ML Analysis — PRATT REGIONAL MEDICAL CENTER
CCN 170027 | 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 Health2/25
RCM Upside19/25
Market Position14/20
Demand Defensibility5/15
Operational Efficiency6/15
Entry Multiple: 8.0x – 10.0x
Est. MOIC: 1.9x
Risk Factors:
- Negative operating margin
- Heavy Medicare dependence (>55%)
- Small facility (<50 beds) — limited scale
- Expenses exceed revenue
Catalysts:
- Strong commercial payer base protects revenue
- Limited competition supports pricing power
Margin Prediction (Trained Ridge Model)
-19.5%
R²=0.34 | n=4,907 | Grade B | Actual: -17.7%
Ridge regression trained on 4,907 HCRIS hospitals. 90% CI: [-47.8%, 8.8%]. P21 nationally.
| Driver | Value | Effect | Explanation | |
|---|---|---|---|---|
| State Peer Margin | -0.177 | -0.0972 | Lower State Peer Margin decreases predicted margin | |
| Revenue/Bed | 1419776.143 | -0.0223 | Lower Revenue/Bed decreases predicted margin | |
| Log(Beds) | 3.555 | -0.0190 | Lower Log(Beds) decreases predicted margin | |
| Bed Count | 35.000 | +0.0177 | Higher Bed Count increases predicted margin | |
| Bed Utilization Value | 481334.675 | -0.0130 | Lower Bed Utilization Value decreases predicted ma |
Turnaround: 20%Low turnaround probability (20%). Structural disadvantages in State Peer Margin and Revenue/Bed.
Rural/Critical Access
Archetype
54.0%
Distress Risk
$5.4M
RCM Opportunity
B
Opportunity Grade
-6.9%
Projected Margin
Cluster: Rural/Critical Access
Percentile within cluster: P4. 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%
KS distress rate: 76.8%
Model AUC: 0.629
| Factor | Value | Contribution | Direction |
|---|---|---|---|
| Occupancy Rate | 0.339 | +0.173 | ▲ risk |
| Medicaid Day Pct | 0.037 | -0.051 | ▼ risk |
| Medicare Day Pct | 0.564 | +0.041 | ▲ risk |
| Net To Gross Ratio | 0.441 | +0.032 | ▲ risk |
| Beds | 35.000 | -0.015 | ▼ risk |
| Revenue Per Bed | 1419776.143 | +0.009 | ▲ risk |
RCM Improvement Opportunity
Total (risk-adjusted): $5.4M
Current margin: -17.7%
Projected margin: -6.9%
Grade: B
Comps: 98
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 | 0.399 | 0.560 | 16.2% | $2.4M | 50% | 24mo |
| Net-to-Gross Ratio Improvement | 0.441 | 0.763 | 32.2% | $1.9M | 65% | 18mo |
| Occupancy Improvement | 0.339 | 0.500 | 16.1% | $1.1M | 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 | 30.7 | [25.0, 75.0] | P63 | 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. |