California: $7.5M Home Health Agency (UNDER LOI)
Two location Medicare and Medicaid Certified home health agency serving San Francisco, San Mateo, Santa Clara, Napa, Solano, Yolo and Contra Costa counties in the San Francisco Bay Area with comprehensive skilled nursing, PT, OT, ST, MSW and Home Health Aid services along with other specialized clinical offerings. Current census of 193 with roughly 70 new admissions per month across each location. Consistent 4 and 5 star ratings in Home Health Compare for both quality of care and patient satisfaction. Both Agencies are Joint Commission Accredited with surveys completed in 2024 and 2025. Seller Discretionary Earnings of $1.2M. Strong management staff in place.
Idaho: $3M Home Care Agency
This opportunity features a non-medical in-home care agency operating primarily in Northern Idaho. Founded in July 2013, the agency provides assistance with daily living tasks—including personal care, meal preparation, housekeeping, companionship, and transition management—to the elderly and disabled who would otherwise require facility care. The business operates from two locations, maintaining a main office in Shoshone County and a satellite suite in Kootenai County. Currently, the agency serves a census of 178 clients across four counties. The agency is fully credentialed with Idaho Medicaid and major managed care organizations (MCOs). Revenue is primarily driven by Gainwell/DXC at 38.65% and Molina Healthcare at 32.29%. A tenured administrative team, including a Program Manager employed since inception and dedicated Care Coordinators for each county, effectively manages day-to-day operations with minimal owner intervention. Furthermore, key employees are willing to stay on board post-transaction. The agency maintains an exceptional caregiver turnover rate of 56% to 70%, which significantly outperforms the national industry average of 65% to 79%. A new owner could easily duplicate this proven localized model into other high-growth Idaho MSAs like Boise, Lewiston, or Twin Falls. Additionally, it serves as an excellent state platform, tuck-in, or geographic expansion opportunity for strategic buyers. Owner is semi absentee. Primary functions are high level decisions on behalf of the organization with no day to day requirements of the owner.
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Illinois: $4M Medicare Certified Home Health Agency
Founded in 2011, this premier Medicare-certified and State-licensed home health agency operates out of the greater Chicago suburbs. The company serves a massive geographic footprint across eight densely populated Illinois counties: Cook, Lake, McHenry, Kane, Kendall, DuPage, Will, and Winnebago. Unlike standard agencies, this company specializes in high-acuity, complex clinical cases—including chronic wound care, IV antibiotics, and respiratory therapy for ventilator patients—in addition to standard skilled nursing and comprehensive therapy services. The agency receives daily organic referrals from five different major hospital systems with zero marketing spend. It consistently ranks on “Top 10” lists for major hospital networks and holds preferred status with Rush Hospital. The ownership team has successfully negotiated premium, above-average reimbursement rates across top-tier plans, including Humana, United Healthcare, and HealthSpring. By accepting and successfully managing difficult clinical cases that competitors frequently turn away, the agency has created a highly insulated market position and an undisputed reputation with key hospital discharge planners. Daily operations and clinical oversight are managed by a highly experienced management team, including a COO with 15 years of tenure and a Director of Nursing with 13 years of tenure.
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Indiana: $2.2M Home Care Agency IDD/DIDD (UNDER LOI)
Established provider serving developmentally disabled adults and seniors in northern Indiana since 2005. Generates ~$2.2M annual revenue serving 28 clients through residential habilitation, adult foster care, day programs, and respite care services. Joint Commission accredited with strong quality reputation and stable Medicaid Waiver contracts. Experienced management team (19-year tenured Director of Operations) committed to staying post-transaction. Owner retiring after 20 years. Clean regulatory standing. Platform for growth into home health and complementary services. Northern Indiana location serves three-county area.
Maryland: $1.2M Home Health and Private Duty Agency (SOLD)
This agency is located in Maryland and operates from one location within a senior living community since 2012. The agency is Medicare Certified and state accredited (with RSA License) and provides skilled care along with a private duty/private pay service line which accounted for over 99% of the $1.2 million of gross revenue in 2024. Medicare Certificate of Need (CON) is limited to certain senior living communities in the areas they serve. Key employees are available for continued employment as needed. This is a non-franchised corporate owned agency that is divesting this asset to focus on other core service and product offerings.
Massachusetts: $5.4 M Medicare/Medicaid Home Health Agency
Founded in 2006 and Medicare/Medicaid certified since early 2007, this clinician-owned, full-service home health agency operates across the North Shore, South Shore, and Cape Cod regions of the greater Boston market. The company provides skilled nursing, wound care management, medication administration, psychiatric nursing, and physical therapy services. It operates from two leased office locations in eastern Massachusetts and primarily serves an elderly and adult psychiatric patient population. The agency differentiates itself by accepting medically complex patients, including those with significant psychiatric and multiple comorbid conditions, that many competing agencies decline. The business holds 11 active payer contracts, including Medicare, Medicaid, and multiple Massachusetts MCO/ACO plans. The agency employs approximately 50 individuals, with 82% of the staff having been with the company for more than three years, and 32% boasting over 10 years of tenure. Key employees are willing to stay on board. The main North Shore office is currently utilized at approximately 50% capacity, providing roughly 30% additional growth headroom before expansion or relocation would be required. The business serves as an excellent platform or tuck-in opportunity for strategic buyers, with clear geographic expansion potential into the City of Boston and the northwest/west metro areas up to Interstate 495.
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North Carolina: Private Pay Home Care Agency (SOLD)
The agency has been in operation since 2011 and provides non-medical services to seniors. The agency is private pay and licensed by the state to provide services to the counties of Craven, Lenoir, Carteret, Pamlico, Pitt, Jones, Beaufort, Greene, Onslow and Pender. They employ 28 PT/FT W-2 caregivers along with an RN supervisor, director and two administrative personnel. It is expected the staff will continue following a sale with the exception of the director who is also the owner. Excellent demographics in the area for continued growth. 2024 Gross Revenues of $797,228 with Seller Discretionary Earnings of $186,208.
Texas: Hospice Agency (SOLD)
Medicare, Medicaid certified and CHAP accredited agency located in Region 8 and operation since 2022. Medicaid license allows for service to all 11 regions of the state. Expansion of regions for Medicare can be added via application process with the Texas Health and Human Service Commission. PRN staff is available for continued employment along with admin staff if needed. This is a small census agency so value is the license, certifications, contracts and accreditation. Value of business is the license, accreditation and contracts held.