HCRIS X-Ray — THE CHILDRENS HOSPITAL OF ALABAMA
CCN 013300 · 351 beds · FY2022
🛡️ Public data only — no PHI permitted on this instance.
HCRIS-Native Peer X-Ray
THE CHILDRENS HOSPITAL OF ALABAMA
25 peers · same-state, any year · 25 pool, top 25 shown · benchmarked on 15 metrics
CCN 013300 · FY2022 · BIRMINGHAM, AL
THE CHILDRENS HOSPITAL OF ALABAMATREND · IMPROVING · 3Y
Beds
351
Regional
Patient Days
99,181
77.4% occupancy
Medicare Day Share
0.5%
moderate
NPR (filed)
$839.5M
$2,392K / bed
Operating Margin
5.8%
Healthy
Payer Diversity
1.00
1 − HHI of day mix
Plain-English read: Biggest peer gap: Commercial / other day share is 0.0% vs peer median 60.6% (-100.0%, below peer P25). Strongest outperformance: Operating margin at 5.8% vs median -4.8% (+219.2%).
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
351
329
351
401
+0.0%
IN-BAND
Patient days
total inpatient days filed
99,181
68,217
93,321
101,608
+6.3%
IN-BAND
Occupancy rate
patient days ÷ bed days available
77.4%
53.6%
69.0%
80.7%
+12.1%
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
0.5%
18.8%
20.5%
24.1%
-97.4%
ABOVE PEER
Medicaid day share
share of inpatient days covered by Medicaid
nan%
11.9%
13.4%
21.6%
+nan%
IN-BAND
Commercial / other day share
commercial + self-pay day share (higher = better economics)
0.0%
56.0%
60.6%
65.3%
-100.0%
BELOW PEER
Payer diversity
1 − HHI of day mix; 0 = single-payer, 0.67 = balanced across 3
1.00
0.50
0.53
0.57
+89.6%
ABOVE PEER
Revenue Cycle
Metric
Target
Peer P25
Peer Median
Peer P75
Variance
Trend · Distribution
NPR per bed
net patient revenue ÷ beds
2,391,661 $
719,807 $
1,203,131 $
1,618,016 $
+98.8%
ABOVE PEER
NPR per patient day
net patient revenue ÷ total patient days
8,464 $
4,107 $
4,764 $
5,233 $
+77.7%
ABOVE PEER
Contractual allowance rate
contractual allowances ÷ gross patient revenue
51.6%
68.4%
78.8%
90.5%
-34.5%
ABOVE PEER
Net-to-gross ratio
NPR ÷ gross patient revenue (collection-rate proxy)
48.4%
19.5%
25.4%
32.4%
+90.6%
ABOVE PEER
Cost Structure
Metric
Target
Peer P25
Peer Median
Peer P75
Variance
Trend · Distribution
Opex per bed
operating expenses ÷ beds
2,253,596 $
742,920 $
1,200,539 $
1,307,621 $
+87.7%
BELOW PEER
Opex per patient day
operating expenses ÷ total patient days
7,975 $
4,152 $
4,862 $
5,400 $
+64.0%
BELOW PEER
Margin
Metric
Target
Peer P25
Peer Median
Peer P75
Variance
Trend · Distribution
Operating margin
(NPR − opex) ÷ NPR
5.8%
-6.1%
-4.8%
-1.7%
+219.2%
ABOVE PEER
Net income margin
net income ÷ NPR
5.8%
-6.1%
-4.8%
-1.7%
+219.2%
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 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 +5.8% trails public-comp median +14.2% by 8.4 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% | -11.1pp | 8.9× |
| THC | Tenet Healthcare | +14.2% | -8.4pp | 8.8× |
| UHS | Universal Health Services | +11.5% | -5.7pp | 7.4× |
