Our Economic Impact

A look at Prisma Health–Midlands’ economic impact in the Midlands and the state of South Carolina as of September 30, 2018.


Total team members
  • 13,392

Team members by county of residence*

  • Richland – 6,688
  • Lexington – 3,142
  • Sumter – 1,553
  • Kershaw – 619
  • Fairfield – 138
  • Newberry – 153
  • Other SC counties – 801
  • Non-SC counties – 159

*Baptist Easley, leased team members and volunteers are not included in county data.


Salaries and benefits

  • $856 million

Goods and services purchased

  • $759 million

Revenue (after expenses)

  • ($7.6) million

Charity care provided*

  • $231 million

Non-payment for services (bad debt)**

  • $344 million

Community programs and services

  • 2017 (most recent data available) – $50 million

Palmetto Health Foundation

  • Donations – $6 million

  • Donors – 11,813

The Tuomey Foundation

  • Donations – $845,000

  • Donors – 547


Prisma Health generally defines uninsured care as care provided for which no payment was received from patients and/or insurers. It is a sum of the “bad debt” and charity care the system provides. Uninsured care excludes other unfunded costs of care, such as underpayment from Medicaid and Medicare.

*Charity care consists of services for which Prisma Health neither received nor expected to receive payment, because it was determined the patient was financially unable to pay a bill. The amount of charity care provided by Prisma Health in FY2018 was nearly seven times greater than it was in FY2001, increasing from $33.5 million to nearly $231 million – an average annual increase of 8 percent.

**Bad debt consists of services for which Prisma Health expected to receive payment but did not because the patient was unable or unwilling to pay a bill. Bad debt often is generated by uninsured patients, making it reasonable to consider bad debt as one component of Prisma Health’s total cost of providing care to such patients. The amount of bad debt written off by Prisma Health has grown more than eight times since 2001, increasing from $44.7 million in FY2001 to more than $344 million in FY2017 – an average annual increase of 9 percent. A small percentage of bad debt is caused by insured patients who fail to pay their deductibles or co-payments, but the vast majority of bad debt is attributable to uninsured patients.

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