HCRIS X-Ray — DCH REGIONAL MEDICAL CENTER
CCN 010092 · 372 beds · FY2022
🛡️ Public data only — no PHI permitted on this instance.
HCRIS-Native Peer X-Ray
DCH REGIONAL MEDICAL CENTER
25 peers · same-state, any year · 25 pool, top 25 shown · benchmarked on 15 metrics
CCN 010092 · FY2022 · TUSCALOOSA, AL
DCH REGIONAL MEDICAL CENTERTREND · DETERIORATING · 3Y
Beds
372
Regional
Patient Days
126,916
93.5% occupancy
Medicare Day Share
21.2%
moderate
NPR (filed)
$601.9M
$1,618K / bed
Operating Margin
-11.2%
Negative
Payer Diversity
0.59
1 − HHI of day mix
Plain-English read: Biggest peer gap: Operating margin is -11.2% vs peer median -4.4% (-154.6%, below peer P25). Strongest outperformance: Patient days at 126,916 vs median 93,321 (+36.0%).
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
372
329
351
401
+6.0%
IN-BAND
Patient days
total inpatient days filed
126,916
68,217
93,321
99,181
+36.0%
ABOVE PEER
Occupancy rate
patient days ÷ bed days available
93.5%
53.6%
69.0%
79.9%
+35.4%
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
21.2%
18.8%
20.3%
24.1%
+4.3%
IN-BAND
Medicaid day share
share of inpatient days covered by Medicaid
22.8%
11.9%
13.4%
21.6%
+70.6%
BELOW PEER
Commercial / other day share
commercial + self-pay day share (higher = better economics)
56.0%
55.9%
60.6%
65.3%
-7.7%
IN-BAND
Payer diversity
1 − HHI of day mix; 0 = single-payer, 0.67 = balanced across 3
0.59
0.50
0.53
0.57
+11.8%
ABOVE PEER
Revenue Cycle
Metric
Target
Peer P25
Peer Median
Peer P75
Variance
Trend · Distribution
NPR per bed
net patient revenue ÷ beds
1,618,016 $
719,807 $
1,203,131 $
1,711,056 $
+34.5%
IN-BAND
NPR per patient day
net patient revenue ÷ total patient days
4,743 $
4,107 $
4,923 $
5,311 $
-3.7%
IN-BAND
Contractual allowance rate
contractual allowances ÷ gross patient revenue
68.8%
67.6%
78.8%
90.5%
-12.8%
IN-BAND
Net-to-gross ratio
NPR ÷ gross patient revenue (collection-rate proxy)
31.2%
19.5%
25.4%
33.0%
+23.1%
IN-BAND
Cost Structure
Metric
Target
Peer P25
Peer Median
Peer P75
Variance
Trend · Distribution
Opex per bed
operating expenses ÷ beds
1,799,536 $
742,920 $
1,200,539 $
1,307,621 $
+49.9%
BELOW PEER
Opex per patient day
operating expenses ÷ total patient days
5,275 $
4,152 $
4,862 $
5,401 $
+8.5%
IN-BAND
Margin
Metric
Target
Peer P25
Peer Median
Peer P75
Variance
Trend · Distribution
Operating margin
(NPR − opex) ÷ NPR
-11.2%
-5.9%
-4.4%
3.8%
-154.6%
BELOW PEER
Net income margin
net income ÷ NPR
-11.2%
-5.9%
-4.4%
3.8%
-154.6%
BELOW 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 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 -11.2% trails public-comp median +14.2% by 25.4 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% | -28.1pp | 8.9× |
| THC | Tenet Healthcare | +14.2% | -25.4pp | 8.8× |
| UHS | Universal Health Services | +11.5% | -22.7pp | 7.4× |
