ML Analysis — AHN HEMPFIELD NEIGHBORHOOD HOSPITAL
CCN 390333 | 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 Health5/25
RCM Upside16/25
Market Position13/20
Demand Defensibility2/15
Operational Efficiency2/15
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
Catalysts:
- Strong commercial payer base protects revenue
Margin Prediction (Trained Ridge Model)
-10.7%
R²=0.34 | n=4,907 | Grade B | Actual: -0.4%
Ridge regression trained on 4,907 HCRIS hospitals. 90% CI: [-39.0%, 17.6%]. P36 nationally.
| Driver | Value | Effect | Explanation | |
|---|---|---|---|---|
| Expense/Bed | 1091974.550 | +0.0696 | Higher Expense/Bed increases predicted margin | |
| Revenue/Bed | 1087918.250 | -0.0686 | Lower Revenue/Bed decreases predicted margin | |
| Bed Utilization Value | 98359.732 | -0.0257 | Lower Bed Utilization Value decreases predicted ma | |
| Occupancy | 0.090 | -0.0247 | Lower Occupancy decreases predicted margin | |
| Net-to-Gross | 0.177 | -0.0215 | Lower Net-to-Gross decreases predicted margin |
Turnaround: 32%Turnaround possible (32%) but uncertain. Margin improvement depends on Expense/Bed.
Suburban Community Hospit
Archetype
54.6%
Distress Risk
$5.3M
RCM Opportunity
B
Opportunity Grade
11.9%
Projected Margin
Cluster: Suburban Community Hospital
Percentile within cluster: P90. Community hospitals — the largest PE deal category. Focus on RCM improvement and cost optimization at 9-11x.
Nearest Peers
| Hospital | State | Beds |
|---|---|---|
| PROMEDICA HICKMAN HOSPITAL | MI | 58 |
| WATAUGA MEDICAL CENTER | NC | 95 |
| ST LUKES HOSPITAL - EASTON CAMPUS | PA | 29 |
| CULPEPER MEMORIAL HOSPITAL | VA | 70 |
| SOUTHSIDE COMMUNITY HOSPITAL | VA | 80 |
| SPECTRUM HEALTH LUDINGTON | MI | 45 |
Distress Analysis
Risk: High
National distress rate: 49.3%
PA distress rate: 48.1%
Model AUC: 0.629
| Factor | Value | Contribution | Direction |
|---|---|---|---|
| Occupancy Rate | 0.090 | +0.404 | ▲ risk |
| Medicaid Day Pct | 0.001 | -0.088 | ▼ risk |
| Net To Gross Ratio | 0.177 | -0.085 | ▼ risk |
| Medicare Day Pct | 0.134 | -0.033 | ▼ risk |
| Revenue Per Bed | 1087918.250 | +0.029 | ▲ risk |
| Beds | 40.000 | -0.015 | ▼ risk |
RCM Improvement Opportunity
Total (risk-adjusted): $5.3M
Current margin: -0.4%
Projected margin: 11.9%
Grade: B
Comps: 81
Gap analysis vs P75 peers with 60% closure assumption. Confidence-weighted by lever implementation difficulty.
| Lever | Current | Benchmark | Gap | Impact | Confidence | Timeline |
|---|---|---|---|---|---|---|
| Occupancy Improvement | 0.090 | 0.694 | 60.4% | $4.0M | 55% | 24mo |
| Net-to-Gross Ratio Improvement | 0.177 | 0.444 | 26.7% | $1.4M | 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 | 31.8 | [25.0, 75.0] | P69 | 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. |