ML Analysis — PANA COMMUNITY HOSPITAL
CCN 141341 | 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 Upside16/25
Market Position13/20
Demand Defensibility2/15
Operational Efficiency6/15
Entry Multiple: 8.0x – 10.0x
Est. MOIC: 1.9x
Risk Factors:
- Negative operating margin
- Heavy Medicare dependence (>55%)
- Small facility (<50 beds) — limited scale
- Low occupancy (<30%) — demand risk
Catalysts:
- Strong commercial payer base protects revenue
- Limited competition supports pricing power
Margin Prediction (Trained Ridge Model)
-10.2%
R²=0.34 | n=4,907 | Grade B | Actual: -0.8%
Ridge regression trained on 4,907 HCRIS hospitals. 90% CI: [-38.5%, 18.1%]. P37 nationally.
| Driver | Value | Effect | Explanation | |
|---|---|---|---|---|
| Log(Beds) | 3.091 | -0.0298 | Lower Log(Beds) decreases predicted margin | |
| Expense/Bed | 1466405.091 | +0.0235 | Higher Expense/Bed increases predicted margin | |
| Bed Utilization Value | 180077.144 | -0.0230 | Lower Bed Utilization Value decreases predicted ma | |
| Occupancy | 0.124 | -0.0228 | Lower Occupancy decreases predicted margin | |
| Bed Count | 22.000 | +0.0198 | Higher Bed Count increases predicted margin |
Turnaround: 33%Turnaround possible (33%) but uncertain. Margin improvement depends on improving Log(Beds).
Rural/Critical Access
Archetype
58.2%
Distress Risk
$4.2M
RCM Opportunity
B
Opportunity Grade
12.3%
Projected Margin
Cluster: Rural/Critical Access
Percentile within cluster: P24. Rural/small hospitals face structural headwinds. Evaluate CAH conversion, telehealth, and rural health funding.
Nearest Peers
| Hospital | State | Beds |
|---|---|---|
| BRECKINRIDGE HEALTH INC | KY | 25 |
| SHERIDAN MEMORIAL HOSPITAL | MT | 19 |
| DAYTON GENERAL HOSPITAL | WA | 25 |
| BLUE MOUNTAIN HOSPITAL DISTRICT | OR | 16 |
| COMMUNITY HOSPITAL | WY | 25 |
| CARLE EUREKA HOSPITAL | IL | 25 |
Distress Analysis
Risk: High
National distress rate: 49.3%
IL distress rate: 51.0%
Model AUC: 0.629
| Factor | Value | Contribution | Direction |
|---|---|---|---|
| Occupancy Rate | 0.124 | +0.373 | ▲ risk |
| Medicaid Day Pct | 0.001 | -0.088 | ▼ risk |
| Medicare Day Pct | 0.641 | +0.054 | ▲ risk |
| Net To Gross Ratio | 0.438 | +0.031 | ▲ risk |
| Beds | 22.000 | -0.017 | ▼ risk |
| Revenue Per Bed | 1454747.955 | +0.007 | ▲ risk |
RCM Improvement Opportunity
Total (risk-adjusted): $4.2M
Current margin: -0.8%
Projected margin: 12.3%
Grade: B
Comps: 67
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 | 0.358 | 0.492 | 13.4% | $2.0M | 50% | 24mo |
| Occupancy Improvement | 0.124 | 0.423 | 29.9% | $2.0M | 55% | 24mo |
| Net-to-Gross Ratio Improvement | 0.438 | 0.493 | 5.5% | $206K | 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 | 32.8 | [25.0, 75.0] | P73 | 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. |