ML Analysis — STANFORD HEALTH CARE TRI-VALLEY
CCN 050283 | 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.
56
/ 100 (C)
Financial Health13/25
RCM Upside15/25
Market Position9/20
Demand Defensibility14/15
Operational Efficiency5/15
Entry Multiple: 9.5x – 11.5x
Est. MOIC: 2.3x
Risk Factors:
Catalysts:
- RCM optimization could add 3-5pp margin
- Strong commercial payer base protects revenue
Margin Prediction (Trained Ridge Model)
0.0%
R²=0.34 | n=4,907 | Grade B | Actual: 1.1%
Ridge regression trained on 4,907 HCRIS hospitals. 90% CI: [-28.3%, 28.3%]. P62 nationally.
| Driver | Value | Effect | Explanation | |
|---|---|---|---|---|
| Revenue/Bed | 2314788.431 | +0.1027 | Higher Revenue/Bed increases predicted margin | |
| Expense/Bed | 2290558.361 | -0.0780 | Higher Expense/Bed decreases predicted margin | |
| Reimbursement Quality | 0.111 | +0.0259 | Higher Reimbursement Quality increases predicted m | |
| Log(Beds) | 5.308 | +0.0217 | Higher Log(Beds) increases predicted margin | |
| Net-to-Gross | 0.190 | -0.0200 | Lower Net-to-Gross decreases predicted margin |
Suburban Community Hospit
Archetype
44.0%
Distress Risk
$8.8M
RCM Opportunity
D
Opportunity Grade
2.9%
Projected Margin
Cluster: Suburban Community Hospital
Percentile within cluster: P35. 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 |
|---|---|---|---|
| Net To Gross Ratio | 0.190 | -0.080 | ▼ risk |
| Occupancy Rate | 0.591 | -0.061 | ▼ risk |
| Medicaid Day Pct | 0.041 | -0.048 | ▼ risk |
| Revenue Per Bed | 2314788.431 | -0.043 | ▼ risk |
| Medicare Day Pct | 0.373 | +0.008 | ▲ risk |
| Beds | 202.000 | +0.007 | ▲ risk |
RCM Improvement Opportunity
Total (risk-adjusted): $8.8M
Current margin: 1.1%
Projected margin: 2.9%
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 | 0.190 | 0.291 | 10.1% | $5.5M | 65% | 18mo |
| Payer Mix Optimization | 0.586 | 0.739 | 15.3% | $2.3M | 50% | 24mo |
| Occupancy Improvement | 0.591 | 0.735 | 14.4% | $951K | 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 | 25.2 | [25.0, 75.0] | P28 | 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. |