ML Analysis — ST. MARYS REGIONAL MEDICAL CENTER
CCN 200034 | 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.
54
/ 100 (C)
Financial Health7/25
RCM Upside19/25
Market Position15/20
Demand Defensibility9/15
Operational Efficiency4/15
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
- Limited competition supports pricing power
- Volume growth opportunity from low occupancy
Margin Prediction (Trained Ridge Model)
-16.2%
R²=0.34 | n=4,907 | Grade B | Actual: -32.8%
Ridge regression trained on 4,907 HCRIS hospitals. 90% CI: [-44.5%, 12.1%]. P26 nationally.
| Driver | Value | Effect | Explanation | |
|---|---|---|---|---|
| Medicaid % | 0.342 | -0.0307 | Higher Medicaid % decreases predicted margin | |
| State Peer Margin | -0.083 | -0.0278 | Lower State Peer Margin decreases predicted margin | |
| Expense/Bed | 1862407.143 | -0.0253 | Higher Expense/Bed decreases predicted margin | |
| Revenue/Bed | 1402362.157 | -0.0247 | Lower Revenue/Bed decreases predicted margin | |
| Reimbursement Quality | 0.142 | +0.0170 | Higher Reimbursement Quality increases predicted m |
Turnaround: 24%Low turnaround probability (24%). Structural disadvantages in Medicaid % and State Peer Margin.
Safety-Net/Medicaid Heavy
Archetype
55.5%
Distress Risk
$6.9M
RCM Opportunity
D
Opportunity Grade
-29.3%
Projected Margin
Cluster: Safety-Net/Medicaid Heavy
Percentile within cluster: P19. High Medicaid dependence creates reimbursement risk. Assess DSH payments and state expansion status.
Nearest Peers
| Hospital | State | Beds |
|---|---|---|
| WESTERN PEAKS SPECIALTY HOSPITAL | UT | 59 |
| HOSPITAL MENONITA AIBONITO | PR | 129 |
| TOPPENISH COMMUNITY HOSPITAL | WA | 47 |
| MINERAL COMMUNITY HOSPITAL | MT | 25 |
| BANNER UNIVERSITY MED CENTER SOUTH | AZ | 132 |
| NORTH COLORADO MEDICAL CENTER | CO | 202 |
Distress Analysis
Risk: High
National distress rate: 49.3%
ME distress rate: 61.1%
Model AUC: 0.629
| Factor | Value | Contribution | Direction |
|---|---|---|---|
| Medicaid Day Pct | 0.342 | +0.253 | ▲ risk |
| Occupancy Rate | 0.493 | +0.030 | ▲ risk |
| Net To Gross Ratio | 0.313 | -0.025 | ▼ risk |
| Medicare Day Pct | 0.203 | -0.021 | ▼ risk |
| Revenue Per Bed | 1402362.157 | +0.010 | ▲ risk |
| Beds | 140.000 | -0.001 | ▼ risk |
RCM Improvement Opportunity
Total (risk-adjusted): $6.9M
Current margin: -32.8%
Projected margin: -29.3%
Grade: D
Comps: 10
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 | 0.454 | 0.659 | 20.4% | $3.1M | 50% | 24mo |
| Net-to-Gross Ratio Improvement | 0.313 | 0.420 | 10.7% | $2.5M | 65% | 18mo |
| Occupancy Improvement | 0.493 | 0.708 | 21.5% | $1.4M | 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 | 28.6 | [25.0, 75.0] | P47 | 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. |