ML Analysis — HENDRICK MEDICAL CENTER BROWNWOOD
CCN 450587 | 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.
58
/ 100 (C)
Financial Health18/25
RCM Upside5/25
Market Position15/20
Demand Defensibility11/15
Operational Efficiency9/15
Entry Multiple: 9.5x – 11.5x
Est. MOIC: 2.3x
Risk Factors:
Catalysts:
- Strong commercial payer base protects revenue
- Limited competition supports pricing power
Margin Prediction (Trained Ridge Model)
3.1%
R²=0.34 | n=4,907 | Grade B | Actual: 15.6%
Ridge regression trained on 4,907 HCRIS hospitals. 90% CI: [-25.2%, 31.4%]. P70 nationally.
| Driver | Value | Effect | Explanation | |
|---|---|---|---|---|
| Revenue/Bed | 2008850.719 | +0.0600 | Higher Revenue/Bed increases predicted margin | |
| Reimbursement Quality | 0.091 | +0.0319 | Higher Reimbursement Quality increases predicted m | |
| State Peer Margin | -0.006 | +0.0290 | Higher State Peer Margin increases predicted margi | |
| Net-to-Gross | 0.166 | -0.0227 | Lower Net-to-Gross decreases predicted margin | |
| Bed Count | 57.000 | +0.0143 | Higher Bed Count increases predicted margin |
Suburban Community Hospit
Archetype
47.0%
Distress Risk
$9.4M
RCM Opportunity
C
Opportunity Grade
23.8%
Projected Margin
Cluster: Suburban Community Hospital
Percentile within cluster: P12. 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%
TX distress rate: 42.8%
Model AUC: 0.629
| Factor | Value | Contribution | Direction |
|---|---|---|---|
| Net To Gross Ratio | 0.166 | -0.090 | ▼ risk |
| Medicaid Day Pct | 0.133 | +0.044 | ▲ risk |
| Revenue Per Bed | 2008850.719 | -0.025 | ▼ risk |
| Beds | 57.000 | -0.012 | ▼ risk |
| Occupancy Rate | 0.535 | -0.009 | ▼ risk |
| Medicare Day Pct | 0.323 | -0.001 | ▼ risk |
RCM Improvement Opportunity
Total (risk-adjusted): $9.4M
Current margin: 15.6%
Projected margin: 23.8%
Grade: C
Comps: 225
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 | 0.166 | 0.510 | 34.3% | $4.6M | 65% | 18mo |
| Payer Mix Optimization | 0.544 | 0.776 | 23.2% | $3.5M | 50% | 24mo |
| Occupancy Improvement | 0.535 | 0.740 | 20.5% | $1.4M | 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 | 27.9 | [25.0, 75.0] | P43 | 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. |