ML Analysis — KINDRED HOSPITAL SOUTH BAY
CCN 052050 | 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.
43
/ 100 (D)
Financial Health7/25
RCM Upside18/25
Market Position8/20
Demand Defensibility10/15
Operational Efficiency0/15
Entry Multiple: 8.0x – 10.0x
Est. MOIC: 1.9x
Risk Factors:
- Negative operating margin
Catalysts:
- Strong commercial payer base protects revenue
Margin Prediction (Trained Ridge Model)
-4.8%
R²=0.34 | n=4,907 | Grade B | Actual: -1.6%
Ridge regression trained on 4,907 HCRIS hospitals. 90% CI: [-33.1%, 23.5%]. P50 nationally.
| Driver | Value | Effect | Explanation | |
|---|---|---|---|---|
| Revenue/Bed | 669582.864 | -0.1270 | Lower Revenue/Bed decreases predicted margin | |
| Expense/Bed | 680219.627 | +0.1204 | Higher Expense/Bed increases predicted margin | |
| Reimbursement Quality | 0.075 | +0.0363 | Higher Reimbursement Quality increases predicted m | |
| Net-to-Gross | 0.177 | -0.0214 | Lower Net-to-Gross decreases predicted margin | |
| Bed Count | 59.000 | +0.0140 | Higher Bed Count increases predicted margin |
Turnaround: 42%Turnaround possible (42%) but uncertain. Margin improvement depends on improving Revenue/Bed.
Suburban Community Hospit
Archetype
42.0%
Distress Risk
$5.5M
RCM Opportunity
B
Opportunity Grade
12.3%
Projected Margin
Cluster: Suburban Community Hospital
Percentile within cluster: P77. 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 | 0.769 | -0.226 | ▼ risk |
| Net To Gross Ratio | 0.177 | -0.085 | ▼ risk |
| Medicaid Day Pct | 0.027 | -0.062 | ▼ risk |
| Revenue Per Bed | 669582.864 | +0.054 | ▲ risk |
| Medicare Day Pct | 0.549 | +0.038 | ▲ risk |
| Beds | 59.000 | -0.012 | ▼ risk |
RCM Improvement Opportunity
Total (risk-adjusted): $5.5M
Current margin: -1.6%
Projected margin: 12.3%
Grade: B
Comps: 119
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 | 0.424 | 0.725 | 30.0% | $4.5M | 50% | 24mo |
| Net-to-Gross Ratio Improvement | 0.177 | 0.394 | 21.6% | $1000K | 65% | 18mo |
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 | 29.1 | [25.0, 75.0] | P51 | 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. |