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AKESO HOME HOSPICE INC

CANFIELD, OHCCN: 361707
GREEN
CON State

Overall

74.2

Quality

66.7

Compliance

70.0

Operational

70.0

Market

90.0

Contact Information

Address

6600 SUMMIT DRIVE

CANFIELD, OH 44406

Phone
(330) 759-3903
Website
https://www.akesohealthcare.com
Administrator

JOHN W ARFARAS, PRESIDENT, TREASURER

Financial & Registry Data

Cost Report (2024)
Revenue$4.7M
Expenses$4.0M
Net Income$0.78M
Cost/Day$165
NPI Registry
NPI1386136737
Authorized Official

JOHN ARFARAS

President

Provider Details

CountyMahoning
Ownership TypeFor-Profit
ADC46
ADC Fittarget
Service Area (ZIPs)53
Market TypeUrban
CertifiedJun 13, 2019
County Demographics
65+ Population52,904
% 65+23.2%
Median Income$54,279

Ownership Profile

Complexitymoderate
Owner Count4
PE/Investment BackedNo
Chain AffiliatedNo
Recent Ownership ChangeNo

Classification Reasons

ADC (46) within target range
CON state provides regulatory moat
Low compliance risk (score: 70)
Strong operational performance

Outreach Status

Readiness

Ready - Prioritize for outreach

Deal Type

Platform potential

Sell-Side Hypothesis

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

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

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.

View All Owner Carry-Back Opportunities

Data Quality & Completeness

Completeness Score

90%

Data Quality

HIGH

Confidence

High (0.90)

Missing Fields

quality_stars

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