ML Analysis — TEXAS SPINE AND JOINT HOSPITAL
CCN 450864 | 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 Health24/25
RCM Upside5/25
Market Position4/20
Demand Defensibility7/15
Operational Efficiency11/15
Entry Multiple: 8.0x – 10.0x
Est. MOIC: 1.9x
Risk Factors:
- Small facility (<50 beds) — limited scale
Catalysts:
Margin Prediction (Trained Ridge Model)
45.6%
R²=0.34 | n=4,907 | Grade B | Actual: 30.3%
Ridge regression trained on 4,907 HCRIS hospitals. 90% CI: [17.3%, 73.9%]. P100 nationally.
| Driver | Value | Effect | Explanation | |
|---|---|---|---|---|
| Revenue/Bed | 7364041.450 | +0.8075 | Higher Revenue/Bed increases predicted margin | |
| Expense/Bed | 5134780.750 | -0.4284 | Higher Expense/Bed decreases predicted margin | |
| Bed Utilization Value | 4069389.481 | +0.1060 | Higher Bed Utilization Value increases predicted m | |
| Log(Beds) | 2.996 | -0.0320 | Lower Log(Beds) decreases predicted margin | |
| State Peer Margin | -0.006 | +0.0290 | Higher State Peer Margin increases predicted margi |
nan%
Distress Risk
$9.0M
RCM Opportunity
C
Opportunity Grade
36.4%
Projected Margin
Distress Analysis
Risk: Unknown
National distress rate: 49.3%
TX distress rate: 42.8%
Model AUC: 0.629
| Factor | Value | Contribution | Direction |
|---|---|---|---|
| Medicare Day Pct | 0.516 | +0.032 | ▲ risk |
| Medicaid Day Pct | nan | +nan | ▼ risk |
| Revenue Per Bed | 7364041.450 | -0.341 | ▼ risk |
| Net To Gross Ratio | 0.223 | -0.065 | ▼ risk |
| Occupancy Rate | 0.553 | -0.025 | ▼ risk |
| Beds | 20.000 | -0.017 | ▼ risk |
RCM Improvement Opportunity
Total (risk-adjusted): $9.0M
Current margin: 30.3%
Projected margin: 36.4%
Grade: C
Comps: 220
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 | 0.223 | 0.542 | 31.9% | $5.5M | 65% | 18mo |
| Payer Mix Optimization | 0.484 | 0.717 | 23.4% | $3.5M | 50% | 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. |