Guides
Guides for selling a home care or behavioral health practice
How buyers value an agency or practice, who the acquirers are, how deals are structured, and what happens between first conversation and close. Every guide cites its sources and is reviewed regularly.
Home care
Selling and valuing home health, private duty nursing, and personal care agencies.
Sell your home care agency
How to sell a home care agency in the US: what buyers pay, what they underwrite, how confidentiality works, and how to reach several screened buyers at once.
Sell your Medicare home health agency
Selling a Medicare certified home health agency: how PDGM performance, star ratings, and change of ownership rules shape the offers you receive.
How to sell a home care agency, step by step
How to sell a home care agency in 8 steps: financial cleanup, adjusted EBITDA, buyer outreach, LOI, diligence, licensing and change of ownership, and closing.
How home care agencies are valued
How home care and home health agencies are valued: adjusted EBITDA, general market multiple ranges, and the factors that move your number up or down.
Who actually buys home care and behavioral health practices
The buyers acquiring home care and behavioral health practices in the US: private equity platforms, strategics, family offices, and local operators, and how each one differs.
Home care business for sale: what buyers actually look for
Listing a home care business for sale? See what acquirers look for in 2025 and 2026: payer mix, caregiver supply, census stability, compliance, and deal size.
Sell your personal care agency
How to sell a non-medical home care or personal care agency: what buyers underwrite, how Medicaid's 80/20 rule affects value, private pay vs. Medicaid, and franchise transfers.
Sell your private duty nursing agency
How to sell a private duty nursing agency: why nurse staffing and Medicaid rates drive value, what pediatric PDN buyers underwrite, and how a sale is structured.
Behavioral health
Mental health, substance use treatment, and ABA practices.
Sell your behavioral health practice
How behavioral health practices are valued and acquired in the US: payer contracts, clinician retention, deal structures, and private introductions to screened buyers.
Sell your outpatient mental health clinic
Selling an outpatient mental health clinic or psychiatry group: payer rates, prescriber capacity, clinician retention, and private buyer introductions.
Sell your addiction treatment center
Selling a substance use treatment center: how licensure, accreditation, level of care mix, and payer contracts drive buyer interest and valuation.
Sell your ABA therapy practice
Selling an ABA therapy practice in the US: BCBA retention, authorized hours, payer rates, and how to reach several screened autism services buyers privately.
How behavioral health practices are valued
How behavioral health practices, ABA providers, and treatment centers are valued: adjusted EBITDA, multiple ranges, and the drivers that move the price.
Behavioral health M&A: what owners should know in 2026
Behavioral health M&A overview for owners: 2025 deal activity, which subsectors buyers target, who is buying, how deals are structured, and how to prepare.
Deal structure and process
Multiples, deal types, rollover equity, and how a sale actually runs.
How selling actually works, step by step
The step by step process of selling a home care agency or behavioral health practice, how long each stage takes, and how confidentiality is protected throughout.
EBITDA multiples in home care and behavioral health
How EBITDA multiples work in home care, home health, behavioral health, ABA, and treatment center transactions, and what moves a practice between bands.
The types of acquisitions available to you
The deal structures available to healthcare practice owners: full sale, recapitalization, growth partnership, and how rollover equity creates a second payday.
Rollover equity: how it works when you sell a home care or behavioral health practice
What rollover equity is, how it works when you sell a home care agency or behavioral health practice, typical rollover percentages, a worked example, tax basics, and terms to negotiate.
Healthcare business broker or buy-side introduction: which fits your home care or behavioral health practice?
Healthcare business broker or buy-side introductions? Compare fees, confidentiality, buyer pools, and timelines for selling a home care agency or behavioral health practice.
Quality of earnings: what buyers test before they pay
What a quality of earnings report is, what it tests in a home care or behavioral health practice, how it sets the price you are paid, and whether to commission a sell-side QoE.
Earnouts: how they work and how often they pay
How earnouts work when you sell a home care agency or behavioral health practice, how often healthcare deals use them, how much actually gets paid, and terms to negotiate.
Asset sale vs. stock sale for a healthcare practice
Asset sale vs. stock sale when selling a home care agency or behavioral health practice: how each affects licenses, Medicare enrollment, liabilities, and the seller's taxes.
Escrow and holdbacks: the part of the price you wait for
How escrows and holdbacks work when you sell a healthcare practice: typical sizes with and without R&W insurance, how long they last, and how to get your money released.
Representations and warranties insurance, explained for sellers
How representations and warranties (R&W) insurance works in a home care or behavioral health practice sale, how it shrinks your escrow, what it excludes, and what it costs.
Seller notes: getting paid over time
How a seller note works when you sell a home care agency or behavioral health practice: typical size, interest, subordination, installment sale taxes, and how to protect yourself.
F reorganization: why buyers ask for one
What an F reorganization is, why buyers of S corporation practices ask for one, how it gives asset-purchase tax treatment while keeping the entity, and what it means for licenses.
The working capital peg: the adjustment after closing
How the working capital peg and purchase price adjustment work when you sell a home care or behavioral health practice, how often buyers claim money back, and how to set a fair peg.
Healthcare M&A terms, in plain language
Plain language definitions of the terms that appear in healthcare practice transactions: adjusted EBITDA, QoE, working capital peg, earnout, rollover equity, CHOW, and more.
Confidential inquiry
Tell us about your practice.
Everything you send stays between us. We never list or shop a practice, and nothing goes to a buyer without your explicit approval. There is no cost to you at any stage.