ML Analysis — FLEMING COUNTY HOSPITAL
CCN 181332 | 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.
50
/ 100 (C)
Financial Health12/25
RCM Upside10/25
Market Position15/20
Demand Defensibility7/15
Operational Efficiency5/15
Entry Multiple: 8.0x – 10.0x
Est. MOIC: 1.9x
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)
-6.4%
R²=0.34 | n=4,907 | Grade B | Actual: 6.0%
Ridge regression trained on 4,907 HCRIS hospitals. 90% CI: [-34.7%, 21.9%]. P46 nationally.
| Driver | Value | Effect | Explanation | |
|---|---|---|---|---|
| Expense/Bed | 782422.520 | +0.1078 | Higher Expense/Bed increases predicted margin | |
| Revenue/Bed | 832725.680 | -0.1042 | Lower Revenue/Bed decreases predicted margin | |
| State Peer Margin | -0.006 | +0.0295 | Higher State Peer Margin increases predicted margi | |
| Log(Beds) | 3.219 | -0.0268 | Lower Log(Beds) decreases predicted margin | |
| Bed Utilization Value | 283172.360 | -0.0196 | Lower Bed Utilization Value decreases predicted ma |
Suburban Community Hospit
Archetype
51.6%
Distress Risk
$2.1M
RCM Opportunity
B
Opportunity Grade
16.1%
Projected Margin
Cluster: Suburban Community Hospital
Percentile within cluster: P26. 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 | 0.340 | +0.172 | ▲ risk |
| Medicaid Day Pct | 0.004 | -0.085 | ▼ risk |
| Revenue Per Bed | 832725.680 | +0.044 | ▲ risk |
| Net To Gross Ratio | 0.303 | -0.029 | ▼ risk |
| Beds | 25.000 | -0.017 | ▼ risk |
| Medicare Day Pct | 0.372 | +0.008 | ▲ risk |
RCM Improvement Opportunity
Total (risk-adjusted): $2.1M
Current margin: 6.0%
Projected margin: 16.1%
Grade: B
Comps: 54
Gap analysis vs P75 peers with 60% closure assumption. Confidence-weighted by lever implementation difficulty.
| Lever | Current | Benchmark | Gap | Impact | Confidence | Timeline |
|---|---|---|---|---|---|---|
| Occupancy Improvement | 0.340 | 0.514 | 17.4% | $1.1M | 55% | 24mo |
| Payer Mix Optimization | 0.624 | 0.670 | 4.6% | $693K | 50% | 24mo |
| Net-to-Gross Ratio Improvement | 0.303 | 0.408 | 10.5% | $256K | 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 | 30.4 | [25.0, 75.0] | P62 | 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. |