| ARDT | Ardent Health Partners | +7.8% | -19.0pp | 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 |
|---|---|---|---|---|---|---|---|---|---|---|
| 010023 | BAPTIST MEDICAL CENTER SOUTH | AL | 327 | 2020 | 22.3% | -5.5% | 561.5 | 0.457 | ✓ | ✓ |
| 010104 | GRANDVIEW MEDICAL CENTER | AL | 404 | 2022 | 20.5% | +14.2% | 615.4 | 0.459 | ✓ | ✓ |
| 010001 | SOUTHEAST HEALTH MEDICAL CENTER | AL | 353 | 2022 | 24.9% | -4.4% | 427.1 | 0.460 | ✓ | ✓ |
| 010023 | BAPTIST MEDICAL CENTER SOUTH | AL | 348 | 2022 | 16.0% | -4.8% | 595.4 | 0.494 | ✓ | ✓ |
| 010104 | GRANDVIEW MEDICAL CENTER | AL | 405 | 2020 | 22.9% | +16.2% | 532.7 | 0.507 | ✓ | ✓ |
| 010023 | BAPTIST MEDICAL CENTER SOUTH | AL | 329 | 2021 | 19.8% | -10.1% | 580.6 | 0.510 | ✓ | ✓ |
| 010104 | GRANDVIEW MEDICAL CENTER | AL | 405 | 2021 | 20.0% | +17.2% | 562.9 | 0.521 | ✓ | ✓ |
| 010056 | ST VINCENTS BIRMINGHAM | AL | 399 | 2022 | 19.2% | -5.5% | 480.0 | 0.655 | ✓ | ✓ |
| 010056 | ST VINCENTS BIRMINGHAM | AL | 401 | 2021 | 18.8% | -6.9% | 471.5 | 0.699 | ✓ | ✓ |
| 010090 | PROVIDENCE HOSPITAL | AL | 349 | 2021 | 20.3% | -5.1% | 246.7 | 0.707 | ✓ | ✓ |
| 010001 | SOUTHEAST HEALTH MEDICAL CENTER | AL | 326 | 2021 | 28.2% | -5.9% | 398.2 | 0.709 | ✓ | ✓ |
| 010090 | PROVIDENCE HOSPITAL | AL | 349 | 2022 | 19.8% | -5.0% | 246.9 | 0.723 | ✓ | ✓ |
| 010090 | PROVIDENCE HOSPITAL | AL | 349 | 2020 | 23.7% | +5.9% | 251.2 | 0.725 | ✓ | ✓ |
| 010056 | ST VINCENTS BIRMINGHAM | AL | 401 | 2020 | 22.8% | -2.7% | 454.1 | 0.731 | ✓ | ✓ |
| 010001 | SOUTHEAST HEALTH MEDICAL CENTER | AL | 332 | 2020 | 31.1% | -1.7% | 386.1 | 0.776 | ✓ | ✓ |
| 010029 | EAST ALABAMA MEDICAL CENTER | AL | 311 | 2021 | 24.1% | +56.6% | 881.7 | 0.808 | ✓ | ✓ |
| 010029 | EAST ALABAMA MEDICAL CENTER | AL | 311 | 2020 | 28.5% | -9.2% | 341.8 | 0.908 | ✓ | ✓ |
| 010139 | BROOKWOOD BAPTIST MEDICAL CENTER | AL | 425 | 2020 | 18.8% | -6.1% | 296.6 | 1.009 | ✓ | ✓ |
| 010139 | BROOKWOOD BAPTIST MEDICAL CENTER | AL | 429 | 2021 | 16.8% | -2.9% | 314.2 | 1.094 | ✓ | ✓ |
| 010139 | BROOKWOOD BAPTIST MEDICAL CENTER | AL | 429 | 2022 | 14.7% | -3.2% | 304.8 | 1.171 | ✓ | ✓ |
| 013300 | THE CHILDRENS HOSPITAL OF ALABAMA | AL | 351 | 2021 | 0.4% | +3.8% | 769.4 | 1.187 | ✓ | ✓ |
| 013300 | THE CHILDRENS HOSPITAL OF ALABAMA | AL | 351 | 2020 | 0.4% | -2.2% | 682.4 | 1.285 | ✓ | ✓ |
| 010085 | DECATUR MORGAN - DECATUR CAMPUS | AL | 310 | 2022 | 30.6% | -22.6% | 170.4 | 1.369 | ✓ | ✓ |
| 010085 | DECATUR MORGAN - DECATUR CAMPUS | AL | 305 | 2020 | 38.4% | -10.9% | 191.5 | 1.544 | ✓ | ✓ |
| 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
$271M (9.0× $30.1M EBITDA) · Equity $114M · Debt $157M · override any of these on the destination page.JSON export — full X-Ray payload
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