David Keene

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, ... Less

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 ... Less

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. ... Less

Established Bay Area home health platform with dual Medicare certifications serving seven counties. Joint Commission accredited with 4-5 star ratings. $7.6M revenue, $1.2M recast SDE (16% margin). Significant near-term upside from October 2025 HPSM rate increases which could add as much as $200K to bottom line. Current census of 193 with average monthly new admissions of 70. Experienced management in place. ... Less