ML Analysis — DEWITT HOSPITAL & NURSING HOME INC
CCN 041314 | 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 Health4/25
RCM Upside18/25
Market Position11/20
Demand Defensibility2/15
Operational Efficiency4/15
Entry Multiple: 6.0x – 8.5x
Est. MOIC: 1.5x
Risk Factors:
- Negative operating margin
- Heavy Medicare dependence (>55%)
- Small facility (<50 beds) — limited scale
- Low occupancy (<30%) — demand risk
- Expenses exceed revenue
Catalysts:
- Limited competition supports pricing power
Margin Prediction (Trained Ridge Model)
-13.1%
R²=0.34 | n=4,907 | Grade B | Actual: -36.1%
Ridge regression trained on 4,907 HCRIS hospitals. 90% CI: [-41.4%, 15.2%]. P31 nationally.
| Driver | Value | Effect | Explanation | |
|---|---|---|---|---|
| Revenue/Bed | 373952.680 | -0.1683 | Lower Revenue/Bed decreases predicted margin | |
| Expense/Bed | 509070.560 | +0.1414 | Higher Expense/Bed increases predicted margin | |
| Reimbursement Quality | 0.090 | +0.0319 | Higher Reimbursement Quality increases predicted m | |
| Bed Utilization Value | 32416.062 | -0.0279 | Lower Bed Utilization Value decreases predicted ma | |
| Log(Beds) | 3.219 | -0.0268 | Lower Log(Beds) decreases predicted margin |
Turnaround: 28%Low turnaround probability (28%). Structural disadvantages in Revenue/Bed and Expense/Bed.
Rural/Critical Access
Archetype
62.6%
Distress Risk
$8.9M
RCM Opportunity
A
Opportunity Grade
58.9%
Projected Margin
Cluster: Rural/Critical Access
Percentile within cluster: P91. Rural/small hospitals face structural headwinds. Evaluate CAH conversion, telehealth, and rural health funding.
Nearest Peers
| Hospital | State | Beds |
|---|---|---|
| BRECKINRIDGE HEALTH INC | KY | 25 |
| SHERIDAN MEMORIAL HOSPITAL | MT | 19 |
| DAYTON GENERAL HOSPITAL | WA | 25 |
| BLUE MOUNTAIN HOSPITAL DISTRICT | OR | 16 |
| COMMUNITY HOSPITAL | WY | 25 |
| CARLE EUREKA HOSPITAL | IL | 25 |
Distress Analysis
Risk: High
National distress rate: 49.3%
AR distress rate: 53.3%
Model AUC: 0.629
| Factor | Value | Contribution | Direction |
|---|---|---|---|
| Occupancy Rate | 0.087 | +0.407 | ▲ risk |
| Medicare Day Pct | 0.828 | +0.086 | ▲ risk |
| Medicaid Day Pct | 0.005 | -0.084 | ▼ risk |
| Net To Gross Ratio | 0.542 | +0.077 | ▲ risk |
| Revenue Per Bed | 373952.680 | +0.071 | ▲ risk |
| Beds | 25.000 | -0.017 | ▼ risk |
RCM Improvement Opportunity
Total (risk-adjusted): $8.9M
Current margin: -36.1%
Projected margin: 58.9%
Grade: A
Comps: 52
Gap analysis vs P75 peers with 60% closure assumption. Confidence-weighted by lever implementation difficulty.
| Lever | Current | Benchmark | Gap | Impact | Confidence | Timeline |
|---|---|---|---|---|---|---|
| Payer Mix Optimization | 0.167 | 0.549 | 38.2% | $5.7M | 50% | 24mo |
| Occupancy Improvement | 0.087 | 0.564 | 47.7% | $3.2M | 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 | 35.9 | [25.0, 75.0] | P80 | Average — predicted days in ar is near the median. |
| Clean Claim Rate | 98.0% | [80.0%, 98.0%] | P0 | Strong — predicted clean claim rate is in the top third. |
| Net Collection Rate | 99.3% | [90.0%, 99.5%] | P5 | Strong — predicted net collection rate is in the top third. |