HCRIS X-Ray — ST VINCENTS BIRMINGHAM
CCN 010056 · 399 beds · FY2022
🛡️ Public data only — no PHI permitted on this instance.
HCRIS-Native Peer X-Ray
ST VINCENTS BIRMINGHAM
25 peers · same-state, any year · 25 pool, top 25 shown · benchmarked on 15 metrics
CCN 010056 · FY2022 · BIRMINGHAM, AL
ST VINCENTS BIRMINGHAMTREND · DETERIORATING · 3Y
Beds
399
Regional
Patient Days
97,510
67.0% occupancy
Medicare Day Share
19.2%
moderate
NPR (filed)
$480.0M
$1,203K / bed
Operating Margin
-5.5%
Negative
Payer Diversity
0.45
1 − HHI of day mix
Plain-English read: Biggest peer gap: Net-to-gross ratio is 19.5% vs peer median 26.4% (-26.3%, below peer P25). Strongest outperformance: Medicaid day share at 9.7% vs median 13.5% (-28.7%).
Peer benchmark · target vs P25 / median / P75 · same-state, any year · 25 pool, top 25 shown
Size
Metric
Target
Peer P25
Peer Median
Peer P75
Variance
Trend · Distribution
Beds
licensed bed count
399
329
351
401
+13.7%
IN-BAND
Patient days
total inpatient days filed
97,510
68,217
93,321
101,608
+4.5%
IN-BAND
Occupancy rate
patient days ÷ bed days available
67.0%
53.6%
70.6%
80.7%
-5.2%
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
19.2%
18.8%
20.5%
24.1%
-6.4%
IN-BAND
Medicaid day share
share of inpatient days covered by Medicaid
9.7%
12.0%
13.5%
22.8%
-28.7%
ABOVE PEER
Commercial / other day share
commercial + self-pay day share (higher = better economics)
71.2%
55.9%
60.3%
64.7%
+18.0%
ABOVE PEER
Payer diversity
1 − HHI of day mix; 0 = single-payer, 0.67 = balanced across 3
0.45
0.50
0.54
0.58
-17.2%
BELOW PEER
Revenue Cycle
Metric
Target
Peer P25
Peer Median
Peer P75
Variance
Trend · Distribution
NPR per bed
net patient revenue ÷ beds
1,203,131 $
719,807 $
1,210,015 $
1,711,056 $
-0.6%
IN-BAND
NPR per patient day
net patient revenue ÷ total patient days
4,923 $
4,107 $
4,764 $
5,311 $
+3.3%
IN-BAND
Contractual allowance rate
contractual allowances ÷ gross patient revenue
80.5%
67.6%
74.6%
90.5%
+7.9%
IN-BAND
Net-to-gross ratio
NPR ÷ gross patient revenue (collection-rate proxy)
19.5%
20.2%
26.4%
33.0%
-26.3%
BELOW PEER
Cost Structure
Metric
Target
Peer P25
Peer Median
Peer P75
Variance
Trend · Distribution
Opex per bed
operating expenses ÷ beds
1,268,723 $
742,920 $
1,200,539 $
1,793,944 $
+5.7%
IN-BAND
Opex per patient day
operating expenses ÷ total patient days
5,191 $
4,152 $
4,862 $
5,401 $
+6.8%
IN-BAND
Margin
Metric
Target
Peer P25
Peer Median
Peer P75
Variance
Trend · Distribution
Operating margin
(NPR − opex) ÷ NPR
-5.5%
-6.1%
-4.4%
3.8%
-23.7%
IN-BAND
Net income margin
net income ÷ NPR
-5.5%
-6.1%
-4.4%
3.8%
-23.7%
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 25 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 -5.5% trails public-comp median +14.2% by 19.7 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% | -22.4pp | 8.9× |
| THC | Tenet Healthcare | +14.2% | -19.7pp | 8.8× |
| UHS | Universal Health Services | +11.5% | -17.0pp | 7.4× |
