Competitive Intelligence — SPENCER MUNICIPAL HOSPITAL
CCN 160112 | IA | 49 beds | Nat'l margin P36 | 11 gaps to P75
🛡️ Public data only — no PHI permitted on this instance.
$108.7M
Net Revenue
-10.3%
Margin (P36)
49
Beds
6,123
National Universe
4
Peer Groups
Percentile Rankings — All Metrics
Percentile rank across 4 peer groups. Bar shows position: left = bottom of peers, right = top. Green = favorable direction, red = unfavorable. Direction: ▲ higher is better, ▼ lower is better, ▶ neutral.
Data: CMS HCRIS FY2022 | 6,123 hospitals with complete financials
| Metric | Value | National (n=6,122) | IA State (n=123) | Size-Matched (n=2,672) | IA Size-Matched (n=75) | Direction |
|---|---|---|---|---|---|---|
| Net Patient Revenue | $108.7M | P62 | P83 | P86 | P96 | ▲ higher |
| Operating Margin | -10.3% | P36 | P39 | P36 | P35 | ▲ higher |
| Bed Count | 49 | P43 | P75 | P61 | P87 | ▶ neutral |
| Revenue per Bed | $2.2M | P82 | P86 | P83 | P84 | ▲ higher |
| Occupancy Rate | 32.7% | P27 | P62 | P33 | P69 | ▲ higher |
| Net-to-Gross Ratio | 38.7% | P60 | P27 | P53 | P18 | ▲ higher |
| Expense per Bed | $2.4M | P84 | P85 | P85 | P85 | ▼ lower |
| Medicare Day % | 52.4% | P82 | P47 | P76 | P41 | ▶ neutral |
| Medicaid Day % | 4.1% | P44 | P55 | P50 | P59 | ▶ neutral |
| Commercial Payer % | 43.5% | P22 | P55 | P30 | P60 | ▲ higher |
| Payer Diversity Index | 0.535 | P80 | P79 | P77 | P80 | ▲ higher |
| Total Patient Days | 5,842 | P37 | P73 | P48 | P84 | ▲ higher |
Value Creation Gaps — Path to P75
Metrics where the target trails size-matched P75 peers. Each gap represents quantifiable value creation opportunity. Estimated EBITDA impact assumes linear improvement proportional to revenue.
| Metric | Current | P75 Target | Gap | Percentile | Est. Impact |
|---|---|---|---|---|---|
| Expense per Bed | $2.4M | $1.8M | -$2.0M | P85 | ~$9.8M |
| Expense per Bed | $2.4M | $2.0M | -$1.5M | P85 | ~$7.5M |
| Total Patient Days | 5,842 | 12,510 | +6,668 | P48 | — |
| Occupancy Rate | 32.7% | 66.6% | +33.9% | P33 | ~$36.9M |
| Commercial Payer % | 43.5% | 67.7% | +24.2% | P30 | ~$26.4M |
| Net-to-Gross Ratio | 38.7% | 59.2% | +20.4% | P18 | ~$22.2M |
| Operating Margin | -10.3% | 7.1% | +17.4% | P36 | ~$18.9M |
| Net-to-Gross Ratio | 38.7% | 52.5% | +13.7% | P53 | ~$14.9M |
| Operating Margin | -10.3% | -2.9% | +7.4% | P35 | ~$8.0M |
| Commercial Payer % | 43.5% | 48.4% | +4.9% | P60 | ~$5.3M |
Top Size-Matched Peers
24–98 beds, ranked by revenue. Click any peer for full profile.
| Hospital | State | Beds | Revenue | Margin | Medicare |
|---|---|---|---|---|---|
| SPENCER MUNICIPAL HOSPITAL (Target) | IA | 49 | $108.7M | -10.3% | 52% |
| DANA-FARBER CANCER INSTITUTE | MA | 30 | $1.88B | -35.1% | 35% |
| MIDWESTERN REGIONAL MEDICAL CE | IL | 73 | $1.38B | 80.5% | 30% |
| MERCY WALWORTH HOSPITAL | WI | 25 | $616.4M | 4.4% | 34% |
| RANCHO LOS AMIGOS NATL.REHAB.C | CA | 83 | $512.6M | 41.9% | 5% |
| USC NORRIS CANCER HOSPITAL | CA | 60 | $468.7M | 19.1% | 24% |
| ST. JOSEPHS COMM. HOSPT. | WI | 70 | $436.8M | 66.1% | 32% |
| LAKEVIEW MEMORIAL | MN | 68 | $411.9M | 60.9% | 30% |
| MOUNTAIN VIEW HOSPITAL | ID | 43 | $382.5M | 8.7% | 5% |
| DECATUR COMMUNITY HOSPITAL | TX | 81 | $361.0M | -15.5% | 32% |
| WISE HEALTH SYSTEM - PARKWAY | TX | 36 | $361.0M | -15.5% | 26% |