ML Analysis — EAGLEVILLE HOSPITAL
CCN 390278 | 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.
37
/ 100 (D)
Financial Health4/25
RCM Upside18/25
Market Position9/20
Demand Defensibility2/15
Operational Efficiency4/15
Entry Multiple: 6.0x – 8.5x
Est. MOIC: 1.5x
Risk Factors:
- Negative operating margin
- Small facility (<50 beds) — limited scale
- Low occupancy (<30%) — demand risk
- Expenses exceed revenue
Catalysts:
- Strong commercial payer base protects revenue
Margin Prediction (Trained Ridge Model)
-19.6%
R²=0.34 | n=4,907 | Grade B | Actual: -46.1%
Ridge regression trained on 4,907 HCRIS hospitals. 90% CI: [-47.9%, 8.7%]. P21 nationally.
| Driver | Value | Effect | Explanation | |
|---|---|---|---|---|
| Revenue/Bed | 762602.898 | -0.1140 | Lower Revenue/Bed decreases predicted margin | |
| Reimbursement Quality | 0.506 | -0.0876 | Higher Reimbursement Quality decreases predicted m | |
| Expense/Bed | 1114000.816 | +0.0669 | Higher Expense/Bed increases predicted margin | |
| Bed Utilization Value | 140112.559 | -0.0243 | Lower Bed Utilization Value decreases predicted ma | |
| Net-to-Gross | 0.573 | +0.0229 | Higher Net-to-Gross increases predicted margin |
Turnaround: 20%Low turnaround probability (20%). Structural disadvantages in Revenue/Bed and Reimbursement Quality.
Under-Performing / Distre
Archetype
57.5%
Distress Risk
$3.6M
RCM Opportunity
C
Opportunity Grade
-36.4%
Projected Margin
Cluster: Under-Performing / Distressed
Percentile within cluster: P67. Deeply negative margins signal severe distress. Evaluate asset-level acquisition at 4-6x normalized EBITDA.
Nearest Peers
| Hospital | State | Beds |
|---|---|---|
| HOLY FAMILY MEMORIAL INC | WI | 58 |
| MIDDLESBORO ARH | KY | 46 |
| ATRIUM HEALTH NAVICENT BALDWIN | GA | 86 |
| BON SECOURS COMMUNITY HOSPITAL | NY | 98 |
| ADVANCED SPECIALTY HOSP. OF TOLEDO | OH | 40 |
| COMMUNITY HEALTH CENTER BRANCH | MI | 75 |
Distress Analysis
Risk: High
National distress rate: 49.3%
PA distress rate: 48.1%
Model AUC: 0.629
| Factor | Value | Contribution | Direction |
|---|---|---|---|
| Occupancy Rate | 0.184 | +0.317 | ▲ risk |
| Net To Gross Ratio | 0.573 | +0.091 | ▲ risk |
| Medicaid Day Pct | 0.014 | -0.075 | ▼ risk |
| Revenue Per Bed | 762602.898 | +0.048 | ▲ risk |
| Medicare Day Pct | 0.103 | -0.039 | ▼ risk |
| Beds | 49.000 | -0.013 | ▼ risk |
RCM Improvement Opportunity
Total (risk-adjusted): $3.6M
Current margin: -46.1%
Projected margin: -36.4%
Grade: C
Comps: 86
Gap analysis vs P75 peers with 60% closure assumption. Confidence-weighted by lever implementation difficulty.
| Lever | Current | Benchmark | Gap | Impact | Confidence | Timeline |
|---|---|---|---|---|---|---|
| Occupancy Improvement | 0.184 | 0.735 | 55.1% | $3.6M | 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 | 30.5 | [25.0, 75.0] | P62 | 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. |