ML Analysis — SMYTH COUNTY COMMUNITY HOSPITAL
CCN 490038 | 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.
56
/ 100 (C)
Financial Health9/25
RCM Upside18/25
Market Position17/20
Demand Defensibility8/15
Operational Efficiency4/15
Entry Multiple: 9.5x – 11.5x
Est. MOIC: 2.3x
Risk Factors:
- Negative operating margin
- Small facility (<50 beds) — limited scale
Catalysts:
- Strong commercial payer base protects revenue
- Limited competition supports pricing power
Margin Prediction (Trained Ridge Model)
0.2%
R²=0.34 | n=4,907 | Grade B | Actual: -4.4%
Ridge regression trained on 4,907 HCRIS hospitals. 90% CI: [-28.1%, 28.5%]. P63 nationally.
| Driver | Value | Effect | Explanation | |
|---|---|---|---|---|
| Revenue/Bed | 2287644.800 | +0.0989 | Higher Revenue/Bed increases predicted margin | |
| Expense/Bed | 2388569.150 | -0.0901 | Higher Expense/Bed decreases predicted margin | |
| State Peer Margin | 0.044 | +0.0666 | Higher State Peer Margin increases predicted margi | |
| Log(Beds) | 2.996 | -0.0320 | Lower Log(Beds) decreases predicted margin | |
| Bed Count | 20.000 | +0.0201 | Higher Bed Count increases predicted margin |
Turnaround: 50%Turnaround possible (50%) but uncertain. Margin improvement depends on Revenue/Bed.
Suburban Community Hospit
Archetype
47.4%
Distress Risk
$3.2M
RCM Opportunity
C
Opportunity Grade
2.6%
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%
VA distress rate: 29.6%
Model AUC: 0.629
| Factor | Value | Contribution | Direction |
|---|---|---|---|
| Occupancy Rate | 0.401 | +0.115 | ▲ risk |
| Medicaid Day Pct | 0.015 | -0.073 | ▼ risk |
| Net To Gross Ratio | 0.220 | -0.066 | ▼ risk |
| Revenue Per Bed | 2287644.800 | -0.042 | ▼ risk |
| Beds | 20.000 | -0.017 | ▼ risk |
| Medicare Day Pct | 0.368 | +0.007 | ▲ risk |
RCM Improvement Opportunity
Total (risk-adjusted): $3.2M
Current margin: -4.4%
Projected margin: 2.6%
Grade: C
Comps: 20
Gap analysis vs P75 peers with 60% closure assumption. Confidence-weighted by lever implementation difficulty.
| Lever | Current | Benchmark | Gap | Impact | Confidence | Timeline |
|---|---|---|---|---|---|---|
| Occupancy Improvement | 0.401 | 0.682 | 28.1% | $1.9M | 55% | 24mo |
| Net-to-Gross Ratio Improvement | 0.220 | 0.476 | 25.5% | $1.4M | 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 | 32.3 | [25.0, 75.0] | P71 | 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. |