CARE INITIATIVES HOSPICE - WEST DES MOINES

WEST DES MOINES, IACCN: 161594
YELLOW

Overall

55.3

Quality

33.3

Compliance

62.5

Operational

60.0

Market

65.0

Contact Information

Address

7055 VISTA DRIVE

WEST DES MOINES, IA 50266

Website

No website on file

Administrator

BRANDON KRANOVICH, ADMINISTRATOR

Financial & Registry Data

Cost Report (2024)
Revenue$3.0M
Expenses$2.8M
Net Income$0.22M
Cost/Day$157

Provider Details

CountyDallas
Ownership TypeOther
ADC60
ADC Fitmarginal
Service Area (ZIPs)69
Market TypeUrban
CertifiedOct 15, 2009
County Demographics
65+ Population13,111
% 65+13.1%
Median Income$99,533

Ownership Profile

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

Classification Reasons

Concern: Quality needs review (score: 33)

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; CON state expansion opportunity

Downgrade Triggers

Compliance score drop below 40; CMS enforcement action

Owner Carry-Back Analysis

95/100
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

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

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 (0.88)

Missing Fields

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