ML Analysis — PROVIDENCE MILWAUKIE HOSPITAL
CCN 380082 | Clustering + Distress + RCM Opportunity
🛡️ Public data only — no PHI permitted on this instance.
Investability Score
Buy — solid fundamentals with identifiable value creation levers. Proceed to detailed diligence.
61
/ 100 (B)
Financial Health9/25
RCM Upside21/25
Market Position13/20
Demand Defensibility8/15
Operational Efficiency10/15
Entry Multiple: 9.5x – 11.5x
Est. MOIC: 2.3x
Risk Factors:
- Negative operating margin
- Small facility (<50 beds) — limited scale
- Expenses exceed revenue
Catalysts:
- Strong commercial payer base protects revenue
- Limited competition supports pricing power
Margin Prediction (Trained Ridge Model)
-0.3%
R²=0.34 | n=4,907 | Grade B | Actual: -9.6%
Ridge regression trained on 4,907 HCRIS hospitals. 90% CI: [-28.6%, 28.0%]. P62 nationally.
| Driver | Value | Effect | Explanation | |
|---|---|---|---|---|
| Expense/Bed | 3527943.350 | -0.2305 | Higher Expense/Bed decreases predicted margin | |
| Revenue/Bed | 3219791.525 | +0.2290 | Higher Revenue/Bed increases predicted margin | |
| Bed Utilization Value | 2784899.135 | +0.0634 | Higher Bed Utilization Value increases predicted m | |
| Reimbursement Quality | 0.312 | -0.0319 | Higher Reimbursement Quality decreases predicted m | |
| State Peer Margin | -0.081 | -0.0264 | Lower State Peer Margin decreases predicted margin |
Turnaround: 49%Turnaround possible (49%) but uncertain. Margin improvement depends on improving Expense/Bed.
Suburban Community Hospit
Archetype
37.3%
Distress Risk
$2.6M
RCM Opportunity
D
Opportunity Grade
-7.6%
Projected Margin
Cluster: Suburban Community Hospital
Percentile within cluster: P70. 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 | 0.865 | -0.315 | ▼ risk |
| Revenue Per Bed | 3219791.525 | -0.097 | ▼ risk |
| Medicaid Day Pct | 0.016 | -0.073 | ▼ risk |
| Net To Gross Ratio | 0.418 | +0.022 | ▲ risk |
| Medicare Day Pct | 0.238 | -0.015 | ▼ risk |
| Beds | 40.000 | -0.015 | ▼ risk |
RCM Improvement Opportunity
Total (risk-adjusted): $2.6M
Current margin: -9.6%
Projected margin: -7.6%
Grade: D
Comps: 28
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 | 0.418 | 0.589 | 17.1% | $2.6M | 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 | 26.3 | [25.0, 75.0] | P36 | 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. |