AI engine active  ·  5,360 hospitals · 25 service modules · 1.4M+ provider records scoring in real time

The AI that finds
healthcare value first.

Bison Ridge Intelligence combines CMS hospital financials, NPPES provider networks, and eleven AI-powered service-line modules across every US acute-care facility — surfacing the exact opportunities PE firms, lenders, and health systems need to act before the market does.

5,360
Hospitals indexed
1.4M+
Provider, org & lab records
25
AI service modules
312
Distressed facilities
LIVE INTELLIGENCE
Radiology gaps 847 targets Distressed hospitals 312 flagged MRI expansion $420M opportunity Oncology leakage 18% flagged Revenue recovery $2.1B indexed Urology density 2.3× underserved Behavioral health 300K+ orgs Cardiology 18K+ orgs AI engine real-time scoring active Labs 27K+ orgs Behavioral health 300,694 orgs Cardiology 18,390 orgs Women’s Health 31,980 orgs Gastroenterology 8,407 orgs Laboratory services 27,284 orgs Radiology gaps 847 targets Distressed hospitals 312 flagged MRI expansion $420M opportunity Oncology leakage 18% flagged Revenue recovery $2.1B indexed Urology density 2.3× underserved Behavioral health 300K+ orgs Cardiology 18K+ orgs AI engine real-time scoring active Labs 27K+ orgs
Trusted by
Private Equity Firms
Regional Health Systems
Healthcare Lenders
Physician Group Operators
GCC Healthcare Investors
M&A Advisory Firms
Platform

One record. Every signal.

Twenty-five AI-powered intelligence modules unified under a single hospital master record — from financial distress to service-line gaps to referral leakage. Each module generates AI executive reports, scored opportunity lists, and board-ready output in seconds.

🏥
Facility Intelligence
Master hospital profile: CMS financials, operating margin, financial health, CON state, population reach and composite Bison Opportunity Score for all 5,360 US acute-care hospitals.
5,360 facilitiesCMSHCRIS
🔗
Referral Engine
All 5,360 hospitals ranked by Bison Opportunity Score. Filter by priority tier, state, CON jurisdiction, financial distress and service-line gaps. Inline gap analysis at a glance.
RankedCON FilterPriority Tiers
Bison Services Command
Commercial intelligence layer — hospitals scored for Bison service fit across Turnaround, Revenue Cycle, Fractional Leadership, Cybersecurity and AI. One-click AI outreach email per facility.
AI OutreachService FitDeal Pipeline
📋
Executive Report Engine
One-click PDF-ready report per facility: address, interactive map with 15/30/60mi zone rings, financial snapshot, service-line gap grid, nearest providers table, M&A signals and recommended engagement stack.
PDF ExportAI NarrativeM&A Signals
🔎
Hospital Search
Instant search across all 5,360 hospitals with financial health, CON state, ownership type and opportunity score on every card. One click to full facility profile.
Instant SearchFull ProfileFinancial Data
⚕️
Consultancy Services
Turnaround, Revenue Cycle, AI, Cybersecurity, Fractional Leadership — AI-scored for advisory engagement fit with automated personalised outreach per facility.
TurnaroundRevCycleCISO
🧠
Radiology
Imaging gaps, MRI/CT/PET capacity, interventional radiology and referral leakage detection with 15/30/60mi provider counts across all 5,360 hospitals.
MRICTInterventional
🎗️
Oncology
Medical oncology, hematology, radiation and infusion gap analysis with NPPES provider density mapping and nearest provider identification.
RadiationInfusion42k+ providers
❤️
Cardiology
Cardiovascular disease, interventional cardiology, electrophysiology, cath lab opportunity and heart-service leakage analysis.
Cath LabEPInterventional
💧
Urology
Urology provider density, referral radius and unmet service-line demand with nearest provider and top provider contact details per hospital.
DensityReferral Gaps52k+ providers
🦴
MSK / Orthopedics
Orthopedics, spine, sports medicine, joint replacement and pain network pathway mapping across all hospital markets.
OrthoSpine70k+ providers
🩸
Vascular Surgery
Vascular surgery, PAD, AAA screening and thoracic vascular provider intelligence — high Medicare volume with strong rural gap signal.
PADAAAHigh Medicare
👁️
Ophthalmology
Ophthalmology, cataract, retina, glaucoma and corneal specialist intelligence — ASC migration and active PE consolidation market.
RetinaCataractPE-Active
🩺
Dermatology
Dermatology, MOHS surgery, dermatopathology and paediatric dermatology — high-margin PE consolidation target with 27k+ providers indexed.
MOHSHigh MarginPE Target
🧪
Laboratory Services
Hospital labs, reference labs, molecular diagnostics, pathology coverage and lab outreach expansion intelligence.
CLIAMolecularPathology
🫘
Nephrology
Nephrology, chronic kidney disease, dialysis access and renal transplant provider density mapped to hospital catchments.
CKDDialysis28k+ providers
🧬
Neurology
Neurology, vascular neurology, neurological surgery and neuropsychiatry gap analysis — 130k+ providers indexed nationally.
StrokeNeurosurgery130k+ providers
🩺
Endocrinology & Diabetes
Endocrinology, diabetes and metabolism — chronically underserved in rural and low-income markets nationally.
DiabetesRural GapChronic Care
🦠
Infectious Disease
Infectious disease — HIV, hepatitis, post-COVID and antimicrobial stewardship provider access gap analysis nationwide.
HIVPost-COVIDShortage Signal
🔬
Rheumatology
Rheumatology and autoimmune specialist intelligence — thin provider density outside major metros makes this a strong rural gap signal.
AutoimmuneArthritisRural Gap
🫁
Pulmonology & Sleep
Pulmonology, sleep medicine and critical care — COPD and post-COVID respiratory burden drives rural referral demand.
COPDSleepCritical Care
🧠
Psychiatry
Psychiatry and child & adolescent psychiatry — the largest national provider shortage across all service lines, 55k+ providers indexed.
Mental HealthCAPNational Shortage
💉
Hematology
Hematology and hematology-oncology — blood disorder and bone marrow specialist access gap scoring across all hospital markets.
Blood DisordersBone Marrow18k+ providers
🕊️
Palliative Care & Hospice
Palliative care and hospice specialist intelligence — CAH and rural hospital signal for end-of-life care access gaps.
HospiceCAH SignalRural
♀️
Women's Health
OB/GYN, reproductive endocrinology, MFM, midwives and women's health access opportunities mapped to hospital catchments.
OB/GYNMFM28k+ providers
🩺
Gastroenterology
GI, hepatology, endoscopy opportunity, ASC adjacency and screening access gaps across underserved hospital markets.
EndoscopyGI8k+ providers
🧩
Behavioral Health
Psychiatry, addiction medicine, counseling, social work and behavioral health organization density mapped to hospital markets.
PsychiatryAddiction90k+ providers
🦾
Physical Therapy
280k+ physical therapists indexed — post-acute referral leakage signal for hospital discharge planning and rehabilitation strategy.
Post-AcuteRehab280k+ providers
🙌
Occupational Therapy
120k+ occupational therapists indexed — post-acute and rehabilitation leakage signal for hospital discharge planning and community care strategy.
Post-AcuteRehab120k+ providers
💬
Speech & Language Therapy
180k+ speech-language pathologists indexed — stroke rehab, dysphagia and paediatric speech provider access gap analysis per hospital.
Stroke RehabDysphagia180k+ providers
Pain Management
Pain management, arthritis, rheumatology and PM&R provider gap analysis with 80k+ providers mapped to hospital catchments.
PainPM&R80k+ providers
0
Facilities indexed
$0
Revenue identified
0
Distressed facilities
0
Opportunity targets
How It Works

