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Archives for November 2015

November 23, 2015 By admin_united

October

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The Home Health Advisor
 
“Dedicated to Delivering Education for Building Value, Exit Planning and Mergers and Acquisitions”
Building Agency Value

One of the most critical elements for growth of an agency is establishing daily benchmark data of six critical factors that must be monitored daily.   These include:

  • Current cash in bank accounts
  • Current A/R balance including balance over 90 Days
  • Current A/P balance
  • Previous days billable
  • Previous days bank deposit
  • Previous days checks/payments made


For most owners in home health, getting a copy of your financials typically only tells you what HAS happened versus what IS happening. This report will provide the most recent data that you need to be focusing on…cash flow management.
 
We have tapped into some of the most successful agency owners with whom we have worked with and developed a great tool we call THE FLASH REPORT.  You can start using it today to track and monitor the six critical elements to achieve successful growth, increased value and managed cash flow.
 
As you complete the report daily,  you begin to compile data you can utilize to benchmark and build comparison data.   This information will allow you to monitor and take action to correct the most critical elements to your agencies success.
 
Click the file below to download THE FLASH REPORT template.  All formulas are set up… all you have to do is enter your numbers and the report will calculate your inputs.  It even includes calculations of three critical questions you need the answers to on a daily basis.

FlashReport.xlsx
 
We guarantee it will be to your benefit…and best of all there is zero cost.  Just our way of assisting you to insure your success and increase the value of United MedCare Capital.
 
Feel free to modify as you see fit.  
 

Want to find out the current value of you agency and determine if there is a market to sell?  Click Here and we will provide a report illustrating the current value of your agency and let you know if your agency meets any of the acquisition criteria of the buyer groups  work with at United MedCare Capital.
Exit Planning Strategies

Having an exit plan in place is critical for every business owner.  At United, we work with business owners just like you every day.  Some are prepared and have written plans in place, but the majority have nothing in place and we have seen first hand how detrimental this can be to the ongoing success of a business following an unplanned exit.  Even if your plan is to pass it down to children or other family members, you must have a written plan in place.
 
The fact is, most business owners exit their business due to health reasons, burn out, divorce/partnership disputes and death.  Retirement is seldom the primary reason for an exit.   The primary reasons for an exit are often sudden, life changing events.
 
When one of these events occur, and there is not a plan in place, the business typically suffers and the value can be greatly diminished in a short period of time.  A written exit plan is a necessity for every business owner.
 
At United, we care about our customers and can provide guidance to help you develop an exit plan.  We even offer an ongoing service to help get you started.  It is by far the best value in the industry and offers ongoing annual updates at no charge…it really is an incredible value.

To learn more about this valuable service click here and provide the requested information.

Latest Merger and Acquisition Trends
 If you would like for us to contact you to discuss the latest trends and learn more about the sales process, please CLICK HERE and provide the requested information.
The Home Health M&A Market continues to witness an increase of owners selling their agencies.  From September to October we had a 14% increase and there is plenty of buyer demand with interest in multiple areas and service types.  With all the opportunities available, buyers are certainly cherry picking the best agencies to pursue.
 
With just over 150 transactions closing this year the trend is for continued consolidation in all areas of Home Health including skilled services, non-medical and hospice
 
