ML Analysis — CARSON TAHOE CONTINUING CARE HOSPITA
CCN 292008 | 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.
43
/ 100 (D)
Financial Health3/25
RCM Upside19/25
Market Position13/20
Demand Defensibility8/15
Operational Efficiency0/15
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)
-11.4%
R²=0.34 | n=4,907 | Grade B | Actual: -50.0%
Ridge regression trained on 4,907 HCRIS hospitals. 90% CI: [-39.7%, 16.9%]. P34 nationally.
| Driver | Value | Effect | Explanation | |
|---|---|---|---|---|
| Revenue/Bed | 176942.379 | -0.1958 | Lower Revenue/Bed decreases predicted margin | |
| Expense/Bed | 320349.414 | +0.1647 | Higher Expense/Bed increases predicted margin | |
| Reimbursement Quality | 0.067 | +0.0388 | Higher Reimbursement Quality increases predicted m | |
| State Peer Margin | 0.004 | +0.0369 | Higher State Peer Margin increases predicted margi | |
| Bed Utilization Value | 72381.720 | -0.0266 | Lower Bed Utilization Value decreases predicted ma |
Turnaround: 31%Turnaround possible (31%) but uncertain. Margin improvement depends on improving Revenue/Bed.
Under-Performing / Distre
Archetype
56.4%
Distress Risk
$6.2M
RCM Opportunity
A
Opportunity Grade
70.2%
Projected Margin
Cluster: Under-Performing / Distressed
Percentile within cluster: P90. 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: High
National distress rate: 49.3%
NV distress rate: 37.5%
Model AUC: 0.629
| Factor | Value | Contribution | Direction |
|---|---|---|---|
| Medicaid Day Pct | 0.263 | +0.174 | ▲ risk |
| Occupancy Rate | 0.409 | +0.108 | ▲ risk |
| Revenue Per Bed | 176942.379 | +0.083 | ▲ risk |
| Net To Gross Ratio | 0.195 | -0.077 | ▼ risk |
| Beds | 29.000 | -0.016 | ▼ risk |
| Medicare Day Pct | 0.396 | +0.012 | ▲ risk |
RCM Improvement Opportunity
Total (risk-adjusted): $6.2M
Current margin: -50.0%
Projected margin: 70.2%
Grade: A
Comps: 14
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 | 0.342 | 0.645 | 30.3% | $4.6M | 50% | 24mo |
| Occupancy Improvement | 0.409 | 0.623 | 21.4% | $1.4M | 55% | 24mo |
| Net-to-Gross Ratio Improvement | 0.195 | 0.529 | 33.4% | $200K | 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 | 39.3 | [25.0, 75.0] | P82 | Average — predicted days in ar is near the median. |
| Clean Claim Rate | 98.0% | [80.0%, 98.0%] | P0 | Strong — predicted clean claim rate is in the top third. |
| Net Collection Rate | 97.9% | [90.0%, 99.5%] | P0 | Average — predicted net collection rate is near the median. |