In-Home, Non-medical Medicaid-Contracted Home Care Agency
Business Description
Financial Performance. The most recent full year produced roughly $1,300,000 in revenue and about $290,000 in seller’s discretionary earnings, after charging $80,000 against earnings to replace one of the two working owners. Direct caregiver wages run about 57% of revenue and non-payroll overhead has stayed under $200,000 a year. All business debt is paid off by the sellers at closing, so the business conveys debt-free. Three years of federal tax returns and internal statements are available to buyers under NDA.
What the Business Does. This is a non-medical home care agency. Caregivers go into clients’ homes and provide attendant and personal care, help with bathing, dressing, mobility and meals, light housekeeping, and transportation to appointments and errands. Clients are older adults and adults with disabilities who qualify for state home and community based services. The state or its managed-care plan authorizes a set number of service hours for each client, caregivers deliver those hours, and the agency bills electronically. Payment typically arrives one to two weeks after a clean claim.
Client Base & Market Position. Revenue comes from a base of individual authorized clients rather than one large account, and service is recurring by design because each client carries a standing weekly authorization. Clients stay as long as they remain eligible, stay authorized, and keep choosing the agency, so attrition is driven by reassessment or a change in the client’s situation rather than by price shopping. Referrals come from case managers, hospitals, rehabilitation facilities, senior communities and physician offices, built up over more than five years of local relationships. Advertising spend has been minimal.
Competitive Advantages. Licensing is the real barrier to entry in this business, and it’s already cleared. The agency holds an active state Personal Services Agency license, a live Medicaid provider agreement, and contracts with the Medicaid managed-care plans operating in the market. A new entrant needs months of licensing, enrollment and credentialing before it can bill a single hour. The second advantage is the caregiver team: the sellers report no caregivers voluntarily leaving during the current period, which is unusual in home care and is exactly what families and case managers judge an agency on.
Operational Infrastructure. The team is 15 W-2 employees, 8 full-time and 7 part-time, with no 1099 contractors. Scheduling, electronic visit verification, billing and payroll run on third-party software, and visit data feeds the state’s aggregator as required. Caregiver background checks, annual training records and credential tracking are maintained so no service is billed under an expired qualification. The business is asset-light: there are no company vehicles, no specialized equipment, and no depreciable assets on the tax returns. The office is leased and used for administration only, since all care is delivered in clients’ homes.
Acquisition Fit. The best fit is an operator or strategic acquirer already credentialed in the state Medicaid program, or an individual buyer who can satisfy state licensing and payer credentialing and wants a licensed platform with existing clients and staff instead of an 18-month enrollment process. Revenue moves with two things, how many clients are authorized and what share of their authorized hours actually get staffed, so a buyer with a real caregiver recruiting funnel has clear room to grow. Structure is open to either a stock or an asset sale, and the sellers will provide 30 days of transition and training at no additional cost.
What the Business Does. This is a non-medical home care agency. Caregivers go into clients’ homes and provide attendant and personal care, help with bathing, dressing, mobility and meals, light housekeeping, and transportation to appointments and errands. Clients are older adults and adults with disabilities who qualify for state home and community based services. The state or its managed-care plan authorizes a set number of service hours for each client, caregivers deliver those hours, and the agency bills electronically. Payment typically arrives one to two weeks after a clean claim.
Client Base & Market Position. Revenue comes from a base of individual authorized clients rather than one large account, and service is recurring by design because each client carries a standing weekly authorization. Clients stay as long as they remain eligible, stay authorized, and keep choosing the agency, so attrition is driven by reassessment or a change in the client’s situation rather than by price shopping. Referrals come from case managers, hospitals, rehabilitation facilities, senior communities and physician offices, built up over more than five years of local relationships. Advertising spend has been minimal.
