ML Analysis — RIO GRANDE STATE CENTER
CCN 454088 | 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.
38
/ 100 (D)
Financial Health3/25
RCM Upside19/25
Market Position4/20
Demand Defensibility8/15
Operational Efficiency4/15
Entry Multiple: 6.0x – 8.5x
Est. MOIC: 1.5x
Risk Factors:
- Negative operating margin
- Expenses exceed revenue
Catalysts:
Margin Prediction (Trained Ridge Model)
-17.5%
R²=0.34 | n=4,907 | Grade B | Actual: -50.0%
Ridge regression trained on 4,907 HCRIS hospitals. 90% CI: [-45.8%, 10.8%]. P24 nationally.
| Driver | Value | Effect | Explanation | |
|---|---|---|---|---|
| Reimbursement Quality | 0.976 | -0.2227 | Higher Reimbursement Quality decreases predicted m | |
| Revenue/Bed | 239599.675 | -0.1870 | Lower Revenue/Bed decreases predicted margin | |
| Expense/Bed | 565728.974 | +0.1345 | Higher Expense/Bed increases predicted margin | |
| Net-to-Gross | 1.000 | +0.0708 | Higher Net-to-Gross increases predicted margin | |
| Occupancy × Net-to-Gross | 0.693 | +0.0378 | Higher Occupancy × Net-to-Gross increases predicte |
Turnaround: 22%Low turnaround probability (22%). Structural disadvantages in Reimbursement Quality and Revenue/Bed.
nan%
Distress Risk
$385K
RCM Opportunity
D
Opportunity Grade
-47.9%
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 | 0.693 | -0.156 | ▼ risk |
| Medicare Day Pct | 0.024 | -0.052 | ▼ risk |
| Medicaid Day Pct | nan | +nan | ▼ risk |
| Net To Gross Ratio | 1.000 | +0.281 | ▲ risk |
| Revenue Per Bed | 239599.675 | +0.079 | ▲ risk |
| Beds | 77.000 | -0.010 | ▼ risk |
RCM Improvement Opportunity
Total (risk-adjusted): $385K
Current margin: -50.0%
Projected margin: -47.9%
Grade: D
Comps: 218
Gap analysis vs P75 peers with 60% closure assumption. Confidence-weighted by lever implementation difficulty.
| Lever | Current | Benchmark | Gap | Impact | Confidence | Timeline |
|---|---|---|---|---|---|---|
| Occupancy Improvement | 0.693 | 0.751 | 5.8% | $385K | 55% | 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. |