Competitive Intelligence — AVERA MERRILL PIONEER HOSPITAL
CCN 161321 | IA | 11 beds | Nat'l margin P38 | 17 gaps to P75
🛡️ Public data only — no PHI permitted on this instance.
$9.1M
Net Revenue
-9.7%
Margin (P38)
11
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=715) | IA Size-Matched (n=24) | Direction |
|---|---|---|---|---|---|---|
| Net Patient Revenue | $9.1M | P7 | P3 | P20 | P8 | ▲ higher |
| Operating Margin | -9.7% | P38 | P40 | P48 | P46 | ▲ higher |
| Bed Count | 11 | P2 | P1 | P7 | P4 | ▶ neutral |
| Revenue per Bed | $825K | P36 | P20 | P34 | P21 | ▲ higher |
| Occupancy Rate | 14.9% | P8 | P20 | P24 | P17 | ▲ higher |
| Net-to-Gross Ratio | 61.7% | P86 | P81 | P62 | P67 | ▲ higher |
| Expense per Bed | $905K | P37 | P21 | P30 | P17 | ▼ lower |
| Medicare Day % | 65.7% | P92 | P81 | P74 | P71 | ▶ neutral |
| Medicaid Day % | 0.0% | P0 | P0 | P0 | P0 | ▶ neutral |
| Commercial Payer % | 34.3% | P13 | P23 | P35 | P29 | ▲ higher |
| Payer Diversity Index | 0.451 | P41 | P28 | P41 | P29 | ▲ higher |
| Total Patient Days | 597 | P3 | P6 | P12 | P8 | ▲ 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 |
|---|---|---|---|---|---|
| Net Patient Revenue | $9.1M | $41.1M | +$32.1M | P8 | ~$35.3M |
| Net Patient Revenue | $9.1M | $33.0M | +$23.9M | P20 | ~$26.3M |
| Revenue per Bed | $825K | $2.0M | +$1.2M | P21 | ~$1.3M |
| Revenue per Bed | $825K | $2.0M | +$1.2M | P34 | ~$1.3M |
| Expense per Bed | $905K | $2.2M | -$136K | P30 | ~$150K |
| Total Patient Days | 597 | 2,568 | +1,971 | P12 | — |
| Total Patient Days | 597 | 1,606 | +1,008 | P8 | — |
| Occupancy Rate | 14.9% | 43.8% | +29.0% | P24 | ~$2.6M |
| Commercial Payer % | 34.3% | 60.2% | +25.9% | P35 | ~$2.3M |
| Occupancy Rate | 14.9% | 29.0% | +14.1% | P17 | ~$1.3M |
Top Size-Matched Peers
10–22 beds, ranked by revenue. Click any peer for full profile.
| Hospital | State | Beds | Revenue | Margin | Medicare |
|---|---|---|---|---|---|
| AVERA MERRILL PIONEER HOSPITAL (Target) | IA | 11 | $9.1M | -9.7% | 66% |
| FRED HUTCHINSON CANCER CENTER | WA | 20 | $1.17B | -50.0% | 22% |
| WENATCHEE VALLEY HOSPITAL | WA | 11 | $277.5M | -4.9% | 47% |
| PORTERVILLE DEVELOPMENTAL CENT | CA | 17 | $193.6M | -6.0% | 14% |
| NATIONAL JEWISH HEALTH | CO | 13 | $150.4M | -50.0% | 42% |
| NORTON SOUND REGIONAL HOSPITAL | AK | 18 | $148.7M | -28.6% | 34% |
| TEXAS SPINE AND JOINT HOSPITAL | TX | 20 | $147.3M | 30.3% | 52% |
| GREAT FALLS CLINIC MEDICAL CEN | MT | 20 | $132.1M | 21.0% | 44% |
| MARSHFIELD MEDICAL CENTER-MINO | WI | 19 | $129.6M | -12.4% | 32% |
| FRANCISCAN HEALTH HAMMOND | IN | 10 | $117.7M | -4.3% | 39% |
| NEW YORK EYE AND EAR INFIRMARY | NY | 15 | $112.8M | -28.0% | 1% |