ML Analysis — ROSWELL PARK CANCER INSTITUTE
CCN 330354 | 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.
60
/ 100 (C)
Financial Health9/25
RCM Upside21/25
Market Position11/20
Demand Defensibility11/15
Operational Efficiency8/15
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)
-19.1%
R²=0.34 | n=4,907 | Grade B | Actual: -40.1%
Ridge regression trained on 4,907 HCRIS hospitals. 90% CI: [-47.4%, 9.2%]. P22 nationally.
| Driver | Value | Effect | Explanation | |
|---|---|---|---|---|
| Expense/Bed | 7620722.042 | -0.7346 | Higher Expense/Bed decreases predicted margin | |
| Revenue/Bed | 5439060.704 | +0.5388 | Higher Revenue/Bed increases predicted margin | |
| Bed Utilization Value | 4594605.341 | +0.1235 | Higher Bed Utilization Value increases predicted m | |
| State Peer Margin | -0.175 | -0.0960 | Lower State Peer Margin decreases predicted margin | |
| Occupancy | 0.845 | +0.0182 | Higher Occupancy increases predicted margin |
Turnaround: 21%Low turnaround probability (21%). Structural disadvantages in Expense/Bed and Revenue/Bed.
Suburban Community Hospit
Archetype
34.0%
Distress Risk
$8.1M
RCM Opportunity
D
Opportunity Grade
-39.1%
Projected Margin
Cluster: Suburban Community Hospital
Percentile within cluster: P99. Community hospitals — the largest PE deal category. Focus on RCM improvement and cost optimization at 9-11x.
Nearest Peers
| Hospital | State | Beds |
|---|---|---|
| CLARA MAASS MEDICAL CENTER | NJ | 259 |
| PRESENCE SAINTS MARY & ELIZABETH MED | IL | 266 |
| ADVENTIST HEALTH BAKERSFIELD | CA | 254 |
| BRISTOL REGIONAL MEDICAL CENTER | TN | 244 |
| HOLSTON VALLEY HOSP & MED CTR | TN | 286 |
| SPRINGFIELD REGIONAL MEDICAL CENTER | OH | 230 |
Distress Analysis
Risk: Elevated
National distress rate: 49.3%
NY distress rate: 84.9%
Model AUC: 0.629
| Factor | Value | Contribution | Direction |
|---|---|---|---|
| Occupancy Rate | 0.845 | -0.297 | ▼ risk |
| Revenue Per Bed | 5439060.704 | -0.228 | ▼ risk |
| Medicaid Day Pct | 0.010 | -0.079 | ▼ risk |
| Net To Gross Ratio | 0.329 | -0.018 | ▼ risk |
| Medicare Day Pct | 0.254 | -0.012 | ▼ risk |
| Beds | 142.000 | -0.001 | ▼ risk |
RCM Improvement Opportunity
Total (risk-adjusted): $8.1M
Current margin: -40.1%
Projected margin: -39.1%
Grade: D
Comps: 92
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 | 0.329 | 0.417 | 8.9% | $8.0M | 65% | 18mo |
| Payer Mix Optimization | 0.736 | 0.745 | 0.9% | $139K | 50% | 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 | 26.8 | [25.0, 75.0] | P38 | 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. |