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Short-term acute care hospital · Columbia, South Carolina · 606 beds · CMS certification number 420018

Prisma Health Richland Hospital

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended September 30, 2025, as submitted, stamped by CMS March 2, 2026. 30 years on file, every one shown below. Also on the 340B covered-entity register.

Fiscal 2025 at a glance

Net patient revenue
$1.2B
$1,247,591,359 · G-3 line 3
Operating expenses
$1.1B
$1,088,454,855 · G-3 line 4
Result from patient care
$159.1M
$159,136,504 · G-3 line 5
Margin on patient care
12.8%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $302.3M in its first year on file (1996) to $1.2B in 2025.
  • Its result from patient care: $101.7M (2023), $123.2M (2024), $159.1M (2025).
  • 3 of the 5 short-term acute care hospital peers below with a margin on file also report a gain on patient care for fiscal year 2025.
  • Medicaid paid for 10.5% of its inpatient days and Medicare for 17.0%.
  • PRISMA HEALTH-MIDLANDS holds 100% of it, on its Medicare enrollment.

Every statement is drawn from figures on this page; nothing is estimated.

30 years of filings

Net patient revenue against operating expenses, each year as filed.

Net patient revenueOperating expenses
1996
reopened
$302.3M
$292.4M
1997
settled with audit
$311.2M
$311.6M
1998
settled with audit
$210.1M
$227.7M
1999
settled with audit
$332.4M
$392.7M
2000
settled with audit
$307.6M
$364.9M
2001
reopened
$311.1M
$367.0M
2002
settled with audit
$354.7M
$398.2M
2003
settled with audit
$399.0M
$427.8M
2004
settled with audit
$430.6M
$467.8M
2005
settled with audit
$449.7M
$511.3M
2006
reopened
$483.1M
$498.1M
2007
reopened
$520.1M
$550.8M
2008
reopened
$540.8M
$627.5M
2009
reopened
$583.9M
$618.6M
2010
reopened
$608.4M
$637.1M
2011
reopened
$618.9M
$650.7M
2012
reopened
$624.4M
$641.5M
2013
reopened
$652.4M
$655.8M
2014
settled with audit
$658.9M
$707.3M
2015
settled
$685.2M
$728.5M
2016
settled
$738.4M
$804.1M
2017
settled
$794.7M
$822.8M
2018
settled
$860.7M
$877.9M
2019
settled
$854.7M
$884.1M
2020
settled
$1.1B
$1.2B
2021
settled
$921.8M
$1.1B
2022
amended
$913.3M
$909.3M
2023
amended
$1.0B
$920.2M
2024
amended
$1.1B
$1.0B
2025
as submitted
$1.2B
$1.1B

Beside its peers

Short-term acute care hospitals in South Carolina with 400 and over beds, each on fiscal year 2025.

HospitalBedsNet patient revenueOperating expensesMargin
Prisma Health Richland Hospital606$1,247,591,359$1,088,454,85512.8%
Prisma Health Greenville Memorial Hospital, Greenville735$2,127,022,300$1,899,797,15210.7%
Lexington Medical Center, West Columbia547$1,702,225,006$1,707,997,612−0.3%
McLeod Regional Medical Center of the Pee Dee, Florence524$1,183,182,410$1,150,736,7752.7%
MUSC Medical Center, Charleston949$2,511,690,257$3,528,408,241−40.5%
Spartanburg Medical Center, Spartanburg686$1,541,463,000$1,341,919,63213.0%

Patients and payers

Discharges
26,145
S-3 line 14, col 15
Inpatient days
180,577
S-3 line 14, col 8
Beds in use, on an average day
496.1
days ÷ days in year
Occupancy
80.8%
days ÷ bed days
Medicare share of days
17.0%
S-3 cols 6 ÷ 8
Medicaid share of days
10.5%
S-3 cols 7 ÷ 8

Who owns it

  • PRISMA HEALTH-MIDLANDS100%

Related organizations on its own cost report: PH MIDLANDS, healthcare.

Other hospitals with the same owner: Prisma Health Tuomey Hospital (SC), Prisma Health Baptist Hospital (SC).

Type of control on its cost report: voluntary nonprofit, other.

Owners of 5% or more, from CMS’s hospital ownership file (Medicare enrollment, October 1, 2026).

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Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2025.ZIP, form CMS-2552-10, filed under CMS certification number 420018. Patients and payers: worksheet S-3 Part I of the same filing. Ownership: CMS Hospital All Owners and Hospital Enrollments.

How this page was built: the CMS Medicare cost report, file HOSP10FY2025.ZIP, read March 2, 2026.