Whether you provide skilled nursing, physical therapy, or companion care, we connect you with business brokers who understand patient census valuation, referral networks, and state licensing requirements.
Selling a home health care business involves valuing your patient census, understanding the stability of your referral sources, and ensuring compliance with complex healthcare regulations.
We start by analyzing your payer mix. Are you primarily Private Pay, Medicaid, or Medicare? Do you offer skilled nursing or non-medical companion care? Is your business located in a CON (Certificate of Need) state?
From there, we identify business brokers who specialize in healthcare M&A. Some are experts in selling smaller, private-pay agencies to individual buyers, while others work with large national healthcare groups looking to acquire Medicare-certified agencies.
• Patient Census & Payer Mix – A diversified mix of private pay and insurance/government reimbursement reduces risk and increases valuation.
• Caregiver Retention – In a labor-constrained market, a stable team of reliable nurses and caregivers is a major selling point.
• Referral Sources – Strong, recurring relationships with hospitals, discharge planners, and physicians are critical assets.
• Clean Compliance Record – A history of successful surveys and audits without major deficiencies increases buyer confidence.
Selling a healthcare business requires organized books and a clear plan for patient transition.
The first step is a comprehensive valuation. Home health businesses are typically valued on a multiple of Adjusted EBITDA. Agencies with strong private pay components often see different multiples than those reliant solely on government reimbursement.
We work with business brokers who will "recast" your financials. This often includes adding back owner benefits and one-time expenses to show the true cash flow available to a new owner.
Buyers scrutinize your census, staff, and payer sources.
A stable, recurring patient base is the primary revenue driver. High average hours per client (for non-medical) increases profitability.
Private Pay clients offer better cash flow and higher margins than Medicaid/Medicare. A diversified mix reduces regulatory risk.
In a labor-short market, a roster of reliable, screened caregivers is a major asset. Low turnover rates command premium valuations.
To get the highest price, we work with brokers who "recast" your P&L to show the true Seller's Discretionary Earnings (SDE). In home care, this involves specific adjustments:
The senior care market is booming due to demographics.
1. Private Equity Platforms:
PE firms are aggressively rolling up home care agencies to build regional networks and achieve economies of scale.
2. Strategic Buyers:
Larger regional agencies acquire competitors to gain caregivers, patient lists, and new referral sources in adjacent territories.
3. Individual Entrepreneurs:
First-time buyers often look for stable, non-medical home care franchises or independent agencies to enter the healthcare sector.
To maximize your multiple, ensure your client records are digital and HIPAA compliant. Buyers will audit your billing efficiency.
Our Advice: Review your caregiver files. Ensure background checks, TB tests, and certifications are up to date. Compliance gaps can delay or kill a deal.
If clients hear you are selling, they may fear a disruption in care. If caregivers hear, they may look for other jobs.
Our Approach: We utilize strict NDAs and "blind profiles." We market the census count, revenue mix, and location type without revealing your agency's name until a buyer has been vetted.
"In our first six months with Centergrowth, we secured over $3.5 million in high-quality listings across Florida. One of them received over 40 inquiries in just two days."
Joe Ram
Orlando, FL
@FL Business Brokers
"Within the first two months of partnering with Centergrowth, we secured three business listings in the Phoenix area. Centergrowth has delivered tremendous value."
Dr. Fernando Acosta
Phoenix, AZ
@First Choice Brokers
"Within just two weeks of partnering with Centergrowth, I secured two business listings in my area of Pittsburgh. We're very happy with the results."
Helen Berger
Pittsburgh, PA
@PGHBIZ Business Brokers
"It’s currently the first month of working with Centergrowth, and we’ve already signed our first listing. In addition, they’ve over-delivered on appointments."
Russell Kitzberger
Cincinnati, OH
@CincyCRE
If you are exploring a sale now or in the next few years, your first move should be speaking with someone who understands the healthcare industry.
On our first call, we will discuss your revenue mix, caregiver retention, and exit goals. From there, we will suggest one or more brokers or M&A advisors who are best positioned to sell your specific type of home health care business.
We support Home Health Care Business owners across the United States. Select your state to find local assistance.
Don't see your specific niche listed? We likely still cover it.
Discuss Your IndustryCentergrowth works with specialized business brokers in every state. Whether you operate a single-location home health care business or a multi-location group, we have the network to help you confidentially explore a sale.
If you’re a broker specializing in home health care businesses, our business broker lead generation can put more qualified business owners into your pipeline each week.
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