From raw CMS data to
board-ready insight.

Four steps from data ingestion to a scored, AI-narrated opportunity report — fully automated, available for any of 5,360 facilities in seconds.

01
🗄️
Ingest
CMS Provider of Services, HCRIS cost reports, NPPES provider feeds, and Medicare claims data — refreshed continuously into a unified master dataset.
5,360 hospitals · 50 flags each
02
⚙️
Score
Proprietary Bison Opportunity Score aggregates financial distress signals, service-line gaps, referral leakage, and market demand — 0 to 100 per facility.
Composite AI scoring model
03
🧠
Enrich
Our AI engine generates a plain-English executive narrative per facility — opportunity summary, service-line recommendations, referral map, and risk flags.
AI-powered · real-time
04
📋
Act
Export board-ready PDFs, prioritised target lists, and pitch-ready summaries. Query the full dataset in natural language. Integrate with CRM and deal flow.
PDF · CSV · API-ready
The Opportunity

The US healthcare market
has a $2.1B intelligence gap.

🏥
312
Financially distressed hospitals
HCRIS cost report signals flagging facilities with deteriorating margins, negative operating income, or CMS compliance exposure — each a turnaround or acquisition candidate.
📡
$860M
Referral leakage identified
Revenue walking out the door to competing networks — quantified per facility using NPPES provider density and CMS claims patterns. Recoverable with the right service-line strategy.
📈
$420M
Radiology expansion opportunity
MRI, CT, and PET capacity gaps at facilities without imaging infrastructure but with sufficient Medicare volume and catchment population to justify investment.
48hr
From question to board deck
Ask a natural-language question, get a prioritised target list with AI narratives, financial snapshots, and exportable pitch decks — without a single analyst hour.
"Most PE firms spend 6–8 weeks building what Bison Ridge delivers in under 48 hours — and ours covers every US facility, not just a shortlist."
Traditional market research 6–8 weeks · $40K+
In-house analyst team Partial coverage · high cost
Bison Ridge Intelligence All 5,360 · instant · AI-powered
What the platform replaces
Healthcare market research consultants
Manual CMS data pulls and cleaning
Provider network density analysis
Referral leakage modelling
Service-line opportunity sizing
First-pass due diligence packs
Data Architecture

National scale.
Real-time enrichment.

