ML Analysis — ST. JAMES BEHAVIORAL HEALTH HOSP
CCN 194088 | 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.
41
/ 100 (D)
Financial Health3/25
RCM Upside20/25
Market Position8/20
Demand Defensibility6/15
Operational Efficiency4/15
Entry Multiple: 8.0x – 10.0x
Est. MOIC: 1.9x
Risk Factors:
- Negative operating margin
- Small facility (<50 beds) — limited scale
- Expenses exceed revenue
Catalysts:
- Limited competition supports pricing power
Margin Prediction (Trained Ridge Model)
-8.7%
R²=0.34 | n=4,907 | Grade B | Actual: -9.0%
Ridge regression trained on 4,907 HCRIS hospitals. 90% CI: [-37.0%, 19.6%]. P40 nationally.
| Driver | Value | Effect | Explanation | |
|---|---|---|---|---|
| Revenue/Bed | 248156.281 | -0.1858 | Lower Revenue/Bed decreases predicted margin | |
| Expense/Bed | 270411.500 | +0.1708 | Higher Expense/Bed increases predicted margin | |
| Reimbursement Quality | 0.421 | -0.0632 | Higher Reimbursement Quality decreases predicted m | |
| Bed Utilization Value | 212313.846 | -0.0219 | Lower Bed Utilization Value decreases predicted ma | |
| Log(Beds) | 3.466 | -0.0211 | Lower Log(Beds) decreases predicted margin |
Turnaround: 35%Turnaround possible (35%) but uncertain. Margin improvement depends on improving Revenue/Bed.
nan%
Distress Risk
$95K
RCM Opportunity
D
Opportunity Grade
-7.8%
Projected Margin
Distress Analysis
Risk: Unknown
National distress rate: 49.3%
LA distress rate: 46.3%
Model AUC: 0.629
| Factor | Value | Contribution | Direction |
|---|---|---|---|
| Occupancy Rate | 0.856 | -0.307 | ▼ risk |
| Medicare Day Pct | 0.082 | -0.042 | ▼ risk |
| Medicaid Day Pct | nan | +nan | ▼ risk |
| Revenue Per Bed | 248156.281 | +0.079 | ▲ risk |
| Net To Gross Ratio | 0.459 | +0.040 | ▲ risk |
| Beds | 32.000 | -0.016 | ▼ risk |
RCM Improvement Opportunity
Total (risk-adjusted): $95K
Current margin: -9.0%
Projected margin: -7.8%
Grade: D
Comps: 134
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 | 0.459 | 0.561 | 10.2% | $95K | 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. |