ML Analysis — JACK HUGHSTON MEMORIAL HOSPITAL
CCN 010168 | Clustering + Distress + RCM Opportunity
🛡️ Public data only — no PHI permitted on this instance.
Investability Score
Hold / Selective — investigate specific opportunities but be prepared for execution risk.
51
/ 100 (C)
Financial Health13/25
RCM Upside10/25
Market Position15/20
Demand Defensibility5/15
Operational Efficiency7/15
Entry Multiple: 8.0x – 10.0x
Est. MOIC: 1.9x
Risk Factors:
- Small facility (<50 beds) — limited scale
Catalysts:
- Strong commercial payer base protects revenue
- Limited competition supports pricing power
Margin Prediction (Trained Ridge Model)
-9.1%
R²=0.34 | n=4,907 | Grade B | Actual: 6.5%
Ridge regression trained on 4,907 HCRIS hospitals. 90% CI: [-37.4%, 19.2%]. P39 nationally.
| Driver | Value | Effect | Explanation | |
|---|---|---|---|---|
| State Peer Margin | -0.085 | -0.0292 | Lower State Peer Margin decreases predicted margin | |
| Expense/Bed | 1496057.617 | +0.0198 | Higher Expense/Bed increases predicted margin | |
| Bed Count | 47.000 | +0.0159 | Higher Bed Count increases predicted margin | |
| Log(Beds) | 3.850 | -0.0122 | Lower Log(Beds) decreases predicted margin | |
| Bed Utilization Value | 563835.153 | -0.0103 | Lower Bed Utilization Value decreases predicted ma |
Suburban Community Hospit
Archetype
50.7%
Distress Risk
$2.1M
RCM Opportunity
D
Opportunity Grade
9.3%
Projected Margin
Cluster: Suburban Community Hospital
Percentile within cluster: P11. Community hospitals — the largest PE deal category. Focus on RCM improvement and cost optimization at 9-11x.
Nearest Peers
| Hospital | State | Beds |
|---|---|---|
| PROMEDICA HICKMAN HOSPITAL | MI | 58 |
| WATAUGA MEDICAL CENTER | NC | 95 |
| ST LUKES HOSPITAL - EASTON CAMPUS | PA | 29 |
| CULPEPER MEMORIAL HOSPITAL | VA | 70 |
| SOUTHSIDE COMMUNITY HOSPITAL | VA | 80 |
| SPECTRUM HEALTH LUDINGTON | MI | 45 |
Distress Analysis
Risk: High
National distress rate: 49.3%
AL distress rate: 58.3%
Model AUC: 0.629
| Factor | Value | Contribution | Direction |
|---|---|---|---|
| Occupancy Rate | 0.352 | +0.160 | ▲ risk |
| Medicaid Day Pct | 0.030 | -0.059 | ▼ risk |
| Net To Gross Ratio | 0.322 | -0.021 | ▼ risk |
| Beds | 47.000 | -0.014 | ▼ risk |
| Medicare Day Pct | 0.257 | -0.012 | ▼ risk |
| Revenue Per Bed | 1600362.681 | -0.001 | ▼ risk |
RCM Improvement Opportunity
Total (risk-adjusted): $2.1M
Current margin: 6.5%
Projected margin: 9.3%
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 |
|---|---|---|---|---|---|---|
| Net-to-Gross Ratio Improvement | 0.322 | 0.471 | 14.9% | $1.3M | 65% | 18mo |
| Occupancy Improvement | 0.352 | 0.473 | 12.1% | $797K | 55% | 24mo |
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 | 28.2 | [25.0, 75.0] | P45 | 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. |