ML Analysis — LINDEN OAKS HOSPITAL
CCN 144035 | 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.
46
/ 100 (C)
Financial Health4/25
RCM Upside19/25
Market Position11/20
Demand Defensibility8/15
Operational Efficiency4/15
Entry Multiple: 8.0x – 10.0x
Est. MOIC: 1.9x
Risk Factors:
- Negative operating margin
- Expenses exceed revenue
Catalysts:
- RCM optimization could add 3-5pp margin
- Strong commercial payer base protects revenue
Margin Prediction (Trained Ridge Model)
-11.2%
R²=0.34 | n=4,907 | Grade B | Actual: -30.8%
Ridge regression trained on 4,907 HCRIS hospitals. 90% CI: [-39.5%, 17.1%]. P35 nationally.
| Driver | Value | Effect | Explanation | |
|---|---|---|---|---|
| Revenue/Bed | 234627.718 | -0.1877 | Lower Revenue/Bed decreases predicted margin | |
| Expense/Bed | 306802.254 | +0.1664 | Higher Expense/Bed increases predicted margin | |
| Reimbursement Quality | 0.363 | -0.0466 | Higher Reimbursement Quality decreases predicted m | |
| Bed Utilization Value | 134713.869 | -0.0245 | Lower Bed Utilization Value decreases predicted ma | |
| Commercial % | 0.864 | +0.0114 | Higher Commercial % increases predicted margin |
Turnaround: 31%Turnaround possible (31%) but uncertain. Margin improvement depends on improving Revenue/Bed.
Under-Performing / Distre
Archetype
47.9%
Distress Risk
$760K
RCM Opportunity
D
Opportunity Grade
-27.8%
Projected Margin
Cluster: Under-Performing / Distressed
Percentile within cluster: P42. 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: Elevated
National distress rate: 49.3%
IL distress rate: 51.0%
Model AUC: 0.629
| Factor | Value | Contribution | Direction |
|---|---|---|---|
| Revenue Per Bed | 234627.718 | +0.079 | ▲ risk |
| Medicaid Day Pct | 0.014 | -0.075 | ▼ risk |
| Occupancy Rate | 0.574 | -0.045 | ▼ risk |
| Medicare Day Pct | 0.122 | -0.035 | ▼ risk |
| Net To Gross Ratio | 0.420 | +0.023 | ▲ risk |
| Beds | 110.000 | -0.005 | ▼ risk |
RCM Improvement Opportunity
Total (risk-adjusted): $760K
Current margin: -30.8%
Projected margin: -27.8%
Grade: D
Comps: 81
Gap analysis vs P75 peers with 60% closure assumption. Confidence-weighted by lever implementation difficulty.
| Lever | Current | Benchmark | Gap | Impact | Confidence | Timeline |
|---|---|---|---|---|---|---|
| Occupancy Improvement | 0.574 | 0.689 | 11.5% | $760K | 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 | 26.7 | [25.0, 75.0] | P37 | 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. |