ML Analysis — ALLEN COUNTY REGIONAL HOSPITAL
CCN 171373 | Clustering + Distress + RCM Opportunity
🛡️ Public data only — no PHI permitted on this instance.
Investability Score
Speculative — only pursue if turnaround thesis is strong and entry multiple reflects risk.
41
/ 100 (D)
Financial Health4/25
RCM Upside19/25
Market Position11/20
Demand Defensibility3/15
Operational Efficiency4/15
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
- Low occupancy (<30%) — demand risk
- Expenses exceed revenue
Catalysts:
- Limited competition supports pricing power
Margin Prediction (Trained Ridge Model)
-20.9%
R²=0.34 | n=4,907 | Grade B | Actual: -30.4%
Ridge regression trained on 4,907 HCRIS hospitals. 90% CI: [-49.2%, 7.4%]. P20 nationally.
| Driver | Value | Effect | Explanation | |
|---|---|---|---|---|
| State Peer Margin | -0.177 | -0.0972 | Lower State Peer Margin decreases predicted margin | |
| Revenue/Bed | 992761.520 | -0.0819 | Lower Revenue/Bed decreases predicted margin | |
| Expense/Bed | 1294852.960 | +0.0446 | Higher Expense/Bed increases predicted margin | |
| Reimbursement Quality | 0.102 | +0.0287 | Higher Reimbursement Quality increases predicted m | |
| Log(Beds) | 3.219 | -0.0268 | Lower Log(Beds) decreases predicted margin |
Turnaround: 19%Low turnaround probability (19%). Structural disadvantages in State Peer Margin and Revenue/Bed.
Rural/Critical Access
Archetype
57.8%
Distress Risk
$7.1M
RCM Opportunity
A
Opportunity Grade
-1.9%
Projected Margin
Cluster: Rural/Critical Access
Percentile within cluster: P69. 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 | 0.221 | +0.282 | ▲ risk |
| Medicaid Day Pct | 0.007 | -0.081 | ▼ risk |
| Medicare Day Pct | 0.776 | +0.077 | ▲ risk |
| Net To Gross Ratio | 0.470 | +0.045 | ▲ risk |
| Revenue Per Bed | 992761.520 | +0.035 | ▲ risk |
| Beds | 25.000 | -0.017 | ▼ risk |
RCM Improvement Opportunity
Total (risk-adjusted): $7.1M
Current margin: -30.4%
Projected margin: -1.9%
Grade: A
Comps: 110
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 | 0.216 | 0.537 | 32.0% | $4.8M | 50% | 24mo |
| Occupancy Improvement | 0.221 | 0.413 | 19.2% | $1.3M | 55% | 24mo |
| Net-to-Gross Ratio Improvement | 0.470 | 0.815 | 34.5% | $1.0M | 65% | 18mo |
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 | 34.5 | [25.0, 75.0] | P78 | Average — predicted days in ar is near the median. |
| Clean Claim Rate | 98.0% | [80.0%, 98.0%] | P0 | Strong — predicted clean claim rate is in the top third. |
| Net Collection Rate | 99.4% | [90.0%, 99.5%] | P7 | Strong — predicted net collection rate is in the top third. |