ML Analysis — CHARLESTON SURGICAL HOSPITAL
CCN 510091 | 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 Health15/25
RCM Upside5/25
Market Position6/20
Demand Defensibility4/15
Operational Efficiency15/15
Entry Multiple: 8.0x – 10.0x
Est. MOIC: 1.9x
Risk Factors:
- Small facility (<50 beds) — limited scale
- Low occupancy (<30%) — demand risk
Catalysts:
Margin Prediction (Trained Ridge Model)
5.8%
R²=0.34 | n=4,907 | Grade B | Actual: 17.7%
Ridge regression trained on 4,907 HCRIS hospitals. 90% CI: [-22.5%, 34.1%]. P75 nationally.
| Driver | Value | Effect | Explanation | |
|---|---|---|---|---|
| Revenue/Bed | 5096523.571 | +0.4910 | Higher Revenue/Bed increases predicted margin | |
| Expense/Bed | 4195390.857 | -0.3127 | Higher Expense/Bed decreases predicted margin | |
| Log(Beds) | 1.946 | -0.0564 | Lower Log(Beds) decreases predicted margin | |
| Reimbursement Quality | 0.362 | -0.0462 | Higher Reimbursement Quality decreases predicted m | |
| State Peer Margin | -0.003 | +0.0316 | Higher State Peer Margin increases predicted margi |
nan%
Distress Risk
$2.7M
RCM Opportunity
C
Opportunity Grade
25.2%
Projected Margin
Distress Analysis
Risk: Unknown
National distress rate: 49.3%
WV distress rate: 41.7%
Model AUC: 0.629
| Factor | Value | Contribution | Direction |
|---|---|---|---|
| Occupancy Rate | 0.123 | +0.373 | ▲ risk |
| Medicare Day Pct | 0.268 | -0.010 | ▼ risk |
| Medicaid Day Pct | nan | +nan | ▼ risk |
| Revenue Per Bed | 5096523.571 | -0.208 | ▼ risk |
| Net To Gross Ratio | 0.494 | +0.056 | ▲ risk |
| Beds | 7.000 | -0.019 | ▼ risk |
RCM Improvement Opportunity
Total (risk-adjusted): $2.7M
Current margin: 17.7%
Projected margin: 25.2%
Grade: C
Comps: 193
Gap analysis vs P75 peers with 60% closure assumption. Confidence-weighted by lever implementation difficulty.
| Lever | Current | Benchmark | Gap | Impact | Confidence | Timeline |
|---|---|---|---|---|---|---|
| Occupancy Improvement | 0.123 | 0.387 | 26.5% | $1.7M | 55% | 24mo |
| Net-to-Gross Ratio Improvement | 0.494 | 0.718 | 22.4% | $934K | 65% | 18mo |
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. |