ML Analysis — AMEND #1 LAKEVIEW HOSPITAL
CCN 460042 | 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.
55
/ 100 (C)
Financial Health19/25
RCM Upside5/25
Market Position19/20
Demand Defensibility6/15
Operational Efficiency7/15
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)
7.9%
R²=0.34 | n=4,907 | Grade B | Actual: 33.2%
Ridge regression trained on 4,907 HCRIS hospitals. 90% CI: [-20.4%, 36.2%]. P79 nationally.
| Driver | Value | Effect | Explanation | |
|---|---|---|---|---|
| Expense/Bed | 886253.774 | +0.0950 | Higher Expense/Bed increases predicted margin | |
| State Peer Margin | 0.080 | +0.0933 | Higher State Peer Margin increases predicted margi | |
| Revenue/Bed | 1327214.929 | -0.0352 | Lower Revenue/Bed decreases predicted margin | |
| Net-to-Gross | 0.202 | -0.0187 | Lower Net-to-Gross decreases predicted margin | |
| Reimbursement Quality | 0.146 | +0.0159 | Higher Reimbursement Quality increases predicted m |
Suburban Community Hospit
Archetype
49.9%
Distress Risk
$6.4M
RCM Opportunity
D
Opportunity Grade
39.0%
Projected Margin
Cluster: Suburban Community Hospital
Percentile within cluster: P77. 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%
UT distress rate: 25.0%
Model AUC: 0.629
| Factor | Value | Contribution | Direction |
|---|---|---|---|
| Occupancy Rate | 0.395 | +0.120 | ▲ risk |
| Net To Gross Ratio | 0.202 | -0.074 | ▼ risk |
| Medicare Day Pct | 0.192 | -0.023 | ▼ risk |
| Revenue Per Bed | 1327214.929 | +0.015 | ▲ risk |
| Beds | 84.000 | -0.009 | ▼ risk |
| Medicaid Day Pct | 0.083 | -0.006 | ▼ risk |
RCM Improvement Opportunity
Total (risk-adjusted): $6.4M
Current margin: 33.2%
Projected margin: 39.0%
Grade: D
Comps: 14
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 | 0.202 | 0.452 | 25.1% | $3.3M | 65% | 18mo |
| Payer Mix Optimization | 0.725 | 0.861 | 13.5% | $2.0M | 50% | 24mo |
| Occupancy Improvement | 0.395 | 0.567 | 17.1% | $1.1M | 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 | 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. |