Medicare-Certified Skilled Home Health Agency | VA, BCBS, UHC, Medica

Asking Price$1,000,000

Cash Flow

EBITDANot Disclosed

Gross Revenue$1,267,731

InventoryNot Disclosed

FF&E$6,317
Included in asking price
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Medicare-Certified Skilled Home Health Agency | VA, BCBS, UHC, Medica


Asking Price$1,000,000

Cash Flow

EBITDANot Disclosed

Gross Revenue$1,267,731

InventoryNot Disclosed

FF&E$6,317
Included in asking price

Seller Financing Available
Business Description
Established for multiple decades | $1.27M revenue $0.24M SDE
- FOR SALE BY OWNER. OWNED BY ENTREPRENEURS WHO HAVE CLOSED MULTIPLE M&A TRANSACTIONS. THE OWNER/ADMINISTRATOR NEEDS TO RELOCATE DUE TO GROWING FAMILY NEEDS. OTHERWISE, IT WON'T BE AVAILABLE FOR SALE AND WILL CONTINUE ITS GROWTH TRAJECTORY. COMPREHENSIVE CIM AND MONTHLY FINANCIAL MODEL AVAILABLE UPON EXECUTION OF THE NDA.
- VALUATION INDICATION: $1.00M – $1.18M indicated value
4.25x – 5.0x applied to Dec 2026F SDE of $235,411 ($1,000,495 – $1,177,053). On TTM May 2026 SDE of $182,796 the same multiples indicate $776,882 – $913,978.
Seven private home health transactions in BVR DealStats trade at 3.70x – 4.50x MVIC/SDE, the two Medicare-certified comparables highest at 4.09x and 4.50x.
ULTIMATELY, THE MARKETPLACE, DEMAND, AND COMPETITION WILL DETERMINE SALE PRICE.

The Company is a Medicare-certified home health agency founded multiple decades ago and continuously Medicare-enrolled, operating in Minnesota. 33 employees serve a current census of 134 patients under a comprehensive Minnesota home health care license, an active NPI, and seven payor contracts. The S-Corp owner acts solely as a non-clinical administrator. Clinical operations sit with a tenured, non-owner Director of Nursing who is committed post-close.

SERVICES:
Skilled nursing — RN wound care, medication management, disease monitoring and patient education.
Home health aides — bathing and dressing, meal preparation and light housekeeping.
Homemaking and companionship — household support and companion care for lower-acuity clients.

KEY INVESTMENT HIGHLIGHTS:
Federally frozen entry. On May 13, 2026 CMS imposed a nationwide moratorium on all new Medicare home health enrollments - no new agencies, branches or practice locations anywhere in the United States, no exceptions and no waivers, extendable in six-month increments. A Medicare certification can no longer be built, it can only be bought.
Certification multi-decades past the 36-month rule. Enrollment dates back multi-decades ago with no change in majority ownership in the last 36 months, so the acquisition is exempt from re-enrollment under 42 CFR §424.550(b) - whereas a recently certified agency changing hands during the freeze would lose enrollment with no path back.
Growth in both volume and rate. Revenue rose from $580,436 in FY2023 to $1,267,731 forecast for FY2026 - a ~30% CAGR - as average census grew 89 to 147 (+65%) and revenue per visit climbed from $83 to $122.
No single-payor dependency. Seven active payors - Medicare, Medicaid (MN DHS), Blue Cross MN, Medica, UCare(now Medica), VA, HealthPartners and UnitedHealthcare.
Turnkey, non-clinical ownership. Because the owner is an administrator rather than a clinician, the acquirer buys an intact clinical organization: the Director of Nursing, referral relationships, and platform continue unchanged, and the owner remains available for transition support.
Expansion frozen for everyone. The moratorium also blocks incumbents from adding branches, so white space across the current footprint cannot be contested while it holds.

GROWTH LEVERS:
Therapy adjacencies — Medicare PT, OT, and speech-therapy lines add revenue per patient.
Fixed SG&A leverage — a path to 22%+ SDE margins as revenue scales past $1.3M.
Bolt-ons and VA growth — licensed Minnesota agencies are now scarce exit targets, and VA visits already run 156 per month (TTM).
About the Business
Employees
33 Employees, combination on FTEs and PTEs
Facilities & Assets
- Everything needed to operate the business is included. The 12-month target net working capital sits at about $65k.
Market Outlook / Competition
– Minnesota's 65+ population climbs from 949,293 (2020) to 1,166,617 by 2030 — +217,324, against only +6,543 across the 2030s — peaking near 20% of the state versus 16.6% in 2020.
– The skew is rural: county 65+ share ran 10.8% (Scott) to 32.3% (Aitkin) in 2020 against a 16.6% state average;
– Certified supply is 141 agencies statewide — 28 of them in Saint Paul (11), Minneapolis (7), Duluth (5) and Rochester (5); MDH's 2025 directory lists 144 at 14 March 2025.
– Minnesota's home care provider count fell 52% from FY2022 to FY2024 after the August 2021 assisted living licensure law.
– Nationally, one provider's estimate puts the U.S. market at $120.7bn (2025) → $131.4bn (2026) → $200.7bn (2031), an 8.85% CAGR, while certified agencies fell 2.5% since 2020 — 1,000+ closures since 2019 and hundreds of counties now 'home health deserts'.
– Home health costs 50–70% less than hospital or skilled-nursing care; nearly 95% of people over 60 carry a chronic condition.
Opportunities for Growth
- Federally frozen entry. A Medicare certification can no longer be built, it can only be bought.
- Certification multi-decades past the 36-month rule. Enrollment dates back multi-decades ago.
- Growth in both volume and rate. Revenue rose from $580,436 in FY2023 to $1,267,731 forecast for FY2026 - a ~30% CAGR - as average census grew 89 to 147 (+65%) and revenue per visit climbed from $83 to $122.
- No single-payor dependency. Seven active payors - Medicare, Medicaid (MN DHS), Blue Cross MN, Medica, UCare(now Medica), VA, HealthPartners and UnitedHealthcare.
- Turnkey, non-clinical ownership. Because the owner is an administrator rather than a clinician, the acquirer buys an intact clinical organization: the Director of Nursing, referral relationships and platform continue unchanged, and the owner remains available for transition support.
- Medicare therapy adjacencies — Medicare PT, OT and speech-therapy lines add revenue per patient on the existing census.
Real Estate
Owned or Leased
Leased
Rent
$1,690 per month
About the Sale
Seller Motivation
Relocation due to growing family needs
Transition Support
- Available to ensure a smooth transition. The less risky it is for a buyer, the better the outcome for both parties.
Financing Options
The marketplace and process will determine terms, seller financing available
Listing Info
ID
2540380
Listing Views
Attached DocumentsAttachment Disclaimer

Confidential Teaser and NDA - Project Companion.pdf


Listing ID: 2540380 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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