ML Analysis — NEMAHA COUNTY HOSPITAL
CCN 281324 | 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.
41
/ 100 (D)
Financial Health12/25
RCM Upside10/25
Market Position8/20
Demand Defensibility2/15
Operational Efficiency9/15
Entry Multiple: 8.0x – 10.0x
Est. MOIC: 1.9x
Risk Factors:
- Heavy Medicare dependence (>55%)
- Small facility (<50 beds) — limited scale
- Low occupancy (<30%) — demand risk
Catalysts:
- Limited competition supports pricing power
Margin Prediction (Trained Ridge Model)
-7.9%
R²=0.34 | n=4,907 | Grade B | Actual: 7.1%
Ridge regression trained on 4,907 HCRIS hospitals. 90% CI: [-36.2%, 20.4%]. P42 nationally.
| Driver | Value | Effect | Explanation | |
|---|---|---|---|---|
| Expense/Bed | 1070228.562 | +0.0723 | Higher Expense/Bed increases predicted margin | |
| Revenue/Bed | 1152181.688 | -0.0596 | Lower Revenue/Bed decreases predicted margin | |
| Log(Beds) | 2.773 | -0.0372 | Lower Log(Beds) decreases predicted margin | |
| Net-to-Gross | 0.691 | +0.0361 | Higher Net-to-Gross increases predicted margin | |
| Bed Utilization Value | 172235.379 | -0.0232 | Lower Bed Utilization Value decreases predicted ma |
nan%
Distress Risk
$3.2M
RCM Opportunity
A
Opportunity Grade
24.4%
Projected Margin
Distress Analysis
Risk: Unknown
National distress rate: 49.3%
NE distress rate: 53.1%
Model AUC: 0.629
| Factor | Value | Contribution | Direction |
|---|---|---|---|
| Occupancy Rate | 0.149 | +0.349 | ▲ risk |
| Medicare Day Pct | 0.777 | +0.077 | ▲ risk |
| Medicaid Day Pct | nan | +nan | ▼ risk |
| Net To Gross Ratio | 0.691 | +0.143 | ▲ risk |
| Revenue Per Bed | 1152181.688 | +0.025 | ▲ risk |
| Beds | 16.000 | -0.018 | ▼ risk |
RCM Improvement Opportunity
Total (risk-adjusted): $3.2M
Current margin: 7.1%
Projected margin: 24.4%
Grade: A
Comps: 68
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 | 0.223 | 0.378 | 15.4% | $2.3M | 50% | 24mo |
| Occupancy Improvement | 0.149 | 0.251 | 10.1% | $669K | 55% | 24mo |
| Net-to-Gross Ratio Improvement | 0.691 | 0.782 | 9.1% | $197K | 65% | 18mo |
Predicted RCM Performance (Public Data Only)
B
RCM Grade
Average RCM profile — some improvement opportunities. Standard diligence scope recommended.
| Metric | Predicted | 90% CI | Percentile | Assessment |
|---|---|---|---|---|
| Denial Rate | 25.0% | [2.0%, 25.0%] | P83 | Below average — denial rate suggests RCM improvement opportu |
| Days in AR | 75.0 | [25.0, 75.0] | P83 | Below average — days in ar suggests RCM improvement opportun |
| 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. |