ML Analysis — ALTRU HEALTH SYSTEM-ALTRU HOSPITAL
CCN 350019 | Clustering + Distress + RCM Opportunity
🛡️ Public data only — no PHI permitted on this instance.
Investability Score
Buy — solid fundamentals with identifiable value creation levers. Proceed to detailed diligence.
60
/ 100 (B)
Financial Health8/25
RCM Upside19/25
Market Position13/20
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
- Limited competition supports pricing power
- Volume growth opportunity from low occupancy
Margin Prediction (Trained Ridge Model)
-8.8%
R²=0.34 | n=4,907 | Grade B | Actual: -8.5%
Ridge regression trained on 4,907 HCRIS hospitals. 90% CI: [-37.1%, 19.5%]. P40 nationally.
| Driver | Value | Effect | Explanation | |
|---|---|---|---|---|
| Expense/Bed | 2369136.787 | -0.0877 | Higher Expense/Bed decreases predicted margin | |
| Revenue/Bed | 2184639.829 | +0.0845 | Higher Revenue/Bed increases predicted margin | |
| State Peer Margin | -0.093 | -0.0351 | Lower State Peer Margin decreases predicted margin | |
| Log(Beds) | 5.553 | +0.0274 | Higher Log(Beds) increases predicted margin | |
| Bed Count | 258.000 | -0.0171 | Higher Bed Count decreases predicted margin |
Turnaround: 35%Turnaround possible (35%) but uncertain. Margin improvement depends on improving Expense/Bed.
Suburban Community Hospit
Archetype
49.8%
Distress Risk
$5.1M
RCM Opportunity
D
Opportunity Grade
-7.5%
Projected Margin
Cluster: Suburban Community Hospital
Percentile within cluster: P49. 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%
ND distress rate: 69.4%
Model AUC: 0.629
| Factor | Value | Contribution | Direction |
|---|---|---|---|
| Revenue Per Bed | 2184639.829 | -0.036 | ▼ risk |
| Occupancy Rate | 0.495 | +0.028 | ▲ risk |
| Medicaid Day Pct | 0.106 | +0.018 | ▲ risk |
| Beds | 258.000 | +0.015 | ▲ risk |
| Net To Gross Ratio | 0.346 | -0.010 | ▼ risk |
| Medicare Day Pct | 0.359 | +0.006 | ▲ risk |
RCM Improvement Opportunity
Total (risk-adjusted): $5.1M
Current margin: -8.5%
Projected margin: -7.5%
Grade: D
Comps: 1641
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 | 0.534 | 0.752 | 21.8% | $3.3M | 50% | 24mo |
| Occupancy Improvement | 0.495 | 0.771 | 27.6% | $1.8M | 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. |