SYMPONIA HOSPICE

DECATUR, GACCN: 111796
YELLOW
CON State

Overall

63.4

Quality

46.7

Compliance

57.5

Operational

60.0

Market

90.0

Contact Information

Address

4288 MEMORIAL DR, SUITE B

DECATUR, GA 30032

Website

No website on file

Administrator

PAMELA HOUSER, CEO

Financial & Registry Data

Cost Report (2024)
Revenue$3.7M
Expenses$3.7M
Net Income$0.00M
Cost/Day$190

Provider Details

CountyDeKalb
Ownership TypeFor-Profit
ADC56
ADC Fittarget
Service Area (ZIPs)106
Market TypeUrban
CertifiedApr 16, 2018
County Demographics
65+ Population107,951
% 65+14.2%
Median Income$76,044

Ownership Profile

Complexitymoderate
Owner Count5
PE/Investment BackedNo
Chain AffiliatedNo
Recent Ownership ChangeNo

Classification Reasons

Positive: ADC (56) within target range
Positive: CON state provides regulatory moat
Concern: Quality needs review (score: 47)
Concern: Compliance risk moderate (score: 58)

Outreach Status

Readiness

Monitor - Complete diligence first

Deal Type

Possible platform or large tuck-in

Sell-Side Hypothesis

Standard owner exit motivations: retirement, capital needs, or strategic realignment

Rating Sensitivity

Upgrade Triggers

Quality improvement above 70 threshold; Compliance metrics improvement

Downgrade Triggers

Compliance score drop below 40; Quality score drop below 30; CMS enforcement action

Owner Carry-Back Analysis

85/100
HIGH
Independent Ownership+30

Not backed by private equity - more likely to consider creative financing

Standalone Operation+20

Not part of larger chain - owner has full decision authority

Multiple Owners+5

Multiple stakeholders may complicate carry-back terms

Ideal Size+15

ADC 20-60 is perfect for owner carry-back - established but manageable

Stable Ownership+10

Long-term owner more likely to have emotional investment and consider flexible terms

For-Profit+5

For-profit structure - owner seeks return, more receptive to deal structures

Prime Owner Carry-Back Candidate

This provider shows strong indicators for owner financing. Single/simple ownership structure, no PE involvement, and ideal operational size suggest the owner may be receptive to a seller note arrangement. Consider approaching with a 10-20% carry-back proposal.

Data Quality & Completeness

Completeness Score

85%

Data Quality

HIGH

Confidence

High (0.90)

Missing Fields

quality_stars
Data Source: CMS Provider Data Catalog Nov 2025, PECOS Q1 2026 • Analysis Date: Jan 26, 2026