Not all brokers understand Medicare certifications, Medicaid payer risk, or caregiver workforce issues. Here's how to find one who does.
Find Senior Care / Home Health Deals Without a BrokerSelling or acquiring a home health or senior care agency requires a broker who understands CMS regulations, payer mix complexity, and caregiver-driven operations. The right advisor navigates licensing transfers, validates recurring revenue, and connects you with qualified buyers or sellers in this fragmented, high-demand market.
Boutique advisors focused exclusively on healthcare services including home health, hospice, and personal care agencies. Deep knowledge of CMS, state licensing, and reimbursement risk.
Best for: Agencies with Medicare/Medicaid certification, $1M–$5M revenue, or PE roll-up targets needing specialized deal structuring.
Generalist brokers handling businesses across industries. May lack healthcare regulatory depth but can competently manage non-medical private-pay companion care transactions.
Best for: Non-medical home care or companion care agencies with clean private-pay revenue and no complex licensing or government payer exposure.
In-house corporate development teams at PE-backed home health platforms actively acquiring agencies. Not traditional brokers, but a direct buyer channel for qualified sellers.
Best for: Established agencies with strong caregiver retention, clean compliance history, and $500K+ EBITDA seeking equity rollover or full exit.
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How many home health or senior care agency transactions have you closed in the past three years?
Transaction volume confirms real-world experience with CMS certification transfers, payer mix due diligence, and caregiver workforce risk — issues that derail uninformed deals.
How do you value a home health agency, and how do you handle Medicaid-heavy revenue in your analysis?
Medicaid-dependent books carry reimbursement rate risk and thin margins. A knowledgeable broker adjusts multiples accordingly rather than applying a generic EBITDA formula.
What is your process for verifying licensing transferability and certification status before going to market?
Medicare and Medicaid certifications don't automatically transfer. An experienced broker identifies issues early so they don't kill deals at closing.
Who are the typical buyers in your network for an agency at my revenue and payer mix?
The right buyer — PE platform, regional operator, or SBA-financed individual — depends on your profile. A well-networked broker accesses qualified buyers others can't reach.
For Medicare or Medicaid-certified agencies, yes. Licensing transfers, CHOW filings, and payer mix analysis require expertise general brokers typically lack. Non-medical private-pay agencies have more flexibility.
Most charge 8–12% of the final transaction value. Some boutique healthcare advisors use a retainer plus a success fee, especially for deals above $2M in enterprise value.
Typically 12–24 months from engagement to close, accounting for compliance preparation, marketing, buyer due diligence, and CMS or state licensing transfer timelines.
Yes. Experienced brokers have relationships with SBA lenders who understand healthcare acquisitions and can pre-qualify deals, structure seller notes, and support the full 7(a) loan process.
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