ML Analysis — JOHNS HOPKINS BAYVIEW MED. CTR.
CCN 210029 | Clustering + Distress + RCM Opportunity
🛡️ Public data only — no PHI permitted on this instance.
Investability Score
Buy — solid fundamentals with identifiable value creation levers. Proceed to detailed diligence.
62
/ 100 (B)
Financial Health10/25
RCM Upside20/25
Market Position11/20
Demand Defensibility15/15
Operational Efficiency6/15
Entry Multiple: 9.5x – 11.5x
Est. MOIC: 2.3x
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)
-8.6%
R²=0.34 | n=4,907 | Grade B | Actual: -17.1%
Ridge regression trained on 4,907 HCRIS hospitals. 90% CI: [-36.9%, 19.7%]. P40 nationally.
| Driver | Value | Effect | Explanation | |
|---|---|---|---|---|
| Reimbursement Quality | 0.407 | -0.0592 | Higher Reimbursement Quality decreases predicted m | |
| Net-to-Gross | 0.818 | +0.0504 | Higher Net-to-Gross increases predicted margin | |
| Bed Count | 424.000 | -0.0430 | Higher Bed Count decreases predicted margin | |
| Log(Beds) | 6.050 | +0.0389 | Higher Log(Beds) increases predicted margin | |
| Occupancy × Net-to-Gross | 0.604 | +0.0311 | Higher Occupancy × Net-to-Gross increases predicte |
Turnaround: 35%Turnaround possible (35%) but uncertain. Margin improvement depends on improving Reimbursement Quality.
Suburban Community Hospit
Archetype
52.1%
Distress Risk
$4.4M
RCM Opportunity
D
Opportunity Grade
-16.4%
Projected Margin
Cluster: Suburban Community Hospital
Percentile within cluster: P63. 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: High
National distress rate: 49.3%
MD distress rate: 60.8%
Model AUC: 0.629
| Factor | Value | Contribution | Direction |
|---|---|---|---|
| Net To Gross Ratio | 0.818 | +0.200 | ▲ risk |
| Occupancy Rate | 0.738 | -0.197 | ▼ risk |
| Medicaid Day Pct | 0.152 | +0.063 | ▲ risk |
| Beds | 424.000 | +0.037 | ▲ risk |
| Medicare Day Pct | 0.350 | +0.004 | ▲ risk |
| Revenue Per Bed | 1543313.679 | +0.002 | ▲ risk |
RCM Improvement Opportunity
Total (risk-adjusted): $4.4M
Current margin: -17.1%
Projected margin: -16.4%
Grade: D
Comps: 19
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 | 0.818 | 0.847 | 2.8% | $2.2M | 65% | 18mo |
| Payer Mix Optimization | 0.498 | 0.616 | 11.8% | $1.8M | 50% | 24mo |
| Occupancy Improvement | 0.738 | 0.809 | 7.1% | $472K | 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 | 25.0 | [25.0, 75.0] | P0 | 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. |