HCRIS X-Ray — MARSHALL MEDICAL CENTERS SOUTH
CCN 010005 · 178 beds · FY2022
🛡️ Public data only — no PHI permitted on this instance.
HCRIS-Native Peer X-Ray
MARSHALL MEDICAL CENTERS SOUTH
11 peers · same-state + same-year · 11 pool, top 11 shown · benchmarked on 15 metrics
CCN 010005 · FY2022 · BOAZ, AL
MARSHALL MEDICAL CENTERS SOUTHTREND · IMPROVING · 3Y
Beds
178
Community
Patient Days
35,493
54.6% occupancy
Medicare Day Share
26.1%
moderate
NPR (filed)
$186.9M
$1,050K / bed
Operating Margin
-6.3%
Negative
Payer Diversity
0.62
1 − HHI of day mix
Plain-English read: Biggest peer gap: Medicaid day share is 23.7% vs peer median 13.4% (+76.8%, above peer P75). Strongest outperformance: Net-to-gross ratio at 35.9% vs median 18.4% (+94.8%).
Peer benchmark · target vs P25 / median / P75 · same-state + same-year · 11 pool, top 11 shown
Size
Metric
Target
Peer P25
Peer Median
Peer P75
Variance
Trend · Distribution
Beds
licensed bed count
178
178
204
208
-12.7%
IN-BAND
Patient days
total inpatient days filed
35,493
34,646
48,793
52,468
-27.3%
IN-BAND
Occupancy rate
patient days ÷ bed days available
54.6%
46.5%
65.6%
77.9%
-16.8%
IN-BAND
Payer Mix
Metric
Target
Peer P25
Peer Median
Peer P75
Variance
Trend · Distribution
Medicare day share
share of inpatient days covered by Medicare
26.1%
20.6%
22.7%
27.2%
+15.1%
IN-BAND
Medicaid day share
share of inpatient days covered by Medicaid
23.7%
9.9%
13.4%
18.4%
+76.8%
BELOW PEER
Commercial / other day share
commercial + self-pay day share (higher = better economics)
50.2%
57.9%
59.4%
63.5%
-15.5%
BELOW PEER
Payer diversity
1 − HHI of day mix; 0 = single-payer, 0.67 = balanced across 3
0.62
0.50
0.55
0.56
+12.6%
ABOVE PEER
Revenue Cycle
Metric
Target
Peer P25
Peer Median
Peer P75
Variance
Trend · Distribution
NPR per bed
net patient revenue ÷ beds
1,049,729 $
699,577 $
815,095 $
1,207,918 $
+28.8%
IN-BAND
NPR per patient day
net patient revenue ÷ total patient days
5,264 $
3,327 $
4,119 $
4,251 $
+27.8%
ABOVE PEER
Contractual allowance rate
contractual allowances ÷ gross patient revenue
64.1%
73.4%
81.6%
90.4%
-21.4%
ABOVE PEER
Net-to-gross ratio
NPR ÷ gross patient revenue (collection-rate proxy)
35.9%
8.9%
18.4%
25.0%
+94.8%
ABOVE PEER
Cost Structure
Metric
Target
Peer P25
Peer Median
Peer P75
Variance
Trend · Distribution
Opex per bed
operating expenses ÷ beds
1,116,320 $
766,567 $
895,851 $
1,157,376 $
+24.6%
IN-BAND
Opex per patient day
operating expenses ÷ total patient days
5,598 $
3,523 $
4,173 $
4,412 $
+34.2%
BELOW PEER
Margin
Metric
Target
Peer P25
Peer Median
Peer P75
Variance
Trend · Distribution
Operating margin
(NPR − opex) ÷ NPR
-6.3%
-9.9%
0.5%
6.2%
-1312.5%
IN-BAND
Net income margin
net income ÷ NPR
-6.3%
-9.9%
0.5%
6.2%
-1312.5%
IN-BAND
How to read: Target column is the filed value from the hospital's most recent Medicare cost report. P25 / median / P75 are drawn from the 11 peer hospitals matched on size cohort, state, payer mix, and fiscal year. Variance is signed % vs peer median; green chip = better than peers on this metric; red chip = worse than peers; amber/neutral = inside the P25-P75 band.
Public market context · Seeking Alpha hospital comps
Target operating margin -6.3% trails public-comp median +14.2% by 20.5 pp. Public comps trade at a median EV/EBITDA of ~9x; target-implied multiple should adjust for the margin delta + size discount.
| Ticker | Company | Op Margin | Target Δ | EV/EBITDA |
|---|---|---|---|---|
| HCA | HCA Healthcare | +16.9% | -23.2pp | 8.9× |
| THC | Tenet Healthcare | +14.2% | -20.5pp | 8.8× |
| UHS | Universal Health Services | +11.5% | -17.8pp | 7.4× |
| ARDT | Ardent Health Partners | +7.8% | -14.1pp | 10.2× |
Public-hospital comps are curated from 10-K / analyst consensus via → Seeking Alpha Market Intel. Margin delta × $ of NPR ≈ the EBITDA gap between the target and the public bench.
Peer roster
| CCN | Hospital | State | Beds | FY | Medicare % | Op Margin | NPR ($M) | Distance | Same-state | Same-region |
|---|---|---|---|---|---|---|---|---|---|---|
| 010019 | HELEN KELLER HOSPITAL | AL | 178 | 2022 | 30.3% | -28.0% | 92.0 | 0.208 | ✓ | ✓ |
| 010144 | SPRINGHILL MEMORIAL HOSPITAL | AL | 179 | 2022 | 20.6% | -3.8% | 216.2 | 0.498 | ✓ | ✓ |
| 010131 | CRESTWOOD MEDICAL CENTER | AL | 164 | 2022 | 28.9% | +14.6% | 258.9 | 0.528 | ✓ | ✓ |
| 010055 | FLOWERS HOSPITAL | AL | 193 | 2022 | 27.2% | +14.2% | 235.5 | 0.621 | ✓ | ✓ |
| 010100 | THOMAS HOSPITAL | AL | 164 | 2022 | 26.8% | +6.2% | 244.7 | 0.658 | ✓ | ✓ |
| 010114 | UAB MEDICAL WEST | AL | 204 | 2022 | 17.7% | -12.5% | 142.7 | 0.768 | ✓ | ✓ |
| 010016 | SHELBY BAPTIST MEDICAL CENTER | AL | 212 | 2022 | 22.7% | -0.9% | 161.1 | 0.819 | ✓ | ✓ |
| 010089 | WALKER BAPTIST MEDICAL CENTER | AL | 207 | 2022 | 21.1% | +18.2% | 108.7 | 0.863 | ✓ | ✓ |
| 010040 | GADSDEN REGIONAL MEDICAL CENTER | AL | 219 | 2022 | 22.7% | +2.3% | 174.6 | 0.923 | ✓ | ✓ |
| 010149 | BAPTIST MEDICAL CENTER EAST | AL | 208 | 2022 | 12.6% | -9.9% | 169.5 | 1.054 | ✓ | ✓ |
| 010006 | NORTH ALABAMA MEDICAL CENTER | AL | 223 | 2022 | 30.9% | +0.5% | 259.5 | 1.252 | ✓ | ✓ |
Cross-reference · pre-seeded with HCRIS-filed NPR, operating margin + peer-median 9.0× entry cap structure
EV
$84M (9.0× $9.3M EBITDA) · Equity $35M · Debt $49M · override any of these on the destination page.JSON export — full X-Ray payload
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