ML Analysis — ST. MARYS JANESVILLE HOSPITAL
CCN 520208 | 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.
52
/ 100 (C)
Financial Health17/25
RCM Upside5/25
Market Position13/20
Demand Defensibility9/15
Operational Efficiency9/15
Entry Multiple: 8.0x – 10.0x
Est. MOIC: 1.9x
Risk Factors:
Catalysts:
- Strong commercial payer base protects revenue
- Limited competition supports pricing power
Margin Prediction (Trained Ridge Model)
6.4%
R²=0.34 | n=4,907 | Grade B | Actual: 25.4%
Ridge regression trained on 4,907 HCRIS hospitals. 90% CI: [-21.9%, 34.7%]. P76 nationally.
| Driver | Value | Effect | Explanation | |
|---|---|---|---|---|
| Revenue/Bed | 1928484.180 | +0.0487 | Higher Revenue/Bed increases predicted margin | |
| State Peer Margin | 0.004 | +0.0371 | Higher State Peer Margin increases predicted margi | |
| Expense/Bed | 1438842.380 | +0.0269 | Higher Expense/Bed increases predicted margin | |
| Bed Count | 50.000 | +0.0154 | Higher Bed Count increases predicted margin | |
| Reimbursement Quality | 0.164 | +0.0108 | Higher Reimbursement Quality increases predicted m |
Suburban Community Hospit
Archetype
47.8%
Distress Risk
$4.2M
RCM Opportunity
D
Opportunity Grade
29.8%
Projected Margin
Cluster: Suburban Community Hospital
Percentile within cluster: P34. 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%
WI distress rate: 34.5%
Model AUC: 0.629
| Factor | Value | Contribution | Direction |
|---|---|---|---|
| Medicaid Day Pct | 0.060 | -0.029 | ▼ risk |
| Net To Gross Ratio | 0.320 | -0.022 | ▼ risk |
| Revenue Per Bed | 1928484.180 | -0.021 | ▼ risk |
| Medicare Day Pct | 0.428 | +0.017 | ▲ risk |
| Beds | 50.000 | -0.013 | ▼ risk |
| Occupancy Rate | 0.518 | +0.007 | ▲ risk |
RCM Improvement Opportunity
Total (risk-adjusted): $4.2M
Current margin: 25.4%
Projected margin: 29.8%
Grade: D
Comps: 86
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 | 0.320 | 0.512 | 19.1% | $2.2M | 65% | 18mo |
| Payer Mix Optimization | 0.512 | 0.649 | 13.7% | $2.1M | 50% | 24mo |
| Occupancy Improvement | 0.518 | 0.521 | 0.3% | $21K | 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 | 25.7 | [25.0, 75.0] | P32 | 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. |