ML Analysis — INTEGRIS MIAMI HOSPITAL
CCN 370004 | 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.
45
/ 100 (D)
Financial Health4/25
RCM Upside19/25
Market Position14/20
Demand Defensibility5/15
Operational Efficiency2/15
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:
- Strong commercial payer base protects revenue
- Limited competition supports pricing power
Margin Prediction (Trained Ridge Model)
-19.1%
R²=0.34 | n=4,907 | Grade B | Actual: -32.1%
Ridge regression trained on 4,907 HCRIS hospitals. 90% CI: [-47.4%, 9.2%]. P22 nationally.
| Driver | Value | Effect | Explanation | |
|---|---|---|---|---|
| Revenue/Bed | 1202372.722 | -0.0526 | Lower Revenue/Bed decreases predicted margin | |
| Reimbursement Quality | 0.087 | +0.0330 | Higher Reimbursement Quality increases predicted m | |
| State Peer Margin | -0.088 | -0.0313 | Lower State Peer Margin decreases predicted margin | |
| Medicaid % | 0.312 | -0.0270 | Higher Medicaid % decreases predicted margin | |
| Log(Beds) | 3.583 | -0.0184 | Lower Log(Beds) decreases predicted margin |
Turnaround: 21%Low turnaround probability (21%). Structural disadvantages in Revenue/Bed and Reimbursement Quality.
Safety-Net/Medicaid Heavy
Archetype
57.0%
Distress Risk
$3.2M
RCM Opportunity
C
Opportunity Grade
-24.7%
Projected Margin
Cluster: Safety-Net/Medicaid Heavy
Percentile within cluster: P48. 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%
OK distress rate: 58.1%
Model AUC: 0.629
| Factor | Value | Contribution | Direction |
|---|---|---|---|
| Medicaid Day Pct | 0.312 | +0.223 | ▲ risk |
| Occupancy Rate | 0.357 | +0.156 | ▲ risk |
| Net To Gross Ratio | 0.211 | -0.070 | ▼ risk |
| Revenue Per Bed | 1202372.722 | +0.022 | ▲ risk |
| Beds | 36.000 | -0.015 | ▼ risk |
| Medicare Day Pct | 0.277 | -0.009 | ▼ risk |
RCM Improvement Opportunity
Total (risk-adjusted): $3.2M
Current margin: -32.1%
Projected margin: -24.7%
Grade: C
Comps: 90
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 | 0.211 | 0.490 | 27.9% | $1.4M | 65% | 18mo |
| Occupancy Improvement | 0.357 | 0.552 | 19.5% | $1.3M | 55% | 24mo |
| Payer Mix Optimization | 0.411 | 0.444 | 3.3% | $498K | 50% | 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 | 34.5 | [25.0, 75.0] | P78 | Average — predicted days in ar is near the median. |
| Clean Claim Rate | 98.0% | [80.0%, 98.0%] | P0 | Strong — predicted clean claim rate is in the top third. |
| Net Collection Rate | 99.1% | [90.0%, 99.5%] | P4 | Strong — predicted net collection rate is in the top third. |