Medicare-certified hospice license in Houston, TX
Asking price$500,000
EBITDA / net earningsNot applicable
License & billing transfer
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Specialized business brokerage for medicare-certified hospice agencies in TX and NY
Price on a hospice is set by census stability, the aggregate cap position, and the survey record. Revenue is the output of those three, not the input.
What drives valuation in medicare-certified hospice
01
Aggregate cap headroom
Three cap years of calculations, not one. A cap liability that has not been demanded yet is still priced by the buyer, either as a reduction or as escrow.
02
Length of stay and referral mix
A base weighted to assisted living produces longer stays and tighter cap headroom than a hospital-discharge base. Buyers model this before they bid.
03
Condition-level findings
Standard-level deficiencies are background noise. Condition-level findings change the diligence budget and the buyer's read on clinical leadership.
04
Owner dependence
If the administrator, DON, and marketer are the same person, the buyer is pricing a job, not a business.
What buyers pay
| Size | Range | Who buys |
|---|---|---|
| ADC under 25 | 3.0x to 4.0x SDE | Buyer is paying for the license and the referral base. |
| ADC 25 to 75 | 4.0x to 5.5x EBITDA | The heart of the market. Clean cap and clean surveys sit at the top. |
| ADC above 75 | 5.5x to 7.0x EBITDA | Platform territory. Sponsor-backed buyers compete here. |
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 hospice transaction. We check each one before your agency is marketed so a buyer never finds the problem first.
Change of ownership
A hospice CHOW is filed on CMS 855A within 30 days of the effective date. The buyer accepts the provider agreement as it stands, including successor liability for prior overpayments, which is why cap exposure is quantified before the LOI.
Medicare PTAN transfer
The PTAN follows the provider agreement when the buyer accepts assignment. Rejecting assignment means a new PTAN and initial certification, so the buyer normally accepts. Expect 60 to 120 days for the MAC to complete processing.
Licensing timeline
State hospice licensure change of ownership typically runs 60 to 90 days and is the item most likely to set the closing date. Accreditor notification to CHAP or ACHC triggers a post-transaction visit.
- Hospice provider agreements transfer on a change of ownership, subject to successor liability for prior overpayments.
- CHAP or ACHC accreditation carries over but the accreditor must be notified and will schedule a visit.
- State licensure change of ownership runs on its own clock, typically 60 to 90 days.
Current medicare-certified hospice records
2 activeHospice agency in Houston, TX
Asking price$500,000
EBITDA / net earningsContact for earnings
License & billing transfer
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