ML Analysis — THE HOSPITALS OF PROVIDENCE SIERRA C
CCN 450668 | 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.
48
/ 100 (C)
Financial Health15/25
RCM Upside10/25
Market Position9/20
Demand Defensibility11/15
Operational Efficiency3/15
Entry Multiple: 8.0x – 10.0x
Est. MOIC: 1.9x
Risk Factors:
Catalysts:
- Strong commercial payer base protects revenue
- Volume growth opportunity from low occupancy
Margin Prediction (Trained Ridge Model)
-3.3%
R²=0.34 | n=4,907 | Grade B | Actual: 7.5%
Ridge regression trained on 4,907 HCRIS hospitals. 90% CI: [-31.6%, 25.0%]. P54 nationally.
| Driver | Value | Effect | Explanation | |
|---|---|---|---|---|
| Expense/Bed | 819805.982 | +0.1032 | Higher Expense/Bed increases predicted margin | |
| Revenue/Bed | 886189.684 | -0.0968 | Lower Revenue/Bed decreases predicted margin | |
| Reimbursement Quality | 0.071 | +0.0376 | Higher Reimbursement Quality increases predicted m | |
| Net-to-Gross | 0.092 | -0.0310 | Lower Net-to-Gross decreases predicted margin | |
| Log(Beds) | 5.642 | +0.0294 | Higher Log(Beds) increases predicted margin |
Suburban Community Hospit
Archetype
49.0%
Distress Risk
$7.8M
RCM Opportunity
D
Opportunity Grade
10.6%
Projected Margin
Cluster: Suburban Community Hospital
Percentile within cluster: P67. 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 |
|---|---|---|---|
| Occupancy Rate | 0.385 | +0.130 | ▲ risk |
| Net To Gross Ratio | 0.092 | -0.123 | ▼ risk |
| Medicaid Day Pct | 0.030 | -0.059 | ▼ risk |
| Revenue Per Bed | 886189.684 | +0.041 | ▲ risk |
| Medicare Day Pct | 0.203 | -0.021 | ▼ risk |
| Beds | 282.000 | +0.018 | ▲ risk |
RCM Improvement Opportunity
Total (risk-adjusted): $7.8M
Current margin: 7.5%
Projected margin: 10.6%
Grade: D
Comps: 133
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 | 0.092 | 0.252 | 16.0% | $4.7M | 65% | 18mo |
| Occupancy Improvement | 0.385 | 0.756 | 37.1% | $2.4M | 55% | 24mo |
| Payer Mix Optimization | 0.767 | 0.811 | 4.5% | $667K | 50% | 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 | 25.0 | [25.0, 75.0] | P0 | 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. |