Denver Colorado Hospice For Sale

Denver Colorado Hospice For Sale

36 Month Rule EXEMPT – Owned By Holding Company

Rare Opportunity!

Medicare Certified – Medicaid Pending

New – No Census

Never Billed so NO CAP ISSUES

ACHC Accreditation

Covers: Denver, Adams, Jefferson, Douglas, Arapahoe, Clear Creek, Delta, Douglas, Eagle, Jefferson, Lake, Mesa, Park, Pitkin, Summit, and Elbert Counties

Bring your own staff and start billing at closing (PTAN in 2 weeks)!

REDUCED Asking Price: to $397K Reference Number: 440557941629

Denver Colorado Hospice For Sale

Reference Number: 440557941629

36 Month Rule EXEMPT (owned by holding company) Rare Opportunity Medicare Certified Medicaid Pending New • No Census • Never Billed • No CAP Issues ACHC Accreditation

Covers: Denver, Adams, Jefferson, Douglas, Arapahoe, Clear Creek, Delta, Douglas, Eagle, Jefferson, Lake, Mesa, Park, Pitkin, Summit, and Elbert Counties.

  • Bring your own staff and start billing at closing. PTAN in approximately 2 weeks.
  • Clean startup profile. No prior billing history and therefore no CAP exposure.
Asking Price: $399,000
Request NDA or Schedule a Call

Confidential inquiries only. Healthcare experience required.

Las Vegas Hospice for Sale – Nevada Healthcare Business Opportunity

Nevada Accredited Hospice for Sale

Compassionate hospice nurse caring for an elderly patient in Henderson, Nevada, with desert mountains and palm trees in the background.

Rare Opportunity – 36 Month Rule Not Applicable!

Based in Henderson, Nevada

Covers all of Clark County

No Census Included

PTAN at Closing

ACHC Accredited

REDUCED Asking Price: $399K $297K

Reference Number: 35502592694

Nevada Accredited Hospice for Sale


Contact Vallexa Advisors: 586-623-5616

Cash equivalent to purchase price set aside to invest from currently available funds required

– Healthcare-specific industry experience required –

View other available healthcare opportunities by clicking HERE

Thinking of selling YOUR healthcare agency? Find out how by clicking HERE


Las Vegas Hospice for Sale – Clark County Coverage | PTAN Transfers at Closing
This is an exceptionally rare opportunity to acquire a fully accredited Nevada hospice—without the wait.
Agency Highlights:
ACHC Accredited
No 36-Month Rule Restrictions
Based in Henderson, NV
Covers the entire Clark County region, including Las Vegas
No active census – a clean slate for your growth
PTAN will transfer at closing
Medicare certified and ready to bill immediately
Whether you’re an existing provider looking to expand into Nevada or a new entrant seeking a compliant, accredited starting point, this listing offers a turnkey structure without operational liabilities.
Reduced Asking Price: $297,000
Reference Number: 35502592694
Inquire today to receive the full VDR and start due diligence.

Sell or Buy a Home Health Care Business: Your 2026 Guide | home care business for sale

Sell or Buy a Home Health Care Business: Your 2026 Guide

Primary keywords: sell a home health care business, sell my home health agency, buy a home care business, home care business for sale, home health care business for sale, home care agency for sale, home health care for sale, buying an established home health care business, home health agency for sale, hospice valuation.

The home health and hospice markets are evolving rapidly. Recent news shows Medicare increasing hospice payment rates by roughly 2.6% in FY 2026, raising the hospice cap and finalizing the transition to the HOPE quality reporting instrument (source). Meanwhile, private equity continues to invest in hospice—Linden Capital Partners recently acquired Agape Care Group—signalling confidence in long‑term growth. At the same time, hospices face workforce shortages, rising costs and new payment rules that squeeze margins (source).  For home health and hospice owners thinking “How do I sell my home health agency?” or buyers searching “home care business for sale,” understanding valuations and market dynamics is essential.

Selling a Home Health or Hospice Agency

When you decide to sell a home health care business, buyers will value it based on fair market value and future earnings potential. In recent valuations prepared by Vallexa Advisors:

  • Northstar HomeCare’s fair market value was $550,000 with a listing price of $600,000 and an expected sale range of $500,000–$600,000. The report emphasised that valuations depend on prospective earnings and not just historical data.
  • For Heart 2 Heart (J.A.R. Health Care PLLC), Vallexa concluded a fair market value of $150,000 and recommended listing between $100,000–$150,000. The report explained that fair market value reflects the price a willing buyer and seller would agree upon without compulsion, with both having reasonable knowledge of relevant facts.

These examples highlight the importance of accurate valuations. The Senior Living and Home Health sector generally trades at EBITDA multiples between 4.7× and 7.4×, depending on earnings size (source). Businesses represented by an M&A advisor achieve multiples 23% higher than sellers who go it alone (source).

