ML Analysis — NORTH VISTA HOSPITAL
CCN 290005 | 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 Health16/25
RCM Upside10/25
Market Position7/20
Demand Defensibility11/15
Operational Efficiency3/15
Entry Multiple: 8.0x – 10.0x
Est. MOIC: 1.9x
Risk Factors:
Catalysts:
Margin Prediction (Trained Ridge Model)
-4.9%
R²=0.34 | n=4,907 | Grade B | Actual: 9.5%
Ridge regression trained on 4,907 HCRIS hospitals. 90% CI: [-33.2%, 23.4%]. P50 nationally.
| Driver | Value | Effect | Explanation | |
|---|---|---|---|---|
| Expense/Bed | 651198.755 | +0.1239 | Higher Expense/Bed increases predicted margin | |
| Revenue/Bed | 719854.123 | -0.1200 | Lower Revenue/Bed decreases predicted margin | |
| Medicaid % | 0.473 | -0.0465 | Higher Medicaid % decreases predicted margin | |
| Reimbursement Quality | 0.050 | +0.0436 | Higher Reimbursement Quality increases predicted m | |
| State Peer Margin | 0.004 | +0.0369 | Higher State Peer Margin increases predicted margi |
Safety-Net/Medicaid Heavy
Archetype
52.0%
Distress Risk
$10.1M
RCM Opportunity
C
Opportunity Grade
18.1%
Projected Margin
Cluster: Safety-Net/Medicaid Heavy
Percentile within cluster: P16. 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%
NV distress rate: 37.5%
Model AUC: 0.629
| Factor | Value | Contribution | Direction |
|---|---|---|---|
| Medicaid Day Pct | 0.473 | +0.384 | ▲ risk |
| Occupancy Rate | 0.752 | -0.211 | ▼ risk |
| Net To Gross Ratio | 0.153 | -0.096 | ▼ risk |
| Revenue Per Bed | 719854.123 | +0.051 | ▲ risk |
| Medicare Day Pct | 0.202 | -0.022 | ▼ risk |
| Beds | 163.000 | +0.002 | ▲ risk |
RCM Improvement Opportunity
Total (risk-adjusted): $10.1M
Current margin: 9.5%
Projected margin: 18.1%
Grade: C
Comps: 21
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 | 0.326 | 0.771 | 44.6% | $6.7M | 50% | 24mo |
| Net-to-Gross Ratio Improvement | 0.153 | 0.393 | 24.0% | $3.3M | 65% | 18mo |
| Occupancy Improvement | 0.752 | 0.771 | 1.9% | $126K | 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 | 26.4 | [25.0, 75.0] | P36 | 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. |