Composite
37.6 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| financial risk | 49.1 | 15.1 | 0.30 | 0.2857 | 14.03 | in index |
| state reg risk | 36.2 | 8.0 | 0.30 | 0.2857 | 10.34 | in index |
| chow risk | 51.2 | 19.4 | 0.15 | 0.1429 | 7.31 | in index |
| regulatory risk | 2.3 | 12.5 | 0.30 | 0.2857 | 0.66 | in index |
| ownership opacity | 95.6 | 55.0 | excluded |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| chow risk | 30.0 | B | v0.1-pecoshha | default · in composite | Home health change of ownership from PECOS owner association dates, the created-for-acquisition flag, owner cohort churn and investment or holding company layering. |
| chow risk | 8.7 | A | v0.1-pos | default · in composite | Change-of-ownership footprint in the CMS Provider of Services file: control-family, legal-name and address deltas across quarterly snapshots, plus certification reset recency and Medicare tenure. |
| financial risk | 20.5 | A | v0.1-txclosures | default · in composite | Texas HHSC HCSSA closure footprint: own-licence closure, owner closure count, closure recency and branch churn, as a going-concern proxy. |
| financial risk | 9.7 | A | v0.1-txhcssa | default · in composite | Texas HCSSA current client census and service breadth. |
| ownership opacity | 55.0 | C | v0.1-txhcssa | default · in composite | Texas HCSSA legal entity chain and domicile. |
| regulatory risk | 5.0 | A | v0.1-txhcssa | default · in composite | Texas HHSC HCSSA licence status. Flags active state enforcement; records status not severity. |
| regulatory risk | 20.0 | A | v0.6-pos | default · in composite | R31. Extends v0.5-pos to hospices (provider type 12): same fields, same weights, no expression change. Hospice regulatory coverage before this was 148 of 6,535 scored hospices, all from the TX HCSSA state model. SNF/NF (type 20) deliberately excluded: the deficiency-based v0.3 already covers 14,315 of 14,720 and is richer evidence than a POS compliance flag. |
| state reg risk | 8.0 | A | v0.1-txhcssa | default · in composite | Texas HCSSA licence status, tenure and branch role. |
| ownership opacity | 35.0 | B | v0.1-pecos | addressable | R21. Retained as a description of ownership structure. Deliberately NOT in any composite: inversely related to billing conduct. |
| regulatory risk | 20.0 | A | v0.5-pos | superseded | R20. Corrects the acptbl_poc_sw error in v0.4-pos; covers provider types 3 and 8. Superseded by v0.6-pos, which extends the population to hospices with no expression change. |
| Measure | Value | Stars | Period | Source |
|---|---|---|---|---|
| How often patients got better at bathing | - | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| How often patients got better at getting in and out of bed | - | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| How often patients got better at walking or moving around | - | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| How often patients' breathing improved | - | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| Discharge Function Score | - | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| How often physician-recommended actions to address medication issues were completely timely | 91.7 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| DTC Risk-Standardized Rate | - | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| Percent of Residents Experiencing One or More Falls with Major Injury | 4.2 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| PPH Risk-Standardized Rate | - | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| PPR Risk-Standardized Rate | - | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| Changes in skin integrity post-acute care: pressure ulcer/injury | - | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| How much Medicare spends on an episode of care at this agency, compared to Medicare spending across all agencies nationally | - | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| Quality of patient care star rating | - | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| How often the home health team began their patients' care in a timely manner | 50.0 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| Percent of patients who reported that their home health team communicated well with them | Not Available | — | hhcahps | https://data.cms.gov/provider-data/sites/default/files/resources/706e7ad48548f6f3893109f403dd9fd8_1782764088/HHCAHPS_Provider_Jul2026.csv |
| Percent of patients who gave their home health agency a rating of 9 or 10 on a scale from 0 (lowest) to 10 (highest) | Not Available | — | hhcahps | https://data.cms.gov/provider-data/sites/default/files/resources/706e7ad48548f6f3893109f403dd9fd8_1782764088/HHCAHPS_Provider_Jul2026.csv |
| Percent of patients who reported that their home health team gave care in a professional way | Not Available | — | hhcahps | https://data.cms.gov/provider-data/sites/default/files/resources/706e7ad48548f6f3893109f403dd9fd8_1782764088/HHCAHPS_Provider_Jul2026.csv |
| Percent of patients who reported YES, they would definitely recommend the home health agency to friends and family | Not Available | — | hhcahps | https://data.cms.gov/provider-data/sites/default/files/resources/706e7ad48548f6f3893109f403dd9fd8_1782764088/HHCAHPS_Provider_Jul2026.csv |
| Survey response rate | Not Available | — | hhcahps | https://data.cms.gov/provider-data/sites/default/files/resources/706e7ad48548f6f3893109f403dd9fd8_1782764088/HHCAHPS_Provider_Jul2026.csv |