Before going to market, owners should:

  • Clean up financials—normalize EBITDA by adding back owner perks and one‑time expenses.
  • Ensure compliance—address any billing irregularities or CAP exposure and maintain pristine survey records. Fraud investigations and compliance lapses can erode buyer trust and reduce multiples (source).
  • Stabilize operations—create standard operating procedures, reduce owner dependency, and maintain a qualified staff. Workforce shortages are the biggest hospice challenge; recruitment and retention require a strategic, multifaceted approach including mentorship, training and technology to ease documentation burdens (source).
  • Highlight growth potential—buyers pay premiums for agencies with scalable operations, diversified payer mix and clear expansion opportunities.

Buying a Home Health Care or Home Care Business

If you’re looking to buy a home care business or home health agency for sale, due diligence is crucial. Buyers should evaluate:

  • Financial performance—review adjusted EBITDA, revenue trends and margins. Payment rate updates (2.6% increase in hospice rates for FY 2026) may improve cash flows (source).
  • Staffing and workforce stability—shortages of clinicians, social workers and volunteers remain the most pressing issue. Agencies struggle to recruit due to competition from other care settings and must invest in retention and wellness programs (source).
  • Regulatory environment—assess compliance with Medicare/Medicaid rules, CAP metrics, HOPE quality reporting and state licensing requirements. New payment rules can force agencies to make tough decisions on budgets and staffing.
  • Quality and reputation—consider caregiver training programs and support for family caregivers. For example, home‑based care companies like Senior Helpers invest in training family caregivers and offer support groups to improve outcomes and reduce rehospitalizations (source).

Many buyers are private equity firms or strategic consolidators who see opportunities to integrate home health and hospice services across the continuum. Financing remains available despite higher interest rates, but lenders are scrutinizing cash flows and regulatory risks more closely.

Current Market Trends Impacting Valuation

Payment Updates & Policy Changes

CMS’s FY 2026 hospice final rule increases payment rates by 2.6%, which the agency estimates will inject $750 million into the industry (source). Still, some operators argue the update lags inflation and rising labor costs. Coupled with the transition to the HOPE assessment instrument, hospices must invest in data collection and quality reporting.

In broader health care, CMS is piloting the GENEROUS model to lower Medicaid drug prices starting in 2026 (source). States participating in this model can purchase drugs at internationally indexed prices and share savings with CMS. More predictable Medicaid budgets could free up funds for home‑based services and influence valuations.

Workforce & Operational Challenges

The workforce shortage is the root of many hospice problems. Agencies rely on clinicians, social workers, chaplains and volunteers to provide holistic care. Recruitment is difficult because the job requires clinical expertise, emotional intelligence and compassion. Staff are stretched thin and turnover increases when wages lag those of competing care settings (source). Retention strategies—flexible scheduling, mentorship programs, wellness initiatives and technology for documentation—are vital (source).

Family Caregiver Support

Home‑based care companies are expanding family caregiver education. Senior Helpers, for instance, operates training centers and support groups where family members learn to use equipment, perform transfers and reduce fall risks (source). These programs improve outcomes, keep patients out of hospitals and can even qualify caregivers for Medicaid wages in some states (source). For buyers, an agency’s caregiver support initiatives reflect quality of care and community engagement.

Why Choose Vallexa Advisors

Vallexa Advisors specializes in health care M&A, including home health, hospice, palliative care and senior living transactions. We guide both sellers and buyers through:

  • Valuation & pricing—We conduct comprehensive valuations based on cash flows, comparable sales and market conditions. We help owners understand fair market value and optimize listing prices.
  • Preparation & compliance—We identify financial and operational risks, correct compliance issues and prepare documentation to withstand buyer scrutiny.
  • Buyer outreach & negotiation—Our network of more than 2,300 prequalified buyers includes private equity firms, strategic acquirers and family offices. We create competitive tension to maximize price and favorable terms.
  • Transaction support—From due diligence to closing, we manage details so clients can focus on running their business. We are success‑based: you don’t owe us anything until your sale closes.

You’ll also find our resources across our high‑authority sites: SellHomeHealth.com, HomeHealthSellers.com, HomeCare.ForSale, Hospice.ForSale and SellMyHomeHealth.com. These platforms connect sellers and buyers while protecting confidentiality.

Conclusion: Preparing for a Successful Exit or Acquisition

The decision to sell a home health care business or buy a home care agency requires informed preparation. Valuations are shaped by financial performance, workforce strength, compliance, quality initiatives and market trends like payment rate updates and policy reforms. Whether you’re considering a sale now or in a few years, partnering with an experienced advisor like Vallexa Advisors ensures you capture maximum value while aligning with your strategic goals.

