AVERA @ HOME OF SPENCER HOSPITAL
Overall
61.7
Quality
66.7
Compliance
57.5
Operational
70.0
Market
55.0
Contact Information
COLLEEN ANN PAULSEN, DIRECTOR OF COMMUNITY HEALTH SERV
Provider Details
Ownership Profile
Classification Reasons
Outreach Status
Readiness
Monitor - Complete diligence first
Deal Type
Tuck-in candidate
Sell-Side Hypothesis
Small census may strain profitability, owner may seek scale partner
Rating Sensitivity
Upgrade Triggers
Quality improvement above 70 threshold; Compliance metrics improvement; CON state expansion opportunity
Downgrade Triggers
Compliance score drop below 40; Quality score drop below 30; CMS enforcement action
Owner Carry-Back Analysis
Not backed by private equity - more likely to consider creative financing
Not part of larger chain - owner has full decision authority
Sole owner can make quick decisions on seller financing
Smaller ADC - owner may need carry-back for viable purchase price
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
Data Quality
HIGH
Confidence
High (0.88)
Missing Fields
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