ML Analysis — DOUGLAS HOSPITAL
CCN 110184 | 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 Health10/25
RCM Upside18/25
Market Position15/20
Demand Defensibility11/15
Operational Efficiency2/15
Entry Multiple: 9.5x – 11.5x
Est. MOIC: 2.3x
Risk Factors:
- Negative operating margin
Catalysts:
- RCM optimization could add 3-5pp margin
- Strong commercial payer base protects revenue
- Limited competition supports pricing power
Margin Prediction (Trained Ridge Model)
1.7%
R²=0.34 | n=4,907 | Grade B | Actual: -0.8%
Ridge regression trained on 4,907 HCRIS hospitals. 90% CI: [-26.6%, 30.0%]. P66 nationally.
| Driver | Value | Effect | Explanation | |
|---|---|---|---|---|
| Revenue/Bed | 1939255.902 | +0.0502 | Higher Revenue/Bed increases predicted margin | |
| Expense/Bed | 1955293.786 | -0.0367 | Higher Expense/Bed decreases predicted margin | |
| Reimbursement Quality | 0.115 | +0.0249 | Higher Reimbursement Quality increases predicted m | |
| Net-to-Gross | 0.164 | -0.0229 | Lower Net-to-Gross decreases predicted margin | |
| Bed Utilization Value | 1527164.023 | +0.0217 | Higher Bed Utilization Value increases predicted m |
Turnaround: 53%Turnaround possible (53%) but uncertain. Margin improvement depends on Revenue/Bed.
Suburban Community Hospit
Archetype
40.0%
Distress Risk
$4.7M
RCM Opportunity
D
Opportunity Grade
1.3%
Projected Margin
Cluster: Suburban Community Hospital
Percentile within cluster: P15. Community hospitals — the largest PE deal category. Focus on RCM improvement and cost optimization at 9-11x.
Nearest Peers
| Hospital | State | Beds |
|---|---|---|
| CLARA MAASS MEDICAL CENTER | NJ | 259 |
| PRESENCE SAINTS MARY & ELIZABETH MED | IL | 266 |
| ADVENTIST HEALTH BAKERSFIELD | CA | 254 |
| BRISTOL REGIONAL MEDICAL CENTER | TN | 244 |
| HOLSTON VALLEY HOSP & MED CTR | TN | 286 |
| SPRINGFIELD REGIONAL MEDICAL CENTER | OH | 230 |
Distress Analysis
Risk: Elevated
National distress rate: 49.3%
GA distress rate: 44.4%
Model AUC: 0.629
| Factor | Value | Contribution | Direction |
|---|---|---|---|
| Occupancy Rate | 0.787 | -0.244 | ▼ risk |
| Net To Gross Ratio | 0.164 | -0.091 | ▼ risk |
| Revenue Per Bed | 1939255.902 | -0.021 | ▼ risk |
| Medicare Day Pct | 0.212 | -0.020 | ▼ risk |
| Beds | 112.000 | -0.005 | ▼ risk |
| Medicaid Day Pct | 0.089 | +0.000 | ▲ risk |
RCM Improvement Opportunity
Total (risk-adjusted): $4.7M
Current margin: -0.8%
Projected margin: 1.3%
Grade: D
Comps: 59
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 | 0.164 | 0.313 | 14.9% | $3.8M | 65% | 18mo |
| Payer Mix Optimization | 0.699 | 0.732 | 3.3% | $495K | 50% | 24mo |
| Occupancy Improvement | 0.787 | 0.847 | 6.0% | $395K | 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 | 25.7 | [25.0, 75.0] | P32 | 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. |