ML Analysis — CHILDRESS REGIONAL MEDICAL CENTER
CCN 450369 | 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 Health12/25
RCM Upside10/25
Market Position15/20
Demand Defensibility6/15
Operational Efficiency9/15
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)
-7.8%
R²=0.34 | n=4,907 | Grade B | Actual: 5.1%
Ridge regression trained on 4,907 HCRIS hospitals. 90% CI: [-36.1%, 20.5%]. P42 nationally.
| Driver | Value | Effect | Explanation | |
|---|---|---|---|---|
| Expense/Bed | 969096.838 | +0.0848 | Higher Expense/Bed increases predicted margin | |
| Revenue/Bed | 1021019.946 | -0.0779 | Lower Revenue/Bed decreases predicted margin | |
| State Peer Margin | -0.006 | +0.0290 | Higher State Peer Margin increases predicted margi | |
| Bed Utilization Value | 167460.880 | -0.0234 | Lower Bed Utilization Value decreases predicted ma | |
| Occupancy | 0.164 | -0.0205 | Lower Occupancy decreases predicted margin |
Rural/Critical Access
Archetype
57.6%
Distress Risk
$5.7M
RCM Opportunity
A
Opportunity Grade
20.2%
Projected Margin
Cluster: Rural/Critical Access
Percentile within cluster: P75. Rural/small hospitals face structural headwinds. Evaluate CAH conversion, telehealth, and rural health funding.
Nearest Peers
| Hospital | State | Beds |
|---|---|---|
| BRECKINRIDGE HEALTH INC | KY | 25 |
| SHERIDAN MEMORIAL HOSPITAL | MT | 19 |
| DAYTON GENERAL HOSPITAL | WA | 25 |
| BLUE MOUNTAIN HOSPITAL DISTRICT | OR | 16 |
| COMMUNITY HOSPITAL | WY | 25 |
| CARLE EUREKA HOSPITAL | IL | 25 |
Distress Analysis
Risk: High
National distress rate: 49.3%
TX distress rate: 42.8%
Model AUC: 0.629
| Factor | Value | Contribution | Direction |
|---|---|---|---|
| Occupancy Rate | 0.164 | +0.335 | ▲ risk |
| Medicaid Day Pct | 0.018 | -0.071 | ▼ risk |
| Net To Gross Ratio | 0.458 | +0.040 | ▲ risk |
| Revenue Per Bed | 1021019.946 | +0.033 | ▲ risk |
| Beds | 37.000 | -0.015 | ▼ risk |
| Medicare Day Pct | 0.398 | +0.012 | ▲ risk |
RCM Improvement Opportunity
Total (risk-adjusted): $5.7M
Current margin: 5.1%
Projected margin: 20.2%
Grade: A
Comps: 278
Gap analysis vs P75 peers with 60% closure assumption. Confidence-weighted by lever implementation difficulty.
| Lever | Current | Benchmark | Gap | Impact | Confidence | Timeline |
|---|---|---|---|---|---|---|
| Occupancy Improvement | 0.164 | 0.667 | 50.3% | $3.3M | 55% | 24mo |
| Payer Mix Optimization | 0.584 | 0.732 | 14.8% | $2.2M | 50% | 24mo |
| Net-to-Gross Ratio Improvement | 0.458 | 0.499 | 4.1% | $181K | 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 | 28.8 | [25.0, 75.0] | P49 | 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. |