ML Analysis — PAM SPECIALTY HOSPITAL OF DAYTON
CCN 362028 | Clustering + Distress + RCM Opportunity
🛡️ Public data only — no PHI permitted on this instance.
Investability Score
Speculative — only pursue if turnaround thesis is strong and entry multiple reflects risk.
43
/ 100 (D)
Financial Health9/25
RCM Upside14/25
Market Position11/20
Demand Defensibility9/15
Operational Efficiency1/15
Entry Multiple: 8.0x – 10.0x
Est. MOIC: 1.9x
Risk Factors:
- Small facility (<50 beds) — limited scale
Catalysts:
- Strong commercial payer base protects revenue
Margin Prediction (Trained Ridge Model)
-4.7%
R²=0.34 | n=4,907 | Grade B | Actual: 2.9%
Ridge regression trained on 4,907 HCRIS hospitals. 90% CI: [-33.0%, 23.6%]. P50 nationally.
| Driver | Value | Effect | Explanation | |
|---|---|---|---|---|
| Revenue/Bed | 387017.864 | -0.1664 | Lower Revenue/Bed decreases predicted margin | |
| Expense/Bed | 375953.000 | +0.1578 | Higher Expense/Bed increases predicted margin | |
| State Peer Margin | -0.004 | +0.0313 | Higher State Peer Margin increases predicted margi | |
| Reimbursement Quality | 0.096 | +0.0304 | Higher Reimbursement Quality increases predicted m | |
| Bed Utilization Value | 214859.980 | -0.0218 | Lower Bed Utilization Value decreases predicted ma |
Suburban Community Hospit
Archetype
46.7%
Distress Risk
$3.4M
RCM Opportunity
A
Opportunity Grade
22.8%
Projected Margin
Cluster: Suburban Community Hospital
Percentile within cluster: P26. Community hospitals — the largest PE deal category. Focus on RCM improvement and cost optimization at 9-11x.
Nearest Peers
| Hospital | State | Beds |
|---|---|---|
| PROMEDICA HICKMAN HOSPITAL | MI | 58 |
| WATAUGA MEDICAL CENTER | NC | 95 |
| ST LUKES HOSPITAL - EASTON CAMPUS | PA | 29 |
| CULPEPER MEMORIAL HOSPITAL | VA | 70 |
| SOUTHSIDE COMMUNITY HOSPITAL | VA | 80 |
| SPECTRUM HEALTH LUDINGTON | MI | 45 |
Distress Analysis
Risk: Elevated
National distress rate: 49.3%
OH distress rate: 37.3%
Model AUC: 0.629
| Factor | Value | Contribution | Direction |
|---|---|---|---|
| Net To Gross Ratio | 0.177 | -0.085 | ▼ risk |
| Revenue Per Bed | 387017.864 | +0.070 | ▲ risk |
| Medicaid Day Pct | 0.022 | -0.067 | ▼ risk |
| Occupancy Rate | 0.555 | -0.028 | ▼ risk |
| Medicare Day Pct | 0.437 | +0.019 | ▲ risk |
| Beds | 44.000 | -0.014 | ▼ risk |
RCM Improvement Opportunity
Total (risk-adjusted): $3.4M
Current margin: 2.9%
Projected margin: 22.8%
Grade: A
Comps: 116
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 | 0.541 | 0.699 | 15.8% | $2.4M | 50% | 24mo |
| Net-to-Gross Ratio Improvement | 0.177 | 0.454 | 27.7% | $552K | 65% | 18mo |
| Occupancy Improvement | 0.555 | 0.627 | 7.2% | $475K | 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 | 29.2 | [25.0, 75.0] | P52 | 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. |