ML Analysis — TROY REGIONAL MEDICAL CENTER
CCN 010126 | Clustering + Distress + RCM Opportunity
🛡️ Public data only — no PHI permitted on this instance.
Investability Score
Speculative — only pursue if turnaround thesis is strong and entry multiple reflects risk.
38
/ 100 (D)
Financial Health1/25
RCM Upside19/25
Market Position15/20
Demand Defensibility3/15
Operational Efficiency0/15
Entry Multiple: 6.0x – 8.5x
Est. MOIC: 1.5x
Risk Factors:
- Negative operating margin
- Small facility (<50 beds) — limited scale
- Low occupancy (<30%) — demand risk
- Expenses exceed revenue
Catalysts:
- Strong commercial payer base protects revenue
- Limited competition supports pricing power
Margin Prediction (Trained Ridge Model)
-15.9%
R²=0.34 | n=4,907 | Grade B | Actual: -9.1%
Ridge regression trained on 4,907 HCRIS hospitals. 90% CI: [-44.2%, 12.4%]. P26 nationally.
| Driver | Value | Effect | Explanation | |
|---|---|---|---|---|
| Revenue/Bed | 950108.049 | -0.0878 | Lower Revenue/Bed decreases predicted margin | |
| Expense/Bed | 1036845.829 | +0.0764 | Higher Expense/Bed increases predicted margin | |
| State Peer Margin | -0.085 | -0.0292 | Lower State Peer Margin decreases predicted margin | |
| Bed Utilization Value | 242590.234 | -0.0209 | Lower Bed Utilization Value decreases predicted ma | |
| Bed Count | 41.000 | +0.0168 | Higher Bed Count increases predicted margin |
Turnaround: 24%Low turnaround probability (24%). Structural disadvantages in Revenue/Bed and Expense/Bed.
Under-Performing / Distre
Archetype
56.7%
Distress Risk
$2.2M
RCM Opportunity
D
Opportunity Grade
-3.4%
Projected Margin
Cluster: Under-Performing / Distressed
Percentile within cluster: P69. Deeply negative margins signal severe distress. Evaluate asset-level acquisition at 4-6x normalized EBITDA.
Nearest Peers
| Hospital | State | Beds |
|---|---|---|
| HOLY FAMILY MEMORIAL INC | WI | 58 |
| MIDDLESBORO ARH | KY | 46 |
| ATRIUM HEALTH NAVICENT BALDWIN | GA | 86 |
| BON SECOURS COMMUNITY HOSPITAL | NY | 98 |
| ADVANCED SPECIALTY HOSP. OF TOLEDO | OH | 40 |
| COMMUNITY HEALTH CENTER BRANCH | MI | 75 |
Distress Analysis
Risk: High
National distress rate: 49.3%
AL distress rate: 58.3%
Model AUC: 0.629
| Factor | Value | Contribution | Direction |
|---|---|---|---|
| Occupancy Rate | 0.255 | +0.250 | ▲ risk |
| Medicaid Day Pct | 0.193 | +0.104 | ▲ risk |
| Net To Gross Ratio | 0.244 | -0.056 | ▼ risk |
| Revenue Per Bed | 950108.049 | +0.037 | ▲ risk |
| Medicare Day Pct | 0.171 | -0.027 | ▼ risk |
| Beds | 41.000 | -0.014 | ▼ risk |
RCM Improvement Opportunity
Total (risk-adjusted): $2.2M
Current margin: -9.1%
Projected margin: -3.4%
Grade: D
Comps: 58
Gap analysis vs P75 peers with 60% closure assumption. Confidence-weighted by lever implementation difficulty.
| Lever | Current | Benchmark | Gap | Impact | Confidence | Timeline |
|---|---|---|---|---|---|---|
| Occupancy Improvement | 0.255 | 0.453 | 19.8% | $1.3M | 55% | 24mo |
| Net-to-Gross Ratio Improvement | 0.244 | 0.444 | 20.0% | $912K | 65% | 18mo |
Predicted RCM Performance (Public Data Only)
A
RCM Grade
Strong RCM profile — likely low-risk from an operations perspective. Focus diligence on growth thesis.
| Metric | Predicted | 90% CI | Percentile | Assessment |
|---|---|---|---|---|
| Denial Rate | 2.0% | [2.0%, 25.0%] | P0 | Strong — predicted denial rate is in the top third nationall |
| Days in AR | 31.6 | [25.0, 75.0] | P68 | Strong — predicted days in ar is in the top third nationally |
| Clean Claim Rate | 98.0% | [80.0%, 98.0%] | P0 | Strong — predicted clean claim rate is in the top third. |
| Net Collection Rate | 99.5% | [90.0%, 99.5%] | P8 | Strong — predicted net collection rate is in the top third. |