ML Analysis — UPMC PASSAVANT
CCN 390107 | 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.
50
/ 100 (C)
Financial Health7/25
RCM Upside19/25
Market Position9/20
Demand Defensibility12/15
Operational Efficiency2/15
Entry Multiple: 8.0x – 10.0x
Est. MOIC: 1.9x
Risk Factors:
- Negative operating margin
- Expenses exceed revenue
Catalysts:
- RCM optimization could add 3-5pp margin
- Strong commercial payer base protects revenue
Margin Prediction (Trained Ridge Model)
-8.3%
R²=0.34 | n=4,907 | Grade B | Actual: -23.2%
Ridge regression trained on 4,907 HCRIS hospitals. 90% CI: [-36.6%, 20.0%]. P41 nationally.
| Driver | Value | Effect | Explanation | |
|---|---|---|---|---|
| Revenue/Bed | 1114494.729 | -0.0649 | Lower Revenue/Bed decreases predicted margin | |
| Expense/Bed | 1372670.260 | +0.0350 | Higher Expense/Bed increases predicted margin | |
| Log(Beds) | 5.869 | +0.0347 | Higher Log(Beds) increases predicted margin | |
| Bed Count | 354.000 | -0.0320 | Higher Bed Count decreases predicted margin | |
| Reimbursement Quality | 0.110 | +0.0265 | Higher Reimbursement Quality increases predicted m |
Turnaround: 36%Turnaround possible (36%) but uncertain. Margin improvement depends on improving Revenue/Bed.
Suburban Community Hospit
Archetype
44.8%
Distress Risk
$9.8M
RCM Opportunity
D
Opportunity Grade
-20.7%
Projected Margin
Cluster: Suburban Community Hospital
Percentile within cluster: P59. 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%
PA distress rate: 48.1%
Model AUC: 0.629
| Factor | Value | Contribution | Direction |
|---|---|---|---|
| Net To Gross Ratio | 0.142 | -0.101 | ▼ risk |
| Medicaid Day Pct | 0.007 | -0.082 | ▼ risk |
| Occupancy Rate | 0.562 | -0.034 | ▼ risk |
| Beds | 354.000 | +0.027 | ▲ risk |
| Revenue Per Bed | 1114494.729 | +0.027 | ▲ risk |
| Medicare Day Pct | 0.222 | -0.018 | ▼ risk |
RCM Improvement Opportunity
Total (risk-adjusted): $9.8M
Current margin: -23.2%
Projected margin: -20.7%
Grade: D
Comps: 63
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 | 0.142 | 0.302 | 16.0% | $7.4M | 65% | 18mo |
| Occupancy Improvement | 0.562 | 0.774 | 21.2% | $1.4M | 55% | 24mo |
| Payer Mix Optimization | 0.772 | 0.838 | 6.6% | $988K | 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 | 25.1 | [25.0, 75.0] | P28 | 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. |