ML Analysis — THE CORE INSTITUTE SPECIALTY HOSPITA
CCN 030108 | Clustering + Distress + RCM Opportunity
🛡️ Public data only — no PHI permitted on this instance.
Investability Score
Speculative — only pursue if turnaround thesis is strong and entry multiple reflects risk.
39
/ 100 (D)
Financial Health13/25
RCM Upside9/25
Market Position2/20
Demand Defensibility6/15
Operational Efficiency9/15
Entry Multiple: 6.0x – 8.5x
Est. MOIC: 1.5x
Risk Factors:
- Small facility (<50 beds) — limited scale
- Low occupancy (<30%) — demand risk
Catalysts:
Margin Prediction (Trained Ridge Model)
-0.8%
R²=0.34 | n=4,907 | Grade B | Actual: 9.2%
Ridge regression trained on 4,907 HCRIS hospitals. 90% CI: [-29.1%, 27.5%]. P60 nationally.
| Driver | Value | Effect | Explanation | |
|---|---|---|---|---|
| Revenue/Bed | 3257465.571 | +0.2343 | Higher Revenue/Bed increases predicted margin | |
| Expense/Bed | 2959227.357 | -0.1604 | Higher Expense/Bed decreases predicted margin | |
| State Peer Margin | -0.008 | +0.0279 | Higher State Peer Margin increases predicted margi | |
| Occupancy | 0.081 | -0.0252 | Lower Occupancy decreases predicted margin | |
| Log(Beds) | 3.332 | -0.0242 | Lower Log(Beds) decreases predicted margin |
nan%
Distress Risk
$7.4M
RCM Opportunity
C
Opportunity Grade
17.3%
Projected Margin
Distress Analysis
Risk: Unknown
National distress rate: 49.3%
AZ distress rate: 35.5%
Model AUC: 0.629
| Factor | Value | Contribution | Direction |
|---|---|---|---|
| Occupancy Rate | 0.081 | +0.412 | ▲ risk |
| Medicare Day Pct | 0.319 | -0.001 | ▼ risk |
| Medicaid Day Pct | nan | +nan | ▼ risk |
| Revenue Per Bed | 3257465.571 | -0.099 | ▼ risk |
| Net To Gross Ratio | 0.192 | -0.079 | ▼ risk |
| Beds | 28.000 | -0.016 | ▼ risk |
RCM Improvement Opportunity
Total (risk-adjusted): $7.4M
Current margin: 9.2%
Projected margin: 17.3%
Grade: C
Comps: 44
Gap analysis vs P75 peers with 60% closure assumption. Confidence-weighted by lever implementation difficulty.
| Lever | Current | Benchmark | Gap | Impact | Confidence | Timeline |
|---|---|---|---|---|---|---|
| Occupancy Improvement | 0.081 | 0.694 | 61.2% | $4.0M | 55% | 24mo |
| Net-to-Gross Ratio Improvement | 0.192 | 0.507 | 31.5% | $3.4M | 65% | 18mo |
Predicted RCM Performance (Public Data Only)
B
RCM Grade
Average RCM profile — some improvement opportunities. Standard diligence scope recommended.
| Metric | Predicted | 90% CI | Percentile | Assessment |
|---|---|---|---|---|
| Denial Rate | 25.0% | [2.0%, 25.0%] | P83 | Below average — denial rate suggests RCM improvement opportu |
| Days in AR | 75.0 | [25.0, 75.0] | P83 | Below average — days in ar suggests RCM improvement opportun |
| 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. |