ML Analysis — REHABILITATION HOSPITAL OF NORTHWEST
CCN 363040 | 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.
46
/ 100 (C)
Financial Health7/25
RCM Upside17/25
Market Position9/20
Demand Defensibility9/15
Operational Efficiency4/15
Entry Multiple: 8.0x – 10.0x
Est. MOIC: 1.9x
Risk Factors:
- Negative operating margin
- Small facility (<50 beds) — limited scale
Catalysts:
- Strong commercial payer base protects revenue
Margin Prediction (Trained Ridge Model)
-5.9%
R²=0.34 | n=4,907 | Grade B | Actual: -1.9%
Ridge regression trained on 4,907 HCRIS hospitals. 90% CI: [-34.2%, 22.4%]. P47 nationally.
| Driver | Value | Effect | Explanation | |
|---|---|---|---|---|
| Revenue/Bed | 350430.700 | -0.1715 | Lower Revenue/Bed decreases predicted margin | |
| Expense/Bed | 357133.525 | +0.1602 | Higher Expense/Bed increases predicted margin | |
| Reimbursement Quality | 0.392 | -0.0549 | Higher Reimbursement Quality decreases predicted m | |
| State Peer Margin | -0.004 | +0.0313 | Higher State Peer Margin increases predicted margi | |
| Net-to-Gross | 0.610 | +0.0271 | Higher Net-to-Gross increases predicted margin |
Turnaround: 40%Turnaround possible (40%) but uncertain. Margin improvement depends on improving Revenue/Bed.
Suburban Community Hospit
Archetype
49.5%
Distress Risk
$872K
RCM Opportunity
C
Opportunity Grade
4.3%
Projected Margin
Cluster: Suburban Community Hospital
Percentile within cluster: P33. 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 | 0.610 | +0.108 | ▲ risk |
| Occupancy Rate | 0.626 | -0.093 | ▼ risk |
| Revenue Per Bed | 350430.700 | +0.073 | ▲ risk |
| Medicaid Day Pct | 0.024 | -0.065 | ▼ risk |
| Beds | 40.000 | -0.015 | ▼ risk |
| Medicare Day Pct | 0.333 | +0.001 | ▲ risk |
RCM Improvement Opportunity
Total (risk-adjusted): $872K
Current margin: -1.9%
Projected margin: 4.3%
Grade: C
Comps: 113
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 | 0.643 | 0.699 | 5.6% | $834K | 50% | 24mo |
| Occupancy Improvement | 0.626 | 0.632 | 0.6% | $38K | 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. |