| ARDT | Ardent Health Partners | +7.8% | -2.0pp | 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 |
|---|---|---|---|---|---|---|---|---|---|---|
| 010001 | SOUTHEAST HEALTH MEDICAL CENTER | AL | 332 | 2020 | 31.1% | -1.7% | 386.1 | nan | ✓ | ✓ |
| 010023 | BAPTIST MEDICAL CENTER SOUTH | AL | 327 | 2020 | 22.3% | -5.5% | 561.5 | nan | ✓ | ✓ |
| 010029 | EAST ALABAMA MEDICAL CENTER | AL | 311 | 2020 | 28.5% | -9.2% | 341.8 | nan | ✓ | ✓ |
| 010056 | ST VINCENTS BIRMINGHAM | AL | 401 | 2020 | 22.8% | -2.7% | 454.1 | nan | ✓ | ✓ |
| 010085 | DECATUR MORGAN - DECATUR CAMPUS | AL | 305 | 2020 | 38.4% | -10.9% | 191.5 | nan | ✓ | ✓ |
| 010090 | PROVIDENCE HOSPITAL | AL | 349 | 2020 | 23.7% | +5.9% | 251.2 | nan | ✓ | ✓ |
| 010104 | GRANDVIEW MEDICAL CENTER | AL | 405 | 2020 | 22.9% | +16.2% | 532.7 | nan | ✓ | ✓ |
| 010139 | BROOKWOOD BAPTIST MEDICAL CENTER | AL | 425 | 2020 | 18.8% | -6.1% | 296.6 | nan | ✓ | ✓ |
| 013300 | THE CHILDRENS HOSPITAL OF ALABAMA | AL | 351 | 2020 | 0.4% | -2.2% | 682.4 | nan | ✓ | ✓ |
| 010001 | SOUTHEAST HEALTH MEDICAL CENTER | AL | 326 | 2021 | 28.2% | -5.9% | 398.2 | nan | ✓ | ✓ |
| 010023 | BAPTIST MEDICAL CENTER SOUTH | AL | 329 | 2021 | 19.8% | -10.1% | 580.6 | nan | ✓ | ✓ |
| 010029 | EAST ALABAMA MEDICAL CENTER | AL | 311 | 2021 | 24.1% | +56.6% | 881.7 | nan | ✓ | ✓ |
| 010056 | ST VINCENTS BIRMINGHAM | AL | 401 | 2021 | 18.8% | -6.9% | 471.5 | nan | ✓ | ✓ |
| 010090 | PROVIDENCE HOSPITAL | AL | 349 | 2021 | 20.3% | -5.1% | 246.7 | nan | ✓ | ✓ |
| 010104 | GRANDVIEW MEDICAL CENTER | AL | 405 | 2021 | 20.0% | +17.2% | 562.9 | nan | ✓ | ✓ |
| 010139 | BROOKWOOD BAPTIST MEDICAL CENTER | AL | 429 | 2021 | 16.8% | -2.9% | 314.2 | nan | ✓ | ✓ |
| 013300 | THE CHILDRENS HOSPITAL OF ALABAMA | AL | 351 | 2021 | 0.4% | +3.8% | 769.4 | nan | ✓ | ✓ |
| 010001 | SOUTHEAST HEALTH MEDICAL CENTER | AL | 353 | 2022 | 24.9% | -4.4% | 427.1 | nan | ✓ | ✓ |
| 010023 | BAPTIST MEDICAL CENTER SOUTH | AL | 348 | 2022 | 16.0% | -4.8% | 595.4 | nan | ✓ | ✓ |
| 010056 | ST VINCENTS BIRMINGHAM | AL | 399 | 2022 | 19.2% | -5.5% | 480.0 | nan | ✓ | ✓ |
| 010085 | DECATUR MORGAN - DECATUR CAMPUS | AL | 310 | 2022 | 30.6% | -22.6% | 170.4 | nan | ✓ | ✓ |
| 010090 | PROVIDENCE HOSPITAL | AL | 349 | 2022 | 19.8% | -5.0% | 246.9 | nan | ✓ | ✓ |
| 010092 | DCH REGIONAL MEDICAL CENTER | AL | 372 | 2022 | 21.2% | -11.2% | 601.9 | nan | ✓ | ✓ |
| 010104 | GRANDVIEW MEDICAL CENTER | AL | 404 | 2022 | 20.5% | +14.2% | 615.4 | nan | ✓ | ✓ |
| 010139 | BROOKWOOD BAPTIST MEDICAL CENTER | AL | 429 | 2022 | 14.7% | -3.2% | 304.8 | nan | ✓ | ✓ |
Cross-reference · pre-seeded with HCRIS-filed NPR, operating margin + peer-median 9.0× entry cap structure
EV
$436M (9.0× $48.5M EBITDA) · Equity $183M · Debt $253M · override any of these on the destination page.JSON export — full X-Ray payload
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