Established Missouri Medicaid home care agency with about 150 clients across two metro markets
Asking price
$3,300,000
EBITDA / net earnings
SDE $550K (2025)
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Sell a Home Care Business: a business broker for home care and non-medical home care owners
Home care is a labor business. Buyers underwrite billable hours per week, gross margin per hour, and whether caregivers stay long enough to keep clients.
There is no Medicare provider agreement to transfer, which makes these the fastest closings we run.
What drives valuation in home care and non-medical home care
01
Caregiver turnover
Above the market average and the buyer assumes recruitment spend they have not budgeted.
02
Payer mix
Private pay carries a higher margin. Medicaid waiver hours carry stability. A blend prices best.
03
Client concentration
A handful of high-hour clients can hold a third of the revenue. Show the tail.
04
Bill rate versus pay rate
The spread per hour, not the revenue total, is what a consolidator underwrites. Show it by service line.
What buyers pay
| Size | Range | Who buys |
|---|---|---|
| Under 1,000 hours per week | 2.0x to 3.0x SDE | Owner-operated, usually an individual buyer. |
| 1,000 to 3,000 hours | 3.0x to 4.5x EBITDA | Attracts regional consolidators. |
| Above 3,000 hours | 4.5x to 6.0x EBITDA | Sponsor-backed platforms, especially with a waiver contract. |
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 home care and non-medical home care transaction. We check each one before your agency is marketed so a buyer never finds the problem first.
Change of ownership
There is no Medicare provider agreement to move, so the transaction turns on state licensure and payer consent. These are the fastest closings we run, often 45 to 60 days.
PTAN and Medicaid enrollment
Private pay work needs no PTAN. Where the agency bills Medicaid waiver hours, the provider enrollment must be transferred or reissued and the state may re-credential the new ownership.
Licensing timeline
Licensed home services agency status transfers through a state change of ownership filing. Managed care and waiver contracts frequently require written payer consent, which sets the closing date.
- Licensed home services agency status transfers through a state change of ownership filing.
- Waiver contracts and managed care agreements often require payer consent, which sets the closing date.
Current home care and non-medical home care records
3 activeLicensed Texas Medicaid personal attendant services agency with four managed care contracts
Asking price
$700,000
EBITDA / net earnings
SDE $147K (2025)
Transfer structure
Membership interest sale
Licensed, non-medical home care agency in Louisville, Kentucky
Asking price
$40,000
EBITDA / net earnings
Not applicable, pre-revenue
Transfer structure
License & billing transfer
Thinking of selling your home care and non-medical home care agency?
Get a confidential, operator-led valuation. No cost, no listing fee, and no obligation to sell. You get a written range and the figures it was built from.