Rare opportunity to acquire a highly respected and deeply rooted residential healthcare business with multiple owned properties, strong recurring Medicaid revenue, and a long-standing reputation for quality care in Southern Iowa. This mission-driven operation has built a stellar name over 14+ years and operates with a highly autonomous team, making it an ideal acquisition for an operator seeking both meaningful impact and stable cash flow.

Established in 2012, this well-known residential and home-based habilitation provider serves adults with intellectual and physical disabilities through Iowa Medicaid waiver programs. The business operates across multiple fully ADA-compliant residential homes plus an administrative office, all of which are included in the sale. Known for its exceptional operational standards, the company has consistently earned the coveted 3-year State of Iowa certification cycle — a distinction few competitors achieve.

Key Financial Highlights

- Annual Revenue: $1.14M

- Seller’s Discretionary Earnings (SDE): $577K w/ 50.5% SDE margin

- 38.8% total growth over the three-year period

Operational Overview

The business provides 24/7 supervised residential care and community-based services focused on daily living support, medication management, transportation coordination, behavioral support, and habilitation services. Operations are highly systemized with dedicated house managers, a regional manager, office administration, and internal documentation oversight already in place.

A major differentiator is the company’s deeply developed operational infrastructure. The owner personally created the policies, procedures, training systems, and employee handbook over more than a decade, creating a difficult-to-replicate competitive moat. The company also maintains exceptionally strong compliance standards with rigorous documentation systems and medication-management protocols.

The business currently operates at roughly half of its historical peak capacity after scaling back during COVID, creating substantial runway for future growth. Prior to the pandemic, the company operated six residential homes with approximately 40 employees. Demand remains extremely strong, with ongoing referrals consistently available from hospitals, case managers, and government agencies.

Growth Opportunities

- Expand back to pre-COVID footprint by opening additional residential homes

- Add nursing and home-health services

- Introduce therapy services and additional Medicaid-supported programs

- Increase community-based independent living services

- Expand respite-care offerings

- Leverage existing referral relationships to accelerate growth without additional marketing spend

Reason for Sale

The owner is selling to focus on family and lifestyle priorities after dedicating over a decade to building the company. This is not a distressed sale — the business remains stable, respected, and positioned for continued expansion under the right operator.

Ideal Buyer Profile

This opportunity is ideal for an experienced healthcare operator, behavioral health provider, home healthcare group, or mission-driven entrepreneur looking to acquire a scalable, recession-resistant business with recurring government-backed revenue and substantial real estate included.

For more information on this opportunity, including detailed financials and operations overview, please submit a business inquiry.