ML Analysis — BANNER LASSEN MEDICAL CENTER
CCN 051320 | 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 Health3/25
RCM Upside19/25
Market Position12/20
Demand Defensibility8/15
Operational Efficiency6/15
Entry Multiple: 8.0x – 10.0x
Est. MOIC: 1.9x
Risk Factors:
- Negative operating margin
- Small facility (<50 beds) — limited scale
- Expenses exceed revenue
Catalysts:
- Limited competition supports pricing power
Margin Prediction (Trained Ridge Model)
-10.1%
R²=0.34 | n=4,907 | Grade B | Actual: -11.6%
Ridge regression trained on 4,907 HCRIS hospitals. 90% CI: [-38.4%, 18.2%]. P37 nationally.
| Driver | Value | Effect | Explanation | |
|---|---|---|---|---|
| Expense/Bed | 1922339.600 | -0.0327 | Higher Expense/Bed decreases predicted margin | |
| Log(Beds) | 3.219 | -0.0268 | Lower Log(Beds) decreases predicted margin | |
| Revenue/Bed | 1722000.200 | +0.0199 | Higher Revenue/Bed increases predicted margin | |
| Bed Count | 25.000 | +0.0193 | Higher Bed Count increases predicted margin | |
| Medicaid % | 0.241 | -0.0185 | Higher Medicaid % decreases predicted margin |
Turnaround: 33%Turnaround possible (33%) but uncertain. Margin improvement depends on improving Expense/Bed.
Rural/Critical Access
Archetype
58.0%
Distress Risk
$8.2M
RCM Opportunity
A
Opportunity Grade
7.4%
Projected Margin
Cluster: Rural/Critical Access
Percentile within cluster: P89. Rural/small hospitals face structural headwinds. Evaluate CAH conversion, telehealth, and rural health funding.
Nearest Peers
| Hospital | State | Beds |
|---|---|---|
| BRECKINRIDGE HEALTH INC | KY | 25 |
| SHERIDAN MEMORIAL HOSPITAL | MT | 19 |
| DAYTON GENERAL HOSPITAL | WA | 25 |
| BLUE MOUNTAIN HOSPITAL DISTRICT | OR | 16 |
| COMMUNITY HOSPITAL | WY | 25 |
| CARLE EUREKA HOSPITAL | IL | 25 |
Distress Analysis
Risk: High
National distress rate: 49.3%
CA distress rate: 49.7%
Model AUC: 0.629
| Factor | Value | Contribution | Direction |
|---|---|---|---|
| Medicaid Day Pct | 0.241 | +0.152 | ▲ risk |
| Occupancy Rate | 0.369 | +0.145 | ▲ risk |
| Net To Gross Ratio | 0.490 | +0.054 | ▲ risk |
| Medicare Day Pct | 0.470 | +0.025 | ▲ risk |
| Beds | 25.000 | -0.017 | ▼ risk |
| Revenue Per Bed | 1722000.200 | -0.008 | ▼ risk |
RCM Improvement Opportunity
Total (risk-adjusted): $8.2M
Current margin: -11.6%
Projected margin: 7.4%
Grade: A
Comps: 71
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 | 0.289 | 0.653 | 36.4% | $5.5M | 50% | 24mo |
| Occupancy Improvement | 0.369 | 0.687 | 31.8% | $2.1M | 55% | 24mo |
| Net-to-Gross Ratio Improvement | 0.490 | 0.614 | 12.4% | $626K | 65% | 18mo |
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 | 32.2 | [25.0, 75.0] | P71 | 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. |