ML Analysis — ROCKCASTLE HOSPT. & RESPIR CARE CTR
CCN 180115 | 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.
57
/ 100 (C)
Financial Health11/25
RCM Upside14/25
Market Position15/20
Demand Defensibility7/15
Operational Efficiency9/15
Entry Multiple: 9.5x – 11.5x
Est. MOIC: 2.3x
Risk Factors:
- Small facility (<50 beds) — limited scale
Catalysts:
- Strong commercial payer base protects revenue
- Limited competition supports pricing power
Margin Prediction (Trained Ridge Model)
-1.6%
R²=0.34 | n=4,907 | Grade B | Actual: 2.2%
Ridge regression trained on 4,907 HCRIS hospitals. 90% CI: [-29.9%, 26.7%]. P58 nationally.
| Driver | Value | Effect | Explanation | |
|---|---|---|---|---|
| Revenue/Bed | 2636055.200 | +0.1475 | Higher Revenue/Bed increases predicted margin | |
| Expense/Bed | 2578000.600 | -0.1134 | Higher Expense/Bed decreases predicted margin | |
| State Peer Margin | -0.006 | +0.0295 | Higher State Peer Margin increases predicted margi | |
| Log(Beds) | 3.401 | -0.0226 | Lower Log(Beds) decreases predicted margin | |
| Bed Count | 30.000 | +0.0185 | Higher Bed Count increases predicted margin |
Suburban Community Hospit
Archetype
50.7%
Distress Risk
$2.6M
RCM Opportunity
D
Opportunity Grade
5.5%
Projected Margin
Cluster: Suburban Community Hospital
Percentile within cluster: P9. 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%
KY distress rate: 45.1%
Model AUC: 0.629
| Factor | Value | Contribution | Direction |
|---|---|---|---|
| Occupancy Rate | 0.351 | +0.161 | ▲ risk |
| Revenue Per Bed | 2636055.200 | -0.062 | ▼ risk |
| Medicaid Day Pct | 0.056 | -0.033 | ▼ risk |
| Beds | 30.000 | -0.016 | ▼ risk |
| Medicare Day Pct | 0.347 | +0.003 | ▲ risk |
| Net To Gross Ratio | 0.374 | +0.002 | ▲ risk |
RCM Improvement Opportunity
Total (risk-adjusted): $2.6M
Current margin: 2.2%
Projected margin: 5.5%
Grade: D
Comps: 57
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 | 0.597 | 0.677 | 8.0% | $1.2M | 50% | 24mo |
| Occupancy Improvement | 0.351 | 0.525 | 17.4% | $1.1M | 55% | 24mo |
| Net-to-Gross Ratio Improvement | 0.374 | 0.404 | 3.0% | $279K | 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 | 29.5 | [25.0, 75.0] | P55 | 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. |