ML Analysis — CAMPBELL COUNTY MEMORIAL HOSPITAL
CCN 530002 | 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 Health7/25
RCM Upside19/25
Market Position15/20
Demand Defensibility10/15
Operational Efficiency8/15
Entry Multiple: 9.5x – 11.5x
Est. MOIC: 2.3x
Risk Factors:
- Negative operating margin
- Expenses exceed revenue
Catalysts:
- Strong commercial payer base protects revenue
- Limited competition supports pricing power
Margin Prediction (Trained Ridge Model)
-13.6%
R²=0.34 | n=4,907 | Grade B | Actual: -22.8%
Ridge regression trained on 4,907 HCRIS hospitals. 90% CI: [-41.9%, 14.7%]. P30 nationally.
| Driver | Value | Effect | Explanation | |
|---|---|---|---|---|
| Expense/Bed | 3338490.121 | -0.2071 | Higher Expense/Bed decreases predicted margin | |
| Revenue/Bed | 2718237.879 | +0.1590 | Higher Revenue/Bed increases predicted margin | |
| State Peer Margin | -0.075 | -0.0218 | Lower State Peer Margin decreases predicted margin | |
| Bed Count | 66.000 | +0.0129 | Higher Bed Count increases predicted margin | |
| Net-to-Gross | 0.474 | +0.0118 | Higher Net-to-Gross increases predicted margin |
Turnaround: 28%Low turnaround probability (28%). Structural disadvantages in Expense/Bed and Revenue/Bed.
Under-Performing / Distre
Archetype
53.9%
Distress Risk
$6.1M
RCM Opportunity
D
Opportunity Grade
-19.4%
Projected Margin
Cluster: Under-Performing / Distressed
Percentile within cluster: P39. Deeply negative margins signal severe distress. Evaluate asset-level acquisition at 4-6x normalized EBITDA.
Nearest Peers
| Hospital | State | Beds |
|---|---|---|
| HOLY FAMILY MEMORIAL INC | WI | 58 |
| MIDDLESBORO ARH | KY | 46 |
| ATRIUM HEALTH NAVICENT BALDWIN | GA | 86 |
| BON SECOURS COMMUNITY HOSPITAL | NY | 98 |
| ADVANCED SPECIALTY HOSP. OF TOLEDO | OH | 40 |
| COMMUNITY HEALTH CENTER BRANCH | MI | 75 |
Distress Analysis
Risk: High
National distress rate: 49.3%
WY distress rate: 55.2%
Model AUC: 0.629
| Factor | Value | Contribution | Direction |
|---|---|---|---|
| Occupancy Rate | 0.372 | +0.142 | ▲ risk |
| Revenue Per Bed | 2718237.879 | -0.067 | ▼ risk |
| Medicaid Day Pct | 0.156 | +0.067 | ▲ risk |
| Net To Gross Ratio | 0.474 | +0.047 | ▲ risk |
| Beds | 66.000 | -0.011 | ▼ risk |
| Medicare Day Pct | 0.368 | +0.007 | ▲ risk |
RCM Improvement Opportunity
Total (risk-adjusted): $6.1M
Current margin: -22.8%
Projected margin: -19.4%
Grade: D
Comps: 2185
Gap analysis vs P75 peers with 60% closure assumption. Confidence-weighted by lever implementation difficulty.
| Lever | Current | Benchmark | Gap | Impact | Confidence | Timeline |
|---|---|---|---|---|---|---|
| Payer Mix Optimization | 0.477 | 0.726 | 24.9% | $3.7M | 50% | 24mo |
| Occupancy Improvement | 0.372 | 0.723 | 35.2% | $2.3M | 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 | 28.3 | [25.0, 75.0] | P45 | 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. |