ML Analysis — MARY RUTAN HOSPITAL
CCN 360197 | 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 Health9/25
RCM Upside19/25
Market Position15/20
Demand Defensibility5/15
Operational Efficiency8/15
Entry Multiple: 9.5x – 11.5x
Est. MOIC: 2.3x
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)
-7.4%
R²=0.34 | n=4,907 | Grade B | Actual: -12.5%
Ridge regression trained on 4,907 HCRIS hospitals. 90% CI: [-35.7%, 20.9%]. P43 nationally.
| Driver | Value | Effect | Explanation | |
|---|---|---|---|---|
| Expense/Bed | 3259198.385 | -0.1974 | Higher Expense/Bed decreases predicted margin | |
| Revenue/Bed | 2898044.590 | +0.1841 | Higher Revenue/Bed increases predicted margin | |
| State Peer Margin | -0.004 | +0.0313 | Higher State Peer Margin increases predicted margi | |
| Bed Count | 39.000 | +0.0171 | Higher Bed Count increases predicted margin | |
| Log(Beds) | 3.664 | -0.0165 | Lower Log(Beds) decreases predicted margin |
Turnaround: 37%Turnaround possible (37%) but uncertain. Margin improvement depends on improving Expense/Bed.
Under-Performing / Distre
Archetype
53.3%
Distress Risk
$4.9M
RCM Opportunity
D
Opportunity Grade
-8.2%
Projected Margin
Cluster: Under-Performing / Distressed
Percentile within cluster: P55. 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%
OH distress rate: 37.3%
Model AUC: 0.629
| Factor | Value | Contribution | Direction |
|---|---|---|---|
| Occupancy Rate | 0.294 | +0.215 | ▲ risk |
| Revenue Per Bed | 2898044.590 | -0.078 | ▼ risk |
| Medicaid Day Pct | 0.129 | +0.040 | ▲ risk |
| Beds | 39.000 | -0.015 | ▼ risk |
| Medicare Day Pct | 0.279 | -0.008 | ▼ risk |
| Net To Gross Ratio | 0.381 | +0.005 | ▲ risk |
RCM Improvement Opportunity
Total (risk-adjusted): $4.9M
Current margin: -12.5%
Projected margin: -8.2%
Grade: D
Comps: 109
Gap analysis vs P75 peers with 60% closure assumption. Confidence-weighted by lever implementation difficulty.
| Lever | Current | Benchmark | Gap | Impact | Confidence | Timeline |
|---|---|---|---|---|---|---|
| Occupancy Improvement | 0.294 | 0.626 | 33.2% | $2.2M | 55% | 24mo |
| Payer Mix Optimization | 0.593 | 0.698 | 10.5% | $1.6M | 50% | 24mo |
| Net-to-Gross Ratio Improvement | 0.381 | 0.465 | 8.4% | $1.1M | 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 | 29.9 | [25.0, 75.0] | P58 | 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. |