ML Analysis — MCLEOD HEALTH CHERAW
CCN 420107 | 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.
53
/ 100 (C)
Financial Health11/25
RCM Upside14/25
Market Position16/20
Demand Defensibility8/15
Operational Efficiency3/15
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
- Limited competition supports pricing power
Margin Prediction (Trained Ridge Model)
-2.0%
R²=0.34 | n=4,907 | Grade B | Actual: 1.1%
Ridge regression trained on 4,907 HCRIS hospitals. 90% CI: [-30.3%, 26.3%]. P57 nationally.
| Driver | Value | Effect | Explanation | |
|---|---|---|---|---|
| Expense/Bed | 1176607.087 | +0.0592 | Higher Expense/Bed increases predicted margin | |
| Revenue/Bed | 1189941.935 | -0.0543 | Lower Revenue/Bed decreases predicted margin | |
| State Peer Margin | 0.013 | +0.0432 | Higher State Peer Margin increases predicted margi | |
| Reimbursement Quality | 0.123 | +0.0225 | Higher Reimbursement Quality increases predicted m | |
| Net-to-Gross | 0.212 | -0.0175 | Lower Net-to-Gross decreases predicted margin |
Suburban Community Hospit
Archetype
48.0%
Distress Risk
$6.0M
RCM Opportunity
B
Opportunity Grade
12.0%
Projected Margin
Cluster: Suburban Community Hospital
Percentile within cluster: P1. 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 |
|---|---|---|---|
| Net To Gross Ratio | 0.213 | -0.070 | ▼ risk |
| Occupancy Rate | 0.497 | +0.026 | ▲ risk |
| Medicaid Day Pct | 0.066 | -0.023 | ▼ risk |
| Revenue Per Bed | 1189941.935 | +0.023 | ▲ risk |
| Beds | 46.000 | -0.014 | ▼ risk |
| Medicare Day Pct | 0.354 | +0.005 | ▲ risk |
RCM Improvement Opportunity
Total (risk-adjusted): $6.0M
Current margin: 1.1%
Projected margin: 12.0%
Grade: B
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 | 0.213 | 0.600 | 38.8% | $2.5M | 65% | 18mo |
| Payer Mix Optimization | 0.580 | 0.699 | 11.9% | $1.8M | 50% | 24mo |
| Occupancy Improvement | 0.497 | 0.755 | 25.8% | $1.7M | 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 | 29.3 | [25.0, 75.0] | P52 | 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. |