ML Analysis — PALOMAR MEDICAL CENTER ESCONDIDO
CCN 050115 | 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.
48
/ 100 (C)
Financial Health15/25
RCM Upside15/25
Market Position2/20
Demand Defensibility11/15
Operational Efficiency5/15
Entry Multiple: 8.0x – 10.0x
Est. MOIC: 1.9x
Risk Factors:
Catalysts:
- RCM optimization could add 3-5pp margin
Margin Prediction (Trained Ridge Model)
3.3%
R²=0.34 | n=4,907 | Grade B | Actual: 2.0%
Ridge regression trained on 4,907 HCRIS hospitals. 90% CI: [-25.0%, 31.6%]. P70 nationally.
| Driver | Value | Effect | Explanation | |
|---|---|---|---|---|
| Revenue/Bed | 2159311.603 | +0.0810 | Higher Revenue/Bed increases predicted margin | |
| Expense/Bed | 2116298.945 | -0.0566 | Higher Expense/Bed decreases predicted margin | |
| Bed Utilization Value | 1848198.927 | +0.0323 | Higher Bed Utilization Value increases predicted m | |
| Log(Beds) | 5.677 | +0.0303 | Higher Log(Beds) increases predicted margin | |
| Net-to-Gross | 0.161 | -0.0233 | Lower Net-to-Gross decreases predicted margin |
nan%
Distress Risk
$9.4M
RCM Opportunity
D
Opportunity Grade
3.5%
Projected Margin
Distress Analysis
Risk: Unknown
National distress rate: 49.3%
CA distress rate: 49.7%
Model AUC: 0.629
| Factor | Value | Contribution | Direction |
|---|---|---|---|
| Occupancy Rate | 0.856 | -0.307 | ▼ risk |
| Medicare Day Pct | 0.190 | -0.024 | ▼ risk |
| Medicaid Day Pct | nan | +nan | ▼ risk |
| Net To Gross Ratio | 0.161 | -0.092 | ▼ risk |
| Revenue Per Bed | 2159311.603 | -0.034 | ▼ risk |
| Beds | 292.000 | +0.019 | ▲ risk |
RCM Improvement Opportunity
Total (risk-adjusted): $9.4M
Current margin: 2.0%
Projected margin: 3.5%
Grade: D
Comps: 178
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 | 0.161 | 0.288 | 12.7% | $9.4M | 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. |