ML Analysis — ROUND ROCK HOSPITAL
CCN 670034 | 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.
68
/ 100 (B)
Financial Health22/25
RCM Upside10/25
Market Position11/20
Demand Defensibility13/15
Operational Efficiency11/15
Entry Multiple: 9.5x – 11.5x
Est. MOIC: 2.3x
Risk Factors:
Catalysts:
- Strong commercial payer base protects revenue
Margin Prediction (Trained Ridge Model)
16.8%
R²=0.34 | n=4,907 | Grade B | Actual: 8.6%
Ridge regression trained on 4,907 HCRIS hospitals. 90% CI: [-11.5%, 45.1%]. P90 nationally.
| Driver | Value | Effect | Explanation | |
|---|---|---|---|---|
| Revenue/Bed | 4129818.636 | +0.3560 | Higher Revenue/Bed increases predicted margin | |
| Expense/Bed | 3772568.515 | -0.2606 | Higher Expense/Bed decreases predicted margin | |
| Bed Utilization Value | 2980258.161 | +0.0699 | Higher Bed Utilization Value increases predicted m | |
| State Peer Margin | -0.006 | +0.0290 | Higher State Peer Margin increases predicted margi | |
| Log(Beds) | 5.106 | +0.0170 | Higher Log(Beds) increases predicted margin |
Suburban Community Hospit
Archetype
38.0%
Distress Risk
$5.6M
RCM Opportunity
D
Opportunity Grade
9.5%
Projected Margin
Cluster: Suburban Community Hospital
Percentile within cluster: P73. Community hospitals — the largest PE deal category. Focus on RCM improvement and cost optimization at 9-11x.
Nearest Peers
| Hospital | State | Beds |
|---|---|---|
| CLARA MAASS MEDICAL CENTER | NJ | 259 |
| PRESENCE SAINTS MARY & ELIZABETH MED | IL | 266 |
| ADVENTIST HEALTH BAKERSFIELD | CA | 254 |
| BRISTOL REGIONAL MEDICAL CENTER | TN | 244 |
| HOLSTON VALLEY HOSP & MED CTR | TN | 286 |
| SPRINGFIELD REGIONAL MEDICAL CENTER | OH | 230 |
Distress Analysis
Risk: Elevated
National distress rate: 49.3%
TX distress rate: 42.8%
Model AUC: 0.629
| Factor | Value | Contribution | Direction |
|---|---|---|---|
| Occupancy Rate | 0.722 | -0.182 | ▼ risk |
| Revenue Per Bed | 4129818.636 | -0.151 | ▼ risk |
| Medicaid Day Pct | 0.002 | -0.087 | ▼ risk |
| Net To Gross Ratio | 0.270 | -0.044 | ▼ risk |
| Beds | 165.000 | +0.002 | ▲ risk |
| Medicare Day Pct | 0.329 | +0.000 | ▲ risk |
RCM Improvement Opportunity
Total (risk-adjusted): $5.6M
Current margin: 8.6%
Projected margin: 9.5%
Grade: D
Comps: 157
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 | 0.270 | 0.309 | 3.9% | $3.1M | 65% | 18mo |
| Payer Mix Optimization | 0.669 | 0.827 | 15.9% | $2.4M | 50% | 24mo |
| Occupancy Improvement | 0.722 | 0.737 | 1.6% | $103K | 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 | 25.0 | [25.0, 75.0] | P0 | 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. |