ML Analysis — CAROLINAEAST MEDICAL CENTER
CCN 340131 | 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 Upside18/25
Market Position15/20
Demand Defensibility14/15
Operational Efficiency4/15
Entry Multiple: 9.5x – 11.5x
Est. MOIC: 2.3x
Risk Factors:
- Negative operating margin
Catalysts:
- RCM optimization could add 3-5pp margin
- Strong commercial payer base protects revenue
- Limited competition supports pricing power
Margin Prediction (Trained Ridge Model)
-3.6%
R²=0.34 | n=4,907 | Grade B | Actual: -2.9%
Ridge regression trained on 4,907 HCRIS hospitals. 90% CI: [-31.9%, 24.7%]. P53 nationally.
| Driver | Value | Effect | Explanation | |
|---|---|---|---|---|
| Revenue/Bed | 1170285.340 | -0.0571 | Lower Revenue/Bed decreases predicted margin | |
| Expense/Bed | 1204613.708 | +0.0558 | Higher Expense/Bed increases predicted margin | |
| Log(Beds) | 5.743 | +0.0318 | Higher Log(Beds) increases predicted margin | |
| Bed Count | 312.000 | -0.0255 | Higher Bed Count decreases predicted margin | |
| State Peer Margin | -0.020 | +0.0188 | Higher State Peer Margin increases predicted margi |
Turnaround: 44%Turnaround possible (44%) but uncertain. Margin improvement depends on improving Revenue/Bed.
Suburban Community Hospit
Archetype
48.0%
Distress Risk
$5.0M
RCM Opportunity
D
Opportunity Grade
-1.6%
Projected Margin
Cluster: Suburban Community Hospital
Percentile within cluster: P41. 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%
NC distress rate: 36.8%
Model AUC: 0.629
| Factor | Value | Contribution | Direction |
|---|---|---|---|
| Medicaid Day Pct | 0.036 | -0.053 | ▼ risk |
| Occupancy Rate | 0.567 | -0.039 | ▼ risk |
| Revenue Per Bed | 1170285.340 | +0.024 | ▲ risk |
| Beds | 312.000 | +0.022 | ▲ risk |
| Net To Gross Ratio | 0.322 | -0.021 | ▼ risk |
| Medicare Day Pct | 0.405 | +0.013 | ▲ risk |
RCM Improvement Opportunity
Total (risk-adjusted): $5.0M
Current margin: -2.9%
Projected margin: -1.6%
Grade: D
Comps: 31
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 | 0.559 | 0.763 | 20.4% | $3.1M | 50% | 24mo |
| Occupancy Improvement | 0.567 | 0.812 | 24.5% | $1.6M | 55% | 24mo |
| Net-to-Gross Ratio Improvement | 0.322 | 0.330 | 0.8% | $343K | 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 | 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. |