| ARDT | Ardent Health Partners | +7.8% | -13.3pp | 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 |
|---|---|---|---|---|---|---|---|---|---|---|
| 010056 | ST VINCENTS BIRMINGHAM | AL | 401 | 2021 | 18.8% | -6.9% | 471.5 | 0.066 | ✓ | ✓ |
| 010056 | ST VINCENTS BIRMINGHAM | AL | 401 | 2020 | 22.8% | -2.7% | 454.1 | 0.200 | ✓ | ✓ |
| 010104 | GRANDVIEW MEDICAL CENTER | AL | 405 | 2021 | 20.0% | +17.2% | 562.9 | 0.227 | ✓ | ✓ |
| 010104 | GRANDVIEW MEDICAL CENTER | AL | 404 | 2022 | 20.5% | +14.2% | 615.4 | 0.274 | ✓ | ✓ |
| 010104 | GRANDVIEW MEDICAL CENTER | AL | 405 | 2020 | 22.9% | +16.2% | 532.7 | 0.308 | ✓ | ✓ |
| 010090 | PROVIDENCE HOSPITAL | AL | 349 | 2021 | 20.3% | -5.1% | 246.7 | 0.560 | ✓ | ✓ |
| 010090 | PROVIDENCE HOSPITAL | AL | 349 | 2022 | 19.8% | -5.0% | 246.9 | 0.560 | ✓ | ✓ |
| 010139 | BROOKWOOD BAPTIST MEDICAL CENTER | AL | 425 | 2020 | 18.8% | -6.1% | 296.6 | 0.604 | ✓ | ✓ |
| 010090 | PROVIDENCE HOSPITAL | AL | 349 | 2020 | 23.7% | +5.9% | 251.2 | 0.606 | ✓ | ✓ |
| 010001 | SOUTHEAST HEALTH MEDICAL CENTER | AL | 353 | 2022 | 24.9% | -4.4% | 427.1 | 0.622 | ✓ | ✓ |
| 010092 | DCH REGIONAL MEDICAL CENTER | AL | 372 | 2022 | 21.2% | -11.2% | 601.9 | 0.640 | ✓ | ✓ |
| 010139 | BROOKWOOD BAPTIST MEDICAL CENTER | AL | 429 | 2021 | 16.8% | -2.9% | 314.2 | 0.653 | ✓ | ✓ |
| 010023 | BAPTIST MEDICAL CENTER SOUTH | AL | 348 | 2022 | 16.0% | -4.8% | 595.4 | 0.662 | ✓ | ✓ |
| 010139 | BROOKWOOD BAPTIST MEDICAL CENTER | AL | 429 | 2022 | 14.7% | -3.2% | 304.8 | 0.727 | ✓ | ✓ |
| 010023 | BAPTIST MEDICAL CENTER SOUTH | AL | 329 | 2021 | 19.8% | -10.1% | 580.6 | 0.800 | ✓ | ✓ |
| 010001 | SOUTHEAST HEALTH MEDICAL CENTER | AL | 332 | 2020 | 31.1% | -1.7% | 386.1 | 0.886 | ✓ | ✓ |
| 010029 | EAST ALABAMA MEDICAL CENTER | AL | 311 | 2021 | 24.1% | +56.6% | 881.7 | 0.901 | ✓ | ✓ |
| 010001 | SOUTHEAST HEALTH MEDICAL CENTER | AL | 326 | 2021 | 28.2% | -5.9% | 398.2 | 0.929 | ✓ | ✓ |
| 010029 | EAST ALABAMA MEDICAL CENTER | AL | 311 | 2020 | 28.5% | -9.2% | 341.8 | 0.974 | ✓ | ✓ |
| 010023 | BAPTIST MEDICAL CENTER SOUTH | AL | 327 | 2020 | 22.3% | -5.5% | 561.5 | 0.975 | ✓ | ✓ |
| 010085 | DECATUR MORGAN - DECATUR CAMPUS | AL | 310 | 2022 | 30.6% | -22.6% | 170.4 | 1.214 | ✓ | ✓ |
| 013300 | THE CHILDRENS HOSPITAL OF ALABAMA | AL | 351 | 2020 | 0.4% | -2.2% | 682.4 | 1.344 | ✓ | ✓ |
| 010085 | DECATUR MORGAN - DECATUR CAMPUS | AL | 305 | 2020 | 38.4% | -10.9% | 191.5 | 1.366 | ✓ | ✓ |
| 013300 | THE CHILDRENS HOSPITAL OF ALABAMA | AL | 351 | 2021 | 0.4% | +3.8% | 769.4 | 1.397 | ✓ | ✓ |
| 013300 | THE CHILDRENS HOSPITAL OF ALABAMA | AL | 351 | 2022 | 0.5% | +5.8% | 839.5 | nan | ✓ | ✓ |
Cross-reference · pre-seeded with HCRIS-filed NPR, operating margin + peer-median 9.0× entry cap structure
EV
$216M (9.0× $24.0M EBITDA) · Equity $91M · Debt $125M · override any of these on the destination page.JSON export — full X-Ray payload
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