ML Analysis — WACCAMAW COMMUNITY HOSPITAL
CCN 420098 | 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.
62
/ 100 (B)
Financial Health14/25
RCM Upside14/25
Market Position16/20
Demand Defensibility13/15
Operational Efficiency5/15
Entry Multiple: 9.5x – 11.5x
Est. MOIC: 2.3x
Risk Factors:
Catalysts:
- RCM optimization could add 3-5pp margin
- Strong commercial payer base protects revenue
- Limited competition supports pricing power
Margin Prediction (Trained Ridge Model)
3.6%
R²=0.34 | n=4,907 | Grade B | Actual: 2.7%
Ridge regression trained on 4,907 HCRIS hospitals. 90% CI: [-24.7%, 31.9%]. P71 nationally.
| Driver | Value | Effect | Explanation | |
|---|---|---|---|---|
| State Peer Margin | 0.013 | +0.0432 | Higher State Peer Margin increases predicted margi | |
| Expense/Bed | 1433688.089 | +0.0275 | Higher Expense/Bed increases predicted margin | |
| Revenue/Bed | 1473839.024 | -0.0147 | Lower Revenue/Bed decreases predicted margin | |
| Reimbursement Quality | 0.159 | +0.0123 | Higher Reimbursement Quality increases predicted m | |
| Net-to-Gross | 0.262 | -0.0119 | Lower Net-to-Gross decreases predicted margin |
Suburban Community Hospit
Archetype
42.3%
Distress Risk
$2.6M
RCM Opportunity
D
Opportunity Grade
4.2%
Projected Margin
Cluster: Suburban Community Hospital
Percentile within cluster: P27. 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 | 0.724 | -0.185 | ▼ risk |
| Medicaid Day Pct | 0.027 | -0.062 | ▼ risk |
| Net To Gross Ratio | 0.262 | -0.047 | ▼ risk |
| Medicare Day Pct | 0.368 | +0.007 | ▲ risk |
| Revenue Per Bed | 1473839.024 | +0.006 | ▲ risk |
| Beds | 124.000 | -0.003 | ▼ risk |
RCM Improvement Opportunity
Total (risk-adjusted): $2.6M
Current margin: 2.7%
Projected margin: 4.2%
Grade: D
Comps: 33
Gap analysis vs P75 peers with 60% closure assumption. Confidence-weighted by lever implementation difficulty.
| Lever | Current | Benchmark | Gap | Impact | Confidence | Timeline |
|---|---|---|---|---|---|---|
| Payer Mix Optimization | 0.605 | 0.743 | 13.8% | $2.1M | 50% | 24mo |
| Net-to-Gross Ratio Improvement | 0.262 | 0.282 | 2.0% | $421K | 65% | 18mo |
| Occupancy Improvement | 0.724 | 0.746 | 2.2% | $145K | 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 | 25.0 | [25.0, 75.0] | P0 | 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. |