Home care agencies, bought and sold with care.

Most profitable agencies sell for a multiple of their annual profit (EBITDA), usually around 3 to 4.5x. 5x and above is rare. Where you land depends on payor mix, compliance, how stable your census is, and how much the agency depends on you. Agencies that aren't profitable yet still have value in their licenses, payor contracts, patients, and staff. Our calculator gives you a rough tier in about 2 minutes. A real number needs your billing, payroll, and expenses.

Well-prepared sellers can close in about 90 days. Many deals take four to six months, and some run past a year, usually because of slow state licensing or a problem found in due diligence. Clean books and compliance before you go to market are the biggest factors you control.

Yes. We run every sale off-market, with no listing sites and no blast emails. Buyers sign an NDA before they see anything that identifies your agency. Your staff, clients, and referral sources find out when you decide to tell them.

You don't have to use one, but a buyer who approaches you directly is pricing against nobody. You learn what the market will pay when several qualified buyers see the agency at the same time. A broker who knows home care also prepares you for due diligence, which is where most deals get hard.

The most common issues are EVV compliance below 85%, caregivers paid as 1099 contractors, unpaid overtime on long cases, a heavy share of family caregivers, one client or contract making up too much revenue, and an agency that can't run without the owner. Most of these can be fixed before a sale.

Yes. Buyers pay for active licenses, payor contracts, and a basic operating setup, because a shell agency can be the fastest way into a new state or service line. Licenses are worth more in states that limit how many are issued.

Start with your billing and payroll for the last 12 months, plus your main operating expenses. Billing and payroll together show your gross margin, and that's most of what a buyer needs to price an agency. You don't need years of line-item P&Ls to get a first number.

Start preparing about a year before you want to sell. That gives you time to clean up books and compliance, which protects your price. Waiting for “one more year of growth” rarely works out, and the reasons owners want to sell usually get worse with time, not better.

The buyer gets a period of exclusivity and starts due diligence, checking your financials, licenses, payor contracts, compliance, and staff. This usually takes 30 to 90 days. Respond quickly and send what's asked. Buyers want clarity, not perfection, and they fear surprises more than flaws.

It depends on the buyer and the deal. Many buyers ask for a short transition or consulting period so referral sources and staff stay steady. The less the agency depends on you day to day, the shorter that period usually is.

Many do, and most of our buyers are cash buyers, so you're not waiting on bank financing. But you usually choose between price and terms. All cash at close often means a lower price, while a seller note or earnout can support a higher one.

In states where license transfers are slow, a management agreement lets the buyer start running the agency before the sale officially closes. The buyer takes over operations while you still legally own it, often with some money paid at signing. It works well when both sides are cooperative, and your attorney should always review it.

Most good agencies never reach a listing site. We source off-market agencies against your criteria, such as states, service mix, deal size, and payor mix, and qualify the owner's interest before you spend time on them.

Not always, but most good agencies never reach a listing site, and a buy-side advisor finds and qualifies off-market owners for you. When we represent a buyer on a broker-listed deal, the buyer pays us, so the listing broker's commission stays whole with no split.

Start by defining what you want: target states, service mix (Medicaid, Medicare, private pay), deal size, and timeline. From there, the steps are sourcing agencies that fit, often off-market, then a first look at billing and payroll, a letter of intent, due diligence, and the license transfer at closing. Having proof of funds, an operator in place, and an attorney who knows home care makes sellers take you seriously and keeps deals moving.

It varies by service line. Some states move license transfers quickly, like Ohio, Michigan, and Texas, while others, like New York and California, take much longer. States that limit home health and hospice licenses make existing licenses more valuable. We'll tell you what to expect for your target states up front.