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HOSP

MONUMENT HEALTH SPEARFISH HOSPITAL

CCN 430048|LOC SPEARFISH, SD|BEDS 27|NPR $116.6M|MARGIN 1.9%

SeekingChartis Score

INVESTMENT THESIS

Selective: MONUMENT HEALTH SPEARFISH HOSPITAL

/ 100 (C)

+$8.6M

EBITDA Uplift

+736bps

Margin Δ

0.0%

Op Margin

$116.6M

Revenue

—

Realization

—

Peer Rank

SIGNAL STRENGTH

Margin

0.0%

Safety

52%

CATALYSTS

▲RCM uplift of $8.6M (+736bps)

RISKS

▼Elevated distress risk (48%)

▼Small facility — limited scale economies

Hold / Selective — investigate specific opportunities but be prepared for execution risk.

Peer Analysis EBITDA Bridge Data Room IC Memo ML Detail

$116.6M

Net Patient Revenue

1.9%

Operating Margin

$2.2M

Net Income

Licensed Beds

$4,319K

Revenue per Bed

$114.4M

Operating Expenses

Payer Mix

PYR

■ MEDICARE · 35%■ MEDICAID · 12%■ COMMERCIAL · 52%

Score Breakdown

SCComposite · 28/100

Component	Score	Max	%
Market Position	11	35	32%
Financial Health	10	25	40%
Operational Quality	0	20	0%
Competitive Moat	1	20	6%

Comparable Hospitals

CMP

CCN	Hospital	Beds	NPR
430005	PRAIRIE LAKES HEALTH CARE CENTER	69	$0M
430008	BROOKINGS HEALTH SYSTEM	49	$0M
430012	AVERA SACRED HEART HOSPITAL	42	$0M
430013	AVERA QUEEN OF PEACE	50	$0M
430014	AVERA ST. LUKES	50	$0M

Team Notes

NOTE0 entries

Actions

ACT

WFDiligence Workflow

Competitive Intel EBITDA Bridge Data Room IC Memo Scenarios

AIDeep Analysis

ML Analysis Demand 3-Year History Stats Bayesian

FINFinancial Models

DCF LBO 3-Statement Returns Market Denial

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