ML Analysis — UNIVERSITY HOSPITALS AVON REHAB HOSP
CCN 363039 | 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 Health16/25
RCM Upside5/25
Market Position10/20
Demand Defensibility5/15
Operational Efficiency9/15
Entry Multiple: 8.0x – 10.0x
Est. MOIC: 1.9x
Risk Factors:
- Heavy Medicare dependence (>55%)
Catalysts:
- Strong commercial payer base protects revenue
Margin Prediction (Trained Ridge Model)
-2.1%
R²=0.34 | n=4,907 | Grade B | Actual: 21.4%
Ridge regression trained on 4,907 HCRIS hospitals. 90% CI: [-30.4%, 26.2%]. P57 nationally.
| Driver | Value | Effect | Explanation | |
|---|---|---|---|---|
| Revenue/Bed | 354798.100 | -0.1709 | Lower Revenue/Bed decreases predicted margin | |
| Expense/Bed | 278846.700 | +0.1698 | Higher Expense/Bed increases predicted margin | |
| State Peer Margin | -0.004 | +0.0313 | Higher State Peer Margin increases predicted margi | |
| Net-to-Gross | 0.576 | +0.0232 | Higher Net-to-Gross increases predicted margin | |
| Bed Utilization Value | 180295.758 | -0.0230 | Lower Bed Utilization Value decreases predicted ma |
Suburban Community Hospit
Archetype
52.9%
Distress Risk
$6.0M
RCM Opportunity
A
Opportunity Grade
55.5%
Projected Margin
Cluster: Suburban Community Hospital
Percentile within cluster: P82. 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: High
National distress rate: 49.3%
OH distress rate: 37.3%
Model AUC: 0.629
| Factor | Value | Contribution | Direction |
|---|---|---|---|
| Net To Gross Ratio | 0.576 | +0.092 | ▲ risk |
| Revenue Per Bed | 354798.100 | +0.072 | ▲ risk |
| Medicaid Day Pct | 0.017 | -0.071 | ▼ risk |
| Medicare Day Pct | 0.613 | +0.049 | ▲ risk |
| Occupancy Rate | 0.508 | +0.016 | ▲ risk |
| Beds | 50.000 | -0.013 | ▼ risk |
RCM Improvement Opportunity
Total (risk-adjusted): $6.0M
Current margin: 21.4%
Projected margin: 55.5%
Grade: A
Comps: 109
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 | 0.369 | 0.708 | 33.8% | $5.1M | 50% | 24mo |
| Occupancy Improvement | 0.508 | 0.655 | 14.6% | $967K | 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. |