22,485,762 | CMS-2552-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $25,573,399 | CMS-2552-10 worksheet G300000 line 400 column 100 |
| Income from service to patients | −$3,087,637 | CMS-2552-10 worksheet G300000 line 500 column 100 |
| Bad debt expense | $1,413,726 | CMS-2552-10 worksheet S100000 line 2600 column 100 |
| Bad debt other than Medicare, at cost | $581,604 | CMS-2552-10 worksheet S100000 line 2900 column 100 |
| Uncompensated care, at cost | $581,604 | CMS-2552-10 worksheet S100000 line 3000 column 100 |
| Total facility beds | 25 | CMS-2552-10 worksheet S300001 line 1400 column 200 |
| Cost-to-charge ratio | 0.4197 | CMS-2552-10 worksheet S100000 line 100 column 100 |
Cost report filed under CMS certification number 421303 for October 1, 2021 to September 30, 2022, as submitted. The public file it was read from.
Community benefit, as filed
From IRS Form 990 Schedule H, Part I, filed by WILLIAMSBURG REGIONAL HOSPITAL (employer identification number 570468486) for tax year 2022. The return lists this hospital as its one hospital facility.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total community benefit expense (line 7k) | $1,853,135 | IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><NetCommunityBenefitExpnsAmt> |
| Financial assistance at cost (line 7a) | $269,919 | IRS Form 990 Schedule H, Part I, <FinancialAssistanceAtCostTyp><NetCommunityBenefitExpnsAmt> |
| Medicaid (line 7b) | $1,583,216 | IRS Form 990 Schedule H, Part I, <UnreimbursedMedicaidGrp><NetCommunityBenefitExpnsAmt> |
| Financial assistance and means-tested government programs (line 7d) | $1,853,135 | IRS Form 990 Schedule H, Part I, <TotalFinancialAssistanceTyp><NetCommunityBenefitExpnsAmt> |
| Total, fraction of total expense (line 7k, column f) | 0.123 | IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><TotalExpensePct> |
E-file object id 202422289349300947. The IRS archive it was read from.
Executive and director compensation, as filed
From IRS Form 990 Part VII, Section A, filed by WILLIAMSBURG REGIONAL HOSPITAL (employer identification number 570468486) for tax year 2022. The return lists this hospital as its one hospital facility.
| Name | Title | Role | Reportable comp, from this organization | Reportable comp, from related organizations | Other compensation |
|---|---|---|---|---|---|
| DR JOSEPH ASARO | CHIEF OF STAFF | Officer | $0 | $0 | $0 |
| DR TIFFANY WRIGHT | BOARD MEMBER | Trustee/director | $0 | $0 | $0 |
| DR TROY GAMBLE JR | CMO (THRU 11/22) | Officer | $250,814 | $0 | $6,826 |
| MR DAN HARRINGTON | COO | Officer | $89,491 | $0 | $1,316 |
| MR DOUGLAS BROACH | CFO | Officer | $117,727 | $0 | $1,146 |
| MR FRANK BRADLEY ERWIN | VICE CHAIR | Trustee/director, Officer | $0 | $0 | $0 |
| MR JIM CHERRY | SECRETARY | Trustee/director, Officer | $0 | $0 | $0 |
| MR WILLIAM JENKINSON | BOARD MEMBER | Trustee/director | $0 | $0 | $0 |
| MRS JULIE FLOYD | BOARD CHAIR | Trustee/director, Officer | $0 | $0 | $0 |
| MRS MANDY SHULER | BOARD MEMBER | Trustee/director | $0 | $0 | $0 |
| MRS ROBIN COOPER | CNO (THRU 1/23) | Officer | $75,211 | $0 | $5,415 |
| MS JENNIFER MCKNIGHT | BOARD MEMBER | Trustee/director | $0 | $0 | $0 |
E-file object id 202422289349300947. The IRS archive it was read from.
The full report for WILLIAMSBURG REGIONAL HOSPITAL
Every figure on this page as a document you can keep, file or send on: the finances as filed with the worksheet, line and column each one came from, five hospitals of a similar size in the same state, the contract-pharmacy network year by year, and what changed on the record.
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Changes recorded
Nothing on this record has moved since it was first read here on September 6, 2026.
Every Medicare cost report this hospital has filed, every change this record has shown since it was first read here, and five hospitals of its own size in South Carolina beside it — each figure with the cell it came from — are in the report above.
Register detail and identifiers
Participation, as filed
- Participating
- FALSE
- Participation start date
- January 1, 2011
- Termination date
- October 1, 2022
- Termination reason
- Failure to recertify
- Certification date
- September 2, 2021
- Record last edited
- October 1, 2022
Identifiers
- 340B ID
- CAH421303-00
- Entity type as filed
- CAH
- CMS certification number
- 421303
- NPI
- 1124192109 (SC)
- Rural
- Yes
500 NELSON BOULEVARD, KINGSTREE SC 29556
Locations registered under this record
Browse all of them as a list →
| CAH421303-01 | Rural Health Clinic | CAH | KINGSTREE, SC | No |
Associated locations
| WILLIAMSBURG REGIONAL HOSPITAL | 500 NELSON BOULEVARD | KINGSTREE SC 29556 |
How this page is built
- What is counted
- One row per registration in the register. This page is the row for this 340B ID; a figure that reads across a record and its locations counts the rows the register lists under this record as well.
- As of
- November 4, 2026 — the date of the register file this record was last listed in.
- Contract-pharmacy arrangements
- Each arrangement the register files between a covered entity and a pharmacy counts once. An arrangement counts among those with no end date where the register prints no termination date for it, and among the rest where it prints one.
Every figure on this page comes from HRSA 340B OPAIS Covered Entity Daily Report.
Every figure on this page is printed as it appears in the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20261104_103135.xlsx, stamped by its publisher November 4, 2026. This record has been read here since September 6, 2026.
How this page was built: the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20261104_103135.xlsx, read November 4, 2026.