ML Analysis — SSH - MACOMB COUNTY INC.
CCN 232023 | 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.
54
/ 100 (C)
Financial Health16/25
RCM Upside7/25
Market Position13/20
Demand Defensibility13/15
Operational Efficiency5/15
Entry Multiple: 8.0x – 10.0x
Est. MOIC: 1.9x
Risk Factors:
Catalysts:
- Strong commercial payer base protects revenue
Margin Prediction (Trained Ridge Model)
-4.4%
R²=0.34 | n=4,907 | Grade B | Actual: 13.5%
Ridge regression trained on 4,907 HCRIS hospitals. 90% CI: [-32.7%, 23.9%]. P51 nationally.
| Driver | Value | Effect | Explanation | |
|---|---|---|---|---|
| Expense/Bed | 452527.754 | +0.1484 | Higher Expense/Bed increases predicted margin | |
| Revenue/Bed | 523372.956 | -0.1474 | Lower Revenue/Bed decreases predicted margin | |
| Reimbursement Quality | 0.110 | +0.0264 | Higher Reimbursement Quality increases predicted m | |
| Net-to-Gross | 0.178 | -0.0213 | Lower Net-to-Gross decreases predicted margin | |
| Bed Utilization Value | 371870.258 | -0.0166 | Lower Bed Utilization Value decreases predicted ma |
Suburban Community Hospit
Archetype
42.4%
Distress Risk
$4.0M
RCM Opportunity
C
Opportunity Grade
20.3%
Projected Margin
Cluster: Suburban Community Hospital
Percentile within cluster: P52. Community hospitals — the largest PE deal category. Focus on RCM improvement and cost optimization at 9-11x.
Nearest Peers
| Hospital | State | Beds |
|---|---|---|
| PROMEDICA HICKMAN HOSPITAL | MI | 58 |
| WATAUGA MEDICAL CENTER | NC | 95 |
| ST LUKES HOSPITAL - EASTON CAMPUS | PA | 29 |
| CULPEPER MEMORIAL HOSPITAL | VA | 70 |
| SOUTHSIDE COMMUNITY HOSPITAL | VA | 80 |
| SPECTRUM HEALTH LUDINGTON | MI | 45 |
Distress Analysis
Risk: Elevated
National distress rate: 49.3%
MI distress rate: 50.9%
Model AUC: 0.629
| Factor | Value | Contribution | Direction |
|---|---|---|---|
| Occupancy Rate | 0.711 | -0.172 | ▼ risk |
| Medicaid Day Pct | 0.000 | -0.089 | ▼ risk |
| Net To Gross Ratio | 0.178 | -0.085 | ▼ risk |
| Revenue Per Bed | 523372.956 | +0.062 | ▲ risk |
| Medicare Day Pct | 0.385 | +0.010 | ▲ risk |
| Beds | 114.000 | -0.005 | ▼ risk |
RCM Improvement Opportunity
Total (risk-adjusted): $4.0M
Current margin: 13.5%
Projected margin: 20.3%
Grade: C
Comps: 48
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 | 0.615 | 0.762 | 14.7% | $2.2M | 50% | 24mo |
| Net-to-Gross Ratio Improvement | 0.178 | 0.382 | 20.4% | $1.4M | 65% | 18mo |
| Occupancy Improvement | 0.711 | 0.771 | 6.1% | $401K | 55% | 24mo |
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 | 25.0 | [25.0, 75.0] | P0 | 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. |