{
  "deal_id": "390049",
  "sections": {
    "executive_summary": {
      "text": "Diligence analysis for ST. LUKES HOSPITAL (ID: 390049). Data completeness grade: D.",
      "fact_checks_passed": true
    },
    "rcm_performance": {
      "text": "RCM Performance for ST. LUKES HOSPITAL:",
      "fact_checks_passed": true
    },
    "ebitda_bridge": {
      "text": "EBITDA bridge computed.",
      "fact_checks_passed": true
    },
    "risk_flags": {
      "text": "Risk Flags:\n  - RiskFlag(category='DATA_QUALITY', severity=<RiskSeverity.CRITICAL: 'CRITICAL'>, explanation='Only 0% of required metrics are available (0/38). Core diligence conclusions need more data before they can be defended in IC.', trigger_metric='completeness.coverage_pct', trigger_value=0.0, title='Insufficient data for reliable analysis', detail='Only 0% of required metrics are available (0/38). Core diligence conclusions need more data before they can be defended in IC.', trigger_metrics=['completeness.coverage_pct'], ebitda_at_risk=None)",
      "fact_checks_passed": true
    },
    "diligence_questions": {
      "text": "Diligence Questions:\n  - Request 24 months of RCM scorecard data covering denial volumes, days in A/R, cash collections, and clean-claim rate. Include payer-split where available.\n  - Please provide Initial Denial Rate data for the last 36 months. This metric has the #1 highest impact on EBITDA valuation among RCM KPIs.\n  - Please provide Net Days in A/R data for the last 36 months. This metric has the #2 highest impact on EBITDA valuation among RCM KPIs.\n  - Please provide Final Denial Write-off % data for the last 36 months. This metric has the #3 highest impact on EBITDA valuation among RCM KPIs.\n  - Please provide Net Collection Rate (Cash as % of NPSR) data for the last 36 months. This metric has the #4 highest impact on EBITDA valuation among RCM KPIs.\n  - Please provide Cost to Collect (% of NPSR) data for the last 36 months. This metric has the #5 highest impact on EBITDA valuation among RCM KPIs.\n  - What is the current CDI program structure and staffing?\n  - What EHR and billing system(s) are in use? Are there planned technology transitions?\n  - Are there any pending payer contract renegotiations or change-of-control provisions that could affect post-acquisition revenue?\n  - Provide the charge description master (CDM) for review.\n  - What is the IT contract portfolio (managed services, outsourced coding, clearinghouse agreements)?",
      "fact_checks_passed": true
    }
  },
  "fact_check_warnings": [],
  "llm_used": false,
  "cost_usd": 0.0
}