Ready to explore your options? Contact us today for a confidential valuation and personalized guidance. Visit VallexaAdvisors.com or call us to schedule your free consultation.

 

Frequently Asked Questions about Selling or Buying a Home Health or Hospice Agency

How do I sell a home health care business or home care agency?

The process typically starts with an initial valuation, followed by preparing your financials, confirming license status, and organizing clinical and operational documentation. From there, Vallexa Advisors confidentially markets your agency as a home health care business for sale to vetted buyers, manages buyer inquiries, negotiates offers, and coordinates due diligence through closing.

What is involved in a hospice valuation?

A hospice valuation looks at adjusted EBITDA, payer mix, referral sources, compliance history, quality scores, staffing stability, and growth potential. Market trends, Medicare payment updates, and regional buyer demand also influence the multiple buyers are willing to pay for your hospice agency.

How long does it take to sell my home health agency or hospice?

Every deal is different, but most transactions take 6–9 months from preparation to closing. The timeline includes valuation, packaging the opportunity, buyer outreach, management meetings, negotiation of the Letter of Intent, due diligence, and closing documentation.

Can Vallexa Advisors help buyers who want to buy a home care business?

Yes. Vallexa Advisors works with qualified buyers who want to buy a home care business, home health agency for sale, or hospice agency. We help buyers understand the financials, regulatory environment, and operational requirements so both sides move forward with clarity and realistic expectations.

Why should I use a healthcare M&A specialist instead of a general business broker?

Healthcare deals are highly regulated and require experience with Medicare, Medicaid, accreditation, surveys, clinical compliance, and payer contracts. Vallexa Advisors focuses exclusively on healthcare M&A, which means we understand licensing, valuations, and buyer expectations for home health, home care, hospice, and senior-care agencies. Our specialization helps you avoid costly mistakes and maximize value.

What can I do now to increase the value of my agency before selling?

Strengthen your margins, clean up financials, stabilize census, diversify referrals, and reduce owner dependency by building a strong management team. Address any compliance or survey issues early. These steps can improve your valuation whether you plan to sell my home health agency or exit a hospice or home care business in the next 12–24 months.

Ready to Sell or Buy a Home Health or Hospice Agency?

Whether you want to sell a home health care business, explore a home health agency for sale, or understand your hospice valuation, you do not have to navigate the process alone. Vallexa Advisors connects qualified buyers and sellers, structures deals that protect both sides, and guides you from first conversation to final closing.

Take the first step toward a confident transaction with a specialized healthcare M&A team that understands your world.

Schedule Your Confidential Valuation with Vallexa Advisors

Or visit VallexaAdvisors.com to learn more about our healthcare M&A services.

Well Established Profitable Hospice For Sale in U.S. Virgin Islands

Well Established Profitable Hospice For Sale in U.S. Virgin Islands

Turnkey and Fully Staffed, Owner will assist in Transition

Established in 2000

PTAN, NPI, Business License & Certificate of Need in Place 

Average Daily Census : 65

ALOS : 75 days

No Cap Issues

Service Area: Covers all 4 Islands: St. Croix, St. Thomas, St. John and Water Island.

*Staff currently unaware of sale preparation, but high rate of employee retention is expected 

Net income for YTD Sept. 2025 = $475,195

TOTAL Expected AEBITDA Run-Rate for 2025 = $633,000

Asking Price: $3,250,000
Reference Number: 33398123083


Contact Vallexa Advisors: 586-623-5616

Cash equivalent to purchase price set aside to invest from currently available funds required

– Healthcare-specific industry experience required –

View other available healthcare opportunities by clicking HERE

Thinking of selling YOUR healthcare agency? Find out how by clicking HERE


Frequently Asked Questions

Where is the hospice located and what is the service area?

The agency serves all four U.S. Virgin Islands: St. Croix, St. Thomas, St. John, and Water Island.

How long has the hospice been operating?

It was established in 2000 and is well established with strong local relationships.

What licenses and approvals are included?

PTAN, NPI, business license, and Certificate of Need are in place.

What are the current operating metrics?

  • Average Daily Census (ADC): ~65
  • Average Length of Stay (ALOS): ~75 days
  • No cap issues reported

What is the current financial performance?

  • YTD Net Income (through Sept. 2025): $475,195
  • Expected 2025 AEBITDA run-rate: ~$633,000
  • Asking Price: $3,250,000
  • Reference Number: 33398123083

Detailed financials available upon request and execution of a confidentiality agreement.

Is the business turnkey and staffed?

Yes—this is a turnkey, fully staffed operation. Staff are currently unaware of sale preparation; a high rate of employee retention is expected.

Will the owner assist with transition?

Yes, the owner will assist in the transition to support continuity of care and operations.

What is required to receive the CIM and next steps?

