ML Analysis — SSH - YOUNGSTOWN
CCN 362024 | 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.
49
/ 100 (C)
Financial Health12/25
RCM Upside11/25
Market Position13/20
Demand Defensibility10/15
Operational Efficiency3/15
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
Margin Prediction (Trained Ridge Model)
-3.9%
R²=0.34 | n=4,907 | Grade B | Actual: 5.9%
Ridge regression trained on 4,907 HCRIS hospitals. 90% CI: [-32.2%, 24.4%]. P52 nationally.
| Driver | Value | Effect | Explanation | |
|---|---|---|---|---|
| Revenue/Bed | 467124.048 | -0.1552 | Lower Revenue/Bed decreases predicted margin | |
| Expense/Bed | 439814.881 | +0.1500 | Higher Expense/Bed increases predicted margin | |
| Reimbursement Quality | 0.087 | +0.0328 | Higher Reimbursement Quality increases predicted m | |
| State Peer Margin | -0.004 | +0.0313 | Higher State Peer Margin increases predicted margi | |
| Net-to-Gross | 0.155 | -0.0240 | Lower Net-to-Gross decreases predicted margin |
Suburban Community Hospit
Archetype
44.2%
Distress Risk
$2.7M
RCM Opportunity
B
Opportunity Grade
19.7%
Projected Margin
Cluster: Suburban Community Hospital
Percentile within cluster: P32. 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%
OH distress rate: 37.3%
Model AUC: 0.629
| Factor | Value | Contribution | Direction |
|---|---|---|---|
| Occupancy Rate | 0.686 | -0.149 | ▼ risk |
| Net To Gross Ratio | 0.155 | -0.095 | ▼ risk |
| Revenue Per Bed | 467124.048 | +0.066 | ▲ risk |
| Medicaid Day Pct | 0.071 | -0.018 | ▼ risk |
| Beds | 42.000 | -0.014 | ▼ risk |
| Medicare Day Pct | 0.364 | +0.006 | ▲ risk |
RCM Improvement Opportunity
Total (risk-adjusted): $2.7M
Current margin: 5.9%
Projected margin: 19.7%
Grade: B
Comps: 113
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 | 0.564 | 0.699 | 13.5% | $2.0M | 50% | 24mo |
| Net-to-Gross Ratio Improvement | 0.155 | 0.455 | 30.1% | $690K | 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 | 28.6 | [25.0, 75.0] | P47 | 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. |