ML Analysis — NYU LANGONE HOSPITALS
CCN 330214 | 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 Health8/25
RCM Upside19/25
Market Position9/20
Demand Defensibility13/15
Operational Efficiency6/15
Entry Multiple: 9.5x – 11.5x
Est. MOIC: 2.3x
Risk Factors:
- Negative operating margin
- Expenses exceed revenue
Catalysts:
- RCM optimization could add 3-5pp margin
- Strong commercial payer base protects revenue
Margin Prediction (Trained Ridge Model)
-17.8%
R²=0.34 | n=4,907 | Grade B | Actual: -7.8%
Ridge regression trained on 4,907 HCRIS hospitals. 90% CI: [-46.2%, 10.4%]. P23 nationally.
| Driver | Value | Effect | Explanation | |
|---|---|---|---|---|
| Revenue/Bed | 4475111.248 | +0.4042 | Higher Revenue/Bed increases predicted margin | |
| Expense/Bed | 4826104.724 | -0.3904 | Higher Expense/Bed decreases predicted margin | |
| Bed Count | 1618.000 | -0.2292 | Higher Bed Count decreases predicted margin | |
| Bed Utilization Value | 3869924.714 | +0.0994 | Higher Bed Utilization Value increases predicted m | |
| State Peer Margin | -0.175 | -0.0960 | Lower State Peer Margin decreases predicted margin |
Turnaround: 22%Low turnaround probability (22%). Structural disadvantages in Revenue/Bed and Expense/Bed.
Large Academic Medical Ce
Archetype
39.4%
Distress Risk
$106.7M
RCM Opportunity
D
Opportunity Grade
-6.4%
Projected Margin
Cluster: Large Academic Medical Center
Percentile within cluster: P98. Large medical centers trade at premium multiples (12-14x). Limited PE value creation but strong cash flow.
Nearest Peers
| Hospital | State | Beds |
|---|---|---|
| NORTH CAROLINA BAPTIST HOSPITAL | NC | 800 |
| HACKENSACK UNIVERSITY MEDICAL CENTER | NJ | 779 |
| TEMPLE UNIVERSITY HOSPITAL | PA | 761 |
| VCU HEALTH SYSTEM MCV HOSPITAL | VA | 842 |
| UH CLEVELAND MEDICAL CENTER | OH | 660 |
| FROEDTERT MEM. LUTHERAN HOSPT. | WI | 731 |
Distress Analysis
Risk: Elevated
National distress rate: 49.3%
NY distress rate: 84.9%
Model AUC: 0.629
| Factor | Value | Contribution | Direction |
|---|---|---|---|
| Occupancy Rate | 0.865 | -0.315 | ▼ risk |
| Beds | 1618.000 | +0.197 | ▲ risk |
| Revenue Per Bed | 4475111.248 | -0.171 | ▼ risk |
| Net To Gross Ratio | 0.175 | -0.086 | ▼ risk |
| Medicaid Day Pct | 0.067 | -0.022 | ▼ risk |
| Medicare Day Pct | 0.280 | -0.008 | ▼ risk |
RCM Improvement Opportunity
Total (risk-adjusted): $106.7M
Current margin: -7.8%
Projected margin: -6.4%
Grade: D
Comps: 68
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 | 0.175 | 0.298 | 12.4% | $104.7M | 65% | 18mo |
| Payer Mix Optimization | 0.653 | 0.783 | 13.0% | $2.0M | 50% | 24mo |
| Occupancy Improvement | 0.865 | 0.868 | 0.3% | $20K | 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 | 25.0 | [25.0, 75.0] | P0 | 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. |