| HHCAHPS Survey Summary Star Rating | Not Available | — | hhcahps | https://data.cms.gov/provider-data/sites/default/files/resources/706e7ad48548f6f3893109f403dd9fd8_1782764088/HHCAHPS_Provider_Jul2026.csv |
| Number of completed Surveys | Not Available | — | hhcahps | https://data.cms.gov/provider-data/sites/default/files/resources/706e7ad48548f6f3893109f403dd9fd8_1782764088/HHCAHPS_Provider_Jul2026.csv |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| MGA HEALTHCARE TEXAS HOLDINGS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2019-04-01 | current | pecos_ownership |
| MHH HOLDINGS II, LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2020-02-12 | current | pecos_ownership |
| MHH HOLDINGS III, LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2020-02-12 | current | pecos_ownership |
| MHH SPLITTER, L.P. | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2020-02-12 | current | pecos_ownership |
| MHH HOLDINGS I, LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 99% | 2020-02-12 | current | pecos_ownership |
| FLEXPOINT FUND III AIV (B), L.P. | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50% | 2020-02-12 | current | pecos_ownership |
| BANK OF MONTREAL | 5% OR GREATER SECURITY INTEREST | 42% | 2020-02-12 | current | pecos_ownership |
| FLEXPOINT FUND IV-A, L.P. | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 39% | 2020-02-12 | current | pecos_ownership |
| FLEXPOINT FUND IV-B, L.P | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 11% | 2020-02-12 | current | pecos_ownership |
| MHH F-IV BLOCKER, INC. | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 11% | 2020-02-12 | current | pecos_ownership |
| YALE UNIVERSITY | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 11% | 2020-02-12 | current | pecos_ownership |
| MHH F-III BLOCKER, INC. | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 8% | 2020-02-12 | current | pecos_ownership |
| ODENSLUND, LLP | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 8% | 2020-02-12 | current | pecos_ownership |
| THE FORD FOUNDATION | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 7% | 2020-02-12 | current | pecos_ownership |
| MIT INVESTMENTS 2010, L.P. | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 6% | 2020-02-12 | current | pecos_ownership |
| HARVARD MANAGEMENT PRIVATE EQUITY CORPORATION | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 5% | 2020-02-12 | current | pecos_ownership |
| ALEXANDRA KOLOSKUS | CORPORATE OFFICER | — | 2022-07-28 | current | pecos_ownership |
| CRISTINA RUIZ | W-2 MANAGING EMPLOYEE | — | 2022-08-15 | current | pecos_ownership |
| KODIE RABROKER | W-2 MANAGING EMPLOYEE | — | 2019-02-03 | current | pecos_ownership |
| MGA HEALTHCARE TEXAS, LLC | — | — | 2013-11-07 | current | tx_hhsc_hcssa |
| WILLIAM BENNETT | CORPORATE OFFICER | — | 2020-02-12 | current | pecos_ownership |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 48113 | acs median gross | 0 | $1,385 | 2024-12-31 | CENSUS_ACS5 |
| county 48113 | fmr | 0 | $1,582 | 2025-10-01 | HUD_USER_FMR |
| county 48113 | acs median gross | 1 | $1,400 | 2024-12-31 | CENSUS_ACS5 |
| county 48113 | fmr | 1 | $1,648 | 2025-10-01 | HUD_USER_FMR |
| county 48113 | acs median gross | 2 | $1,638 | 2024-12-31 | CENSUS_ACS5 |
| county 48113 | fmr | 2 | $1,931 | 2025-10-01 | HUD_USER_FMR |
| county 48113 | acs median gross | 3 | $1,823 | 2024-12-31 | CENSUS_ACS5 |
| county 48113 | fmr | 3 | $2,431 | 2025-10-01 | HUD_USER_FMR |
| county 48113 | acs median gross | 4 | $2,241 | 2024-12-31 | CENSUS_ACS5 |
| county 48113 | fmr | 4 | $3,091 | 2025-10-01 | HUD_USER_FMR |
| county 48113 | acs median gross | 5 | $2,432 | 2024-12-31 | CENSUS_ACS5 |
| county 48113 | acs median gross | $1,565 | 2024-12-31 | CENSUS_ACS5 | |
| county 48113 | acs recent mover gross | $1,745 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 75001 | acs median gross | 0 | $1,696 | 2024-12-31 | CENSUS_ACS5 |
| zcta 75001 | acs median gross | 1 | $1,663 | 2024-12-31 | CENSUS_ACS5 |
| zcta 75001 | acs median gross | 2 | $2,088 | 2024-12-31 | CENSUS_ACS5 |
| zcta 75001 | acs median gross | 3 | $2,744 | 2024-12-31 | CENSUS_ACS5 |
| zcta 75001 | acs median gross | $1,784 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 75001 | acs recent mover gross | $1,867 | 2024-12-31 | CENSUS_ACS5 | |
| zip 75001 | payment standard 110 | 0 | $2,255 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75001 | payment standard 90 | 0 | $1,845 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75001 | safmr | 0 | $2,050 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75001 | payment standard 110 | 1 | $2,343 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75001 | payment standard 90 | 1 | $1,917 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75001 | safmr | 1 | $2,130 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75001 | payment standard 110 | 2 | $2,750 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75001 | payment standard 90 | 2 | $2,250 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75001 | safmr | 2 | $2,500 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75001 | payment standard 110 | 3 | $3,465 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75001 | payment standard 90 | 3 | $2,835 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75001 | safmr | 3 | $3,150 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75001 | payment standard 110 | 4 | $4,400 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75001 | payment standard 90 | 4 | $3,600 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75001 | safmr | 4 | $4,000 | 2025-10-01 | HUD_USER_SAFMR |