Increased Performance: Financial, Operations, Risk Management and Human Capital Operational

For over 15 years, PegasusAI3 and its predecessors have pioneered Hospital Performance Intelligence, leveraging proprietary AI-driven analytics to optimize financial, operational, workforce, and risk metrics. 

Our transformative solutions deliver 5% to 25% EBITDA gains, enabling hospitals to better navigate today’s healthcare crisis, secure financial stability, and uphold their mission of providing exceptional patient care.

  • Increased EBITDA by 10% - 70%
  • Reduced Variable Labor Costs by 7% - 25%
  • Increased FTE Productivity by 1%- 8%
  • Reduced Turnover by 5% - 25%
  • Increased Revenue Recovery by 1% - 3%
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Request Complementary Performance and Risk Analysis Report

PegasusAI³: Unleashing Unprecedented Power in Hospital Performance Intelligence

Multi-Award-Winning
Harness the force of globally acclaimed, predictive AI—powered by advanced mathematical science—to ignite performance breakthroughs that redefine hospital standards.
Correlative AI Business Impact System (CABI)
Experience the next evolution in business intelligence: PegasusAI³ CABI forges powerful, never-before-seen correlations between Human Capital Performance and Financial, Operational, and Risk Management, delivering holistic, start-to-finish solutions previously not possible.
Cross-Functional Hospital Performance Intelligence Ecosystem
Command a unified intelligence ecosystem that seamlessly integrates Financial, Operational, Risk Management, and Human Capital data—exposing hidden inefficiencies, eliminating wasted labor costs, and quantifying previously unmeasurable risks for transformative hospital outcomes.
Revealing Invisible ROIs from Big Data
Unlock the untapped potential of two decades of integrated hospital performance data, exposing invisible ROIs and optimization opportunities that were once beyond reach, propelling your healthcare system into a new era of data-driven excellence.
A Healthcare Industry in Crisis: No Margin, No Mission
The U.S. healthcare system faces a critical juncture, with 35% of all hospitals operating at negative margins. Skyrocketing labor and supply costs outpace Medicare and Medicaid reimbursements, threatening hospital survival. This financial distress forces many institutions to prioritize profits over their core mission of serving communities with the highest quality care. Facing risks of bankruptcy or acquisition by profit-driven private equity, many hospitals have necessarily shifted focus to financial survival, jeopardizing patient outcomes and access. This multifaceted crisis—financial, operational, and ethical—demands innovative solutions to restore the financial sustainability of our hospitals that enables mission-driven care.
The Escalating Labor Crisis
Labor shortages intensify the crisis, with projections of 195,400 fewer nurses by 2031 and 124,000 fewer physicians by 2034. Burnout affects 40% of healthcare workers, driving turnover. This has resulted in a 300% surge in contract labor costs from 2019 to 2024 as hospitals attempt to reactively fill in workforce gaps. As labor accounts for over 55% of hospital expenses, these shortages lead to longer wait times, reduced care access, and higher error rates, undermining both financial health and care quality.

Strategic Performance Management: Bridging Human Capital and Hospital Productivity

PegasusAI3 delivers the core capabilities of advanced integrated software systems—data-driven intelligence, process efficiency management, and the analytical depth of 8–12 specialized finance, operations, and risk management analysts—to Human Capital Management, extending well beyond the traditional boundaries of Human Resources. 

This solution provides hospital leadership with the technology needed to measurably and strategically align workforce management with overall organizational performance, addressing a longstanding need for C-suites seeking actionable, enterprise-wide impact

Hospital Performance Impact
Leverage real-time analytics to directly connect workforce actions with key hospital performance metrics, enabling leadership to improve measurable improvements in patient outcomes and financial results.
Unskilled Costly Managers
Pinpoint management gaps and quantify the financial impact of ineffective supervisors, guiding targeted development and replacement strategies to improve team performance and reduce hidden costs.
Predictive 12-Month Employee Turnover
Forecast staff turnover up to a year in advance, empowering leaders to address risk factors, stabilize teams, and maintain continuity in patient care.
Predicted Reasons for Turnover
AI-driven insights reveal the underlying causes of employee departures, from compensation issues to managers, supporting data-driven retention strategies.
Employee Retention System
A comprehensive retention platform integrates analytics, feedback, and intervention tools to systematically reduce turnover and build long-term workforce stability.
Predictive Burnout Prevention
Advanced algorithms identify early warning signs of staff burnout, allowing for proactive support and workload adjustments that reduce absenteeism, sick leave and turnover to preserve clinical quality.

  • By delivering 5% to 25% gains in EBITDA, PegasusAI3 strengthens financial resilience, empowering hospitals to reinvest in mission-driven care that enhances quality and access. 

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    Partner with PegasusAI3 to better navigate the healthcare crisis and achieve sustainable, patient-centered success.

