ML Analysis — MADONNA REHABILITATION HOSPITAL OMAH
CCN 283026 | 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 Health13/25
RCM Upside18/25
Market Position2/20
Demand Defensibility10/15
Operational Efficiency8/15
Entry Multiple: 8.0x – 10.0x
Est. MOIC: 1.9x
Risk Factors:
- Negative operating margin
Catalysts:
Margin Prediction (Trained Ridge Model)
1.2%
R²=0.34 | n=4,907 | Grade B | Actual: -2.1%
Ridge regression trained on 4,907 HCRIS hospitals. 90% CI: [-27.1%, 29.5%]. P65 nationally.
| Driver | Value | Effect | Explanation | |
|---|---|---|---|---|
| Revenue/Bed | 2747162.064 | +0.1630 | Higher Revenue/Bed increases predicted margin | |
| Expense/Bed | 2804629.564 | -0.1414 | Higher Expense/Bed decreases predicted margin | |
| Bed Utilization Value | 2102259.354 | +0.0408 | Higher Bed Utilization Value increases predicted m | |
| Reimbursement Quality | 0.316 | -0.0329 | Higher Reimbursement Quality decreases predicted m | |
| Occupancy | 0.765 | +0.0136 | Higher Occupancy increases predicted margin |
Turnaround: 52%Turnaround possible (52%) but uncertain. Margin improvement depends on Revenue/Bed.
nan%
Distress Risk
$0
RCM Opportunity
D
Opportunity Grade
-2.1%
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 | 0.765 | -0.223 | ▼ risk |
| Medicare Day Pct | 0.273 | -0.009 | ▼ risk |
| Medicaid Day Pct | nan | +nan | ▼ risk |
| Revenue Per Bed | 2747162.065 | -0.069 | ▼ risk |
| Net To Gross Ratio | 0.435 | +0.029 | ▲ risk |
| Beds | 62.000 | -0.012 | ▼ risk |
RCM Improvement Opportunity
Total (risk-adjusted): $0
Current margin: -2.1%
Projected margin: -2.1%
Grade: D
Comps: 17
Gap analysis vs P75 peers with 60% closure assumption. Confidence-weighted by lever implementation difficulty.
| Lever | Current | Benchmark | Gap | Impact | Confidence | Timeline |
|---|
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. |