ML Analysis — CLEVELAND AREA HOSPITAL
CCN 371320 | 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 Position10/20
Demand Defensibility4/15
Operational Efficiency7/15
Entry Multiple: 8.0x – 10.0x
Est. MOIC: 1.9x
Risk Factors:
- Heavy Medicare dependence (>55%)
- Small facility (<50 beds) — limited scale
Catalysts:
- Limited competition supports pricing power
Margin Prediction (Trained Ridge Model)
-6.4%
R²=0.34 | n=4,907 | Grade B | Actual: 3.9%
Ridge regression trained on 4,907 HCRIS hospitals. 90% CI: [-34.7%, 21.9%]. P46 nationally.
| Driver | Value | Effect | Explanation | |
|---|---|---|---|---|
| Log(Beds) | 2.639 | -0.0403 | Lower Log(Beds) decreases predicted margin | |
| Reimbursement Quality | 0.069 | +0.0381 | Higher Reimbursement Quality increases predicted m | |
| Expense/Bed | 1371551.786 | +0.0352 | Higher Expense/Bed increases predicted margin | |
| State Peer Margin | -0.088 | -0.0313 | Lower State Peer Margin decreases predicted margin | |
| Revenue/Bed | 1426488.071 | -0.0213 | Lower Revenue/Bed decreases predicted margin |
Rural/Critical Access
Archetype
53.4%
Distress Risk
$4.9M
RCM Opportunity
A
Opportunity Grade
28.4%
Projected Margin
Cluster: Rural/Critical Access
Percentile within cluster: P76. Rural/small hospitals face structural headwinds. Evaluate CAH conversion, telehealth, and rural health funding.
Nearest Peers
| Hospital | State | Beds |
|---|---|---|
| BRECKINRIDGE HEALTH INC | KY | 25 |
| SHERIDAN MEMORIAL HOSPITAL | MT | 19 |
| DAYTON GENERAL HOSPITAL | WA | 25 |
| BLUE MOUNTAIN HOSPITAL DISTRICT | OR | 16 |
| COMMUNITY HOSPITAL | WY | 25 |
| CARLE EUREKA HOSPITAL | IL | 25 |
Distress Analysis
Risk: High
National distress rate: 49.3%
OK distress rate: 58.1%
Model AUC: 0.629
| Factor | Value | Contribution | Direction |
|---|---|---|---|
| Occupancy Rate | 0.407 | +0.109 | ▲ risk |
| Medicare Day Pct | 0.851 | +0.090 | ▲ risk |
| Medicaid Day Pct | 0.009 | -0.080 | ▼ risk |
| Net To Gross Ratio | 0.492 | +0.055 | ▲ risk |
| Beds | 14.000 | -0.018 | ▼ risk |
| Revenue Per Bed | 1426488.071 | +0.009 | ▲ risk |
RCM Improvement Opportunity
Total (risk-adjusted): $4.9M
Current margin: 3.9%
Projected margin: 28.4%
Grade: A
Comps: 53
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 | 0.140 | 0.398 | 25.8% | $3.9M | 50% | 24mo |
| Occupancy Improvement | 0.407 | 0.532 | 12.5% | $827K | 55% | 24mo |
| Net-to-Gross Ratio Improvement | 0.492 | 0.576 | 8.4% | $197K | 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 | 33.4 | [25.0, 75.0] | P75 | Average — predicted days in ar is near the median. |
| 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. |