ML Analysis — HCA FLORIDA POINCIANA HOSPITAL
CCN 100320 | 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.
54
/ 100 (C)
Financial Health18/25
RCM Upside5/25
Market Position17/20
Demand Defensibility7/15
Operational Efficiency7/15
Entry Multiple: 8.0x – 10.0x
Est. MOIC: 1.9x
Risk Factors:
Catalysts:
- Strong commercial payer base protects revenue
- Limited competition supports pricing power
Margin Prediction (Trained Ridge Model)
4.2%
R²=0.34 | n=4,907 | Grade B | Actual: 18.9%
Ridge regression trained on 4,907 HCRIS hospitals. 90% CI: [-24.1%, 32.5%]. P72 nationally.
| Driver | Value | Effect | Explanation | |
|---|---|---|---|---|
| Expense/Bed | 935681.766 | +0.0889 | Higher Expense/Bed increases predicted margin | |
| Revenue/Bed | 1154315.989 | -0.0593 | Lower Revenue/Bed decreases predicted margin | |
| State Peer Margin | 0.032 | +0.0578 | Higher State Peer Margin increases predicted margi | |
| Reimbursement Quality | 0.055 | +0.0423 | Higher Reimbursement Quality increases predicted m | |
| Net-to-Gross | 0.071 | -0.0333 | Lower Net-to-Gross decreases predicted margin |
Suburban Community Hospit
Archetype
44.3%
Distress Risk
$5.5M
RCM Opportunity
D
Opportunity Grade
24.0%
Projected Margin
Cluster: Suburban Community Hospital
Percentile within cluster: P37. 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%
FL distress rate: 30.3%
Model AUC: 0.629
| Factor | Value | Contribution | Direction |
|---|---|---|---|
| Net To Gross Ratio | 0.071 | -0.133 | ▼ risk |
| Medicaid Day Pct | 0.035 | -0.054 | ▼ risk |
| Revenue Per Bed | 1154315.989 | +0.025 | ▲ risk |
| Medicare Day Pct | 0.199 | -0.022 | ▼ risk |
| Occupancy Rate | 0.536 | -0.010 | ▼ risk |
| Beds | 94.000 | -0.007 | ▼ risk |
RCM Improvement Opportunity
Total (risk-adjusted): $5.5M
Current margin: 18.9%
Projected margin: 24.0%
Grade: D
Comps: 120
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 | 0.071 | 0.377 | 30.6% | $3.9M | 65% | 18mo |
| Occupancy Improvement | 0.536 | 0.775 | 23.8% | $1.6M | 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 | 26.8 | [25.0, 75.0] | P38 | 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. |