Specialized business brokerage for medicare-certified home health agencies in TX and NY
Certified home health trades on episode volume, case mix, and whether the provider agreement can move. The last item is a date on a form, and it is the single most common reason a home health deal reprices late.
We check the 855A record before anything is marketed, so a buyer never finds the problem first.
What drives valuation in medicare-certified home health
The 36-month CHOW rule
A change of majority ownership within 36 months of initial certification, or of the last such change, sends the buyer through initial certification again. Buyers discount heavily for the wait, or pass.
Case mix and LUPA rate
A high LUPA rate reads as intake and scheduling weakness, and it is fixable before you go to market.
Referral concentration
One hospital system at forty percent of admissions is a single point of failure the buyer will price.
Clinical documentation quality
OASIS accuracy and timely face-to-face documentation decide whether the buyer's diligence team finds a clean file or a repayment estimate.
What buyers pay
| Size | Range | Who buys |
|---|---|---|
| Under 200 episodes | 2.5x to 3.5x SDE | License value plus a working referral base. |
| 200 to 600 episodes | 3.5x to 5.0x EBITDA | Where most certified agencies land. |
| Above 600 episodes | 5.0x to 6.5x EBITDA | Regional platforms and sponsor buyers. |
Ranges are indicative. Your number comes from your own financials, operations, and compliance record.
Change of ownership and regulatory considerations
These items set the closing date on a medicare-certified home health transaction. We check each one before your agency is marketed so a buyer never finds the problem first.
The 36-month rule
If majority ownership changed within 36 months of initial certification, or of the last such change, the buyer goes through initial certification rather than inheriting the provider agreement. We confirm the date on the 855A record before anything is marketed.
Medicare PTAN transfer
Outside the 36-month window the PTAN transfers with the provider agreement and accepted assignment. Inside it, the buyer waits for a survey and a new number, which is a discount and sometimes a dealbreaker.
Licensing timeline
The HHSC change of ownership filing and the CMS 855A run in parallel, not in sequence. Plan 90 to 120 days from signed LOI to close, with a management agreement available to bridge the gap.
- Confirm the initial certification date on the 855A record, not from memory.
- State change of ownership and the CMS 855A filing run in parallel, not in sequence.
- Where the window is a problem, a management agreement can bridge the gap while the buyer's application processes.
Current medicare-certified home health records
0 activeNo active records in this category right now. Most of what we sell is placed with buyers already on the list, before it is ever published. Tell us what you are looking for and you hear first.
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