HEART TO HEART HOSPICE OF PERMIAN BASIN

MIDLAND, TXCCN: 671778
YELLOW

Overall

55.5

Quality

60.0

Compliance

45.0

Operational

60.0

Market

60.0

Contact Information

Address

4214 ANDREWS HIGHWAY, SUITE 307

MIDLAND, TX 79703

Website

No website on file

Administrator

KELLY O MITCHELL, CEO/MANAGER

Financial & Registry Data

Cost Report (2024)
Revenue$3.9M
Expenses$3.9M
Net Income$0.00M
Cost/Day$298

Provider Details

CountyMidland
Ownership TypeFor-Profit
ADC29
ADC Fittarget
Service Area (ZIPs)29
Market TypeUrban
CertifiedOct 6, 2013
County Demographics
65+ Population18,815
% 65+11.1%
Median Income$90,123

Ownership Profile

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

Classification Reasons

Positive: ADC (29) within target range
Concern: Compliance risk moderate (score: 45)

Outreach Status

Readiness

Monitor - Complete diligence first

Deal Type

Possible platform or large tuck-in

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

Quality score drop below 30; CMS enforcement action

Owner Carry-Back Analysis

100/100
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

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