ML Analysis — KERN MEDICAL CENTER
CCN 050315 | 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.
48
/ 100 (C)
Financial Health6/25
RCM Upside20/25
Market Position9/20
Demand Defensibility11/15
Operational Efficiency2/15
Entry Multiple: 8.0x – 10.0x
Est. MOIC: 1.9x
Risk Factors:
- Negative operating margin
- Expenses exceed revenue
Catalysts:
- RCM optimization could add 3-5pp margin
- Strong commercial payer base protects revenue
Margin Prediction (Trained Ridge Model)
-18.8%
R²=0.34 | n=4,907 | Grade B | Actual: -50.0%
Ridge regression trained on 4,907 HCRIS hospitals. 90% CI: [-47.1%, 9.5%]. P22 nationally.
| Driver | Value | Effect | Explanation | |
|---|---|---|---|---|
| Expense/Bed | 2288676.622 | -0.0778 | Higher Expense/Bed decreases predicted margin | |
| Revenue/Bed | 1230721.234 | -0.0487 | Lower Revenue/Bed decreases predicted margin | |
| Log(Beds) | 5.403 | +0.0239 | Higher Log(Beds) increases predicted margin | |
| Medicaid % | 0.241 | -0.0184 | Higher Medicaid % decreases predicted margin | |
| Net-to-Gross | 0.239 | -0.0146 | Lower Net-to-Gross decreases predicted margin |
Turnaround: 21%Low turnaround probability (21%). Structural disadvantages in Expense/Bed and Revenue/Bed.
Under-Performing / Distre
Archetype
47.1%
Distress Risk
$3.1M
RCM Opportunity
D
Opportunity Grade
-48.9%
Projected Margin
Cluster: Under-Performing / Distressed
Percentile within cluster: P96. Deeply negative margins signal severe distress. Evaluate asset-level acquisition at 4-6x normalized EBITDA.
Nearest Peers
| Hospital | State | Beds |
|---|---|---|
| HOLY FAMILY MEMORIAL INC | WI | 58 |
| MIDDLESBORO ARH | KY | 46 |
| ATRIUM HEALTH NAVICENT BALDWIN | GA | 86 |
| BON SECOURS COMMUNITY HOSPITAL | NY | 98 |
| ADVANCED SPECIALTY HOSP. OF TOLEDO | OH | 40 |
| COMMUNITY HEALTH CENTER BRANCH | MI | 75 |
Distress Analysis
Risk: Elevated
National distress rate: 49.3%
CA distress rate: 49.7%
Model AUC: 0.629
| Factor | Value | Contribution | Direction |
|---|---|---|---|
| Occupancy Rate | 0.712 | -0.173 | ▼ risk |
| Medicaid Day Pct | 0.241 | +0.152 | ▲ risk |
| Net To Gross Ratio | 0.239 | -0.058 | ▼ risk |
| Medicare Day Pct | 0.093 | -0.040 | ▼ risk |
| Revenue Per Bed | 1230721.234 | +0.021 | ▲ risk |
| Beds | 222.000 | +0.010 | ▲ risk |
RCM Improvement Opportunity
Total (risk-adjusted): $3.1M
Current margin: -50.0%
Projected margin: -48.9%
Grade: D
Comps: 204
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 | 0.239 | 0.289 | 5.0% | $1.6M | 65% | 18mo |
| Payer Mix Optimization | 0.666 | 0.748 | 8.2% | $1.2M | 50% | 24mo |
| Occupancy Improvement | 0.712 | 0.747 | 3.5% | $232K | 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 | 31.1 | [25.0, 75.0] | P64 | 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. |