Riverbluff Advisors

Specialized Healthcare Brokerage

Selling a healthcare agency in South Carolina

Riverbluff Advisors is a healthcare business broker that sells independent, owner-operated home care, home health, and hospice agencies in South Carolina. We work with owners across the state, from Columbia, Greenville, and Spartanburg to Charleston and the coast.

South Carolina agency types we sell

  • Home care: non-medical in-home care, licensed in South Carolina as in-home care providers and often paid through Medicaid's Community Long Term Care (CLTC) waivers. Buyers look at weekly hours, caregiver retention, and which payer contracts move with the sale.
  • Home health: Medicare-certified agencies, licensed by the state. Buyers look at episode volume, referral sources, and whether the Medicare enrollment can transfer.
  • Hospice: buyers price census, cap position, and survey history.

How a South Carolina agency sale works

The buyer needs its own state license. South Carolina licenses home health agencies, hospices, and in-home care providers through the Department of Public Health. The buyer applies for its own license as part of the change of ownership, so we plan that filing into the timeline from the start.

Certificate of need rules are changing. South Carolina has been phasing out most certificate of need requirements under a 2023 law. We confirm where your agency type stands before going to market.

Medicare-certified agencies have a second clock. For home health and hospice, the federal change of ownership rules apply on top of the state process, including the CMS 36-month rule.

Medicaid contracts set the timeline for home care. Agencies paid through CLTC waivers or managed care plans usually need the buyer enrolled or credentialed before closing. We review every contract up front so the closing date holds.

What South Carolina agencies sell for

Price depends on agency type, hours or census, payer mix, and the agency's record. See current ranges on our What agencies sell for page, or request a free Agency Value Report for a number specific to your agency.

South Carolina agencies for sale

Confidential agencyActive

Fast-growing South Carolina Medicaid personal care agency with about 339 billable hours a week

Asking price

$500,000

EBITDA / net earnings

SDE $125K (2026 pace)

Transfer structure

Ownership interest sale

Request details

See all listings

South Carolina seller questions

How long does a South Carolina agency sale take?

Most take three to eight months. The buyer's state license, Medicare filings, and Medicaid enrollment usually set the timeline.

Can I sell a home care agency with CLTC clients?

Yes. Agencies with steady waiver hours are in demand. The buyer has to be enrolled with the program, so we confirm what each payer requires before going to market.

Do I need a South Carolina attorney?

Yes. We coordinate with your attorney on the purchase agreement and filings, but we do not give legal advice.

What does it cost?

Nothing until closing. Our fee is a success fee paid when the sale closes.