ML Analysis — UNITED GENERAL MEDICAL CENTER
CCN 501329 | 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.
59
/ 100 (C)
Financial Health5/25
RCM Upside19/25
Market Position15/20
Demand Defensibility10/15
Operational Efficiency10/15
Entry Multiple: 9.5x – 11.5x
Est. MOIC: 2.3x
Risk Factors:
- Negative operating margin
- Small facility (<50 beds) — limited scale
- Expenses exceed revenue
Catalysts:
- Strong commercial payer base protects revenue
- Limited competition supports pricing power
Margin Prediction (Trained Ridge Model)
-2.3%
R²=0.34 | n=4,907 | Grade B | Actual: -5.1%
Ridge regression trained on 4,907 HCRIS hospitals. 90% CI: [-30.6%, 26.0%]. P56 nationally.
| Driver | Value | Effect | Explanation | |
|---|---|---|---|---|
| Revenue/Bed | 3311766.080 | +0.2418 | Higher Revenue/Bed increases predicted margin | |
| Expense/Bed | 3479366.400 | -0.2245 | Higher Expense/Bed decreases predicted margin | |
| Bed Utilization Value | 2444355.567 | +0.0521 | Higher Bed Utilization Value increases predicted m | |
| State Peer Margin | -0.103 | -0.0426 | Lower State Peer Margin decreases predicted margin | |
| Log(Beds) | 3.219 | -0.0268 | Lower Log(Beds) decreases predicted margin |
Turnaround: 46%Turnaround possible (46%) but uncertain. Margin improvement depends on Revenue/Bed.
Suburban Community Hospit
Archetype
40.2%
Distress Risk
$2.2M
RCM Opportunity
D
Opportunity Grade
-2.4%
Projected Margin
Cluster: Suburban Community Hospital
Percentile within cluster: P57. 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%
WA distress rate: 67.3%
Model AUC: 0.629
| Factor | Value | Contribution | Direction |
|---|---|---|---|
| Occupancy Rate | 0.738 | -0.198 | ▼ risk |
| Revenue Per Bed | 3311766.080 | -0.102 | ▼ risk |
| Medicaid Day Pct | 0.023 | -0.066 | ▼ risk |
| Beds | 25.000 | -0.017 | ▼ risk |
| Net To Gross Ratio | 0.388 | +0.009 | ▲ risk |
| Medicare Day Pct | 0.344 | +0.003 | ▲ risk |
RCM Improvement Opportunity
Total (risk-adjusted): $2.2M
Current margin: -5.1%
Projected margin: -2.4%
Grade: D
Comps: 42
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 | 0.388 | 0.613 | 22.5% | $2.2M | 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 | 28.8 | [25.0, 75.0] | P49 | 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. |