ML Analysis — THE REHABILITATION INSTITUTE OF OHIO
CCN 363033 | 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.
50
/ 100 (C)
Financial Health9/25
RCM Upside13/25
Market Position11/20
Demand Defensibility12/15
Operational Efficiency5/15
Entry Multiple: 8.0x – 10.0x
Est. MOIC: 1.9x
Risk Factors:
Catalysts:
- Strong commercial payer base protects revenue
Margin Prediction (Trained Ridge Model)
-2.9%
R²=0.34 | n=4,907 | Grade B | Actual: 4.9%
Ridge regression trained on 4,907 HCRIS hospitals. 90% CI: [-31.2%, 25.4%]. P55 nationally.
| Driver | Value | Effect | Explanation | |
|---|---|---|---|---|
| Revenue/Bed | 386245.633 | -0.1665 | Lower Revenue/Bed decreases predicted margin | |
| Expense/Bed | 367258.933 | +0.1589 | Higher Expense/Bed increases predicted margin | |
| Reimbursement Quality | 0.322 | -0.0346 | Higher Reimbursement Quality decreases predicted m | |
| State Peer Margin | -0.004 | +0.0313 | Higher State Peer Margin increases predicted margi | |
| Net-to-Gross | 0.590 | +0.0248 | Higher Net-to-Gross increases predicted margin |
Suburban Community Hospit
Archetype
48.4%
Distress Risk
$3.2M
RCM Opportunity
B
Opportunity Grade
18.6%
Projected Margin
Cluster: Suburban Community Hospital
Percentile within cluster: P42. 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 |
|---|---|---|---|
| Occupancy Rate | 0.699 | -0.161 | ▼ risk |
| Net To Gross Ratio | 0.590 | +0.098 | ▲ risk |
| Revenue Per Bed | 386245.633 | +0.070 | ▲ risk |
| Medicaid Day Pct | 0.040 | -0.049 | ▼ risk |
| Medicare Day Pct | 0.414 | +0.015 | ▲ risk |
| Beds | 60.000 | -0.012 | ▼ risk |
RCM Improvement Opportunity
Total (risk-adjusted): $3.2M
Current margin: 4.9%
Projected margin: 18.6%
Grade: B
Comps: 92
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 | 0.546 | 0.757 | 21.1% | $3.2M | 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 | 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. |