ML Analysis — WEST TENNESSEE HEALTHCARE REHABILITA
CCN 443036 | 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.
43
/ 100 (D)
Financial Health15/25
RCM Upside5/25
Market Position8/20
Demand Defensibility6/15
Operational Efficiency9/15
Entry Multiple: 8.0x – 10.0x
Est. MOIC: 1.9x
Risk Factors:
- Heavy Medicare dependence (>55%)
- Small facility (<50 beds) — limited scale
Catalysts:
- Limited competition supports pricing power
Margin Prediction (Trained Ridge Model)
1.4%
R²=0.34 | n=4,907 | Grade B | Actual: 15.4%
Ridge regression trained on 4,907 HCRIS hospitals. 90% CI: [-26.9%, 29.7%]. P66 nationally.
| Driver | Value | Effect | Explanation | |
|---|---|---|---|---|
| Revenue/Bed | 414430.583 | -0.1626 | Lower Revenue/Bed decreases predicted margin | |
| Expense/Bed | 350767.188 | +0.1609 | Higher Expense/Bed increases predicted margin | |
| State Peer Margin | -0.006 | +0.0291 | Higher State Peer Margin increases predicted margi | |
| Net-to-Gross | 0.569 | +0.0224 | Higher Net-to-Gross increases predicted margin | |
| Occupancy × Net-to-Gross | 0.480 | +0.0219 | Higher Occupancy × Net-to-Gross increases predicte |
nan%
Distress Risk
$4.7M
RCM Opportunity
A
Opportunity Grade
39.0%
Projected Margin
Distress Analysis
Risk: Unknown
National distress rate: 49.3%
TN distress rate: 43.2%
Model AUC: 0.629
| Factor | Value | Contribution | Direction |
|---|---|---|---|
| Occupancy Rate | 0.843 | -0.295 | ▼ risk |
| Medicare Day Pct | 0.611 | +0.049 | ▲ risk |
| Medicaid Day Pct | nan | +nan | ▼ risk |
| Net To Gross Ratio | 0.569 | +0.089 | ▲ risk |
| Revenue Per Bed | 414430.583 | +0.069 | ▲ risk |
| Beds | 48.000 | -0.013 | ▼ risk |
RCM Improvement Opportunity
Total (risk-adjusted): $4.7M
Current margin: 15.4%
Projected margin: 39.0%
Grade: A
Comps: 73
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 | 0.389 | 0.703 | 31.3% | $4.7M | 50% | 24mo |
Predicted RCM Performance (Public Data Only)
B
RCM Grade
Average RCM profile — some improvement opportunities. Standard diligence scope recommended.
| Metric | Predicted | 90% CI | Percentile | Assessment |
|---|---|---|---|---|
| Denial Rate | 25.0% | [2.0%, 25.0%] | P83 | Below average — denial rate suggests RCM improvement opportu |
| Days in AR | 75.0 | [25.0, 75.0] | P83 | Below average — days in ar suggests RCM improvement opportun |
| 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. |