ML Analysis — DOCTORS CENTER HOSPITAL SAN JUAN I
CCN 400006 | 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.
51
/ 100 (C)
Financial Health8/25
RCM Upside14/25
Market Position15/20
Demand Defensibility9/15
Operational Efficiency5/15
Entry Multiple: 8.0x – 10.0x
Est. MOIC: 1.9x
Risk Factors:
Catalysts:
- RCM optimization could add 3-5pp margin
- Strong commercial payer base protects revenue
- Limited competition supports pricing power
Margin Prediction (Trained Ridge Model)
-13.8%
R²=0.34 | n=4,907 | Grade B | Actual: 2.0%
Ridge regression trained on 4,907 HCRIS hospitals. 90% CI: [-42.0%, 14.5%]. P30 nationally.
| Driver | Value | Effect | Explanation | |
|---|---|---|---|---|
| Revenue/Bed | 278189.876 | -0.1816 | Lower Revenue/Bed decreases predicted margin | |
| Expense/Bed | 272600.907 | +0.1706 | Higher Expense/Bed increases predicted margin | |
| State Peer Margin | -0.088 | -0.0313 | Lower State Peer Margin decreases predicted margin | |
| Medicaid % | 0.341 | -0.0305 | Higher Medicaid % decreases predicted margin | |
| Reimbursement Quality | 0.285 | -0.0240 | Higher Reimbursement Quality decreases predicted m |
Safety-Net/Medicaid Heavy
Archetype
55.0%
Distress Risk
$3.7M
RCM Opportunity
B
Opportunity Grade
12.2%
Projected Margin
Cluster: Safety-Net/Medicaid Heavy
Percentile within cluster: P8. 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%
PR distress rate: 55.2%
Model AUC: 0.629
| Factor | Value | Contribution | Direction |
|---|---|---|---|
| Medicaid Day Pct | 0.341 | +0.252 | ▲ risk |
| Occupancy Rate | 0.650 | -0.116 | ▼ risk |
| Revenue Per Bed | 278189.876 | +0.077 | ▲ risk |
| Net To Gross Ratio | 0.503 | +0.060 | ▲ risk |
| Medicare Day Pct | 0.092 | -0.040 | ▼ risk |
| Beds | 129.000 | -0.003 | ▼ risk |
RCM Improvement Opportunity
Total (risk-adjusted): $3.7M
Current margin: 2.0%
Projected margin: 12.2%
Grade: B
Comps: 39
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 | 0.567 | 0.693 | 12.7% | $1.9M | 50% | 24mo |
| Net-to-Gross Ratio Improvement | 0.503 | 0.765 | 26.2% | $1.1M | 65% | 18mo |
| Occupancy Improvement | 0.650 | 0.750 | 9.9% | $656K | 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. |