ML Analysis — OCHSNER MEDICAL CENTER - BATON ROUGE
CCN 190202 | 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.
53
/ 100 (C)
Financial Health9/25
RCM Upside20/25
Market Position11/20
Demand Defensibility8/15
Operational Efficiency6/15
Entry Multiple: 8.0x – 10.0x
Est. MOIC: 1.9x
Risk Factors:
- Negative operating margin
- Expenses exceed revenue
Catalysts:
- RCM optimization could add 3-5pp margin
- Strong commercial payer base protects revenue
Margin Prediction (Trained Ridge Model)
-4.3%
R²=0.34 | n=4,907 | Grade B | Actual: -11.5%
Ridge regression trained on 4,907 HCRIS hospitals. 90% CI: [-32.6%, 24.0%]. P51 nationally.
| Driver | Value | Effect | Explanation | |
|---|---|---|---|---|
| Expense/Bed | 2421885.585 | -0.0942 | Higher Expense/Bed decreases predicted margin | |
| Revenue/Bed | 2171700.281 | +0.0827 | Higher Revenue/Bed increases predicted margin | |
| Log(Beds) | 5.142 | +0.0178 | Higher Log(Beds) increases predicted margin | |
| Commercial % | 0.839 | +0.0104 | Higher Commercial % increases predicted margin | |
| Net-to-Gross | 0.280 | -0.0099 | Lower Net-to-Gross decreases predicted margin |
Turnaround: 42%Turnaround possible (42%) but uncertain. Margin improvement depends on improving Expense/Bed.
Suburban Community Hospit
Archetype
44.7%
Distress Risk
$3.6M
RCM Opportunity
D
Opportunity Grade
-10.5%
Projected Margin
Cluster: Suburban Community Hospital
Percentile within cluster: P42. Community hospitals — the largest PE deal category. Focus on RCM improvement and cost optimization at 9-11x.
Nearest Peers
| Hospital | State | Beds |
|---|---|---|
| CLARA MAASS MEDICAL CENTER | NJ | 259 |
| PRESENCE SAINTS MARY & ELIZABETH MED | IL | 266 |
| ADVENTIST HEALTH BAKERSFIELD | CA | 254 |
| BRISTOL REGIONAL MEDICAL CENTER | TN | 244 |
| HOLSTON VALLEY HOSP & MED CTR | TN | 286 |
| SPRINGFIELD REGIONAL MEDICAL CENTER | OH | 230 |
Distress Analysis
Risk: Elevated
National distress rate: 49.3%
LA distress rate: 46.3%
Model AUC: 0.629
| Factor | Value | Contribution | Direction |
|---|---|---|---|
| Medicaid Day Pct | 0.011 | -0.077 | ▼ risk |
| Net To Gross Ratio | 0.280 | -0.039 | ▼ risk |
| Revenue Per Bed | 2171700.281 | -0.035 | ▼ risk |
| Medicare Day Pct | 0.150 | -0.030 | ▼ risk |
| Occupancy Rate | 0.534 | -0.008 | ▼ risk |
| Beds | 171.000 | +0.003 | ▲ risk |
RCM Improvement Opportunity
Total (risk-adjusted): $3.6M
Current margin: -11.5%
Projected margin: -10.5%
Grade: D
Comps: 41
Gap analysis vs P75 peers with 60% closure assumption. Confidence-weighted by lever implementation difficulty.
| Lever | Current | Benchmark | Gap | Impact | Confidence | Timeline |
|---|---|---|---|---|---|---|
| Net-to-Gross Ratio Improvement | 0.280 | 0.336 | 5.5% | $2.4M | 65% | 18mo |
| Occupancy Improvement | 0.534 | 0.720 | 18.6% | $1.2M | 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 | 25.4 | [25.0, 75.0] | P29 | 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. |