LEE COUNTY HEALTH DEPARTMENT

FORT MADISON, IACCN: 161517
GREEN

Overall

69.1

Quality

73.3

Compliance

70.0

Operational

80.0

Market

55.0

Contact Information

Address

3 JOHN BENNETT DRIVE

FORT MADISON, IA 52627

Website

No website on file

Administrator

MICHELE D ROSS, ADMINISTRATOR

Financial & Registry Data

Cost Report (2024)
Revenue$4.3M
Expenses$4.3M
Net Income$0.00M
Cost/Day$2026
NPI Registry
NPI1639190259
Authorized Official

MICHELE ROSS

Administrator

Provider Details

CountyLee
Ownership TypeGovernment
ADC8
ADC Fittarget
Service Area (ZIPs)20
Market TypeUrban
CertifiedOct 15, 1990
County Demographics
65+ Population7,622
% 65+22.8%
Median Income$58,094

Ownership Profile

Complexityunknown
Owner Count
PE/Investment BackedNo
Chain AffiliatedNo
Recent Ownership ChangeNo

Classification Reasons

ADC (8) within target range
Strong quality metrics (score: 73)
Low compliance risk (score: 70)
Strong operational performance

Outreach Status

Readiness

Ready - Prioritize for outreach

Deal Type

Tuck-in candidate

Sell-Side Hypothesis

Small census may strain profitability, owner may seek scale partner

Rating Sensitivity

Upgrade Triggers

Already at highest classification

Downgrade Triggers

Quality or compliance metrics decline in next CMS refresh; Material compliance investigation or survey deficiency; Significant ownership change or PE exit

Owner Carry-Back Analysis

90/100
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

Single Owner+20

Sole owner can make quick decisions on seller financing

Small Operation+10

Smaller ADC - owner may need carry-back for viable purchase price

Stable Ownership+10

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

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

90%

Data Quality

HIGH

Confidence

High (0.88)

Missing Fields

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