ML Analysis — DOMINICAN HOSPITAL
CCN 050242 | 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.
65
/ 100 (B)
Financial Health17/25
RCM Upside11/25
Market Position15/20
Demand Defensibility15/15
Operational Efficiency7/15
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)
3.2%
R²=0.34 | n=4,907 | Grade B | Actual: 5.0%
Ridge regression trained on 4,907 HCRIS hospitals. 90% CI: [-25.1%, 31.5%]. P70 nationally.
| Driver | Value | Effect | Explanation | |
|---|---|---|---|---|
| Revenue/Bed | 2470398.832 | +0.1244 | Higher Revenue/Bed increases predicted margin | |
| Expense/Bed | 2346579.955 | -0.0849 | Higher Expense/Bed decreases predicted margin | |
| Reimbursement Quality | 0.112 | +0.0258 | Higher Reimbursement Quality increases predicted m | |
| Bed Utilization Value | 1625745.581 | +0.0250 | Higher Bed Utilization Value increases predicted m | |
| Log(Beds) | 5.308 | +0.0217 | Higher Log(Beds) increases predicted margin |
Suburban Community Hospit
Archetype
42.3%
Distress Risk
$8.4M
RCM Opportunity
D
Opportunity Grade
6.7%
Projected Margin
Cluster: Suburban Community Hospital
Percentile within cluster: P56. 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 |
|---|---|---|---|
| Occupancy Rate | 0.658 | -0.123 | ▼ risk |
| Net To Gross Ratio | 0.210 | -0.071 | ▼ risk |
| Medicaid Day Pct | 0.027 | -0.062 | ▼ risk |
| Revenue Per Bed | 2470398.832 | -0.053 | ▼ risk |
| Medicare Day Pct | 0.439 | +0.019 | ▲ risk |
| Beds | 202.000 | +0.007 | ▲ risk |
RCM Improvement Opportunity
Total (risk-adjusted): $8.4M
Current margin: 5.0%
Projected margin: 6.7%
Grade: D
Comps: 223
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 | 0.210 | 0.291 | 8.2% | $4.8M | 65% | 18mo |
| Payer Mix Optimization | 0.533 | 0.739 | 20.6% | $3.1M | 50% | 24mo |
| Occupancy Improvement | 0.658 | 0.735 | 7.6% | $505K | 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 | 25.0 | [25.0, 75.0] | P0 | 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. |