HEART TO HEART HOSPICE OF SAN MARCOS LLC

SAN MARCOS, TXCCN: 741661
YELLOW

Overall

55.5

Quality

40.0

Compliance

57.5

Operational

60.0

Market

65.0

CAHPS Survey Rating

3.0

Family Caregiver Survey

Contact Information

Address

1340 WONDER WORLD DRIVE SUITE 2200

SAN MARCOS, TX 78666

Website

No website on file

Administrator

KELLY O MITCHELL, CEO/MANAGER

Financial & Registry Data

Cost Report (2024)
Revenue$6.7M
Expenses$6.7M
Net Income$0.00M
Cost/Day$238

Provider Details

CountyHays
Ownership TypeFor-Profit
ADC66
ADC Fitmarginal
Service Area (ZIPs)56
Market TypeUrban
CertifiedApr 16, 2017
County Demographics
65+ Population30,171
% 65+12.3%
Median Income$79,990

Ownership Profile

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

Classification Reasons

Concern: Quality needs review (score: 40)
Concern: Compliance risk moderate (score: 58)

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; 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