ML Analysis — MERCYONE DUBUQUE MEDICAL CENTER
CCN 160069 | 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.
55
/ 100 (C)
Financial Health7/25
RCM Upside20/25
Market Position14/20
Demand Defensibility10/15
Operational Efficiency4/15
Entry Multiple: 8.0x – 10.0x
Est. MOIC: 1.9x
Risk Factors:
- Negative operating margin
- Heavy Medicare dependence (>55%)
- Expenses exceed revenue
Catalysts:
- RCM optimization could add 3-5pp margin
- Strong commercial payer base protects revenue
- Limited competition supports pricing power
Margin Prediction (Trained Ridge Model)
-9.9%
R²=0.34 | n=4,907 | Grade B | Actual: -25.8%
Ridge regression trained on 4,907 HCRIS hospitals. 90% CI: [-38.2%, 18.4%]. P37 nationally.
| Driver | Value | Effect | Explanation | |
|---|---|---|---|---|
| Revenue/Bed | 1075648.789 | -0.0703 | Lower Revenue/Bed decreases predicted margin | |
| Expense/Bed | 1353274.697 | +0.0374 | Higher Expense/Bed increases predicted margin | |
| State Peer Margin | -0.082 | -0.0269 | Lower State Peer Margin decreases predicted margin | |
| Reimbursement Quality | 0.121 | +0.0231 | Higher Reimbursement Quality increases predicted m | |
| Log(Beds) | 4.956 | +0.0135 | Higher Log(Beds) increases predicted margin |
Turnaround: 33%Turnaround possible (33%) but uncertain. Margin improvement depends on improving Revenue/Bed.
Rural/Critical Access
Archetype
48.0%
Distress Risk
$5.3M
RCM Opportunity
D
Opportunity Grade
-22.3%
Projected Margin
Cluster: Rural/Critical Access
Percentile within cluster: P77. 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: Elevated
National distress rate: 49.3%
IA distress rate: 67.2%
Model AUC: 0.629
| Factor | Value | Contribution | Direction |
|---|---|---|---|
| Medicaid Day Pct | 0.032 | -0.056 | ▼ risk |
| Medicare Day Pct | 0.560 | +0.040 | ▲ risk |
| Occupancy Rate | 0.563 | -0.035 | ▼ risk |
| Net To Gross Ratio | 0.298 | -0.032 | ▼ risk |
| Revenue Per Bed | 1075648.789 | +0.030 | ▲ risk |
| Beds | 142.000 | -0.001 | ▼ risk |
RCM Improvement Opportunity
Total (risk-adjusted): $5.3M
Current margin: -25.8%
Projected margin: -22.3%
Grade: D
Comps: 18
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 | 0.407 | 0.705 | 29.8% | $4.5M | 50% | 24mo |
| Net-to-Gross Ratio Improvement | 0.298 | 0.329 | 3.2% | $570K | 65% | 18mo |
| Occupancy Improvement | 0.563 | 0.606 | 4.3% | $286K | 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 | 27.1 | [25.0, 75.0] | P39 | 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. |