HOSPICE OF THE VALLEY

FRESNO, CACCN: A01537

RED

Overall

48.2

Quality

20.0

Compliance

45.0

Operational

80.0

Market

55.0

Contact Information

Address

5100 N 6TH STREET, SUITE 150

FRESNO, CA 93710

Phone

(559) 227-7202

Website

No website on file

Provider Details

CountyFresno

Ownership TypeFor-Profit

ADC47

ADC Fittarget

Service Area (ZIPs)48

Market TypeUrban

CertifiedNov 2, 2018

County Demographics

65+ Population135,029

% 65+13.4%

Median Income$67,756

Ownership Profile

Complexitycomplex

Owner Count28

PE/Investment BackedNo

Chain AffiliatedNo

Recent Ownership ChangeYes

Classification Reasons

Poor quality performance (score: 20)

High burdensome transitions (12.3%)

Outreach Status

Readiness

Not Recommended - Poor fit or high risk

Deal Type

Possible platform or large tuck-in

Sell-Side Hypothesis

Complex ownership may create partnership disputes or exit pressure

Rating Sensitivity

Upgrade Triggers

Quality metrics improvement in next CAHPS cycle

Downgrade Triggers

Already at lowest classification

Owner Carry-Back Analysis

77/100

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

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.

View All Owner Carry-Back Opportunities

Data Quality & Completeness

Completeness Score

55%

Data Quality

HIGH

Confidence

High (0.88)

Missing Fields

administratorfinancialsquality_stars

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