ML Analysis — CRITTENDEN COMMUNITY HOSPITAL LLC
CCN 180095 | 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.
42
/ 100 (D)
Financial Health3/25
RCM Upside18/25
Market Position14/20
Demand Defensibility4/15
Operational Efficiency2/15
Entry Multiple: 8.0x – 10.0x
Est. MOIC: 1.9x
Risk Factors:
- Negative operating margin
- Small facility (<50 beds) — limited scale
- Low occupancy (<30%) — demand risk
- Expenses exceed revenue
Catalysts:
- Strong commercial payer base protects revenue
- Limited competition supports pricing power
Margin Prediction (Trained Ridge Model)
-8.3%
R²=0.34 | n=4,907 | Grade B | Actual: -11.0%
Ridge regression trained on 4,907 HCRIS hospitals. 90% CI: [-36.6%, 20.0%]. P41 nationally.
| Driver | Value | Effect | Explanation | |
|---|---|---|---|---|
| Revenue/Bed | 318228.062 | -0.1760 | Lower Revenue/Bed decreases predicted margin | |
| Expense/Bed | 353235.646 | +0.1606 | Higher Expense/Bed increases predicted margin | |
| State Peer Margin | -0.006 | +0.0295 | Higher State Peer Margin increases predicted margi | |
| Bed Utilization Value | 61938.224 | -0.0269 | Lower Bed Utilization Value decreases predicted ma | |
| Reimbursement Quality | 0.135 | +0.0191 | Higher Reimbursement Quality increases predicted m |
Turnaround: 36%Turnaround possible (36%) but uncertain. Margin improvement depends on improving Revenue/Bed.
Rural/Critical Access
Archetype
57.6%
Distress Risk
$7.3M
RCM Opportunity
A
Opportunity Grade
36.8%
Projected Margin
Cluster: Rural/Critical Access
Percentile within cluster: P11. 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%
KY distress rate: 45.1%
Model AUC: 0.629
| Factor | Value | Contribution | Direction |
|---|---|---|---|
| Occupancy Rate | 0.195 | +0.307 | ▲ risk |
| Revenue Per Bed | 318228.062 | +0.074 | ▲ risk |
| Medicaid Day Pct | 0.038 | -0.051 | ▼ risk |
| Medicare Day Pct | 0.544 | +0.037 | ▲ risk |
| Net To Gross Ratio | 0.323 | -0.020 | ▼ risk |
| Beds | 48.000 | -0.013 | ▼ risk |
RCM Improvement Opportunity
Total (risk-adjusted): $7.3M
Current margin: -11.0%
Projected margin: 36.8%
Grade: A
Comps: 68
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 | 0.418 | 0.713 | 29.5% | $4.4M | 50% | 24mo |
| Occupancy Improvement | 0.195 | 0.606 | 41.1% | $2.7M | 55% | 24mo |
| Net-to-Gross Ratio Improvement | 0.323 | 0.412 | 8.9% | $158K | 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 | 31.3 | [25.0, 75.0] | P65 | 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. |