ML Analysis — COMMUNITY HOSPITAL OF SAN BERNARDINO
CCN 050089 | 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.
45
/ 100 (D)
Financial Health9/25
RCM Upside17/25
Market Position9/20
Demand Defensibility7/15
Operational Efficiency2/15
Entry Multiple: 8.0x – 10.0x
Est. MOIC: 1.9x
Risk Factors:
- Negative operating margin
Catalysts:
- RCM optimization could add 3-5pp margin
- Strong commercial payer base protects revenue
- Volume growth opportunity from low occupancy
Margin Prediction (Trained Ridge Model)
-7.3%
R²=0.34 | n=4,907 | Grade B | Actual: -2.4%
Ridge regression trained on 4,907 HCRIS hospitals. 90% CI: [-35.6%, 21.0%]. P44 nationally.
| Driver | Value | Effect | Explanation | |
|---|---|---|---|---|
| Log(Beds) | 5.220 | +0.0197 | Higher Log(Beds) increases predicted margin | |
| Net-to-Gross | 0.224 | -0.0163 | Lower Net-to-Gross decreases predicted margin | |
| Reimbursement Quality | 0.172 | +0.0086 | Higher Reimbursement Quality increases predicted m | |
| Commercial % | 0.768 | +0.0075 | Higher Commercial % increases predicted margin | |
| Occupancy × Net-to-Gross | 0.095 | -0.0068 | Lower Occupancy × Net-to-Gross decreases predicted |
Turnaround: 37%Turnaround possible (37%) but uncertain. Margin improvement depends on Log(Beds).
Suburban Community Hospit
Archetype
50.5%
Distress Risk
$4.3M
RCM Opportunity
D
Opportunity Grade
-1.0%
Projected Margin
Cluster: Suburban Community Hospital
Percentile within cluster: P67. Community hospitals — the largest PE deal category. Focus on RCM improvement and cost optimization at 9-11x.
Nearest Peers
| Hospital | State | Beds |
|---|---|---|
| CLARA MAASS MEDICAL CENTER | NJ | 259 |
| PRESENCE SAINTS MARY & ELIZABETH MED | IL | 266 |
| ADVENTIST HEALTH BAKERSFIELD | CA | 254 |
| BRISTOL REGIONAL MEDICAL CENTER | TN | 244 |
| HOLSTON VALLEY HOSP & MED CTR | TN | 286 |
| SPRINGFIELD REGIONAL MEDICAL CENTER | OH | 230 |
Distress Analysis
Risk: High
National distress rate: 49.3%
CA distress rate: 49.7%
Model AUC: 0.629
| Factor | Value | Contribution | Direction |
|---|---|---|---|
| Occupancy Rate | 0.424 | +0.094 | ▲ risk |
| Net To Gross Ratio | 0.224 | -0.065 | ▼ risk |
| Medicaid Day Pct | 0.144 | +0.055 | ▲ risk |
| Medicare Day Pct | 0.088 | -0.041 | ▼ risk |
| Beds | 185.000 | +0.005 | ▲ risk |
| Revenue Per Bed | 1572859.022 | +0.000 | ▲ risk |
RCM Improvement Opportunity
Total (risk-adjusted): $4.3M
Current margin: -2.4%
Projected margin: -1.0%
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 |
|---|---|---|---|---|---|---|
| Net-to-Gross Ratio Improvement | 0.224 | 0.289 | 6.5% | $2.2M | 65% | 18mo |
| Occupancy Improvement | 0.424 | 0.735 | 31.1% | $2.1M | 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 | 26.1 | [25.0, 75.0] | P35 | 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. |