Built on CMS, HCRIS, and NPPES — 1.4M+ records matched to hospital catchments, enriched with AI-generated opportunity narratives. No third-party data broker. No stale reports. Direct from source.

5,360
US acute-care hospitals indexed with geocoding and 50 CMS capability flags per facility.
1.4M+
NPPES provider, organization, and laboratory records across Radiology, Oncology, Urology, Musculoskeletal, Behavioral Health, Cardiology, Women’s Health, Gastroenterology, Laboratory Services, and Bison Services - matched to hospital catchments.
50
CMS capability flags per hospital from Provider of Services data — powering gap detection, CON state classification, and rural/CAH designation.
25
Financial enrichment fields per hospital — operating margin, financial health score, distress score, revenue proxy, payer mix, and uncompensated care — derived from HCRIS cost reports.
Real-time
AI enrichment — executive reports, opportunity narratives, facility maps with 15/30/60mi service zones, and natural-language Q&A on demand.
Opportunity

Quantified. Scored.
Ready to act.

Every number below is derived directly from CMS data, HCRIS financials, and NPPES provider feeds — not estimated, not sampled. The full US acute-care universe, scored.

847
High-opportunity targets
Facilities scoring above 80 on the Bison Opportunity Score - financial stress combined with service-line gaps.
$2.1B
Revenue at risk
Addressable revenue across radiology, oncology, and surgical service-line gaps identified nationally.
312
Distressed facilities
Hospitals flagged via HCRIS cost report signals - prime turnaround and advisory candidates.
50
States covered
Full national coverage with 11 service-line intelligence modules and real-time AI report generation.
AI Engine

Intelligence at the
point of decision.

Every facility enriched with a live AI narrative — not a template, not a dashboard. A reasoned, plain-English executive brief generated fresh on demand, tailored to that specific hospital's data.

📋
Executive Report Engine
One-click AI report per facility: score explanation, top service-line gaps, referral analysis, financial summary, and recommended Bison engagement — in under 3 seconds.
💬
Natural Language Q&A
"Which Texas hospitals under 150 beds have radiology gaps and negative operating margins?" — answered in seconds from 5,360 records, no SQL required.
🗺️
Referral Engine
Provider density scoring within 15, 30, and 60-mile catchments. Nearest competitor, top referral match, and leakage quantification per service line.
📊
Bison Opportunity Score
Composite 0–100 score combining financial distress, service gaps, Medicare volume, population demand, and referral leakage — comparable across all 5,360 facilities.
📤
Board-Ready Export
PDF executive packs, CSV target lists, and structured JSON for CRM integration. Deal teams get first-pass diligence packs without engaging a consultant.
🛡️
HIPAA-Grade Security
Platform engineered to HIPAA and HITECH standards. Fractional CISO leadership embedded in Bison Services engagements — your data and your clients' data, protected.
📋
Instant Executive Reports
Click any facility. Get a full AI-narrated brief — financial health, opportunity score rationale, top service-line gaps, referral leakage, and a recommended engagement approach. Customised per hospital, not templated.
🔗
Referral Intelligence Engine
Identifies which providers are within catchment, which referrals are leaking to competitors, and the revenue impact — per service line, per facility, across all 50 states.
💬
Plain-English Query Engine
The entire national dataset is queryable in natural language. No SQL, no dashboards. Ask a question, get a reasoned answer with supporting data — as if a senior healthcare analyst was on call 24/7.
🛡
Fractional CISO Embedded
HIPAA and HITECH-grade security baked into the platform — not bolted on. Every Bison Services engagement includes fractional CISO oversight, protecting both client relationships and sensitive healthcare data.
bison_ai · executive_report_engine
LIVE
bison.query("behavioral health gaps rural OK")
⚡ Scanning 5,360 facilities...
✓ Found 23 matches · scoring...

# Top result:
Facility: Prairie Valley Medical Center
Score: 94/100   Beds: 118
Behavioral gap: No detox program · 300K catchment
Referral leakage: 38% outbound
Revenue at risk: $4.6M / year

generate_exec_report(ai=True)
⚡ AI engine · generating narrative...

"Southwest Regional presents an immediate
behavioral health expansion opportunity. The
absence of detox and psychiatric access combined
with rural market demand and 38% referral
leakage indicates $4.6M recoverable...
Recommended: Behavioral Health + Rev Cycle."

export("Prairie_Valley_pitch.pdf")
Intelligence Portal

Every signal. One platform.

