Integrated Hospice & Home Health Platform — California Central Valley
Share on Facebook 
Post to X 
Share on LinkedIn 
Share on Reddit Business Description
Exceptional opportunity to acquire two established healthcare companies under common ownership—a Medicare-certified hospice provider and a skilled home health agency. The two companies are being offered together as a single, integrated home-based healthcare platform serving California’s Central Valley.
The combined platform generated approximately $9.9 million in 2025 revenue and approximately $1.46 million in adjusted EBITDA. Both companies have earned 4-Star Medicare quality ratings and recently completed their three-year Joint Commission reaccreditation surveys, demonstrating an established commitment to clinical quality, regulatory compliance, and patient care.
SEASONED MANAGEMENT AND INFRASTRUCTURE IN PLACE
A seasoned clinical and administrative management team is in place, providing operational continuity and reducing dependence on ownership. The two companies benefit from shared leadership and infrastructure across key functions, including:
• Clinical operations and supervision
• Intake and scheduling
• Billing and revenue-cycle management
• Compliance and quality assurance
• Human resources and administration
• Marketing and business development
This established operating structure gives a new owner a solid foundation from which to maintain current operations, increase patient census, expand referral relationships, and pursue additional geographic growth.
COMPELLING CONTINUUM-OF-CARE MODEL
The combination of skilled home health and hospice services creates a differentiated continuum-of-care platform. Patients whose needs evolve can transition from rehabilitative and skilled home health services to hospice care within the same organization, helping support continuity of care, coordinated communication, and stronger relationships with patients, families, physicians, and referral partners.
The companies have established relationships with hospitals, physicians, skilled nursing facilities, assisted living communities, and other healthcare referral sources throughout their service area. The complementary service lines provide opportunities to retain appropriate patient referrals within the platform while offering referral partners a broader range of coordinated home-based care solutions.
MULTIPLE AVENUES FOR GROWTH
The platform offers meaningful opportunities for a strategic or financial buyer to build upon its existing foundation, including:
• Increasing patient census across both companies
• Expanding and strengthening the sales and outreach team
• Improving home health-to-hospice patient transitions
• Deepening relationships with hospitals, physicians, senior communities, and other referral sources
• Expanding into adjacent Central California markets
• Adding complementary home-based healthcare services
• Enhancing technology, billing, scheduling, and operating efficiencies
• Leveraging the platform as a base for additional acquisitions
• Integrating the companies into a larger regional or statewide healthcare organization
The combination of two complementary healthcare companies, seasoned management, recognized quality ratings, established referral relationships, and shared infrastructure creates a scalable platform with substantial strategic value.
IDEAL ACQUISITION CANDIDATES
This opportunity may be particularly attractive to:
• Regional or national hospice and home health operators
• Healthcare organizations seeking entry into or expansion within California
• Private equity-backed healthcare platforms
• Family offices and experienced healthcare investors
• Multi-site operators seeking a Central California platform
• Strategic buyers pursuing continuum-of-care capabilities
The seller is seeking a qualified buyer capable of supporting the companies’ employees, patients, referral relationships, and future growth.
Additional information, including historical financial performance, operating information, and growth opportunities available to qualified Buyers. Open pricing on this opportunity.
The combined platform generated approximately $9.9 million in 2025 revenue and approximately $1.46 million in adjusted EBITDA. Both companies have earned 4-Star Medicare quality ratings and recently completed their three-year Joint Commission reaccreditation surveys, demonstrating an established commitment to clinical quality, regulatory compliance, and patient care.
SEASONED MANAGEMENT AND INFRASTRUCTURE IN PLACE
A seasoned clinical and administrative management team is in place, providing operational continuity and reducing dependence on ownership. The two companies benefit from shared leadership and infrastructure across key functions, including:
• Clinical operations and supervision
• Intake and scheduling
• Billing and revenue-cycle management
• Compliance and quality assurance
• Human resources and administration
• Marketing and business development
This established operating structure gives a new owner a solid foundation from which to maintain current operations, increase patient census, expand referral relationships, and pursue additional geographic growth.
