ML Analysis — CLAY COUNTY HOSPITAL
CCN 141351 | 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.
47
/ 100 (C)
Financial Health15/25
RCM Upside7/25
Market Position12/20
Demand Defensibility3/15
Operational Efficiency11/15
Entry Multiple: 8.0x – 10.0x
Est. MOIC: 1.9x
Risk Factors:
- Heavy Medicare dependence (>55%)
- Small facility (<50 beds) — limited scale
- Low occupancy (<30%) — demand risk
Catalysts:
- Limited competition supports pricing power
Margin Prediction (Trained Ridge Model)
-2.6%
R²=0.34 | n=4,907 | Grade B | Actual: 14.5%
Ridge regression trained on 4,907 HCRIS hospitals. 90% CI: [-30.9%, 25.7%]. P56 nationally.
| Driver | Value | Effect | Explanation | |
|---|---|---|---|---|
| Revenue/Bed | 1912396.200 | +0.0465 | Higher Revenue/Bed increases predicted margin | |
| Log(Beds) | 2.996 | -0.0320 | Lower Log(Beds) decreases predicted margin | |
| Reimbursement Quality | 0.094 | +0.0309 | Higher Reimbursement Quality increases predicted m | |
| Bed Count | 20.000 | +0.0201 | Higher Bed Count increases predicted margin | |
| Commercial % | 0.240 | -0.0140 | Lower Commercial % decreases predicted margin |
Rural/Critical Access
Archetype
54.0%
Distress Risk
$5.2M
RCM Opportunity
B
Opportunity Grade
28.0%
Projected Margin
Cluster: Rural/Critical Access
Percentile within cluster: P76. 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 | 0.286 | +0.222 | ▲ risk |
| Medicaid Day Pct | 0.005 | -0.084 | ▼ risk |
| Medicare Day Pct | 0.755 | +0.073 | ▲ risk |
| Revenue Per Bed | 1912396.200 | -0.020 | ▼ risk |
| Beds | 20.000 | -0.017 | ▼ risk |
| Net To Gross Ratio | 0.393 | +0.011 | ▲ risk |
RCM Improvement Opportunity
Total (risk-adjusted): $5.2M
Current margin: 14.5%
Projected margin: 28.0%
Grade: B
Comps: 64
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 | 0.240 | 0.492 | 25.2% | $3.8M | 50% | 24mo |
| Occupancy Improvement | 0.286 | 0.424 | 13.9% | $914K | 55% | 24mo |
| Net-to-Gross Ratio Improvement | 0.393 | 0.504 | 11.1% | $499K | 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 | 32.4 | [25.0, 75.0] | P71 | 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. |