ML Analysis — ASCENSION ST. VINCENT KOKOMO
CCN 150010 | 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.
56
/ 100 (C)
Financial Health15/25
RCM Upside10/25
Market Position15/20
Demand Defensibility9/15
Operational Efficiency7/15
Entry Multiple: 9.5x – 11.5x
Est. MOIC: 2.3x
Risk Factors:
Catalysts:
- Strong commercial payer base protects revenue
- Limited competition supports pricing power
- Volume growth opportunity from low occupancy
Margin Prediction (Trained Ridge Model)
-1.4%
R²=0.34 | n=4,907 | Grade B | Actual: 7.7%
Ridge regression trained on 4,907 HCRIS hospitals. 90% CI: [-29.7%, 26.9%]. P59 nationally.
| Driver | Value | Effect | Explanation | |
|---|---|---|---|---|
| Expense/Bed | 1390662.396 | +0.0328 | Higher Expense/Bed increases predicted margin | |
| State Peer Margin | -0.011 | +0.0255 | Higher State Peer Margin increases predicted margi | |
| Net-to-Gross | 0.258 | -0.0124 | Lower Net-to-Gross decreases predicted margin | |
| Revenue/Bed | 1506136.234 | -0.0102 | Lower Revenue/Bed decreases predicted margin | |
| Bed Utilization Value | 630224.055 | -0.0081 | Lower Bed Utilization Value decreases predicted ma |
Suburban Community Hospit
Archetype
48.9%
Distress Risk
$4.2M
RCM Opportunity
D
Opportunity Grade
10.2%
Projected Margin
Cluster: Suburban Community Hospital
Percentile within cluster: P2. Community hospitals — the largest PE deal category. Focus on RCM improvement and cost optimization at 9-11x.
Nearest Peers
| Hospital | State | Beds |
|---|---|---|
| PROMEDICA HICKMAN HOSPITAL | MI | 58 |
| WATAUGA MEDICAL CENTER | NC | 95 |
| ST LUKES HOSPITAL - EASTON CAMPUS | PA | 29 |
| CULPEPER MEMORIAL HOSPITAL | VA | 70 |
| SOUTHSIDE COMMUNITY HOSPITAL | VA | 80 |
| SPECTRUM HEALTH LUDINGTON | MI | 45 |
Distress Analysis
Risk: Elevated
National distress rate: 49.3%
IN distress rate: 42.0%
Model AUC: 0.629
| Factor | Value | Contribution | Direction |
|---|---|---|---|
| Occupancy Rate | 0.418 | +0.099 | ▲ risk |
| Medicaid Day Pct | 0.029 | -0.059 | ▼ risk |
| Net To Gross Ratio | 0.258 | -0.049 | ▼ risk |
| Medicare Day Pct | 0.291 | -0.006 | ▼ risk |
| Beds | 111.000 | -0.005 | ▼ risk |
| Revenue Per Bed | 1506136.234 | +0.004 | ▲ risk |
RCM Improvement Opportunity
Total (risk-adjusted): $4.2M
Current margin: 7.7%
Projected margin: 10.2%
Grade: D
Comps: 57
Gap analysis vs P75 peers with 60% closure assumption. Confidence-weighted by lever implementation difficulty.
| Lever | Current | Benchmark | Gap | Impact | Confidence | Timeline |
|---|---|---|---|---|---|---|
| Net-to-Gross Ratio Improvement | 0.258 | 0.347 | 8.9% | $1.7M | 65% | 18mo |
| Occupancy Improvement | 0.418 | 0.671 | 25.2% | $1.7M | 55% | 24mo |
| Payer Mix Optimization | 0.680 | 0.729 | 4.9% | $736K | 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 | 25.5 | [25.0, 75.0] | P30 | 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. |