COMPELLING CONTINUUM-OF-CARE MODEL
The combination of skilled home health and hospice services creates a differentiated continuum-of-care platform. Patients whose needs evolve can transition from rehabilitative and skilled home health services to hospice care within the same organization, helping support continuity of care, coordinated communication, and stronger relationships with patients, families, physicians, and referral partners.
The companies have established relationships with hospitals, physicians, skilled nursing facilities, assisted living communities, and other healthcare referral sources throughout their service area. The complementary service lines provide opportunities to retain appropriate patient referrals within the platform while offering referral partners a broader range of coordinated home-based care solutions.
MULTIPLE AVENUES FOR GROWTH
The platform offers meaningful opportunities for a strategic or financial buyer to build upon its existing foundation, including:
• Increasing patient census across both companies
• Expanding and strengthening the sales and outreach team
• Improving home health-to-hospice patient transitions
• Deepening relationships with hospitals, physicians, senior communities, and other referral sources
• Expanding into adjacent Central California markets
• Adding complementary home-based healthcare services
• Enhancing technology, billing, scheduling, and operating efficiencies
• Leveraging the platform as a base for additional acquisitions
• Integrating the companies into a larger regional or statewide healthcare organization
The combination of two complementary healthcare companies, seasoned management, recognized quality ratings, established referral relationships, and shared infrastructure creates a scalable platform with substantial strategic value.
IDEAL ACQUISITION CANDIDATES
This opportunity may be particularly attractive to:
• Regional or national hospice and home health operators
• Healthcare organizations seeking entry into or expansion within California
• Private equity-backed healthcare platforms
• Family offices and experienced healthcare investors
• Multi-site operators seeking a Central California platform
• Strategic buyers pursuing continuum-of-care capabilities
The seller is seeking a qualified buyer capable of supporting the companies’ employees, patients, referral relationships, and future growth.
Additional information, including historical financial performance, operating information, and growth opportunities available to qualified Buyers. Open pricing on this opportunity.
About the Business
- Years in Operation
- 14
- Employees
- 80 (52 Full-time, 28 Part-time)
- Facilities & Assets
The companies, LLC owns the building currently occupied by both companies. Under the terms of the contemplated sale, the seller will retain title to the building. However, the seller is willing to lease back the current office space that both companies occupy at a market going rate.- Market Outlook / Competition
- Home Health Industry
The Medicare home health benefit covers skilled services for homebound beneficiaries requiring care under physician orders. CMS estimated aggregate home health payments would increase approximately 0.5% in CY 2025 under PDGM. Home health is similarly consolidating, with national operators seeking scale in high-growth markets. The aging Baby Boomer population are expected to sustain demand growth through at least 2030.
Hospice Industry
The Medicare hospice benefit is one of the most durable and rapidly growing segments of the U.S. healthcare system. Utilization is driven by the aging U.S. population, increasing physician awareness of hospice eligibility criteria, and evidence demonstrating that hospice enrollment improves quality of life. Hospice is a consolidating industry, with regional, national, and private equity-backed platforms actively acquiring independent agencies with established census, quality ratings, and defensible referral networks. - Opportunities for Growth
- Immediately Available Opportunities
Management has identified two opportunities immediately available to the Operating Companies to enhance patient volume growth:
1. Medicare Home Health Payment Model Proficiency. Developing a more proficient understanding of the Medicare home health payment model within the Company’s existing clinical management team, and managing Medicare patients in a manner that recognizes the intricacies of the model in terms of diagnosis coding, initial assessment, visit frequencies, patient care goal achievement, and patient discharge planning.
2. Sales Team Restructuring & Retraining. Restructuring and retraining the sales team to develop a more strategically focused approach that covers and meets the specific needs of the different referral sources and the patient populations those referral sources serve.
Real Estate
- Owned or Leased
- Leased
- Building Sq. Ft.
- 10,000
About the Sale
- Seller Motivation
- Seller is at retirement age and wishes slow things down.
- Transition Support
- Seller will work with the purchasing entity to assist in a seamless and successful transition.
Listing Info
- ID
- 2533683
- Listing Views
Attached DocumentsAttachment Disclaimer
Listing ID: 2533683 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.
Businesses for SaleCalifornia Businesses for SaleCalifornia Health & Medical Businesses for SaleCalifornia Other Health & Medical Businesses for Sale
Similar Listings
