Medicare cost report · CMS certification number 421303

WILLIAMSBURG REGIONAL HOSPITAL

KINGSTREE, South Carolina · critical access hospital

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Figures for October 1, 2021 to September 30, 2022 — a reporting period of 364 days, on form CMS-2552-10, as submitted.

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.

Peers and history

Every Medicare cost report this hospital has filed, with the date CMS stamped each one, and five hospitals of its own size in South Carolina beside it — each figure with the cell it came from — are in one signed, dated document. The citable document with peers and history — $295.

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On August 25, 2026, a cost report was filed for fiscal year 2021. That is one line of the filing alert.

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Other public records in South Carolina

Every figure on this page is printed as it appears in this hospital’s Medicare cost report, filed under CMS certification number 421303 on form CMS-2552-10, publication year 2023, file HOSP10FY2022.ZIP.

How this page was built: the CMS Medicare cost report, file HOSP10FY2022.ZIP, read February 28, 2023.

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