ML Analysis — SSH - OMAHA INC.
CCN 282001 | Clustering + Distress + RCM Opportunity
🛡️ Public data only — no PHI permitted on this instance.
Investability Score
Speculative — only pursue if turnaround thesis is strong and entry multiple reflects risk.
32
/ 100 (D)
Financial Health3/25
RCM Upside19/25
Market Position2/20
Demand Defensibility8/15
Operational Efficiency0/15
Entry Multiple: 6.0x – 8.5x
Est. MOIC: 1.5x
Risk Factors:
- Negative operating margin
- Heavy Medicare dependence (>55%)
- Expenses exceed revenue
Catalysts:
Margin Prediction (Trained Ridge Model)
-9.8%
R²=0.34 | n=4,907 | Grade B | Actual: -10.5%
Ridge regression trained on 4,907 HCRIS hospitals. 90% CI: [-38.1%, 18.5%]. P38 nationally.
| Driver | Value | Effect | Explanation | |
|---|---|---|---|---|
| Revenue/Bed | 359931.885 | -0.1702 | Lower Revenue/Bed decreases predicted margin | |
| Expense/Bed | 397673.019 | +0.1552 | Higher Expense/Bed increases predicted margin | |
| Reimbursement Quality | 0.083 | +0.0341 | Higher Reimbursement Quality increases predicted m | |
| Bed Utilization Value | 168056.710 | -0.0234 | Lower Bed Utilization Value decreases predicted ma | |
| Net-to-Gross | 0.187 | -0.0204 | Lower Net-to-Gross decreases predicted margin |
Turnaround: 33%Turnaround possible (33%) but uncertain. Margin improvement depends on improving Revenue/Bed.
nan%
Distress Risk
$3.0M
RCM Opportunity
A
Opportunity Grade
5.6%
Projected Margin
Distress Analysis
Risk: Unknown
National distress rate: 49.3%
NE distress rate: 53.1%
Model AUC: 0.629
| Factor | Value | Contribution | Direction |
|---|---|---|---|
| Net To Gross Ratio | 0.187 | -0.081 | ▼ risk |
| Occupancy Rate | 0.467 | +0.054 | ▲ risk |
| Medicare Day Pct | 0.555 | +0.039 | ▲ risk |
| Medicaid Day Pct | nan | +nan | ▼ risk |
| Revenue Per Bed | 359931.885 | +0.072 | ▲ risk |
| Beds | 52.000 | -0.013 | ▼ risk |
RCM Improvement Opportunity
Total (risk-adjusted): $3.0M
Current margin: -10.5%
Projected margin: 5.6%
Grade: A
Comps: 16
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 | 0.445 | 0.568 | 12.4% | $1.9M | 50% | 24mo |
| Occupancy Improvement | 0.467 | 0.564 | 9.7% | $637K | 55% | 24mo |
| Net-to-Gross Ratio Improvement | 0.187 | 0.425 | 23.8% | $521K | 65% | 18mo |
Predicted RCM Performance (Public Data Only)
B
RCM Grade
Average RCM profile — some improvement opportunities. Standard diligence scope recommended.
| Metric | Predicted | 90% CI | Percentile | Assessment |
|---|---|---|---|---|
| Denial Rate | 25.0% | [2.0%, 25.0%] | P83 | Below average — denial rate suggests RCM improvement opportu |
| Days in AR | 75.0 | [25.0, 75.0] | P83 | Below average — days in ar suggests RCM improvement opportun |
| 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. |