Practice Focus
Home care owners who built census the hard way.
Medicare-certified home health, private duty nursing, and non-medical personal care. You built referral relationships one discharge planner at a time and kept caregivers when everyone else was short-staffed. Buyers pay for exactly that, and most owners never find out because they never talk to the right ones.
What we cover
Segments inside home care.
Medicare-certified home health
Skilled nursing and therapy under PDGM. Survey history, LUPA rate, and star ratings move the number more than revenue does.
Private duty nursing
Pediatric and adult high-acuity hourly care. Authorized-hours fill rate and nurse retention are the first things a buyer models.
Non-medical personal care
Private pay, Medicaid waiver, and VA. Payer mix and average bill rate separate a premium book from a commodity one.
What moves the number
Four things buyers underwrite before anything else.
01
Payer mix
Private-pay and stable managed-care contracts price above waiver-heavy books. We help you present the mix accurately instead of letting a buyer assume the worst.
02
Caregiver retention
Turnover under the regional average is a direct multiple lift. It proves the census survives a change of ownership.
03
Licensure and accreditation
CHAP or ACHC accreditation, clean survey history, and transferable state licenses shorten diligence and reduce holdback.
04
Referral concentration
A book spread across hospitals, SNFs, and physician groups reads as durable. One dominant referral source reads as risk.
Who is buying
The acquirers in this segment.
Regional platforms building density, private equity groups rolling up multi-state footprints, and health-system-adjacent strategics. Several will structure rollover equity so you keep a stake in the larger platform.
After the close
What the transition looks like.
- Most home care buyers want the administrator and DON to stay. Continuity protects the license and the referral relationships.
- Owner transitions typically run six to twenty-four months, and plenty of owners step back sooner once the platform's back office absorbs billing and scheduling.
- Caregiver wages and benefits usually improve post-close, because platform buyers compete on staffing.
One conversation. No listing, no fee, no obligation.
Tell us about the practice. If there is a fit with a buyer we already know, we make one or two introductions. If there isn't, we say so.
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