ML Analysis — UNITED MEDICAL HEALTHWEST
CCN 193074 | 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.
46
/ 100 (C)
Financial Health4/25
RCM Upside19/25
Market Position11/20
Demand Defensibility8/15
Operational Efficiency4/15
Entry Multiple: 8.0x – 10.0x
Est. MOIC: 1.9x
Risk Factors:
- Negative operating margin
- Small facility (<50 beds) — limited scale
- Expenses exceed revenue
Catalysts:
- Strong commercial payer base protects revenue
Margin Prediction (Trained Ridge Model)
-13.2%
R²=0.34 | n=4,907 | Grade B | Actual: -39.1%
Ridge regression trained on 4,907 HCRIS hospitals. 90% CI: [-41.5%, 15.1%]. P30 nationally.
| Driver | Value | Effect | Explanation | |
|---|---|---|---|---|
| Revenue/Bed | 186272.950 | -0.1945 | Lower Revenue/Bed decreases predicted margin | |
| Expense/Bed | 259080.000 | +0.1722 | Higher Expense/Bed increases predicted margin | |
| Reimbursement Quality | 0.448 | -0.0709 | Higher Reimbursement Quality decreases predicted m | |
| Net-to-Gross | 0.671 | +0.0339 | Higher Net-to-Gross increases predicted margin | |
| Log(Beds) | 2.996 | -0.0320 | Lower Log(Beds) decreases predicted margin |
Turnaround: 28%Low turnaround probability (28%). Structural disadvantages in Revenue/Bed and Expense/Bed.
Under-Performing / Distre
Archetype
53.8%
Distress Risk
$2.6M
RCM Opportunity
A
Opportunity Grade
30.7%
Projected Margin
Cluster: Under-Performing / Distressed
Percentile within cluster: P19. Deeply negative margins signal severe distress. Evaluate asset-level acquisition at 4-6x normalized EBITDA.
Nearest Peers
| Hospital | State | Beds |
|---|---|---|
| HOLY FAMILY MEMORIAL INC | WI | 58 |
| MIDDLESBORO ARH | KY | 46 |
| ATRIUM HEALTH NAVICENT BALDWIN | GA | 86 |
| BON SECOURS COMMUNITY HOSPITAL | NY | 98 |
| ADVANCED SPECIALTY HOSP. OF TOLEDO | OH | 40 |
| COMMUNITY HEALTH CENTER BRANCH | MI | 75 |
Distress Analysis
Risk: High
National distress rate: 49.3%
LA distress rate: 46.3%
Model AUC: 0.629
| Factor | Value | Contribution | Direction |
|---|---|---|---|
| Net To Gross Ratio | 0.671 | +0.135 | ▲ risk |
| Revenue Per Bed | 186272.950 | +0.082 | ▲ risk |
| Medicaid Day Pct | 0.010 | -0.079 | ▼ risk |
| Occupancy Rate | 0.459 | +0.061 | ▲ risk |
| Beds | 20.000 | -0.017 | ▼ risk |
| Medicare Day Pct | 0.323 | -0.001 | ▼ risk |
RCM Improvement Opportunity
Total (risk-adjusted): $2.6M
Current margin: -39.1%
Projected margin: 30.7%
Grade: A
Comps: 126
Gap analysis vs P75 peers with 60% closure assumption. Confidence-weighted by lever implementation difficulty.
| Lever | Current | Benchmark | Gap | Impact | Confidence | Timeline |
|---|---|---|---|---|---|---|
| Occupancy Improvement | 0.459 | 0.698 | 23.8% | $1.6M | 55% | 24mo |
| Payer Mix Optimization | 0.668 | 0.736 | 6.8% | $1.0M | 50% | 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 | 30.6 | [25.0, 75.0] | P63 | 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. |