ML Analysis — OLIVIA HOSPITAL AND CLINICS
CCN 241306 | 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 Health12/25
RCM Upside11/25
Market Position14/20
Demand Defensibility6/15
Operational Efficiency11/15
Entry Multiple: 8.0x – 10.0x
Est. MOIC: 1.9x
Risk Factors:
- Heavy Medicare dependence (>55%)
- Small facility (<50 beds) — limited scale
Catalysts:
- Strong commercial payer base protects revenue
- Limited competition supports pricing power
Margin Prediction (Trained Ridge Model)
-3.7%
R²=0.34 | n=4,907 | Grade B | Actual: 5.3%
Ridge regression trained on 4,907 HCRIS hospitals. 90% CI: [-32.0%, 24.6%]. P53 nationally.
| Driver | Value | Effect | Explanation | |
|---|---|---|---|---|
| Revenue/Bed | 2004076.438 | +0.0593 | Higher Revenue/Bed increases predicted margin | |
| Log(Beds) | 2.773 | -0.0372 | Lower Log(Beds) decreases predicted margin | |
| Expense/Bed | 1897874.250 | -0.0296 | Higher Expense/Bed decreases predicted margin | |
| Bed Count | 16.000 | +0.0207 | Higher Bed Count increases predicted margin | |
| Net-to-Gross | 0.551 | +0.0204 | Higher Net-to-Gross increases predicted margin |
Rural/Critical Access
Archetype
53.2%
Distress Risk
$3.4M
RCM Opportunity
B
Opportunity Grade
16.0%
Projected Margin
Cluster: Rural/Critical Access
Percentile within cluster: P35. Rural/small hospitals face structural headwinds. Evaluate CAH conversion, telehealth, and rural health funding.
Nearest Peers
| Hospital | State | Beds |
|---|---|---|
| BRECKINRIDGE HEALTH INC | KY | 25 |
| SHERIDAN MEMORIAL HOSPITAL | MT | 19 |
| DAYTON GENERAL HOSPITAL | WA | 25 |
| BLUE MOUNTAIN HOSPITAL DISTRICT | OR | 16 |
| COMMUNITY HOSPITAL | WY | 25 |
| CARLE EUREKA HOSPITAL | IL | 25 |
Distress Analysis
Risk: High
National distress rate: 49.3%
MN distress rate: 45.4%
Model AUC: 0.629
| Factor | Value | Contribution | Direction |
|---|---|---|---|
| Occupancy Rate | 0.367 | +0.147 | ▲ risk |
| Net To Gross Ratio | 0.551 | +0.081 | ▲ risk |
| Medicaid Day Pct | 0.018 | -0.071 | ▼ risk |
| Medicare Day Pct | 0.571 | +0.042 | ▲ risk |
| Revenue Per Bed | 2004076.438 | -0.025 | ▼ risk |
| Beds | 16.000 | -0.018 | ▼ risk |
RCM Improvement Opportunity
Total (risk-adjusted): $3.4M
Current margin: 5.3%
Projected margin: 16.0%
Grade: B
Comps: 87
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 | 0.411 | 0.596 | 18.5% | $2.8M | 50% | 24mo |
| Net-to-Gross Ratio Improvement | 0.551 | 0.642 | 9.1% | $340K | 65% | 18mo |
| Occupancy Improvement | 0.367 | 0.416 | 4.9% | $325K | 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 | 29.6 | [25.0, 75.0] | P55 | 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. |