ML Analysis — COVENANT HOSPITAL LEVELLAND
CCN 450755 | 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.
45
/ 100 (D)
Financial Health4/25
RCM Upside18/25
Market Position15/20
Demand Defensibility2/15
Operational Efficiency6/15
Entry Multiple: 8.0x – 10.0x
Est. MOIC: 1.9x
Risk Factors:
- Negative operating margin
- Small facility (<50 beds) — limited scale
- Low occupancy (<30%) — demand risk
- Expenses exceed revenue
Catalysts:
- Strong commercial payer base protects revenue
- Limited competition supports pricing power
Margin Prediction (Trained Ridge Model)
-17.6%
R²=0.34 | n=4,907 | Grade B | Actual: -46.2%
Ridge regression trained on 4,907 HCRIS hospitals. 90% CI: [-45.9%, 10.7%]. P24 nationally.
| Driver | Value | Effect | Explanation | |
|---|---|---|---|---|
| Revenue/Bed | 1076641.571 | -0.0702 | Lower Revenue/Bed decreases predicted margin | |
| Reimbursement Quality | 0.318 | -0.0334 | Higher Reimbursement Quality decreases predicted m | |
| Log(Beds) | 3.045 | -0.0309 | Lower Log(Beds) decreases predicted margin | |
| State Peer Margin | -0.006 | +0.0290 | Higher State Peer Margin increases predicted margi | |
| Bed Utilization Value | 152822.704 | -0.0239 | Lower Bed Utilization Value decreases predicted ma |
Turnaround: 22%Low turnaround probability (22%). Structural disadvantages in Revenue/Bed and Reimbursement Quality.
Under-Performing / Distre
Archetype
57.7%
Distress Risk
$2.9M
RCM Opportunity
B
Opportunity Grade
-33.4%
Projected Margin
Cluster: Under-Performing / Distressed
Percentile within cluster: P52. Deeply negative margins signal severe distress. Evaluate asset-level acquisition at 4-6x normalized EBITDA.
Nearest Peers
| Hospital | State | Beds |
|---|---|---|
| HOLY FAMILY MEMORIAL INC | WI | 58 |
| MIDDLESBORO ARH | KY | 46 |
| ATRIUM HEALTH NAVICENT BALDWIN | GA | 86 |
| BON SECOURS COMMUNITY HOSPITAL | NY | 98 |
| ADVANCED SPECIALTY HOSP. OF TOLEDO | OH | 40 |
| COMMUNITY HEALTH CENTER BRANCH | MI | 75 |
Distress Analysis
Risk: High
National distress rate: 49.3%
TX distress rate: 42.8%
Model AUC: 0.629
| Factor | Value | Contribution | Direction |
|---|---|---|---|
| Occupancy Rate | 0.142 | +0.356 | ▲ risk |
| Revenue Per Bed | 1076641.571 | +0.030 | ▲ risk |
| Medicaid Day Pct | 0.061 | -0.028 | ▼ risk |
| Medicare Day Pct | 0.184 | -0.025 | ▼ risk |
| Net To Gross Ratio | 0.420 | +0.023 | ▲ risk |
| Beds | 21.000 | -0.017 | ▼ risk |
RCM Improvement Opportunity
Total (risk-adjusted): $2.9M
Current margin: -46.2%
Projected margin: -33.4%
Grade: B
Comps: 228
Gap analysis vs P75 peers with 60% closure assumption. Confidence-weighted by lever implementation difficulty.
| Lever | Current | Benchmark | Gap | Impact | Confidence | Timeline |
|---|---|---|---|---|---|---|
| Occupancy Improvement | 0.142 | 0.531 | 38.9% | $2.6M | 55% | 24mo |
| Net-to-Gross Ratio Improvement | 0.420 | 0.540 | 12.0% | $318K | 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 | 34.8 | [25.0, 75.0] | P79 | Average — predicted days in ar is near the median. |
| Clean Claim Rate | 98.0% | [80.0%, 98.0%] | P0 | Strong — predicted clean claim rate is in the top third. |
| Net Collection Rate | 99.0% | [90.0%, 99.5%] | P4 | Strong — predicted net collection rate is in the top third. |