ML Analysis — LANDMARK HOSPITAL OF ATHENS LLC
CCN 112017 | 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.
48
/ 100 (C)
Financial Health8/25
RCM Upside14/25
Market Position15/20
Demand Defensibility8/15
Operational Efficiency3/15
Entry Multiple: 8.0x – 10.0x
Est. MOIC: 1.9x
Risk Factors:
- Small facility (<50 beds) — limited scale
Catalysts:
- Strong commercial payer base protects revenue
- Limited competition supports pricing power
Margin Prediction (Trained Ridge Model)
-8.0%
R²=0.34 | n=4,907 | Grade B | Actual: 2.6%
Ridge regression trained on 4,907 HCRIS hospitals. 90% CI: [-36.3%, 20.3%]. P42 nationally.
| Driver | Value | Effect | Explanation | |
|---|---|---|---|---|
| Revenue/Bed | 427487.405 | -0.1608 | Lower Revenue/Bed decreases predicted margin | |
| Expense/Bed | 416229.571 | +0.1529 | Higher Expense/Bed increases predicted margin | |
| Medicaid % | 0.264 | -0.0212 | Higher Medicaid % decreases predicted margin | |
| Bed Utilization Value | 287919.599 | -0.0194 | Lower Bed Utilization Value decreases predicted ma | |
| Reimbursement Quality | 0.142 | +0.0171 | Higher Reimbursement Quality increases predicted m |
Safety-Net/Medicaid Heavy
Archetype
50.9%
Distress Risk
$4.0M
RCM Opportunity
A
Opportunity Grade
24.6%
Projected Margin
Cluster: Safety-Net/Medicaid Heavy
Percentile within cluster: P41. High Medicaid dependence creates reimbursement risk. Assess DSH payments and state expansion status.
Nearest Peers
| Hospital | State | Beds |
|---|---|---|
| WESTERN PEAKS SPECIALTY HOSPITAL | UT | 59 |
| HOSPITAL MENONITA AIBONITO | PR | 129 |
| TOPPENISH COMMUNITY HOSPITAL | WA | 47 |
| MINERAL COMMUNITY HOSPITAL | MT | 25 |
| BANNER UNIVERSITY MED CENTER SOUTH | AZ | 132 |
| NORTH COLORADO MEDICAL CENTER | CO | 202 |
Distress Analysis
Risk: High
National distress rate: 49.3%
GA distress rate: 44.4%
Model AUC: 0.629
| Factor | Value | Contribution | Direction |
|---|---|---|---|
| Medicaid Day Pct | 0.264 | +0.175 | ▲ risk |
| Occupancy Rate | 0.674 | -0.138 | ▼ risk |
| Revenue Per Bed | 427487.405 | +0.068 | ▲ risk |
| Net To Gross Ratio | 0.322 | -0.021 | ▼ risk |
| Beds | 42.000 | -0.014 | ▼ risk |
| Medicare Day Pct | 0.295 | -0.006 | ▼ risk |
RCM Improvement Opportunity
Total (risk-adjusted): $4.0M
Current margin: 2.6%
Projected margin: 24.6%
Grade: A
Comps: 87
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 | 0.441 | 0.683 | 24.2% | $3.6M | 50% | 24mo |
| Net-to-Gross Ratio Improvement | 0.322 | 0.474 | 15.2% | $320K | 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 | 28.4 | [25.0, 75.0] | P46 | 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. |