ML Analysis — BIG SOUTH FORK MEDICAL CENTER
CCN 441323 | 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.
49
/ 100 (C)
Financial Health15/25
RCM Upside7/25
Market Position15/20
Demand Defensibility6/15
Operational Efficiency7/15
Entry Multiple: 8.0x – 10.0x
Est. MOIC: 1.9x
Risk Factors:
- Small facility (<50 beds) — limited scale
- Low occupancy (<30%) — demand risk
Catalysts:
- Strong commercial payer base protects revenue
- Limited competition supports pricing power
Margin Prediction (Trained Ridge Model)
-10.7%
R²=0.34 | n=4,907 | Grade B | Actual: 11.2%
Ridge regression trained on 4,907 HCRIS hospitals. 90% CI: [-39.0%, 17.6%]. P36 nationally.
| Driver | Value | Effect | Explanation | |
|---|---|---|---|---|
| Revenue/Bed | 536663.160 | -0.1455 | Lower Revenue/Bed decreases predicted margin | |
| Expense/Bed | 476458.960 | +0.1455 | Higher Expense/Bed increases predicted margin | |
| State Peer Margin | -0.006 | +0.0291 | Higher State Peer Margin increases predicted margi | |
| Bed Utilization Value | 55283.657 | -0.0271 | Lower Bed Utilization Value decreases predicted ma | |
| Log(Beds) | 3.219 | -0.0268 | Lower Log(Beds) decreases predicted margin |
Suburban Community Hospit
Archetype
60.9%
Distress Risk
$7.8M
RCM Opportunity
A
Opportunity Grade
69.2%
Projected Margin
Cluster: Suburban Community Hospital
Percentile within cluster: P87. 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%
TN distress rate: 43.2%
Model AUC: 0.629
| Factor | Value | Contribution | Direction |
|---|---|---|---|
| Occupancy Rate | 0.103 | +0.392 | ▲ risk |
| Medicaid Day Pct | 0.163 | +0.074 | ▲ risk |
| Revenue Per Bed | 536663.160 | +0.062 | ▲ risk |
| Net To Gross Ratio | 0.258 | -0.049 | ▼ risk |
| Beds | 25.000 | -0.017 | ▼ risk |
| Medicare Day Pct | 0.366 | +0.007 | ▲ risk |
RCM Improvement Opportunity
Total (risk-adjusted): $7.8M
Current margin: 11.2%
Projected margin: 69.2%
Grade: A
Comps: 55
Gap analysis vs P75 peers with 60% closure assumption. Confidence-weighted by lever implementation difficulty.
| Lever | Current | Benchmark | Gap | Impact | Confidence | Timeline |
|---|---|---|---|---|---|---|
| Occupancy Improvement | 0.103 | 0.703 | 60.0% | $4.0M | 55% | 24mo |
| Payer Mix Optimization | 0.471 | 0.704 | 23.3% | $3.5M | 50% | 24mo |
| Net-to-Gross Ratio Improvement | 0.258 | 0.469 | 21.1% | $332K | 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 | 32.3 | [25.0, 75.0] | P71 | 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. |