CUSTOM HOSPICE, LLC

TROY, MICCN: 231638
RED
CON State

Overall

55.9

Quality

46.7

Compliance

32.5

Operational

60.0

Market

90.0

CAHPS Survey Rating

3.0

Family Caregiver Survey

Contact Information

Address

888 W BIG BEAVER RD, SUITE 900

TROY, MI 48084

Website

No website on file

Provider Details

CountyOakland
Ownership TypeFor-Profit
ADC91
ADC Fitmarginal
Service Area (ZIPs)158
Market TypeUrban
CertifiedApr 1, 2015
County Demographics
65+ Population238,408
% 65+18.7%
Median Income$92,620

Ownership Profile

Complexitymoderate
Owner Count8
PE/Investment BackedNo
Chain AffiliatedNo
Recent Ownership ChangeYes

Classification Reasons

High compliance risk (score: 32)
High burdensome transitions (11.0%)

Outreach Status

Readiness

Not Recommended - Poor fit or high risk

Deal Type

Possible platform or large tuck-in

Sell-Side Hypothesis

Recent ownership change may indicate transition period or strategic repositioning

Rating Sensitivity

Upgrade Triggers

Demonstrated compliance improvement in next CMS refresh

Downgrade Triggers

Already at lowest classification

Owner Carry-Back Analysis

70/100
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

Medium Operation+8

Larger ADC - may attract institutional buyers but still viable

Recent Change+2

Recent ownership change - may indicate PE flip or distressed situation

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

55%

Data Quality

HIGH

Confidence

High (0.90)

Missing Fields

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