ML Analysis — CARRUS SPECIALTY HOSPITAL
CCN 452041 | 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.
37
/ 100 (D)
Financial Health6/25
RCM Upside19/25
Market Position6/20
Demand Defensibility6/15
Operational Efficiency0/15
Entry Multiple: 6.0x – 8.5x
Est. MOIC: 1.5x
Risk Factors:
- Negative operating margin
- Heavy Medicare dependence (>55%)
- Small facility (<50 beds) — limited scale
Catalysts:
Margin Prediction (Trained Ridge Model)
-1.9%
R²=0.34 | n=4,907 | Grade B | Actual: -4.1%
Ridge regression trained on 4,907 HCRIS hospitals. 90% CI: [-30.2%, 26.4%]. P57 nationally.
| Driver | Value | Effect | Explanation | |
|---|---|---|---|---|
| Revenue/Bed | 479794.909 | -0.1535 | Lower Revenue/Bed decreases predicted margin | |
| Expense/Bed | 499533.182 | +0.1426 | Higher Expense/Bed increases predicted margin | |
| Reimbursement Quality | 0.072 | +0.0372 | Higher Reimbursement Quality increases predicted m | |
| State Peer Margin | -0.006 | +0.0290 | Higher State Peer Margin increases predicted margi | |
| Log(Beds) | 3.497 | -0.0204 | Lower Log(Beds) decreases predicted margin |
Turnaround: 47%Turnaround possible (47%) but uncertain. Margin improvement depends on improving Revenue/Bed.
nan%
Distress Risk
$6.9M
RCM Opportunity
A
Opportunity Grade
39.7%
Projected Margin
Distress Analysis
Risk: Unknown
National distress rate: 49.3%
TX distress rate: 42.8%
Model AUC: 0.629
| Factor | Value | Contribution | Direction |
|---|---|---|---|
| Occupancy Rate | 0.805 | -0.260 | ▼ risk |
| Medicare Day Pct | 0.707 | +0.065 | ▲ risk |
| Medicaid Day Pct | nan | +nan | ▼ risk |
| Revenue Per Bed | 479794.909 | +0.065 | ▲ risk |
| Net To Gross Ratio | 0.247 | -0.054 | ▼ risk |
| Beds | 33.000 | -0.015 | ▼ risk |
RCM Improvement Opportunity
Total (risk-adjusted): $6.9M
Current margin: -4.1%
Projected margin: 39.7%
Grade: A
Comps: 270
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 | 0.293 | 0.722 | 42.9% | $6.4M | 50% | 24mo |
| Net-to-Gross Ratio Improvement | 0.247 | 0.519 | 27.2% | $504K | 65% | 18mo |
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. |