Strategic FTE Supply and Demand Forecasting for Critical Hospital Positions

PegasusAI3 (previously Orcaeyes HealthViZion) was selected over IBM and Mercer to lead the only future workforce planning supply and demand of healthcare critical positions in regions. DFWHC Hospital Productivity Project 

PegasusAI3 identified previously unrecognized opportunities for improving hospital performance by analyzing extensive big data from datasets that had never been integrated before:

  • Increased Operating Profit Margins by 10% to 50%
  • Reduced Variable Labor Costs by 7% to 25%
  • Increased Revenue Recovery by 1% to 3%
  • Increased FTE Productivity by 1% to 8%
  • Reduced Burnout by 3% to 35%
  • Reduced Turnover by 5% to 20%
  • Reduced HR Administrative Costs by 5% to 15%

These improvements in workforce, operational, and financial performance lead to increased Units of Service (UOS), increased FTEs per AOB (Adjusted Occupied Beds), and increased Quality of Care scores and reimbursements.

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“A search was launched to find a workforce tool—but not just any tool. This one had to be special. After much discussion and contemplation, the consensus favored SonarVision Enterprise, a tool originally developed by Dan Hilbert, founder and chief executive officer of OrcaEyes. 

 

(Today, SonarVision is part of PegasusAI3 following the company’s acquisition of OrcaEyes).

 

So far, SonarVision has received great reviews as participants become more familiar with the tool and begin to see their data in a format that meets and often exceeds expectations. Healthcare Systems will be able to use the tool’s analytics to uncover eye-opening revelations.” Dallas Fort Worth Healthcare Council

Optimizing VBC Reimbursements Through Workforce Data Intelligence

PegasusAI³, through the DFWHC Collaborative, accessed and normalized a decade of workforce datasets representing 10.4% of all major U.S. hospitals—data that had not previously been linked, standardized or normalized. Utilizing advanced mathematical sciences and comprehensive analytics, PegasusAI³ Workforce Analytics, a four-time award recipient, identified workforce challenges that had not been previously measured or correlated with Hospital Value-Based Care (VBC) Quality of Care scores, including all six subdomains.

Complementary Performance Analysis Report (CPAR) For Hospitals

PegasusAI3 offers hospitals and networks a complimentary 30-day analysis of their organizations that will itemize performance issues and estimate the impact of solving them on EBITDA.

Our CPAR for Hospitals analyzes the following KPIs and performance metrics:

Financial

  1. 1. Labor Costs with focus on:
    1. 1. Travel Nurse, Agency and Premium Labor
    2. 2. Cost of Vacancy Days
  2. 2. Unnecessary Lost Revenue Recovery
  3. 3. Cost per FTE per AOB
  4. 4. Cost per FTE per UOS
  5. 5. Operating Margin (%)
  6. 6. Financial Performance against industry benchmarks

Operational

  1. 1. Administrative costs
  2. 2. Identification of and costs of Process Inefficiencies
  3. 3. Efficiency in delivering Workforce Productivity

Human Capital

  1. 1. Predictive 1 year Employee Burnout and Turnover with primary reasons
    1. 1. Critical Positions
    2. 2. Critical Departments
    3. 3. Strategic and Research Projects
  2. 2. FTE Productivity:
    1. 1. Fulltime Employees
    2. 2. Premium pay
    3. 3. Agency Temp Pay
    4. 4. Travel Nurses
    5. 5. Inefficiency of Vacancy Days
    6. 6. Lost FTE Workforce Productivity
    7. 7. FTE per AOB
    8. 8. FTE per Unit of Service
    9. 9. Predictive 1 year FTE Productivity Gaps
  3. 3. Identifying managers with High Employee Turnover, their costs and lost FTE productivity

PegasusAI3 Enterprise Performance Intelligence and Solution Suite

The full PegasusAI3 Enterprise Performance Intelligence data and solution ecosystem includes the following additional KPIs and metrics, as well as hospital specific custom KPIs:

Financial

  • Total Expense per FTE Adjusted Discharge
  • Labor Cost as a % of Net Patient Revenue
  • Operating Expense Ratio
  • Denial Rate (%) (RCM)
  • Bad Debt as % of Revenue (RCM)

Operational Efficiency

  • Operating Room (OR) Utilization Rate
  • Staff-to-Patient Ratio (Nursing Hours per Patient Day)
  • Bed Occupancy Rate

Quality of Care Scores

  • Efficiency
  • HAI (Hospital Acquired Infections)
  • 30-Day Readmission Rate
  • Surgical Site Complication Rate
  • Mortality Rate (Risk-adjusted)

Start-to-Finish Solution Suite

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Predictive Employee Burnout Prevention

Provides recommended preventative actions.

2
Predictive One Year Employee Turnover Risk
  • Identifies and weights reasons
  • Provides recommended retention actions*
3
Identify Managers with High Employee Turnover
  • Ranks managers by turnover
  • Displays the actual costs and lost FTE productivity of unskilled managers
  • Provides recommended manager developmental actions*

*These 2 recommended action AIs will require 6–12 months for the AIs to become accurate for individual businesses and hospitals.

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