ML Analysis — LAS VEGAS AMG SPECIALTY HOSPITAL
CCN 292007 | 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.
35
/ 100 (D)
Financial Health9/25
RCM Upside13/25
Market Position2/20
Demand Defensibility6/15
Operational Efficiency5/15
Entry Multiple: 6.0x – 8.5x
Est. MOIC: 1.5x
Risk Factors:
- Small facility (<50 beds) — limited scale
Catalysts:
Margin Prediction (Trained Ridge Model)
-5.8%
R²=0.34 | n=4,907 | Grade B | Actual: 4.3%
Ridge regression trained on 4,907 HCRIS hospitals. 90% CI: [-34.1%, 22.5%]. P47 nationally.
| Driver | Value | Effect | Explanation | |
|---|---|---|---|---|
| Revenue/Bed | 360793.958 | -0.1701 | Lower Revenue/Bed decreases predicted margin | |
| Expense/Bed | 345089.083 | +0.1616 | Higher Expense/Bed increases predicted margin | |
| State Peer Margin | 0.004 | +0.0369 | Higher State Peer Margin increases predicted margi | |
| Log(Beds) | 3.178 | -0.0278 | Lower Log(Beds) decreases predicted margin | |
| Bed Utilization Value | 142381.817 | -0.0242 | Lower Bed Utilization Value decreases predicted ma |
nan%
Distress Risk
$3.9M
RCM Opportunity
A
Opportunity Grade
48.9%
Projected Margin
Distress Analysis
Risk: Unknown
National distress rate: 49.3%
NV distress rate: 37.5%
Model AUC: 0.629
| Factor | Value | Contribution | Direction |
|---|---|---|---|
| Occupancy Rate | 0.395 | +0.121 | ▲ risk |
| Medicare Day Pct | 0.543 | +0.037 | ▲ risk |
| Medicaid Day Pct | nan | +nan | ▼ risk |
| Net To Gross Ratio | 0.540 | +0.077 | ▲ risk |
| Revenue Per Bed | 360793.958 | +0.072 | ▲ risk |
| Beds | 24.000 | -0.017 | ▼ risk |
RCM Improvement Opportunity
Total (risk-adjusted): $3.9M
Current margin: 4.3%
Projected margin: 48.9%
Grade: A
Comps: 15
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 | 0.457 | 0.634 | 17.7% | $2.7M | 50% | 24mo |
| Occupancy Improvement | 0.395 | 0.575 | 18.1% | $1.2M | 55% | 24mo |
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. |