ML Analysis — ST. JOSEPHS HOSPITAL OF BUCKHANNON
CCN 511321 | Clustering + Distress + RCM Opportunity
🛡️ Public data only — no PHI permitted on this instance.
Investability Score
Buy — solid fundamentals with identifiable value creation levers. Proceed to detailed diligence.
63
/ 100 (B)
Financial Health20/25
RCM Upside5/25
Market Position15/20
Demand Defensibility8/15
Operational Efficiency15/15
Entry Multiple: 9.5x – 11.5x
Est. MOIC: 2.3x
Risk Factors:
- Small facility (<50 beds) — limited scale
Catalysts:
- Strong commercial payer base protects revenue
- Limited competition supports pricing power
Margin Prediction (Trained Ridge Model)
11.7%
R²=0.34 | n=4,907 | Grade B | Actual: 15.7%
Ridge regression trained on 4,907 HCRIS hospitals. 90% CI: [-16.7%, 40.0%]. P84 nationally.
| Driver | Value | Effect | Explanation | |
|---|---|---|---|---|
| Revenue/Bed | 4057967.280 | +0.3460 | Higher Revenue/Bed increases predicted margin | |
| Expense/Bed | 3419962.400 | -0.2172 | Higher Expense/Bed decreases predicted margin | |
| Bed Utilization Value | 1912692.304 | +0.0345 | Higher Bed Utilization Value increases predicted m | |
| State Peer Margin | -0.003 | +0.0316 | Higher State Peer Margin increases predicted margi | |
| Reimbursement Quality | 0.298 | -0.0277 | Higher Reimbursement Quality decreases predicted m |
Suburban Community Hospit
Archetype
45.9%
Distress Risk
$1.8M
RCM Opportunity
D
Opportunity Grade
17.5%
Projected Margin
Cluster: Suburban Community Hospital
Percentile within cluster: P49. 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%
WV distress rate: 41.7%
Model AUC: 0.629
| Factor | Value | Contribution | Direction |
|---|---|---|---|
| Revenue Per Bed | 4057967.280 | -0.146 | ▼ risk |
| Medicaid Day Pct | 0.030 | -0.059 | ▼ risk |
| Occupancy Rate | 0.471 | +0.050 | ▲ risk |
| Net To Gross Ratio | 0.453 | +0.038 | ▲ risk |
| Beds | 25.000 | -0.017 | ▼ risk |
| Medicare Day Pct | 0.313 | -0.002 | ▼ risk |
RCM Improvement Opportunity
Total (risk-adjusted): $1.8M
Current margin: 15.7%
Projected margin: 17.5%
Grade: D
Comps: 30
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 | 0.453 | 0.547 | 9.4% | $1.1M | 65% | 18mo |
| Occupancy Improvement | 0.471 | 0.572 | 10.0% | $661K | 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 | 27.7 | [25.0, 75.0] | P42 | 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. |