Velarion Records

Short-term acute care hospital · Charleston, South Carolina · 434 beds · CMS certification number 420079

HCA Healthcare Trident Hospital

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended March 31, 2026, as submitted, stamped by CMS September 15, 2026. 30 years on file, every one shown below.

Fiscal 2026 at a glance

Net patient revenue
$935.2M
$935,187,064 · G-3 line 3
Operating expenses
$736.9M
$736,907,862 · G-3 line 4
Result from patient care
$198.3M
$198,279,202 · G-3 line 5
Margin on patient care
21.2%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $143.2M in its first year on file (1997) to $935.2M in 2026.
  • Its result from patient care: $110.4M (2024), $260.8M (2025), $198.3M (2026).
  • 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 2026.
  • Medicaid paid for 5.7% of its inpatient days and Medicare for 22.7%.
  • AC MED LLC 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
1997
as submitted
$143.2M
$119.4M
1998
as submitted
$152.7M
$130.8M
1999
as submitted
$150.8M
$133.9M
2000
as submitted
$175.5M
$128.9M
2001
as submitted
$194.7M
$155.5M
2002
reopened
$220.8M
$178.5M
2003
reopened
$242.9M
$189.6M
2004
reopened
$254.4M
$210.1M
2005
reopened
$284.8M
$230.4M
2006
reopened
$287.1M
$242.9M
2007
reopened
$302.3M
$257.4M
2008
reopened
$299.7M
$251.0M
2009
reopened
$293.3M
$259.3M
2010
reopened
$330.8M
$269.8M
2011
reopened
$410.9M
$362.0M
2012
reopened
$330.0M
$291.3M
2013
reopened
$353.1M
$292.8M
2014
reopened
$361.1M
$305.0M
2015
reopened
$416.1M
$330.0M
2016
reopened
$439.7M
$375.4M
2017
reopened
$470.8M
$401.1M
2018
settled
$506.1M
$416.4M
2019
reopened
$540.6M
$449.6M
2020
reopened
$553.7M
$476.2M
2021
settled
$543.4M
$437.9M
2022
settled
$611.5M
$509.1M
2023
settled with audit
$637.5M
$534.7M
2024
amended
$685.9M
$575.4M
2025
amended
$914.6M
$653.8M
2026
as submitted
$935.2M
$736.9M

Beside its peers

Hospitals of the same type (short-term acute care hospital), nearest in size, from South Carolina first; each on fiscal year 2026.

HospitalBedsNet patient revenueOperating expensesMargin
HCA Healthcare Trident Hospital434$935,187,064$736,907,86221.2%
HCA Florida North Florida Hospital, Gainesville (FL)483$792,767,315$543,973,19731.4%
HCA Florida Oak Hill Hospital, Spring Hill (FL)350$407,987,548$227,886,51944.1%
Legacy Emanuel Medical Center, Portland (OR)400$1,209,629,192$1,472,689,889−21.8%
Mobile Infirmary Medical Center, Mobile (AL)467$580,287,741$602,339,167−3.8%
Parkridge Medical Center, Chattanooga (TN)407$587,585,016$355,909,70039.4%

Patients and payers

Discharges
26,014
S-3 line 14, col 15
Inpatient days
119,986
S-3 line 14, col 8
Beds in use, on an average day
329.6
days ÷ days in year
Occupancy
75.7%
days ÷ bed days
Medicare share of days
22.7%
S-3 cols 6 ÷ 8
Medicaid share of days
5.7%
S-3 cols 7 ÷ 8

Who owns it

  • AC MED LLC100%
  • HCA HEALTHCARE INC100%
  • HCA INC100%
  • HEALTHTRUST INC - THE HOSPITAL COMPANY100%
  • FRISCO HOLDING II16%
  • HERCULES HOLDING II14%

Related organizations on its own cost report: HPG, group purchase; HCA HEALTHCARE, home office; PARALLON, shared service; HWS, staffing; HCI, insurance.

Other hospitals with the same owner: Alaska Regional Hospital (AK), Riverside Community Hospital (CA), Good Samaritan Hospital (CA), Los Robles Hospital and Medical Center (CA), HCA Healthone Presbyterian St. Luke's Hospital (CO), HCA Healthone Rose Hospital (CO), HCA Healthone Swedish Hospital (CO), HCA Healthone Mountain Ridge Hospital (CO), HCA Healthone Aurora Hospital (CO).

Type of control on its cost report: proprietary, corporation.

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 420079. 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 September 15, 2026.