ML Analysis — LA EXTENDED CARE OF LAFAYETTE
CCN 192032 | 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.
48
/ 100 (C)
Financial Health12/25
RCM Upside11/25
Market Position9/20
Demand Defensibility9/15
Operational Efficiency7/15
Entry Multiple: 8.0x – 10.0x
Est. MOIC: 1.9x
Risk Factors:
- Small facility (<50 beds) — limited scale
Catalysts:
Margin Prediction (Trained Ridge Model)
-6.7%
R²=0.34 | n=4,907 | Grade B | Actual: 5.2%
Ridge regression trained on 4,907 HCRIS hospitals. 90% CI: [-35.0%, 21.6%]. P45 nationally.
| Driver | Value | Effect | Explanation | |
|---|---|---|---|---|
| Revenue/Bed | 374926.083 | -0.1681 | Lower Revenue/Bed decreases predicted margin | |
| Expense/Bed | 355303.688 | +0.1604 | Higher Expense/Bed increases predicted margin | |
| Bed Utilization Value | 223800.056 | -0.0215 | Lower Bed Utilization Value decreases predicted ma | |
| Medicaid % | 0.245 | -0.0189 | Higher Medicaid % decreases predicted margin | |
| Net-to-Gross | 0.510 | +0.0159 | Higher Net-to-Gross increases predicted margin |
Suburban Community Hospit
Archetype
55.1%
Distress Risk
$7.8M
RCM Opportunity
A
Opportunity Grade
48.6%
Projected Margin
Cluster: Suburban Community Hospital
Percentile within cluster: P84. 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%
LA distress rate: 46.3%
Model AUC: 0.629
| Factor | Value | Contribution | Direction |
|---|---|---|---|
| Medicaid Day Pct | 0.245 | +0.156 | ▲ risk |
| Revenue Per Bed | 374926.083 | +0.071 | ▲ risk |
| Occupancy Rate | 0.597 | -0.067 | ▼ risk |
| Net To Gross Ratio | 0.510 | +0.063 | ▲ risk |
| Medicare Day Pct | 0.451 | +0.021 | ▲ risk |
| Beds | 48.000 | -0.013 | ▼ risk |
RCM Improvement Opportunity
Total (risk-adjusted): $7.8M
Current margin: 5.2%
Projected margin: 48.6%
Grade: A
Comps: 112
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 | 0.304 | 0.786 | 48.2% | $7.2M | 50% | 24mo |
| Occupancy Improvement | 0.597 | 0.680 | 8.3% | $546K | 55% | 24mo |
| Net-to-Gross Ratio Improvement | 0.510 | 0.521 | 1.1% | $23K | 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 | 27.1 | [25.0, 75.0] | P39 | 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. |