ML Analysis — TERRE HAUTE REGIONAL HOSPITAL
CCN 150046 | 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.
53
/ 100 (C)
Financial Health18/25
RCM Upside7/25
Market Position13/20
Demand Defensibility10/15
Operational Efficiency5/15
Entry Multiple: 8.0x – 10.0x
Est. MOIC: 1.9x
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)
-4.1%
R²=0.34 | n=4,907 | Grade B | Actual: 14.4%
Ridge regression trained on 4,907 HCRIS hospitals. 90% CI: [-32.4%, 24.2%]. P51 nationally.
| Driver | Value | Effect | Explanation | |
|---|---|---|---|---|
| Expense/Bed | 681593.766 | +0.1202 | Higher Expense/Bed increases predicted margin | |
| Revenue/Bed | 796725.624 | -0.1092 | Lower Revenue/Bed decreases predicted margin | |
| Reimbursement Quality | 0.085 | +0.0336 | Higher Reimbursement Quality increases predicted m | |
| Net-to-Gross | 0.138 | -0.0259 | Lower Net-to-Gross decreases predicted margin | |
| State Peer Margin | -0.011 | +0.0255 | Higher State Peer Margin increases predicted margi |
Suburban Community Hospit
Archetype
51.9%
Distress Risk
$6.8M
RCM Opportunity
C
Opportunity Grade
20.5%
Projected Margin
Cluster: Suburban Community Hospital
Percentile within cluster: P34. 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: High
National distress rate: 49.3%
IN distress rate: 42.0%
Model AUC: 0.629
| Factor | Value | Contribution | Direction |
|---|---|---|---|
| Occupancy Rate | 0.320 | +0.190 | ▲ risk |
| Net To Gross Ratio | 0.138 | -0.103 | ▼ risk |
| Revenue Per Bed | 796725.624 | +0.046 | ▲ risk |
| Medicaid Day Pct | 0.058 | -0.031 | ▼ risk |
| Beds | 141.000 | -0.001 | ▼ risk |
| Medicare Day Pct | 0.327 | -0.000 | ▼ risk |
RCM Improvement Opportunity
Total (risk-adjusted): $6.8M
Current margin: 14.4%
Projected margin: 20.5%
Grade: C
Comps: 51
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 | 0.138 | 0.350 | 21.2% | $2.8M | 65% | 18mo |
| Occupancy Improvement | 0.320 | 0.677 | 35.7% | $2.4M | 55% | 24mo |
| Payer Mix Optimization | 0.615 | 0.727 | 11.2% | $1.7M | 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 | 26.1 | [25.0, 75.0] | P35 | 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. |