This established home health care franchise represents a sophisticated multi-license platform operating in the Arizona metropolitan area with over 20 years of continuous operations. The enterprise combines traditional private-pay services with strategic licensed capabilities including skilled home health, Medicaid authorization, and VA contracting, creating a diversified revenue foundation with significant expansion potential.

The business maintains comprehensive licensing infrastructure featuring statewide skilled home health authorization, active Medicaid licensure, and VA provider status. This multi-license framework enables service delivery across various acuity levels while supporting payer diversification and regulatory compliance across multiple reimbursement channels.

Operational excellence is demonstrated through a stable workforce of approximately 60 W-2 caregivers, with exceptional retention rates including 60% with five-plus years tenure and 40% exceeding ten years. The organization serves over 40 active clients with personalized, concierge-level in-home care services, maintaining premium pricing at approximately $36+ per hour with four to six-hour minimum service commitments.

Financial performance reflects strong operational management with trailing twelve-month revenue of $1,681,557 and adjusted EBITDA of $712,000, representing a 42% margin. Revenue trajectory demonstrates consistent growth from approximately $1.0MM in 2024 to projected $1.6MM in 2025, supported by diversified payer relationships including private pay, long-term care insurance, VA contracts, Medicaid, and corporate backup care programs.

The enterprise holds exclusive Genworth Financial provider status within the state, positioning it as one of only two metro-area providers with this strategic partnership. Additional referral channels include established relationships with long-term care insurers, care coordination platforms, VA partnerships, and direct client referrals.

Management infrastructure includes dedicated general management, assistant management, and marketing coordination supported by integrated systems for scheduling, charting, and billing, complemented by QuickBooks for accounting and payroll functions.

Expansion opportunities include geographic extension of Genworth and LTC referrals within the licensed footprint, increased utilization of corporate backup care channels, development of additional skilled and higher-acuity services, enhanced Medicaid program utilization, and expansion of existing VA contract relationships.

The transaction structure follows customary cash-free, debt-free parameters with normalized working capital considerations. The current owner supports organized transition planning with potential ongoing involvement, while established operational infrastructure and tenured staff ensure business continuity throughout ownership transfer.