Competitive Advantages. Licensing is the real barrier to entry in this business, and it’s already cleared. The agency holds an active state Personal Services Agency license, a live Medicaid provider agreement, and contracts with the Medicaid managed-care plans operating in the market. A new entrant needs months of licensing, enrollment and credentialing before it can bill a single hour. The second advantage is the caregiver team: the sellers report no caregivers voluntarily leaving during the current period, which is unusual in home care and is exactly what families and case managers judge an agency on.
Operational Infrastructure. The team is 15 W-2 employees, 8 full-time and 7 part-time, with no 1099 contractors. Scheduling, electronic visit verification, billing and payroll run on third-party software, and visit data feeds the state’s aggregator as required. Caregiver background checks, annual training records and credential tracking are maintained so no service is billed under an expired qualification. The business is asset-light: there are no company vehicles, no specialized equipment, and no depreciable assets on the tax returns. The office is leased and used for administration only, since all care is delivered in clients’ homes.
Acquisition Fit. The best fit is an operator or strategic acquirer already credentialed in the state Medicaid program, or an individual buyer who can satisfy state licensing and payer credentialing and wants a licensed platform with existing clients and staff instead of an 18-month enrollment process. Revenue moves with two things, how many clients are authorized and what share of their authorized hours actually get staffed, so a buyer with a real caregiver recruiting funnel has clear room to grow. Structure is open to either a stock or an asset sale, and the sellers will provide 30 days of transition and training at no additional cost.
About the Business
- Years in Operation
- 7
- Employees
- 15 (8 Full-time, 7 Part-time)
All employees are W-2 and paid hourly, weekly, for hours worked on authorized cl - Facilities & Assets
- A leased administrative office in the Indianapolis metro, used for scheduling, billing and administration only. All care is delivered in clients’ homes, so the office is overhead rather than capacity, and the business is not tied to a particular building. Assets are light: standard office furniture, computers, printers and phones. No company vehicles and no specialized equipment. Lease term and assignability are being confirmed and will be provided in diligence.
- Market Outlook / Competition
- Home care is a demographically driven market. Roughly 10,000 Americans turn 65 every day, the state’s 65-and-over population is projected to grow about 26% between 2020 and 2035, and public policy continues to favor care at home over institutional placement because it costs the state less. Demand is not the constraint in this industry, labor is. Home health and personal care aides are the largest single occupation in healthcare, with roughly 765,800 openings a year nationally through 2034, so the agencies that can staff reliably capture the authorized hours and the ones that can’t leave them unfilled. Several other independent agencies compete in the same metro. This agency competes on caregiver continuity, responsiveness and case-manager relationships rather than on price, which is set by the payer.
- Opportunities for Growth
- The clearest near-term revenue is staffing hours that are already authorized for current clients but not yet filled. Those are hours the payer has agreed to pay for. Beyond that, the agency has never employed a dedicated referral liaison or run a structured lead follow-up process, and advertising spend has been minimal, so business development is largely unworked. Diversifying into VA and private-pay clients would lift both margin and payer resilience, and neither has been started. Geographic expansion needs caregivers who live where the clients are, not a second office, because the license and payer contracts already cover the region.
Real Estate
- Owned or Leased
- Leased
About the Sale
- Seller Motivation
- Other interests
- Transition Support
- The sellers will provide 30 days of transition and training support after closing at no additional cost, covering day-to-day operations, staffing and scheduling, billing processes, payer relationships, client management, compliance procedures and referral relationships. Additional consulting beyond 30 days is available at a mutually agreed rate. The sellers will also cooperate on payer notifications and change-of-ownership approvals.
- Financing Options
- Likely SBA candidate.
Listing Info
- ID
- 2553460
- Listing Views
Listing ID: 2553460 The information on this listing has been provided by either the seller or a business broker representing the seller. BizQuest has no interest or stake in the sale of this business and has not verified any of the information and assumes no responsibility for its accuracy, veracity, or completeness. See our full Terms of Use. Learn how to avoid scams.
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