ML Analysis — UMMC-GRENADA
CCN 250168 | 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.
56
/ 100 (C)
Financial Health13/25
RCM Upside10/25
Market Position15/20
Demand Defensibility8/15
Operational Efficiency9/15
Entry Multiple: 9.5x – 11.5x
Est. MOIC: 2.3x
Risk Factors:
- Small facility (<50 beds) — limited scale
Catalysts:
- Strong commercial payer base protects revenue
- Limited competition supports pricing power
Margin Prediction (Trained Ridge Model)
-12.2%
R²=0.34 | n=4,907 | Grade B | Actual: 7.1%
Ridge regression trained on 4,907 HCRIS hospitals. 90% CI: [-40.5%, 16.2%]. P33 nationally.
| Driver | Value | Effect | Explanation | |
|---|---|---|---|---|
| State Peer Margin | -0.125 | -0.0591 | Lower State Peer Margin decreases predicted margin | |
| Expense/Bed | 1206906.837 | +0.0555 | Higher Expense/Bed increases predicted margin | |
| Revenue/Bed | 1299244.204 | -0.0391 | Lower Revenue/Bed decreases predicted margin | |
| Bed Count | 49.000 | +0.0156 | Higher Bed Count increases predicted margin | |
| Log(Beds) | 3.892 | -0.0112 | Lower Log(Beds) decreases predicted margin |
Suburban Community Hospit
Archetype
52.8%
Distress Risk
$1.6M
RCM Opportunity
D
Opportunity Grade
9.6%
Projected Margin
Cluster: Suburban Community Hospital
Percentile within cluster: P24. Community hospitals — the largest PE deal category. Focus on RCM improvement and cost optimization at 9-11x.
Nearest Peers
| Hospital | State | Beds |
|---|---|---|
| PROMEDICA HICKMAN HOSPITAL | MI | 58 |
| WATAUGA MEDICAL CENTER | NC | 95 |
| ST LUKES HOSPITAL - EASTON CAMPUS | PA | 29 |
| CULPEPER MEMORIAL HOSPITAL | VA | 70 |
| SOUTHSIDE COMMUNITY HOSPITAL | VA | 80 |
| SPECTRUM HEALTH LUDINGTON | MI | 45 |
Distress Analysis
Risk: High
National distress rate: 49.3%
MS distress rate: 68.2%
Model AUC: 0.629
| Factor | Value | Contribution | Direction |
|---|---|---|---|
| Medicaid Day Pct | 0.163 | +0.074 | ▲ risk |
| Occupancy Rate | 0.460 | +0.061 | ▲ risk |
| Revenue Per Bed | 1299244.204 | +0.017 | ▲ risk |
| Beds | 49.000 | -0.013 | ▼ risk |
| Net To Gross Ratio | 0.356 | -0.005 | ▼ risk |
| Medicare Day Pct | 0.352 | +0.004 | ▲ risk |
RCM Improvement Opportunity
Total (risk-adjusted): $1.6M
Current margin: 7.1%
Projected margin: 9.6%
Grade: D
Comps: 62
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 | 0.356 | 0.527 | 17.0% | $1.3M | 65% | 18mo |
| Occupancy Improvement | 0.460 | 0.510 | 5.1% | $334K | 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 | 28.1 | [25.0, 75.0] | P44 | 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. |