ML Analysis — SSH - CLEVELAND
CCN 362026 | 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.
42
/ 100 (D)
Financial Health9/25
RCM Upside14/25
Market Position9/20
Demand Defensibility9/15
Operational Efficiency1/15
Entry Multiple: 8.0x – 10.0x
Est. MOIC: 1.9x
Risk Factors:
Catalysts:
- Strong commercial payer base protects revenue
Margin Prediction (Trained Ridge Model)
-4.6%
R²=0.34 | n=4,907 | Grade B | Actual: 3.6%
Ridge regression trained on 4,907 HCRIS hospitals. 90% CI: [-32.9%, 23.7%]. P50 nationally.
| Driver | Value | Effect | Explanation | |
|---|---|---|---|---|
| Revenue/Bed | 566808.838 | -0.1413 | Lower Revenue/Bed decreases predicted margin | |
| Expense/Bed | 546597.338 | +0.1368 | Higher Expense/Bed increases predicted margin | |
| State Peer Margin | -0.004 | +0.0313 | Higher State Peer Margin increases predicted margi | |
| Reimbursement Quality | 0.109 | +0.0265 | Higher Reimbursement Quality increases predicted m | |
| Net-to-Gross | 0.170 | -0.0222 | Lower Net-to-Gross decreases predicted margin |
Suburban Community Hospit
Archetype
47.8%
Distress Risk
$3.6M
RCM Opportunity
C
Opportunity Grade
11.6%
Projected Margin
Cluster: Suburban Community Hospital
Percentile within cluster: P57. 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 |
|---|---|---|---|
| Net To Gross Ratio | 0.170 | -0.088 | ▼ risk |
| Occupancy Rate | 0.596 | -0.065 | ▼ risk |
| Medicaid Day Pct | 0.152 | +0.063 | ▲ risk |
| Revenue Per Bed | 566808.838 | +0.060 | ▲ risk |
| Medicare Day Pct | 0.206 | -0.021 | ▼ risk |
| Beds | 80.000 | -0.009 | ▼ risk |
RCM Improvement Opportunity
Total (risk-adjusted): $3.6M
Current margin: 3.6%
Projected margin: 11.6%
Grade: C
Comps: 98
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 | 0.642 | 0.765 | 12.4% | $1.9M | 50% | 24mo |
| Net-to-Gross Ratio Improvement | 0.170 | 0.406 | 23.6% | $1.2M | 65% | 18mo |
| Occupancy Improvement | 0.596 | 0.674 | 7.9% | $520K | 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 | 27.0 | [25.0, 75.0] | P39 | 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. |