Medicare-Certified Home Health Agency — Dallas/Fort Worth
Business Description
Medicare-certified home health agency serving the Dallas–Fort Worth metroplex, licensed by Texas HHSC through August 2028 and Medicare-certified since 2001. Current ownership acquired the agency in 2021 and grew revenue from under $140,000 to over $720,000 in four years.
The agency provides skilled nursing (RN and LVN) with physical therapy delivered through an established third-party contract. Payer mix is 100% traditional Medicare fee-for-service, producing clean, predictable collections with no managed-care rate compression or authorization burden. Current census is approximately 40 patients across Dallas, Collin, Tarrant, and Kaufman counties.
The clinical team is stable and long-tenured, with several nurses in place since the current ownership took over. Patient retention is exceptionally strong — management reports 90–95% retention, and the most recent Medicare cost report reflects 436 thirty-day payment periods across a 53-patient unduplicated census, indicating an unusually long average length of stay for the sector. Referrals come primarily from word-of-mouth and long-standing community relationships within an underserved population segment that larger regional agencies have not served well.
Most recent Texas HHSC survey completed in 2025 with no outstanding findings, audits, or payer issues.
Overhead is minimal: 950 square feet of office space at $900 per month and no funded debt. Owner will support a full transition and is open to remaining post-close on terms to be discussed.
The agency provides skilled nursing (RN and LVN) with physical therapy delivered through an established third-party contract. Payer mix is 100% traditional Medicare fee-for-service, producing clean, predictable collections with no managed-care rate compression or authorization burden. Current census is approximately 40 patients across Dallas, Collin, Tarrant, and Kaufman counties.
The clinical team is stable and long-tenured, with several nurses in place since the current ownership took over. Patient retention is exceptionally strong — management reports 90–95% retention, and the most recent Medicare cost report reflects 436 thirty-day payment periods across a 53-patient unduplicated census, indicating an unusually long average length of stay for the sector. Referrals come primarily from word-of-mouth and long-standing community relationships within an underserved population segment that larger regional agencies have not served well.
Most recent Texas HHSC survey completed in 2025 with no outstanding findings, audits, or payer issues.
Overhead is minimal: 950 square feet of office space at $900 per month and no funded debt. Owner will support a full transition and is open to remaining post-close on terms to be discussed.
About the Business
- Years in Operation
- 26
- Employees
- 7 Full-time
- Facilities & Assets
- The business operates from approximately 950 square feet of leased office space in north Dallas at $900 per month, currently held on an informal month-to-month arrangement. A buyer should anticipate negotiating a written lease at market terms or relocating within the licensed service area.
Included in the sale: Texas HHSC home health license valid through August 2028, Medicare certification (CCN issued 2001), the patient census, referral relationships, the contracted physical therapy provider relationship, office furniture and equipment, and company vehicles. The agency runs on WellSky Kinnser for clinical documentation and billing.
The balance sheet is clean, with no funded debt and no material inventory. Capital requirements are minimal — this is a low-asset, license-and-relationships business rather than a capital-intensive one. - Market Outlook / Competition
- The Dallas–Fort Worth metroplex is one of the largest and fastest-growing home health markets in the country, supported by sustained population growth and an aging demographic. The market is highly fragmented, with a long tail of independent agencies operating alongside national platforms.
This agency does not compete on scale. It competes on responsiveness, continuity of care, and durable relationships within a specific community that larger regional operators have not served effectively — a position that has produced patient retention management estimates at 90–95% and unusually long lengths of stay relative to sector norms.
Barriers to entry are meaningful. Medicare certification and Texas HCSSA licensure are time-consuming to obtain, which makes acquiring an established, surveyed, certified agency materially faster than building one. - Opportunities for Growth
- Several growth paths are available to an operator and are not currently being pursued:
The agency is already licensed to provide personal attendant services but refers that work to a third party. Bringing it in-house is an immediate revenue line requiring no new licensure.
Payer mix is 100% traditional Medicare fee-for-service. No Medicare Advantage contracts are in place, and MA penetration across DFW is substantial — contracting would materially expand the referable patient population.
Occupational therapy, speech-language pathology, medical social work, and home health aide services all fall within the agency's certification but are not currently offered.
Additional counties within the licensed region are reachable without new licensure.
Ownership reports the agency is near capacity on current staffing, so incremental volume converts on modest hiring rather than new infrastructure.
Real Estate
- Owned or Leased
- Leased
- Building Sq. Ft.
- 950
- Rent
- $900 per month
About the Sale
- Seller Motivation
- Retirement
- Transition Support
- The owner is prepared to provide a full transition and has expressed openness to remaining involved after closing, whether on a short-term transition basis or in a longer-term role, with specific terms open to discussion.
The clinical team is stable and long-tenured — several nurses have been with the agency since the current ownership took over in 2021, with minimal turnover since. The contracted therapy relationship is well established and expected to continue.
Buyers should note that a Texas HCSSA change of ownership requires notice to and processing by Texas HHSC, along with a Medicare CHOW filing. The seller will cooperate fully with licensure and certification transfer, and transition timing should be planned around those regulatory steps rather than the closing date alone.
Listing Info
- ID
- 2541150
- Listing Views
- 18
Listing ID: 2541150 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.















