HCRIS X-Ray — GADSDEN REGIONAL MEDICAL CENTER
CCN 010040 · 219 beds · FY2022
🛡️ Public data only — no PHI permitted on this instance.
HCRIS-Native Peer X-Ray
GADSDEN REGIONAL MEDICAL CENTER
16 peers · same-state + same-year · 16 pool, top 16 shown · benchmarked on 15 metrics
CCN 010040 · FY2022 · GADSDEN, AL
GADSDEN REGIONAL MEDICAL CENTERTREND · DETERIORATING · 3Y
Beds
219
Community
Patient Days
52,468
65.6% occupancy
Medicare Day Share
22.7%
moderate
NPR (filed)
$174.6M
$797K / bed
Operating Margin
2.3%
Thin
Payer Diversity
0.57
1 − HHI of day mix
Plain-English read: Biggest peer gap: Net-to-gross ratio is 6.2% vs peer median 20.2% (-69.2%, below peer P25). Strongest outperformance: Opex per patient day at 3,251 $ vs median 4,173 $ (-22.1%).
Peer benchmark · target vs P25 / median / P75 · same-state + same-year · 16 pool, top 16 shown
Size
Metric
Target
Peer P25
Peer Median
Peer P75
Variance
Trend · Distribution
Beds
licensed bed count
219
178
207
242
+5.8%
IN-BAND
Patient days
total inpatient days filed
52,468
34,646
48,793
59,148
+7.5%
IN-BAND
Occupancy rate
patient days ÷ bed days available
65.6%
46.5%
63.9%
77.9%
+2.7%
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
22.7%
17.2%
21.1%
27.2%
+7.4%
IN-BAND
Medicaid day share
share of inpatient days covered by Medicaid
18.4%
9.9%
14.2%
22.5%
+29.8%
IN-BAND
Commercial / other day share
commercial + self-pay day share (higher = better economics)
58.9%
57.1%
60.7%
65.4%
-2.9%
IN-BAND
Payer diversity
1 − HHI of day mix; 0 = single-payer, 0.67 = balanced across 3
0.57
0.50
0.52
0.56
+9.0%
ABOVE PEER
Revenue Cycle
Metric
Target
Peer P25
Peer Median
Peer P75
Variance
Trend · Distribution
NPR per bed
net patient revenue ÷ beds
797,155 $
699,577 $
919,055 $
1,207,918 $
-13.3%
IN-BAND
NPR per patient day
net patient revenue ÷ total patient days
3,327 $
3,854 $
4,104 $
4,251 $
-18.9%
BELOW PEER
Contractual allowance rate
contractual allowances ÷ gross patient revenue
93.8%
68.8%
78.2%
89.6%
+19.8%
BELOW PEER
Net-to-gross ratio
NPR ÷ gross patient revenue (collection-rate proxy)
6.2%
10.2%
20.2%
30.5%
-69.2%
BELOW PEER
Cost Structure
Metric
Target
Peer P25
Peer Median
Peer P75
Variance
Trend · Distribution
Opex per bed
operating expenses ÷ beds
778,870 $
766,567 $
921,796 $
1,196,922 $
-15.5%
IN-BAND
Opex per patient day
operating expenses ÷ total patient days
3,251 $
3,786 $
4,173 $
4,423 $
-22.1%
ABOVE PEER
Margin
Metric
Target
Peer P25
Peer Median
Peer P75
Variance
Trend · Distribution
Operating margin
(NPR − opex) ÷ NPR
2.3%
-9.9%
-3.6%
2.3%
+163.3%
IN-BAND
Net income margin
net income ÷ NPR
2.3%
-9.9%
-3.6%
2.3%
+163.3%
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 16 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 +2.3% trails public-comp median +14.2% by 11.9 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% | -14.6pp | 8.9× |
| THC | Tenet Healthcare | +14.2% | -11.9pp | 8.8× |
| UHS | Universal Health Services | +11.5% | -9.2pp | 7.4× |
| ARDT | Ardent Health Partners | +7.8% | -5.5pp | 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 |
|---|---|---|---|---|---|---|---|---|---|---|
| 010016 | SHELBY BAPTIST MEDICAL CENTER | AL | 212 | 2022 | 22.7% | -0.9% | 161.1 | 0.330 | ✓ | ✓ |
| 010006 | NORTH ALABAMA MEDICAL CENTER | AL | 223 | 2022 | 30.9% | +0.5% | 259.5 | 0.453 | ✓ | ✓ |
| 010114 | UAB MEDICAL WEST | AL | 204 | 2022 | 17.7% | -12.5% | 142.7 | 0.524 | ✓ | ✓ |
| 010149 | BAPTIST MEDICAL CENTER EAST | AL | 208 | 2022 | 12.6% | -9.9% | 169.5 | 0.574 | ✓ | ✓ |
| 010089 | WALKER BAPTIST MEDICAL CENTER | AL | 207 | 2022 | 21.1% | +18.2% | 108.7 | 0.579 | ✓ | ✓ |
| 010055 | FLOWERS HOSPITAL | AL | 193 | 2022 | 27.2% | +14.2% | 235.5 | 0.630 | ✓ | ✓ |
| 010103 | PRINCETON BAPTIST MEDICAL CENTER | AL | 261 | 2022 | 17.2% | +2.3% | 216.3 | 0.765 | ✓ | ✓ |
| 010005 | MARSHALL MEDICAL CENTERS SOUTH | AL | 178 | 2022 | 26.1% | -6.3% | 186.9 | 0.794 | ✓ | ✓ |
| 010144 | SPRINGHILL MEMORIAL HOSPITAL | AL | 179 | 2022 | 20.6% | -3.8% | 216.2 | 0.797 | ✓ | ✓ |
| 010087 | USA HEALTH UNIVERSITY HOSPITAL | AL | 242 | 2022 | 14.8% | -6.4% | 348.5 | 0.834 | ✓ | ✓ |
| 010019 | HELEN KELLER HOSPITAL | AL | 178 | 2022 | 30.3% | -28.0% | 92.0 | 0.977 | ✓ | ✓ |
| 010024 | JACKSON HOSPITAL AND CLINIC INC | AL | 278 | 2022 | 20.4% | -10.4% | 301.4 | 0.981 | ✓ | ✓ |
| 010131 | CRESTWOOD MEDICAL CENTER | AL | 164 | 2022 | 28.9% | +14.6% | 258.9 | 0.986 | ✓ | ✓ |
| 010046 | RIVERVIEW REGIONAL MEDICAL CENTER | AL | 256 | 2022 | 27.9% | -3.6% | 101.5 | 1.043 | ✓ | ✓ |
| 010100 | THOMAS HOSPITAL | AL | 164 | 2022 | 26.8% | +6.2% | 244.7 | 1.081 | ✓ | ✓ |
| 013301 | USA CHILDRENS AND WOMENS HOSPITAL | AL | 249 | 2022 | 0.2% | -0.3% | 228.8 | 1.433 | ✓ | ✓ |
Cross-reference · pre-seeded with HCRIS-filed NPR, operating margin + peer-median 9.0× entry cap structure
EV
$79M (9.0× $8.7M EBITDA) · Equity $33M · Debt $46M · override any of these on the destination page.JSON export — full X-Ray payload
Press ? for shortcuts · b to bookmark · ⌘K to jump