Navigate Medicare certification transfers, CHOW timelines, and payor mix analysis with a broker who specializes in healthcare services M&A.
Find Home Health Agency Deals Without a BrokerHome health agencies trade at 3.5–6x EBITDA and require brokers who understand CMS certification, PDGM reimbursement, and state licensure transferability. The right advisor accelerates CHOW approvals, protects patient census during transition, and structures deals that satisfy both SBA lenders and regulatory requirements.
Focuses exclusively on healthcare services including home health, hospice, and therapy practices. Understands CMS compliance, OASIS scores, and payor mix analysis critical to home health transactions.
Best for: Sellers with $1M–$5M revenue seeking PE-backed buyers or regional roll-up platforms with healthcare operational expertise.
Covers multiple industries but may handle occasional healthcare deals. Useful for smaller agencies but may lack depth on CHOW process, RAC audit exposure, or Medicare certification transfer requirements.
Best for: Owner-operators selling agencies under $2M revenue where buyer pool includes SBA-financed individual buyers without healthcare backgrounds.
Provides full sell-side advisory including CIM preparation, buyer outreach, and deal structuring. Best suited for agencies with strong EBITDA and strategic value to PE-backed acquirers.
Best for: Agencies with $3M+ revenue, strong star ratings, and clean compliance history targeting competitive auction processes with multiple strategic bidders.
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How many Medicare-certified home health agencies have you closed in the last three years, and what were the average revenue and deal structures?
Confirms real transaction experience with CHOW filings, payor re-enrollment, and healthcare-specific deal structures rather than general business sale familiarity.
How do you handle a CHOW delay that pushes past the expected close date, and have you managed CMS provisional billing arrangements for buyers?
CHOW approvals can take 60–120 days. A broker without this experience may allow deals to collapse or expose buyers to unplanned operational gaps.
How do you value an agency when revenue includes Medicaid waiver programs, managed care contracts, and private pay alongside Medicare?
Payor mix complexity directly affects risk-adjusted valuation. Brokers unfamiliar with reimbursement structures may over- or under-price the agency.
What due diligence materials do you require sellers to prepare before going to market, specifically around billing compliance and CMS survey history?
Brokers who require a billing audit and clean survey documentation upfront reduce deal-killing surprises during buyer due diligence and protect seller credibility.
Typically 12–24 months from preparation to close. The CMS CHOW process alone adds 60–120 days post-contract, so sellers should begin exit planning well in advance.
Most agencies in the $1M–$5M revenue range trade at 3.5–6x EBITDA. Higher multiples reflect strong star ratings, clean compliance history, diversified payor mix, and a non-owner management team.
Yes. Home health agencies are SBA 7(a) eligible. Common structures include SBA financing covering 75–80% of the purchase price, a 10% seller note, and a 10% buyer equity injection.
Inheriting undisclosed Medicare billing compliance exposure, including prior overpayment demands or RAC audit findings. A thorough billing audit covering the last three years of claims is essential before closing.
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