METHODIST HEALTHCARE HILL COUNTRY HOSPICE & FAMILY

FREDERICKSBURG, TXCCN: 451600
YELLOW

Overall

68.1

Quality

73.3

Compliance

65.0

Operational

70.0

Market

65.0

CAHPS Survey Rating

4.0

Family Caregiver Survey

Contact Information

Address

808 REUBEN ST, BRUNE BLDG 2ND FLR

FREDERICKSBURG, TX 78624

Website

No website on file

Administrator

CLINT KOTAL, CEO

Financial & Registry Data

Cost Report (2024)
Revenue$4.4M
Expenses$3.8M
Net Income$0.60M
Cost/Day$152

Provider Details

CountyGillespie
Ownership TypeFor-Profit
ADC80
ADC Fitmarginal
Service Area (ZIPs)56
Market TypeUrban
CertifiedJul 27, 1994
County Demographics
65+ Population8,175
% 65+30.3%
Median Income$70,162

Ownership Profile

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

Classification Reasons

Positive: Strong quality metrics (score: 73)
Positive: Strong operational performance

Outreach Status

Readiness

Monitor - Complete diligence first

Deal Type

Platform potential

Sell-Side Hypothesis

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

Rating Sensitivity

Upgrade Triggers

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

93/100
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

Medium Operation+8

Larger ADC - may attract institutional buyers but still viable

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.

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