ML Analysis — VIBRA HOSP OF SOUTHEASTERN MASS
CCN 222043 | Clustering + Distress + RCM Opportunity
🛡️ Public data only — no PHI permitted on this instance.
Investability Score
Speculative — only pursue if turnaround thesis is strong and entry multiple reflects risk.
38
/ 100 (D)
Financial Health1/25
RCM Upside20/25
Market Position9/20
Demand Defensibility9/15
Operational Efficiency0/15
Entry Multiple: 6.0x – 8.5x
Est. MOIC: 1.5x
Risk Factors:
- Negative operating margin
- Expenses exceed revenue
Catalysts:
Margin Prediction (Trained Ridge Model)
-17.6%
R²=0.34 | n=4,907 | Grade B | Actual: -12.4%
Ridge regression trained on 4,907 HCRIS hospitals. 90% CI: [-45.9%, 10.7%]. P24 nationally.
| Driver | Value | Effect | Explanation | |
|---|---|---|---|---|
| Revenue/Bed | 289742.367 | -0.1800 | Lower Revenue/Bed decreases predicted margin | |
| Expense/Bed | 325733.278 | +0.1640 | Higher Expense/Bed increases predicted margin | |
| State Peer Margin | -0.122 | -0.0566 | Lower State Peer Margin decreases predicted margin | |
| Reimbursement Quality | 0.057 | +0.0415 | Higher Reimbursement Quality increases predicted m | |
| Medicaid % | 0.380 | -0.0352 | Higher Medicaid % decreases predicted margin |
Turnaround: 22%Low turnaround probability (22%). Structural disadvantages in Revenue/Bed and Expense/Bed.
Safety-Net/Medicaid Heavy
Archetype
54.3%
Distress Risk
$8.2M
RCM Opportunity
A
Opportunity Grade
19.2%
Projected Margin
Cluster: Safety-Net/Medicaid Heavy
Percentile within cluster: P3. 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%
MA distress rate: 61.8%
Model AUC: 0.629
| Factor | Value | Contribution | Direction |
|---|---|---|---|
| Medicaid Day Pct | 0.380 | +0.291 | ▲ risk |
| Net To Gross Ratio | 0.168 | -0.089 | ▼ risk |
| Revenue Per Bed | 289742.367 | +0.076 | ▲ risk |
| Occupancy Rate | 0.593 | -0.063 | ▼ risk |
| Medicare Day Pct | 0.278 | -0.008 | ▼ risk |
| Beds | 90.000 | -0.008 | ▼ risk |
RCM Improvement Opportunity
Total (risk-adjusted): $8.2M
Current margin: -12.4%
Projected margin: 19.2%
Grade: A
Comps: 52
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 | 0.342 | 0.696 | 35.5% | $5.3M | 50% | 24mo |
| Occupancy Improvement | 0.593 | 0.838 | 24.5% | $1.6M | 55% | 24mo |
| Net-to-Gross Ratio Improvement | 0.168 | 0.598 | 43.0% | $1.3M | 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 | 30.5 | [25.0, 75.0] | P62 | 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. |