ML Analysis — PH HILLCREST HOSPITAL
CCN 420037 | 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 Health19/25
RCM Upside5/25
Market Position12/20
Demand Defensibility7/15
Operational Efficiency11/15
Entry Multiple: 8.0x – 10.0x
Est. MOIC: 1.9x
Risk Factors:
- Small facility (<50 beds) — limited scale
Catalysts:
- Strong commercial payer base protects revenue
Margin Prediction (Trained Ridge Model)
16.2%
R²=0.34 | n=4,907 | Grade B | Actual: 30.8%
Ridge regression trained on 4,907 HCRIS hospitals. 90% CI: [-12.1%, 44.5%]. P90 nationally.
| Driver | Value | Effect | Explanation | |
|---|---|---|---|---|
| Revenue/Bed | 2874275.186 | +0.1808 | Higher Revenue/Bed increases predicted margin | |
| State Peer Margin | 0.013 | +0.0432 | Higher State Peer Margin increases predicted margi | |
| Expense/Bed | 1988772.209 | -0.0408 | Higher Expense/Bed decreases predicted margin | |
| Bed Utilization Value | 1771630.338 | +0.0298 | Higher Bed Utilization Value increases predicted m | |
| Bed Count | 43.000 | +0.0165 | Higher Bed Count increases predicted margin |
Suburban Community Hospit
Archetype
42.0%
Distress Risk
$5.8M
RCM Opportunity
D
Opportunity Grade
35.5%
Projected Margin
Cluster: Suburban Community Hospital
Percentile within cluster: P67. 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: Elevated
National distress rate: 49.3%
SC distress rate: 34.1%
Model AUC: 0.629
| Factor | Value | Contribution | Direction |
|---|---|---|---|
| Occupancy Rate | 0.616 | -0.085 | ▼ risk |
| Revenue Per Bed | 2874275.186 | -0.076 | ▼ risk |
| Medicaid Day Pct | 0.026 | -0.063 | ▼ risk |
| Net To Gross Ratio | 0.265 | -0.046 | ▼ risk |
| Beds | 43.000 | -0.014 | ▼ risk |
| Medicare Day Pct | 0.256 | -0.012 | ▼ risk |
RCM Improvement Opportunity
Total (risk-adjusted): $5.8M
Current margin: 30.8%
Projected margin: 35.5%
Grade: D
Comps: 42
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 | 0.265 | 0.600 | 33.5% | $4.8M | 65% | 18mo |
| Occupancy Improvement | 0.616 | 0.755 | 13.9% | $916K | 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 | 25.6 | [25.0, 75.0] | P32 | 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. |