The Bison Ridge Intelligence Portal is a secure, multi-tenant web application giving authorised users real-time access to the complete national hospital dataset — scored, mapped, and AI-enriched.

🔎
Hospital Search
Instant search across all 5,360 US acute-care hospitals. Each result shows Bison Opportunity Score, operating margin, financial health, CON state status, bed count, CAH/rural flags, and CMS stars — with one click through to the full profile.
5,360 facilitiesInstant searchFull profile
🔗
Referral Engine
All 5,360 hospitals ranked by Bison Opportunity Score. Filter by priority tier, state, CON jurisdiction, and financial distress. Inline gap analysis shows which service lines have zero local coverage and which are thin — at a glance across the national dataset.
Gap scoringCON filterPriority tiers
Bison Services Command
Commercial intelligence layer — hospitals filtered and scored for Bison Ridge service fit: Turnaround, Revenue Cycle, Fractional Leadership, Cybersecurity, and AI. Includes one-click AI outreach email generation personalised to each facility's financial and operational profile.
AI outreachService fitDeal pipeline
📊
Service Line Screeners
Twenty-five dedicated service-line screeners — Radiology, Oncology, Urology, MSK, Pain, Cardiology, Behavioral Health, Women's Health, GI, Laboratory Services, Nephrology, Neurology, Dermatology, Vascular Surgery, Ophthalmology, Endocrinology, Physical Therapy, Infectious Disease, Rheumatology, Pulmonology, Psychiatry, Hematology, Palliative Care, Occupational Therapy, and Speech Therapy. Each shows provider counts within 15/30/60mi, nearest provider, gap severity, and interactive maps with zone rings.
25 screenersZone mapsProvider counts
📋
Executive Report Engine
One-click PDF-ready executive report per facility: cover header with full address, interactive map with 15/30/60mi service zones, financial snapshot (margin, financial health, CON state, CMS stars), population catchment rings, service-line gap grid, nearest providers table, M&A signals, and recommended Bison engagement stack.
PDF exportAI narrativeM&A signals
⚙️
Admin & Multi-Tenant
Bison Ridge admins see all 5,360 hospitals. Client users see only their assigned facilities. Full audit logging, user management, hospital assignment, and data inventory — managed from a five-tab admin panel with role-based access control.
RLS securityAudit logMulti-tenant
Data fields available per facility in the portal
Identity & Location
  • ✓ Full address & geocoordinates
  • ✓ Hospital type & ownership
  • ✓ CCN & CMS identifier
  • ✓ CAH / Rural / Sole County
  • ✓ CON state jurisdiction
  • ✓ Bed count & FTE staff
Financial Intelligence
  • ✓ Operating margin %
  • ✓ Financial health score /100
  • ✓ Distress score /100
  • ✓ Revenue proxy ($M)
  • ✓ CMS star rating
  • ✓ Bison Opportunity Score
Service Line Coverage
  • ✓ Provider count at 15/30/60mi
  • ✓ Nearest provider name & distance
  • ✓ Top 6 providers with contact
  • ✓ Gap severity classification
  • ✓ 25 service lines indexed
  • ✓ Interactive zone map
Market Intelligence
  • ✓ Population catchment 15–120mi
  • ✓ AI executive narrative
  • ✓ Gap summary & business signal
  • ✓ M&A advisory signals (9 flags)
  • ✓ Bison service fit scoring
  • ✓ State GPCI Medicare factor
⚡ Access the Intelligence Portal →

Authorised access only · portal.bisonridgehealthcare.com

Team

Operators who've done it.

Deep healthcare ops, M&A, enterprise AI, and cybersecurity - the combination healthcare executives trust.

LT
Lisa Tarafulli
CEO & Co-Founder

30+ years in healthcare operations, financial restructuring, and CMS regulatory recovery. Proven track record leading hospital turnarounds, revenue cycle transformations, and board-level strategy for health systems, physician groups, and PE-backed platforms across the US, GCC, and internationally.

TurnaroundCMS RecoveryRevenue CyclePE Advisory
PJ
Paul Jones
CTO & CISO · Co-Founder

Investment banking technology, enterprise AI, and cybersecurity leadership. Fractional CTO and CISO across healthcare, finance, and M&A. Architected the Bison Ridge Intelligence platform - from CMS data pipeline to AI engine to production - engineered to HIPAA and HITECH standards throughout.

Enterprise AICybersecurityHIPAA/HITECHM&A Tech
AI Healthcare Intelligence Platform

Stop guessing.
Start finding value.

Every week without Bison Ridge Intelligence is a week your competitors could be identifying the same distressed hospitals, the same referral gaps, the same $2.1B in opportunity — before you do.

5,360
Facilities
$2.1B
Revenue identified
25
Modules
50
States
AI
Native