ML Analysis — LEGACY MOUNT HOOD MEDICAL CENTER
CCN 380025 | 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.
54
/ 100 (C)
Financial Health9/25
RCM Upside20/25
Market Position11/20
Demand Defensibility10/15
Operational Efficiency4/15
Entry Multiple: 8.0x – 10.0x
Est. MOIC: 1.9x
Risk Factors:
- Negative operating margin
- Expenses exceed revenue
Catalysts:
- Strong commercial payer base protects revenue
Margin Prediction (Trained Ridge Model)
-5.4%
R²=0.34 | n=4,907 | Grade B | Actual: -10.2%
Ridge regression trained on 4,907 HCRIS hospitals. 90% CI: [-33.7%, 22.9%]. P48 nationally.
| Driver | Value | Effect | Explanation | |
|---|---|---|---|---|
| Expense/Bed | 2196029.030 | -0.0664 | Higher Expense/Bed decreases predicted margin | |
| Revenue/Bed | 1992202.838 | +0.0576 | Higher Revenue/Bed increases predicted margin | |
| State Peer Margin | -0.081 | -0.0264 | Lower State Peer Margin decreases predicted margin | |
| Bed Utilization Value | 1501305.535 | +0.0208 | Higher Bed Utilization Value increases predicted m | |
| Occupancy | 0.754 | +0.0130 | Higher Occupancy increases predicted margin |
Turnaround: 41%Turnaround possible (41%) but uncertain. Margin improvement depends on improving Expense/Bed.
Suburban Community Hospit
Archetype
42.0%
Distress Risk
$2.5M
RCM Opportunity
D
Opportunity Grade
-9.0%
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 |
|---|---|---|
| CLARA MAASS MEDICAL CENTER | NJ | 259 |
| PRESENCE SAINTS MARY & ELIZABETH MED | IL | 266 |
| ADVENTIST HEALTH BAKERSFIELD | CA | 254 |
| BRISTOL REGIONAL MEDICAL CENTER | TN | 244 |
| HOLSTON VALLEY HOSP & MED CTR | TN | 286 |
| SPRINGFIELD REGIONAL MEDICAL CENTER | OH | 230 |
Distress Analysis
Risk: Elevated
National distress rate: 49.3%
OR distress rate: 65.0%
Model AUC: 0.629
| Factor | Value | Contribution | Direction |
|---|---|---|---|
| Occupancy Rate | 0.754 | -0.212 | ▼ risk |
| Revenue Per Bed | 1992202.838 | -0.024 | ▼ risk |
| Net To Gross Ratio | 0.314 | -0.024 | ▼ risk |
| Medicare Day Pct | 0.203 | -0.021 | ▼ risk |
| Beds | 99.000 | -0.007 | ▼ risk |
| Medicaid Day Pct | 0.083 | -0.006 | ▼ risk |
RCM Improvement Opportunity
Total (risk-adjusted): $2.5M
Current margin: -10.2%
Projected margin: -9.0%
Grade: D
Comps: 17
Gap analysis vs P75 peers with 60% closure assumption. Confidence-weighted by lever implementation difficulty.
| Lever | Current | Benchmark | Gap | Impact | Confidence | Timeline |
|---|---|---|---|---|---|---|
| Net-to-Gross Ratio Improvement | 0.314 | 0.385 | 7.1% | $1.6M | 65% | 18mo |
| Payer Mix Optimization | 0.714 | 0.772 | 5.8% | $869K | 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 | 25.3 | [25.0, 75.0] | P29 | 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. |