ML Analysis — FLAMBEAU HOSPITAL MCHS
CCN 521325 | 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.
51
/ 100 (C)
Financial Health8/25
RCM Upside14/25
Market Position15/20
Demand Defensibility7/15
Operational Efficiency7/15
Entry Multiple: 8.0x – 10.0x
Est. MOIC: 1.9x
Risk Factors:
- Small facility (<50 beds) — limited scale
- Low occupancy (<30%) — demand risk
Catalysts:
- Strong commercial payer base protects revenue
- Limited competition supports pricing power
Margin Prediction (Trained Ridge Model)
-5.5%
R²=0.34 | n=4,907 | Grade B | Actual: 1.2%
Ridge regression trained on 4,907 HCRIS hospitals. 90% CI: [-33.8%, 22.8%]. P48 nationally.
| Driver | Value | Effect | Explanation | |
|---|---|---|---|---|
| State Peer Margin | 0.004 | +0.0371 | Higher State Peer Margin increases predicted margi | |
| Log(Beds) | 3.178 | -0.0278 | Lower Log(Beds) decreases predicted margin | |
| Bed Count | 24.000 | +0.0195 | Higher Bed Count increases predicted margin | |
| Occupancy | 0.223 | -0.0172 | Lower Occupancy decreases predicted margin | |
| Bed Utilization Value | 362593.391 | -0.0169 | Lower Bed Utilization Value decreases predicted ma |
Rural/Critical Access
Archetype
55.7%
Distress Risk
$3.6M
RCM Opportunity
C
Opportunity Grade
10.4%
Projected Margin
Cluster: Rural/Critical Access
Percentile within cluster: P46. Rural/small hospitals face structural headwinds. Evaluate CAH conversion, telehealth, and rural health funding.
Nearest Peers
| Hospital | State | Beds |
|---|---|---|
| BRECKINRIDGE HEALTH INC | KY | 25 |
| SHERIDAN MEMORIAL HOSPITAL | MT | 19 |
| DAYTON GENERAL HOSPITAL | WA | 25 |
| BLUE MOUNTAIN HOSPITAL DISTRICT | OR | 16 |
| COMMUNITY HOSPITAL | WY | 25 |
| CARLE EUREKA HOSPITAL | IL | 25 |
Distress Analysis
Risk: High
National distress rate: 49.3%
WI distress rate: 34.5%
Model AUC: 0.629
| Factor | Value | Contribution | Direction |
|---|---|---|---|
| Occupancy Rate | 0.223 | +0.281 | ▲ risk |
| Medicaid Day Pct | 0.008 | -0.081 | ▼ risk |
| Net To Gross Ratio | 0.491 | +0.054 | ▲ risk |
| Medicare Day Pct | 0.463 | +0.023 | ▲ risk |
| Beds | 24.000 | -0.017 | ▼ risk |
| Revenue Per Bed | 1626378.958 | -0.003 | ▼ risk |
RCM Improvement Opportunity
Total (risk-adjusted): $3.6M
Current margin: 1.2%
Projected margin: 10.4%
Grade: C
Comps: 85
Gap analysis vs P75 peers with 60% closure assumption. Confidence-weighted by lever implementation difficulty.
| Lever | Current | Benchmark | Gap | Impact | Confidence | Timeline |
|---|---|---|---|---|---|---|
| Occupancy Improvement | 0.223 | 0.498 | 27.5% | $1.8M | 55% | 24mo |
| Payer Mix Optimization | 0.529 | 0.636 | 10.7% | $1.6M | 50% | 24mo |
| Net-to-Gross Ratio Improvement | 0.491 | 0.527 | 3.6% | $165K | 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 | 29.6 | [25.0, 75.0] | P55 | 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. |