ML Analysis — SSH - SPRINGFIELD INC.
CCN 262017 | 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.
45
/ 100 (C)
Financial Health8/25
RCM Upside15/25
Market Position13/20
Demand Defensibility8/15
Operational Efficiency1/15
Entry Multiple: 8.0x – 10.0x
Est. MOIC: 1.9x
Risk Factors:
- Small facility (<50 beds) — limited scale
Catalysts:
- Strong commercial payer base protects revenue
- Limited competition supports pricing power
Margin Prediction (Trained Ridge Model)
-8.2%
R²=0.34 | n=4,907 | Grade B | Actual: 0.5%
Ridge regression trained on 4,907 HCRIS hospitals. 90% CI: [-36.5%, 20.1%]. P42 nationally.
| Driver | Value | Effect | Explanation | |
|---|---|---|---|---|
| Revenue/Bed | 548186.409 | -0.1439 | Lower Revenue/Bed decreases predicted margin | |
| Expense/Bed | 545306.886 | +0.1370 | Higher Expense/Bed increases predicted margin | |
| Reimbursement Quality | 0.105 | +0.0278 | Higher Reimbursement Quality increases predicted m | |
| Net-to-Gross | 0.188 | -0.0203 | Lower Net-to-Gross decreases predicted margin | |
| Occupancy | 0.839 | +0.0178 | Higher Occupancy increases predicted margin |
Suburban Community Hospit
Archetype
43.2%
Distress Risk
$2.2M
RCM Opportunity
C
Opportunity Grade
9.7%
Projected Margin
Cluster: Suburban Community Hospital
Percentile within cluster: P73. Community hospitals — the largest PE deal category. Focus on RCM improvement and cost optimization at 9-11x.
Nearest Peers
| Hospital | State | Beds |
|---|---|---|
| CLARA MAASS MEDICAL CENTER | NJ | 259 |
| PRESENCE SAINTS MARY & ELIZABETH MED | IL | 266 |
| ADVENTIST HEALTH BAKERSFIELD | CA | 254 |
| BRISTOL REGIONAL MEDICAL CENTER | TN | 244 |
| HOLSTON VALLEY HOSP & MED CTR | TN | 286 |
| SPRINGFIELD REGIONAL MEDICAL CENTER | OH | 230 |
Distress Analysis
Risk: Elevated
National distress rate: 49.3%
MO distress rate: 53.0%
Model AUC: 0.629
| Factor | Value | Contribution | Direction |
|---|---|---|---|
| Occupancy Rate | 0.839 | -0.291 | ▼ risk |
| Medicaid Day Pct | 0.176 | +0.087 | ▲ risk |
| Net To Gross Ratio | 0.188 | -0.081 | ▼ risk |
| Revenue Per Bed | 548186.409 | +0.061 | ▲ risk |
| Beds | 44.000 | -0.014 | ▼ risk |
| Medicare Day Pct | 0.265 | -0.011 | ▼ risk |
RCM Improvement Opportunity
Total (risk-adjusted): $2.2M
Current margin: 0.5%
Projected margin: 9.7%
Grade: C
Comps: 64
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 | 0.558 | 0.651 | 9.3% | $1.4M | 50% | 24mo |
| Net-to-Gross Ratio Improvement | 0.188 | 0.480 | 29.2% | $825K | 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 | 27.9 | [25.0, 75.0] | P43 | 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. |