The Regional Medical Center
Orangeburg, Orangeburg County, SC · CCN 420068
Composite
58.5
rank score
Distress
89
FY2023
Fit
46
vs thesis
Estimated ticket
$17.6M–$35.1M
251 beds ·
within envelope
Ownership
government
STH
Why it ranks here
- operating margin below -10%
- total margin below -8%
- 30-60 days cash on hand
- current ratio below 0.8
- debt above 70% of assets
- occupancy below 30%
- margin deteriorating sharply
- rural — cheaper but limited density
- large — ticket likely stretches the envelope
- small ticket — deploys little of the available capital
- very low occupancy — limited volume to learn from
- government-owned — public process likely
Latest financials · FY2023
| Net patient revenue | $86.0M |
| Operating margin | -15.8% |
| Total margin | -12.3% |
| Days cash on hand | 41 |
| Current ratio | 0.80 |
| Occupancy | 29% |
Facility
| Beds | 251 |
| Facility type | STH |
| Setting | rural |
| Ownership class | government |
| Per-bed (low) | $70.0K |
| Per-bed (high) | $140K |
Financial history
| FY | Beds | Net patient rev | Net income | Op margin | Total margin | Days cash | Current ratio | Occupancy | Discharges | Distress |
|---|---|---|---|---|---|---|---|---|---|---|
| 2020 | 251 | $206M | $-7.8M | -14.9% | -3.4% | 81 | 1.19 | 42% | 8,988 | 59 |
| 2021 | 251 | $205M | $-16.3M | -18.2% | -7.2% | 27 | 1.14 | 40% | 7,674 | 71 |
| 2022 | 247 | $195M | $-28.6M | -20.7% | -13.8% | 4 | 1.03 | 39% | 6,033 | 76 |
| 2023 | 251 | $86.0M | $-10.9M | -15.8% | -12.3% | 41 | 0.80 | 29% | 2,169 | 89 |
Owners
No ownership records — CMS has no owner filings mapped to this CCN.
Ownership changes
No CMS ownership change on record since 2016 — this hospital has not traded in at least a decade.
Who has been buying in SC
Completed CMS ownership changes in this state. These buyers already cleared the licensure process here — and whoever advised them knows this market.
| Date | Buyer | Seller | Hospital | Beds |
|---|---|---|---|---|
| 2025-10-01 | Prisma Health-Midlands | Prisma Health Tuomey | Prisma Health Tuomey Hospital | 161 |
| 2024-02-01 | East Cooper Medical Center Llc | East Cooper Community Hospital, Inc. | East Cooper Regional Medical Center | 120 |
| 2024-02-01 | Hilton Head Medical Center Llc | Hilton Head Health System, L.p. | Hilton Head Hospital | 93 |
| 2024-01-31 | South Carolina Coastal Medical Center Llc | Coastal Carolina Medical Center Inc | Coastal Carolina Medical Center | 41 |
| 2021-08-01 | Medical University Hospital Authority | Kershaw Hospital Llc | Musc Health Kershaw Medical Center | 99 |
| 2021-08-01 | Medical University Hospital Authority | Providence Hospital Llc | Musc Health Columbia Medical Center | 332 |
| 2021-02-01 | Lexington Health Inc | Lexington County Health Services... | Lexington Medical Center | 541 |
| 2020-12-31 | Mcleod Regional Medical Center Of... | Mcleod Regional Medical Center Of... | Mcleod Regional Medical Center | 524 |
| 2019-03-01 | Medical University Hospital Authority | Chester Hma Llc | Musc Health Chester Medical Center | 16 |
| 2019-03-01 | Medical University Hospital Authority | Qhg Of South Carolina Inc | Musc Health Florence Medical Center | 187 |
| 2019-03-01 | Medical University Hospital Authority | Qhg Of South Carolina Inc | Musc Health Marion Medical Center | 36 |
| 2019-01-01 | Spartanburg Medical Center | Mary Black Health System Llc | Spartanburg Regional Medical Center | 626 |
| 2019-01-01 | Cherokee Medical Center | Gaffney Hma Llc | Cherokee Medical Center | 24 |
| 2018-10-01 | Prisma Health-Upstate | Baptist Easley Hospital | Ph Baptist Easley Hospital | 74 |
| 2016-10-01 | Prisma Health-Upstate | Greenville Health System | Ph Hillcrest Hospital | 43 |