Sell your private duty nursing agency

What makes PDN different

Unlike personal care, private duty nursing is delivered by RNs and LPNs, often in long shifts for a single patient with complex needs such as a tracheostomy or ventilator. Hours are authorized by Medicaid or a managed care plan, and the binding constraint is almost always nurse supply rather than patient demand.

That makes the business both resilient and fragile. Demand from medically fragile children is steady and largely protected, but an agency that cannot recruit and keep nurses leaves authorized hours unstaffed and revenue on the table.

What buyers underwrite

PDN buyers focus on a short list of numbers and relationships.

Fill rate

Staffed hours as a share of authorized hours, by month and by county. This is the single most important operating metric.

Nurse pipeline

Recruiting sources, time to staff a new case, nurse tenure, and how dependent you are on overtime or agency staff.

Rates and payers

Your state Medicaid rates, managed care contracts, and any recent or pending rate changes.

Clinical quality

Incident history, hospitalizations, and the documentation that supports each shift billed.

Who buys PDN agencies

National pediatric home health platforms, regional private equity backed operators, and strategic home health companies are the main buyers. The largest platforms are growing their private duty businesses, which keeps demand for well-run agencies strong, especially in states with improving Medicaid rates. A competitive process with several of these buyers usually produces better terms than responding to a single approach.

What the largest platform tells you about the market

Aveanna Healthcare, the largest public company focused on pediatric home care, reported $621.9 million of total revenue in the third quarter of 2025. Its private duty services revenue grew 25.6 percent from a year earlier on 11.8 million hours of care, and the company points to 30 preferred payer partnerships with enhanced rates and value-based agreements as part of its strategy.

A public platform is not a valuation benchmark for a private agency: it has scale, cheaper capital, and a different risk profile. What its results do show is that buyers in this segment are growing and that payer relationships, not just patient demand, drive that growth. Those are the same things they will look for in your agency.

Preparing a PDN agency for sale

Buyers will rebuild your revenue from authorized hours, staffed hours, and rates. Have that data ready and reconciled before the first conversation.

How Lartico fits in

Lartico introduces PDN agency owners to platforms and operators that are actively acquiring in this segment. You choose which buyers to speak with, there is no listing, and the buyer pays our fee at closing.