ML Analysis — JOHN FITZGIBBON MEMORIAL HOSPITAL
CCN 260142 | 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.
51
/ 100 (C)
Financial Health6/25
RCM Upside19/25
Market Position15/20
Demand Defensibility5/15
Operational Efficiency6/15
Entry Multiple: 8.0x – 10.0x
Est. MOIC: 1.9x
Risk Factors:
- Negative operating margin
- Small facility (<50 beds) — limited scale
- Expenses exceed revenue
Catalysts:
- Strong commercial payer base protects revenue
- Limited competition supports pricing power
Margin Prediction (Trained Ridge Model)
-13.7%
R²=0.34 | n=4,907 | Grade B | Actual: -18.1%
Ridge regression trained on 4,907 HCRIS hospitals. 90% CI: [-42.0%, 14.6%]. P30 nationally.
| Driver | Value | Effect | Explanation | |
|---|---|---|---|---|
| Revenue/Bed | 1354397.809 | -0.0314 | Lower Revenue/Bed decreases predicted margin | |
| Bed Count | 42.000 | +0.0167 | Higher Bed Count increases predicted margin | |
| Bed Utilization Value | 415949.438 | -0.0152 | Lower Bed Utilization Value decreases predicted ma | |
| Log(Beds) | 3.738 | -0.0148 | Lower Log(Beds) decreases predicted margin | |
| Reimbursement Quality | 0.247 | -0.0131 | Higher Reimbursement Quality decreases predicted m |
Turnaround: 28%Low turnaround probability (28%). Structural disadvantages in Revenue/Bed and Bed Count.
Under-Performing / Distre
Archetype
53.8%
Distress Risk
$2.9M
RCM Opportunity
D
Opportunity Grade
-13.0%
Projected Margin
Cluster: Under-Performing / Distressed
Percentile within cluster: P3. Deeply negative margins signal severe distress. Evaluate asset-level acquisition at 4-6x normalized EBITDA.
Nearest Peers
| Hospital | State | Beds |
|---|---|---|
| HOLY FAMILY MEMORIAL INC | WI | 58 |
| MIDDLESBORO ARH | KY | 46 |
| ATRIUM HEALTH NAVICENT BALDWIN | GA | 86 |
| BON SECOURS COMMUNITY HOSPITAL | NY | 98 |
| ADVANCED SPECIALTY HOSP. OF TOLEDO | OH | 40 |
| COMMUNITY HEALTH CENTER BRANCH | MI | 75 |
Distress Analysis
Risk: High
National distress rate: 49.3%
MO distress rate: 53.0%
Model AUC: 0.629
| Factor | Value | Contribution | Direction |
|---|---|---|---|
| Occupancy Rate | 0.307 | +0.202 | ▲ risk |
| Medicaid Day Pct | 0.071 | -0.018 | ▼ risk |
| Beds | 42.000 | -0.014 | ▼ risk |
| Revenue Per Bed | 1354397.810 | +0.013 | ▲ risk |
| Medicare Day Pct | 0.271 | -0.010 | ▼ risk |
| Net To Gross Ratio | 0.376 | +0.003 | ▲ risk |
RCM Improvement Opportunity
Total (risk-adjusted): $2.9M
Current margin: -18.1%
Projected margin: -13.0%
Grade: D
Comps: 65
Gap analysis vs P75 peers with 60% closure assumption. Confidence-weighted by lever implementation difficulty.
| Lever | Current | Benchmark | Gap | Impact | Confidence | Timeline |
|---|---|---|---|---|---|---|
| Occupancy Improvement | 0.307 | 0.632 | 32.5% | $2.1M | 55% | 24mo |
| Net-to-Gross Ratio Improvement | 0.376 | 0.490 | 11.4% | $758K | 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 | 29.9 | [25.0, 75.0] | P58 | 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. |