ML Analysis — SSM HEALTH-ST. MARYS AUDRAIN
CCN 260064 | 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.
47
/ 100 (C)
Financial Health5/25
RCM Upside18/25
Market Position15/20
Demand Defensibility4/15
Operational Efficiency4/15
Entry Multiple: 8.0x – 10.0x
Est. MOIC: 1.9x
Risk Factors:
- Negative operating margin
- Small facility (<50 beds) — limited scale
- Low occupancy (<30%) — demand risk
- Expenses exceed revenue
Catalysts:
- Strong commercial payer base protects revenue
- Limited competition supports pricing power
Margin Prediction (Trained Ridge Model)
-13.3%
R²=0.34 | n=4,907 | Grade B | Actual: -16.3%
Ridge regression trained on 4,907 HCRIS hospitals. 90% CI: [-41.6%, 15.0%]. P30 nationally.
| Driver | Value | Effect | Explanation | |
|---|---|---|---|---|
| Revenue/Bed | 242294.475 | -0.1866 | Lower Revenue/Bed decreases predicted margin | |
| Expense/Bed | 281884.975 | +0.1694 | Higher Expense/Bed increases predicted margin | |
| Bed Utilization Value | 47231.051 | -0.0274 | Lower Bed Utilization Value decreases predicted ma | |
| Occupancy | 0.195 | -0.0188 | Lower Occupancy decreases predicted margin | |
| Bed Count | 40.000 | +0.0170 | Higher Bed Count increases predicted margin |
Turnaround: 28%Low turnaround probability (28%). Structural disadvantages in Revenue/Bed and Expense/Bed.
Rural/Critical Access
Archetype
58.2%
Distress Risk
$5.9M
RCM Opportunity
A
Opportunity Grade
44.5%
Projected Margin
Cluster: Rural/Critical Access
Percentile within cluster: P25. Rural/small hospitals face structural headwinds. Evaluate CAH conversion, telehealth, and rural health funding.
Nearest Peers
| Hospital | State | Beds |
|---|---|---|
| BRECKINRIDGE HEALTH INC | KY | 25 |
| SHERIDAN MEMORIAL HOSPITAL | MT | 19 |
| DAYTON GENERAL HOSPITAL | WA | 25 |
| BLUE MOUNTAIN HOSPITAL DISTRICT | OR | 16 |
| COMMUNITY HOSPITAL | WY | 25 |
| CARLE EUREKA HOSPITAL | IL | 25 |
Distress Analysis
Risk: High
National distress rate: 49.3%
MO distress rate: 53.0%
Model AUC: 0.629
| Factor | Value | Contribution | Direction |
|---|---|---|---|
| Occupancy Rate | 0.195 | +0.307 | ▲ risk |
| Revenue Per Bed | 242294.475 | +0.079 | ▲ risk |
| Medicaid Day Pct | 0.031 | -0.058 | ▼ risk |
| Medicare Day Pct | 0.511 | +0.032 | ▲ risk |
| Beds | 40.000 | -0.015 | ▼ risk |
| Net To Gross Ratio | 0.394 | +0.011 | ▲ risk |
RCM Improvement Opportunity
Total (risk-adjusted): $5.9M
Current margin: -16.3%
Projected margin: 44.5%
Grade: A
Comps: 65
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 | 0.458 | 0.651 | 19.4% | $2.9M | 50% | 24mo |
| Occupancy Improvement | 0.195 | 0.632 | 43.8% | $2.9M | 55% | 24mo |
| Net-to-Gross Ratio Improvement | 0.394 | 0.490 | 9.5% | $108K | 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 | 31.0 | [25.0, 75.0] | P64 | 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. |