Meridian Regional
Medical Center380 beds · 23 anesthetizing sites · Wisconsin · FY2026
The hospital pays $3,875,000 a year in anesthesia subsidy. Reconciled against the group's own cost stack and collections, the defensible figure is $3,508,170. The gap has been in the contract for three renewal cycles.
Subsidy position
Contract year 2026 · reconciled monthlyWhere the subsidy goes
Two of the four lines — $1,451,570, or 41.4% of the subsidy — trace to operational causes the hospital controls.
Block utilization — main OR
Prime time 07:30–15:30 · 250 weekdays · turnover-adjusted| Room / service | Mon | Tue | Wed | Thu | Fri |
|---|
Diagnostics
Market exposure
● Live production data Wisconsin · period 2026-07Every figure in this module is queried from the live AOC market set — 271,745 postings across 3,632 employers and 34 months. The facility above is synthetic; the market it sits in is not.
Physicians sit exactly on the state median. Retention risk here is neutral — this is not where the problem is.
Methodology note. The raw WI CRNA percentile set reads p25 $280,000 / p50 $360,000 / p75 $370,000 (n=18) — inflated by agency postings that advertise contract rates, not salaries. Restricting to direct employer postings gives an average midpoint of $298,421 (n=57); a 12% posted-to-realized haircut puts the employed benchmark at $262,000. Meridian pays 11.1% under it.
Benchmark ladder — state, region, nation
Period 2026-07 · posted compensation| Benchmark | Anesthesiologist | CRNA |
|---|---|---|
| Meridian Regional — paid | $587,500 | $233,000 |
| Wisconsin — posted p50 | $587,500n=41 · p25 $525k / p75 $675k | $360,000n=18 · agency-weighted |
| Wisconsin — direct employers only | insufficient n | $298,421n=57 · avg midpoint |
| Midwest — median of state medians | $537,5006 states | $285,0008 states |
| National — posting-weighted | $555,640n=1,614 · 26 states | $290,750n=1,867 · 31 states |
| Realized benchmark used here | $587,500 | $262,000 |
Read down the CRNA column and the methodology defends itself. The headline state median says $360,000 and is unusable — it is measuring the locums market. Remove the agencies and Wisconsin lands at $298,421, within 2.6% of the national $290,750. That is the number a hospital competes against, and Meridian is 11.1% below it.
Scenario
Every figure recomputes against the cost modelHow the model moves
Live — every node recomputes with the levers aboveThe same object graph the scenario runs on, drawn out. Move a lever and the edges it actually touches light up — which is how you can tell that block discipline never reaches cost directly. It only decides how many sites you are allowed to take out.
What you are looking at
The facility is synthetic. The market is real. Meridian Regional does not exist. Its case log, block grid, staffing roster and contract are generated from a documented parameter set. Everything it is measured against — state compensation percentiles, agency saturation, competing employers, ownership structure — is queried from AOC's production market set.
The model is a model, not a spreadsheet. Each lever moves the same object graph a deployed instance uses: Facility → AnesthetizingSite → BlockAllocation → Case → Provider → Contract. Change compensation and vacancy, locum share, group cost and required subsidy all move together, because they are the same objects.
Posted is not realized. Advertised compensation runs ahead of W-2 outcomes, and agency postings run ahead of both. Where a benchmark is used here, the haircut is stated on the panel rather than buried.
Small cells are suppressed. A state-and-role median built on fewer than fifteen salaried postings is not published, and single-employer clusters are excluded. The WI CRNA figure carries its own note for exactly this reason.
Nothing here is a projection. The scenario tool reports what the cost stack does under a stated assumption. It does not forecast, and it deliberately declines to model a saving it cannot attribute to a line.
On your data it takes an extract, not an integration. Block schedule, case counts by room and service, staffing roster, contract terms. No PHI, which is what keeps a first deployment measured in weeks.
See this on your service line
The same instance, loaded with your block grid and contract terms, against the live market for your state. A first pass runs on a no-PHI extract.