Primary reasons for the continued consolidation are due to the roll out of bundled payments and stagnating reimbursement rates for state community services waiver programs.  New buyer types are entering the market daily to build census volume to support lower forecasted margins as well as new complimentary business lines.  Many small to mid-sized agencies exploring opportunities to exit now while margins are still decent enough to be attractive for acquisition
If you have been considering an exit and your revenues are in excess of $2 million now would be a good time to consider moving forward or at least explore your options.  CLICK HERE and provide the requested information and we will be in touch to set up a time to discuss how we can help.
We work with dozens of well qualified  buyers who will act quickly to transactions we represent.
The tables below illustrate current demand by Agency type and geographic area:
                        Key
 HIGH 5 or more buyer groups
 MEDIUM  3 to 4 buyer groups
 LOW  1 to 2 buyer groups
Home Health Agencies
State  Demand  State  Demand  State  Demand  State  Demand  State  Demand
AL  HIGH  HI  LOW  MA   HIGH  NM  MEDIUM  SD  LOW
AK  LOW  ID  MEDIUM  MI  MEDIUM  NY  HIGH  TN  HIGH
AZ  HIGH  IL  MEDIUM  MN  MEDIUM  NC  HIGH  TX  HIGH
AR  MEDIUM  IN  MEDIUM  MS  HIGH  ND  LOW  UT  MEDIUM
CA  HIGH  IA  MEDIUM  MO  MEDIUM  OH  MEDIUM  VT  MEDIUM
CO  MEDIUM  KS  MEDIUM  MT  LOW  OK  HIGH  VA  HIGH
CT  HIGH  KY  HIGH  NE  MEDIUM  OR  MEDIUM  WA  MEDIUM
DE  HIGH  LA  MEDIUM  NV MEDIUM  PA  HIGH  WV  HIGH
FL  HIGH  ME  MEDIUM  NH  MEDIUM  RI  MEDIUM WI  MEDIUM
GA HIGH  MD HIGH  NJ HIGH SC HIGH WY LOW
Home Care/Private Duty
State  Demand  State  Demand  State  Demand  State  Demand  State  Demand
AL  HIGH  HI  LOW  MA  MEDIUM  NM  MEDIUM  SD  LOW
AK  LOW  ID  MEDIUM  MI  MEDIUM  NY  HIGH  TN  HIGH
AZ  HIGH  IL  HIGH  MN  MEDIUM  NC  HIGH  TX   HIGH
AR  MEDIUM  IN  MEDIUM  MS  HIGH  ND  LOW  UT  MEDIUM
CA  HIGH  IA  MEDIUM  MO  MEDIUM  OH  HIGH  VT  MEDIUM
CO  HIGH  KS  MEDIUM  MT  LOW  OK   HIGH  VA  HIGH
CT  MEDIUM  KY  HIGH  NE  MEDIUM  OR  MEDIUM  WA  MEDIUM
DE  MEDIUM  LA MEDIUM  NV  HIGH  PA  HIGH  WV  MEDIUM
FL  HIGH  ME  MEDIUM  NH  MEDIUM  RI  MEDIUM WI  MEDIUM
GA HIGH  MD HIGH  NJ HIGH SC HIGH WY LOW
Hospice
State  Demand  State  Demand  State  Demand  State  Demand  State  Demand
AL  HIGH  HI  LOW  MA  HIGH  NM  MEDIUM  SD  LOW
AK LOW  ID  HIGH  MI  MEDIUM  NY  MEDIUM  TN  HIGH
AZ  HIGH  IL  HIGH  MN  MEDIUM  NC  HIGH  TX  HIGH
AR  MEDIUM  IN  MEDIUM  MS  HIGH  ND  LOW  UT  MEDIUM
CA  HIGH  IA  MEDIUM  MO  MEDIUM  OH  MEDIUM  VT  MEDIUM
CO  MEDIUM  KS  MEDIUM  MT  LOW  OK  MEDIUM  VA  HIGH
CT  HIGH  KY  HIGH  NE  MEDIUM  OR  HIGH  WA  HIGH
DE  HIGH  LA  MEDIUM  NV  MEDIUM  PA  HIGH  WV  HIGH
FL  HIGH  ME  HIGH  NH  HIGH  RI  HIGH WI  MEDIUM
GA HIGH  MD HIGH  NJ MEDIUM  SC MEDIUM WY LOW
If you would like for us to contact you to discuss the latest trends and learn more about the sales process please click here and provide the requested information.
Here is a snap shot of all the current home health related businesses listed for sale by price and by region.
Price  # For Sale  Percentage
Undisclosed 66 20%
Under 1 Million 212 63%
1 Million to 2.5 Million  39  12%
2.5 Million to 5 Million  13  4%
5 Million to 7.5 Million  2  1%
7.5 Million to 10 Million 1  .5%
10 Million to 15 Million  1  .5%
15 million and up  0  0%
Total 334 100%
 Region  # for Sale  Percentage
 Undisclosed  27  8%
 Mid-Atlantic  11  3%
 Mid-South  26  8%
 Mid-West  50  15%
 Mountain  8  2%
 New England  5  1%
 Pacific  64  19%
 Plains  11  3%
 South East  48  14%
 South West  84 25%
Total 334 100%
If you would like for us to contact you to discuss the latest trends and learn more about the sales process please click here and provide the requested information and we will be in touch to set up a time to discuss how we can help.

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