HCRIS X-Ray — FLOWERS HOSPITAL
CCN 010055 · 193 beds · FY2022
🛡️ Public data only — no PHI permitted on this instance.
HCRIS-Native Peer X-Ray
FLOWERS HOSPITAL
13 peers · same-state + same-year · 13 pool, top 13 shown · benchmarked on 15 metrics
CCN 010055 · FY2022 · DOTHAN, AL
FLOWERS HOSPITALTREND · IMPROVING · 3Y
Beds
193
Community
Patient Days
57,381
79.0% occupancy
Medicare Day Share
27.2%
moderate
NPR (filed)
$235.5M
$1,220K / bed
Operating Margin
14.2%
Strong
Payer Diversity
0.56
1 − HHI of day mix
Plain-English read: Biggest peer gap: Net-to-gross ratio is 8.9% vs peer median 25.0% (-64.4%, below peer P25). Strongest outperformance: Operating margin at 14.2% vs median -0.9% (+1659.4%).
Peer benchmark · target vs P25 / median / P75 · same-state + same-year · 13 pool, top 13 shown
Size
Metric
Target
Peer P25
Peer Median
Peer P75
Variance
Trend · Distribution
Beds
licensed bed count
193
178
207
219
-6.8%
IN-BAND
Patient days
total inpatient days filed
57,381
35,493
48,793
59,148
+17.6%
IN-BAND
Occupancy rate
patient days ÷ bed days available
79.0%
50.0%
65.3%
77.9%
+20.9%
ABOVE PEER
Payer Mix
Metric
Target
Peer P25
Peer Median
Peer P75
Variance
Trend · Distribution
Medicare day share
share of inpatient days covered by Medicare
27.2%
17.7%
22.7%
26.8%
+19.9%
BELOW PEER
Medicaid day share
share of inpatient days covered by Medicaid
13.4%
10.6%
18.4%
23.7%
-27.1%
IN-BAND
Commercial / other day share
commercial + self-pay day share (higher = better economics)
59.4%
57.1%
59.2%
63.5%
+0.4%
IN-BAND
Payer diversity
1 − HHI of day mix; 0 = single-payer, 0.67 = balanced across 3
0.56
0.50
0.55
0.57
+1.0%
IN-BAND
Revenue Cycle
Metric
Target
Peer P25
Peer Median
Peer P75
Variance
Trend · Distribution
NPR per bed
net patient revenue ÷ beds
1,220,030 $
759,671 $
919,055 $
1,207,918 $
+32.7%
ABOVE PEER
NPR per patient day
net patient revenue ÷ total patient days
4,104 $
3,854 $
4,119 $
4,809 $
-0.4%
IN-BAND
Contractual allowance rate
contractual allowances ÷ gross patient revenue
91.1%
68.8%
75.0%
89.8%
+21.5%
BELOW PEER
Net-to-gross ratio
NPR ÷ gross patient revenue (collection-rate proxy)
8.9%
10.2%
25.0%
31.2%
-64.4%
BELOW PEER
Cost Structure
Metric
Target
Peer P25
Peer Median
Peer P75
Variance
Trend · Distribution
Opex per bed
operating expenses ÷ beds
1,047,331 $
778,870 $
921,796 $
1,253,409 $
+13.6%
IN-BAND
Opex per patient day
operating expenses ÷ total patient days
3,523 $
3,866 $
4,196 $
4,632 $
-16.1%
ABOVE PEER
Margin
Metric
Target
Peer P25
Peer Median
Peer P75
Variance
Trend · Distribution
Operating margin
(NPR − opex) ÷ NPR
14.2%
-6.4%
-0.9%
2.3%
+1659.4%
ABOVE PEER
Net income margin
net income ÷ NPR
14.2%
-6.4%
-0.9%
2.3%
+1659.4%
ABOVE PEER
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 13 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 +14.2% trails public-comp median +14.2% by 0.0 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% | -2.7pp | 8.9× |
| THC | Tenet Healthcare | +14.2% | -0.0pp | 8.8× |
| UHS | Universal Health Services | +11.5% | +2.7pp | 7.4× |
| ARDT | Ardent Health Partners | +7.8% | +6.4pp | 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 |
|---|---|---|---|---|---|---|---|---|---|---|
| 010144 | SPRINGHILL MEMORIAL HOSPITAL | AL | 179 | 2022 | 20.6% | -3.8% | 216.2 | 0.397 | ✓ | ✓ |
| 010100 | THOMAS HOSPITAL | AL | 164 | 2022 | 26.8% | +6.2% | 244.7 | 0.521 | ✓ | ✓ |
| 010006 | NORTH ALABAMA MEDICAL CENTER | AL | 223 | 2022 | 30.9% | +0.5% | 259.5 | 0.591 | ✓ | ✓ |
| 010005 | MARSHALL MEDICAL CENTERS SOUTH | AL | 178 | 2022 | 26.1% | -6.3% | 186.9 | 0.602 | ✓ | ✓ |
| 010131 | CRESTWOOD MEDICAL CENTER | AL | 164 | 2022 | 28.9% | +14.6% | 258.9 | 0.677 | ✓ | ✓ |
| 010040 | GADSDEN REGIONAL MEDICAL CENTER | AL | 219 | 2022 | 22.7% | +2.3% | 174.6 | 0.678 | ✓ | ✓ |
| 010149 | BAPTIST MEDICAL CENTER EAST | AL | 208 | 2022 | 12.6% | -9.9% | 169.5 | 0.685 | ✓ | ✓ |
| 010016 | SHELBY BAPTIST MEDICAL CENTER | AL | 212 | 2022 | 22.7% | -0.9% | 161.1 | 0.703 | ✓ | ✓ |
| 010114 | UAB MEDICAL WEST | AL | 204 | 2022 | 17.7% | -12.5% | 142.7 | 0.709 | ✓ | ✓ |
| 010019 | HELEN KELLER HOSPITAL | AL | 178 | 2022 | 30.3% | -28.0% | 92.0 | 0.741 | ✓ | ✓ |
| 010089 | WALKER BAPTIST MEDICAL CENTER | AL | 207 | 2022 | 21.1% | +18.2% | 108.7 | 0.906 | ✓ | ✓ |
| 010087 | USA HEALTH UNIVERSITY HOSPITAL | AL | 242 | 2022 | 14.8% | -6.4% | 348.5 | 1.287 | ✓ | ✓ |
| 013301 | USA CHILDRENS AND WOMENS HOSPITAL | AL | 249 | 2022 | 0.2% | -0.3% | 228.8 | 2.166 | ✓ | ✓ |
Cross-reference · pre-seeded with HCRIS-filed NPR, operating margin + peer-median 9.0× entry cap structure
EV
$300M (9.0× $33.3M EBITDA) · Equity $126M · Debt $174M · override any of these on the destination page.JSON export — full X-Ray payload
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