NOBLE HOSPICE AND PALLIATIVE CARE

MODESTO, CACCN: A01647
YELLOW

Overall

55.3

Quality

53.3

Compliance

52.5

Operational

50.0

Market

65.0

Contact Information

Address

605 STANDIFORD AVENUE SUITE K

MODESTO, CA 95350

Website

No website on file

Administrator

JAGBIR KAUR DHILLON, BOARD MEMBER VICE PRESIDENT

Financial & Registry Data

Cost Report (2024)
Revenue$5.2M
Expenses$2.8M
Net Income$2.32M
Cost/Day$118

Provider Details

CountyStanislaus
Ownership TypeFor-Profit
ADC53
ADC Fittarget
Service Area (ZIPs)67
Market TypeUrban
CertifiedOct 22, 2019
County Demographics
65+ Population78,978
% 65+14.3%
Median Income$74,872

Ownership Profile

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

Classification Reasons

Positive: ADC (53) within target range
Concern: Quality needs review (score: 53)
Concern: Compliance risk moderate (score: 52)

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

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