ML Analysis — IRA DAVENPORT MEMORIAL HOSPITAL INC
CCN 330144 | 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.
44
/ 100 (D)
Financial Health3/25
RCM Upside18/25
Market Position15/20
Demand Defensibility6/15
Operational Efficiency2/15
Entry Multiple: 8.0x – 10.0x
Est. MOIC: 1.9x
Risk Factors:
- Negative operating margin
- Small facility (<50 beds) — limited scale
- Low occupancy (<30%) — demand risk
- Expenses exceed revenue
Catalysts:
- Strong commercial payer base protects revenue
- Limited competition supports pricing power
Margin Prediction (Trained Ridge Model)
-31.4%
R²=0.34 | n=4,907 | Grade B | Actual: -50.0%
Ridge regression trained on 4,907 HCRIS hospitals. 90% CI: [-59.7%, -3.1%]. P12 nationally.
| Driver | Value | Effect | Explanation | |
|---|---|---|---|---|
| State Peer Margin | -0.175 | -0.0960 | Lower State Peer Margin decreases predicted margin | |
| Expense/Bed | 2012589.533 | -0.0438 | Higher Expense/Bed decreases predicted margin | |
| Revenue/Bed | 1267933.267 | -0.0435 | Lower Revenue/Bed decreases predicted margin | |
| Log(Beds) | 2.708 | -0.0387 | Lower Log(Beds) decreases predicted margin | |
| Bed Utilization Value | 116487.750 | -0.0251 | Lower Bed Utilization Value decreases predicted ma |
Turnaround: 10%Low turnaround probability (10%). Structural disadvantages in State Peer Margin and Expense/Bed.
Under-Performing / Distre
Archetype
55.9%
Distress Risk
$4.2M
RCM Opportunity
A
Opportunity Grade
-28.1%
Projected Margin
Cluster: Under-Performing / Distressed
Percentile within cluster: P78. 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%
NY distress rate: 84.9%
Model AUC: 0.629
| Factor | Value | Contribution | Direction |
|---|---|---|---|
| Occupancy Rate | 0.092 | +0.402 | ▲ risk |
| Medicaid Day Pct | 0.008 | -0.081 | ▼ risk |
| Net To Gross Ratio | 0.242 | -0.057 | ▼ risk |
| Revenue Per Bed | 1267933.267 | +0.018 | ▲ risk |
| Beds | 15.000 | -0.018 | ▼ risk |
| Medicare Day Pct | 0.328 | +0.000 | ▲ risk |
RCM Improvement Opportunity
Total (risk-adjusted): $4.2M
Current margin: -50.0%
Projected margin: -28.1%
Grade: A
Comps: 25
Gap analysis vs P75 peers with 60% closure assumption. Confidence-weighted by lever implementation difficulty.
| Lever | Current | Benchmark | Gap | Impact | Confidence | Timeline |
|---|---|---|---|---|---|---|
| Occupancy Improvement | 0.092 | 0.639 | 54.7% | $3.6M | 55% | 24mo |
| Net-to-Gross Ratio Improvement | 0.242 | 0.495 | 25.3% | $562K | 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 | 39.8 | [25.0, 75.0] | P82 | Average — predicted days in ar is near the median. |
| Clean Claim Rate | 98.0% | [80.0%, 98.0%] | P0 | Strong — predicted clean claim rate is in the top third. |
| Net Collection Rate | 97.9% | [90.0%, 99.5%] | P0 | Average — predicted net collection rate is near the median. |