ML Analysis — PIEDMONT MACON NORTH HOSPITAL
CCN 110201 | 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.
42
/ 100 (D)
Financial Health5/25
RCM Upside18/25
Market Position13/20
Demand Defensibility6/15
Operational Efficiency0/15
Entry Multiple: 8.0x – 10.0x
Est. MOIC: 1.9x
Risk Factors:
- Negative operating margin
- Low occupancy (<30%) — demand risk
- Expenses exceed revenue
Catalysts:
- Strong commercial payer base protects revenue
Margin Prediction (Trained Ridge Model)
-8.8%
R²=0.34 | n=4,907 | Grade B | Actual: -5.7%
Ridge regression trained on 4,907 HCRIS hospitals. 90% CI: [-37.1%, 19.5%]. P40 nationally.
| Driver | Value | Effect | Explanation | |
|---|---|---|---|---|
| Revenue/Bed | 748033.646 | -0.1160 | Lower Revenue/Bed decreases predicted margin | |
| Expense/Bed | 790982.152 | +0.1067 | Higher Expense/Bed increases predicted margin | |
| Reimbursement Quality | 0.083 | +0.0342 | Higher Reimbursement Quality increases predicted m | |
| Net-to-Gross | 0.120 | -0.0278 | Lower Net-to-Gross decreases predicted margin | |
| Bed Utilization Value | 149528.903 | -0.0240 | Lower Bed Utilization Value decreases predicted ma |
Turnaround: 35%Turnaround possible (35%) but uncertain. Margin improvement depends on improving Revenue/Bed.
Under-Performing / Distre
Archetype
54.0%
Distress Risk
$6.3M
RCM Opportunity
B
Opportunity Grade
4.9%
Projected Margin
Cluster: Under-Performing / Distressed
Percentile within cluster: P54. Deeply negative margins signal severe distress. Evaluate asset-level acquisition at 4-6x normalized EBITDA.
Nearest Peers
| Hospital | State | Beds |
|---|---|---|
| HOLY FAMILY MEMORIAL INC | WI | 58 |
| MIDDLESBORO ARH | KY | 46 |
| ATRIUM HEALTH NAVICENT BALDWIN | GA | 86 |
| BON SECOURS COMMUNITY HOSPITAL | NY | 98 |
| ADVANCED SPECIALTY HOSP. OF TOLEDO | OH | 40 |
| COMMUNITY HEALTH CENTER BRANCH | MI | 75 |
Distress Analysis
Risk: High
National distress rate: 49.3%
GA distress rate: 44.4%
Model AUC: 0.629
| Factor | Value | Contribution | Direction |
|---|---|---|---|
| Occupancy Rate | 0.200 | +0.302 | ▲ risk |
| Net To Gross Ratio | 0.120 | -0.111 | ▼ risk |
| Revenue Per Bed | 748033.646 | +0.049 | ▲ risk |
| Medicaid Day Pct | 0.057 | -0.032 | ▼ risk |
| Medicare Day Pct | 0.257 | -0.012 | ▼ risk |
| Beds | 79.000 | -0.009 | ▼ risk |
RCM Improvement Opportunity
Total (risk-adjusted): $6.3M
Current margin: -5.7%
Projected margin: 4.9%
Grade: B
Comps: 68
Gap analysis vs P75 peers with 60% closure assumption. Confidence-weighted by lever implementation difficulty.
| Lever | Current | Benchmark | Gap | Impact | Confidence | Timeline |
|---|---|---|---|---|---|---|
| Occupancy Improvement | 0.200 | 0.807 | 60.7% | $4.0M | 55% | 24mo |
| Net-to-Gross Ratio Improvement | 0.120 | 0.369 | 24.9% | $1.7M | 65% | 18mo |
| Payer Mix Optimization | 0.686 | 0.723 | 3.7% | $555K | 50% | 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 | 30.5 | [25.0, 75.0] | P62 | 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. |