ML Analysis — HOSPITAL MENONITA DE CAYEY
CCN 400013 | Clustering + Distress + RCM Opportunity
🛡️ Public data only — no PHI permitted on this instance.
Investability Score
Buy — solid fundamentals with identifiable value creation levers. Proceed to detailed diligence.
60
/ 100 (B)
Financial Health18/25
RCM Upside7/25
Market Position15/20
Demand Defensibility11/15
Operational Efficiency9/15
Entry Multiple: 9.5x – 11.5x
Est. MOIC: 2.3x
Risk Factors:
Catalysts:
- Strong commercial payer base protects revenue
- Limited competition supports pricing power
Margin Prediction (Trained Ridge Model)
-8.1%
R²=0.34 | n=4,907 | Grade B | Actual: 15.0%
Ridge regression trained on 4,907 HCRIS hospitals. 90% CI: [-36.4%, 20.2%]. P42 nationally.
| Driver | Value | Effect | Explanation | |
|---|---|---|---|---|
| Expense/Bed | 703629.729 | +0.1175 | Higher Expense/Bed increases predicted margin | |
| Revenue/Bed | 827676.804 | -0.1049 | Lower Revenue/Bed decreases predicted margin | |
| Reimbursement Quality | 0.509 | -0.0886 | Higher Reimbursement Quality decreases predicted m | |
| Net-to-Gross | 0.879 | +0.0572 | Higher Net-to-Gross increases predicted margin | |
| Occupancy × Net-to-Gross | 0.733 | +0.0408 | Higher Occupancy × Net-to-Gross increases predicte |
Safety-Net/Medicaid Heavy
Archetype
54.6%
Distress Risk
$1.8M
RCM Opportunity
D
Opportunity Grade
16.0%
Projected Margin
Cluster: Safety-Net/Medicaid Heavy
Percentile within cluster: P46. 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 |
|---|---|---|---|
| Occupancy Rate | 0.834 | -0.287 | ▼ risk |
| Medicaid Day Pct | 0.347 | +0.258 | ▲ risk |
| Net To Gross Ratio | 0.879 | +0.227 | ▲ risk |
| Revenue Per Bed | 827676.804 | +0.044 | ▲ risk |
| Medicare Day Pct | 0.073 | -0.044 | ▼ risk |
| Beds | 225.000 | +0.010 | ▲ risk |
RCM Improvement Opportunity
Total (risk-adjusted): $1.8M
Current margin: 15.0%
Projected margin: 16.0%
Grade: D
Comps: 35
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 | 0.580 | 0.700 | 12.0% | $1.8M | 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 | 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. |