ML Analysis — SUTTER AMADOR HOSPITAL
CCN 050014 | Clustering + Distress + RCM Opportunity
🛡️ Public data only — no PHI permitted on this instance.
Investability Score
Buy — solid fundamentals with identifiable value creation levers. Proceed to detailed diligence.
60
/ 100 (B)
Financial Health15/25
RCM Upside10/25
Market Position15/20
Demand Defensibility11/15
Operational Efficiency9/15
Entry Multiple: 9.5x – 11.5x
Est. MOIC: 2.3x
Risk Factors:
Catalysts:
- Strong commercial payer base protects revenue
- Limited competition supports pricing power
Margin Prediction (Trained Ridge Model)
-0.6%
R²=0.34 | n=4,907 | Grade B | Actual: 7.5%
Ridge regression trained on 4,907 HCRIS hospitals. 90% CI: [-28.9%, 27.7%]. P61 nationally.
| Driver | Value | Effect | Explanation | |
|---|---|---|---|---|
| Revenue/Bed | 2093355.865 | +0.0718 | Higher Revenue/Bed increases predicted margin | |
| Expense/Bed | 1936094.769 | -0.0344 | Higher Expense/Bed decreases predicted margin | |
| Reimbursement Quality | 0.145 | +0.0161 | Higher Reimbursement Quality increases predicted m | |
| Bed Count | 52.000 | +0.0151 | Higher Bed Count increases predicted margin | |
| Log(Beds) | 3.951 | -0.0098 | Lower Log(Beds) decreases predicted margin |
Suburban Community Hospit
Archetype
46.7%
Distress Risk
$6.5M
RCM Opportunity
D
Opportunity Grade
13.5%
Projected Margin
Cluster: Suburban Community Hospital
Percentile within cluster: P4. 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: Elevated
National distress rate: 49.3%
CA distress rate: 49.7%
Model AUC: 0.629
| Factor | Value | Contribution | Direction |
|---|---|---|---|
| Medicaid Day Pct | 0.042 | -0.047 | ▼ risk |
| Net To Gross Ratio | 0.292 | -0.034 | ▼ risk |
| Revenue Per Bed | 2093355.865 | -0.030 | ▼ risk |
| Medicare Day Pct | 0.460 | +0.023 | ▲ risk |
| Beds | 52.000 | -0.013 | ▼ risk |
| Occupancy Rate | 0.528 | -0.003 | ▼ risk |
RCM Improvement Opportunity
Total (risk-adjusted): $6.5M
Current margin: 7.5%
Projected margin: 13.5%
Grade: D
Comps: 97
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 | 0.498 | 0.734 | 23.6% | $3.5M | 50% | 24mo |
| Net-to-Gross Ratio Improvement | 0.292 | 0.428 | 13.6% | $1.7M | 65% | 18mo |
| Occupancy Improvement | 0.528 | 0.715 | 18.7% | $1.2M | 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 | 28.4 | [25.0, 75.0] | P46 | 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. |