ML Analysis — COLLEGE MEDICAL CENTER
CCN 050776 | 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.
46
/ 100 (C)
Financial Health7/25
RCM Upside18/25
Market Position6/20
Demand Defensibility11/15
Operational Efficiency4/15
Entry Multiple: 8.0x – 10.0x
Est. MOIC: 1.9x
Risk Factors:
- Negative operating margin
Catalysts:
- RCM optimization could add 3-5pp margin
Margin Prediction (Trained Ridge Model)
-8.9%
R²=0.34 | n=4,907 | Grade B | Actual: -3.6%
Ridge regression trained on 4,907 HCRIS hospitals. 90% CI: [-37.2%, 19.4%]. P40 nationally.
| Driver | Value | Effect | Explanation | |
|---|---|---|---|---|
| Revenue/Bed | 722399.982 | -0.1196 | Lower Revenue/Bed decreases predicted margin | |
| Expense/Bed | 748382.000 | +0.1120 | Higher Expense/Bed increases predicted margin | |
| Medicaid % | 0.686 | -0.0723 | Higher Medicaid % decreases predicted margin | |
| Net-to-Gross | 0.581 | +0.0238 | Higher Net-to-Gross increases predicted margin | |
| Log(Beds) | 5.398 | +0.0238 | Higher Log(Beds) increases predicted margin |
Turnaround: 35%Turnaround possible (35%) but uncertain. Margin improvement depends on improving Revenue/Bed.
Safety-Net/Medicaid Heavy
Archetype
62.2%
Distress Risk
$7.8M
RCM Opportunity
D
Opportunity Grade
1.3%
Projected Margin
Cluster: Safety-Net/Medicaid Heavy
Percentile within cluster: P77. High Medicaid dependence creates reimbursement risk. Assess DSH payments and state expansion status.
Nearest Peers
| Hospital | State | Beds |
|---|---|---|
| WESTERN PEAKS SPECIALTY HOSPITAL | UT | 59 |
| HOSPITAL MENONITA AIBONITO | PR | 129 |
| TOPPENISH COMMUNITY HOSPITAL | WA | 47 |
| MINERAL COMMUNITY HOSPITAL | MT | 25 |
| BANNER UNIVERSITY MED CENTER SOUTH | AZ | 132 |
| NORTH COLORADO MEDICAL CENTER | CO | 202 |
Distress Analysis
Risk: High
National distress rate: 49.3%
CA distress rate: 49.7%
Model AUC: 0.629
| Factor | Value | Contribution | Direction |
|---|---|---|---|
| Medicaid Day Pct | 0.686 | +0.597 | ▲ risk |
| Occupancy Rate | 0.722 | -0.183 | ▼ risk |
| Net To Gross Ratio | 0.581 | +0.095 | ▲ risk |
| Revenue Per Bed | 722399.982 | +0.051 | ▲ risk |
| Medicare Day Pct | 0.073 | -0.044 | ▼ risk |
| Beds | 221.000 | +0.010 | ▲ risk |
RCM Improvement Opportunity
Total (risk-adjusted): $7.8M
Current margin: -3.6%
Projected margin: 1.3%
Grade: D
Comps: 204
Gap analysis vs P75 peers with 60% closure assumption. Confidence-weighted by lever implementation difficulty.
| Lever | Current | Benchmark | Gap | Impact | Confidence | Timeline |
|---|---|---|---|---|---|---|
| Payer Mix Optimization | 0.240 | 0.748 | 50.8% | $7.6M | 50% | 24mo |
| Occupancy Improvement | 0.722 | 0.747 | 2.5% | $165K | 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. |