Specialized business brokerage for pediatric home health and private duty nursing agencies in TX and NY
Pediatric PDN is scarce and buyers know it. The constraint is nurses, not demand, so an agency with a stable nursing roster prices above what its revenue alone would suggest.
Managed care contracts are the second half of the story. A buyer needs to know the contracts survive the change of ownership.
What drives valuation in pediatric home health and private duty nursing
Authorized but unstaffed hours
Every unstaffed hour is upside for a buyer with recruiting depth, and evidence of a problem for one without it.
MCO contract roster
The number of managed care plans you are contracted with, and whether each consents to assignment.
Nurse tenure
Families do not move plans, they move agencies when the nurse leaves.
Payor mix depth
Multi-MCO agencies survive a single plan's rate action. Single-plan agencies are priced for that risk.
What buyers pay
| Size | Range | Who buys |
|---|---|---|
| Under 2,000 nursing hours per month | 3.0x to 4.0x SDE | Regional buyer or an operator adding a service line. |
| 2,000 to 8,000 hours | 4.0x to 5.5x EBITDA | Strong competition when the nurse roster is stable. |
| Above 8,000 hours | 5.5x to 7.0x EBITDA | Platform pricing, especially with multi-MCO contracts. |
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 pediatric home health and private duty nursing transaction. We check each one before your agency is marketed so a buyer never finds the problem first.
Change of ownership
The transaction is governed by HHSC licensure and by each managed care contract. Assignment clauses are reviewed before the LOI so no plan can hold the closing hostage.
PTAN and payer credentialing
Where the agency holds Medicare certification the PTAN moves with the accepted provider agreement. Medicaid and MCO credentialing is separate and is the longer of the two tracks.
Licensing timeline
HCSSA licensure change of ownership plus MCO re-credentialing typically runs 90 to 150 days. Nurse retention agreements are signed before announcement, not after.
- Home and community support services agency licensure moves through HHSC on a change of ownership.
- Each MCO contract must be reviewed for assignment and re-credentialing requirements before the LOI is signed.
Current pediatric home health and private duty nursing 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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