ML Analysis — PRESBYTERIAN HOSPITAL OF ROCKWALL
CCN 670044 | 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.
64
/ 100 (B)
Financial Health17/25
RCM Upside11/25
Market Position15/20
Demand Defensibility11/15
Operational Efficiency9/15
Entry Multiple: 9.5x – 11.5x
Est. MOIC: 2.3x
Risk Factors:
Catalysts:
- Strong commercial payer base protects revenue
- Limited competition supports pricing power
Margin Prediction (Trained Ridge Model)
5.1%
R²=0.34 | n=4,907 | Grade B | Actual: 5.8%
Ridge regression trained on 4,907 HCRIS hospitals. 90% CI: [-23.2%, 33.4%]. P74 nationally.
| Driver | Value | Effect | Explanation | |
|---|---|---|---|---|
| Revenue/Bed | 2531331.321 | +0.1329 | Higher Revenue/Bed increases predicted margin | |
| Expense/Bed | 2384566.755 | -0.0896 | Higher Expense/Bed decreases predicted margin | |
| State Peer Margin | -0.006 | +0.0290 | Higher State Peer Margin increases predicted margi | |
| Bed Utilization Value | 1567214.021 | +0.0230 | Higher Bed Utilization Value increases predicted m | |
| Bed Count | 53.000 | +0.0149 | Higher Bed Count increases predicted margin |
Suburban Community Hospit
Archetype
42.7%
Distress Risk
$5.8M
RCM Opportunity
D
Opportunity Grade
10.1%
Projected Margin
Cluster: Suburban Community Hospital
Percentile within cluster: P5. 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%
TX distress rate: 42.8%
Model AUC: 0.629
| Factor | Value | Contribution | Direction |
|---|---|---|---|
| Occupancy Rate | 0.619 | -0.087 | ▼ risk |
| Medicaid Day Pct | 0.011 | -0.078 | ▼ risk |
| Revenue Per Bed | 2531331.321 | -0.056 | ▼ risk |
| Net To Gross Ratio | 0.296 | -0.032 | ▼ risk |
| Beds | 53.000 | -0.013 | ▼ risk |
| Medicare Day Pct | 0.329 | +0.000 | ▲ risk |
RCM Improvement Opportunity
Total (risk-adjusted): $5.8M
Current margin: 5.8%
Projected margin: 10.1%
Grade: D
Comps: 226
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 | 0.296 | 0.510 | 21.4% | $3.4M | 65% | 18mo |
| Payer Mix Optimization | 0.660 | 0.771 | 11.1% | $1.7M | 50% | 24mo |
| Occupancy Improvement | 0.619 | 0.740 | 12.1% | $798K | 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 | 26.8 | [25.0, 75.0] | P38 | 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. |