Please reference #33398123083 and submit buyer qualifications with an executed NDA to receive the confidential information memorandum and schedule a call.

Home » Home Care for Sale

Hospice Valuation amid Fraud Crackdowns, Shutdowns & Policy Shifts: What Owners Need to Know

Hospice Valuation amid Fraud Crackdowns, Shutdowns & Policy Shifts: What Owners Need to Know

The hospice landscape in late 2025 is anything but quiet. Federal fraud indictments, a brief government shutdown, and a new Medicaid pricing model are rippling across the sector. While these headlines can feel remote from day‑to‑day patient care, they directly influence how buyers evaluate hospice agencies. For owners thinking “what’s my hospice worth?” or considering a sale in 2026, understanding how these factors shape hospice valuation is critical.

Fraud Sentences Raise the Stakes for Compliance

According to Hospice News, two individuals in California were sentenced after defrauding the Medicare hospice benefit; one defendant received seven years and four months and was ordered to pay nearly $1.5 million in restitution. The article notes that California, Arizona, Nevada and Texas are now considered hotbed states for hospice fraud, with the state attorney general’s office warning that unscrupulous providers have entered these markets to exploit the Medicare program.

Fraud crackdowns are more than law‑enforcement news – they’re a valuation signal. Buyers are increasingly scrutinizing compliance programs, billing practices and leadership integrity. A hospice with clean billing, documented policies and a culture of compliance can defend a higher valuation multiple. Conversely, any hint of billing irregularities or weak internal controls will erode trust and reduce the purchase price.

Shutdown & Survey Disruptions: A Reminder to Prepare

The October 2025 federal shutdown briefly paused many government functions. Home health recertification surveys were mostly delayed, yet hospice surveys continued because the Consolidated Appropriations Act of 2021 earmarked mandatory funding for hospice oversight. Industry consultants note that complaint investigations also proceeded during the shutdown and that Accreditation Commission for Health Care (ACHC), Community Health Accreditation Partner (CHAP) and The Joint Commission (TJC) surveys were still authorized.

Why mention a three‑week shutdown in a valuation article? Because it underscores the importance of survey readiness. Buyers will look at your most recent recertification surveys and any corrective action plans. Agencies that maintain accreditation and proactively address survey findings signal operational resilience, which translates into stronger hospice valuations. Those who wait until they’re under the microscope risk lower offers.

New Medicaid Model: A Glimpse into Funding Stability

CMS recently announced the GENEROUS model (Generous Medicaid Rebate Expansion for States) to lower drug prices starting in 2026. The program aims to align Medicaid drug costs with international prices and requires participating manufacturers to provide supplemental rebates. States will purchase drugs at lower prices and share the savings with CMS through reduced federal share of Medicaid spending. While the model focuses on drug pricing, it signals a broader trend: state Medicaid budgets could become more predictable, potentially freeing funds for hospice reimbursement and stabilizing payer mix.

For hospice owners, the takeaway is that policy changes affecting payer budgets indirectly influence valuations. When budgets tighten, buyers discount for reimbursement risk. When payment models stabilize or improve, valuations can lift. Staying abreast of these trends (and demonstrating how your payer mix will benefit) helps position your hospice for top offers.

Vallexa Advisors: Turning Policy Uncertainty into Valuation Strength

News of fraud indictments, shutdown disruptions and Medicaid reforms can feel unsettling. Yet these same headlines create opportunities for well‑run hospices. Here’s how Vallexa Advisors positions owners to leverage market dynamics:

  • Compliance & Governance Review: We assess your billing practices, certifications and documentation to ensure your hospice would withstand regulatory scrutiny. Clean compliance histories are a prerequisite for premium multiples.
  • Survey & Accreditation Strategy: Our team helps you prepare for ACHC, CHAP or TJC surveys, addressing any deficiencies so that buyers see stability rather than risk.
  • Payer Mix & Policy Analysis: We model how changes like the GENEROUS model could impact your revenue streams, illustrating strengths (e.g., diversified payer mix) and mitigating weaknesses.
  • Fair Market Value Benchmarking: Using both external data and internal reports (like our 2022 valuation of Angel Hospice, which set a fair market value at $1.5 million based on going‑concern assumptions), we calculate a realistic range. We employ standard definitions of fair market value—what a willing buyer would pay a willing seller without compulsion—and the going‑concern premise (assuming the business will continue operating).
  • Network of Buyers & Confidential Listings: We promote your hospice anonymously across our sister sites—SellMyHomeHealth.com, SellHomeHealth.com, Hospice.ForSale, HomeHealthSellers.com, and HomeCare.ForSale—to generate competition and drive up offers.

Key Takeaways for Hospice Owners

  • Fraud crackdowns put compliance front and center. Demonstrate robust billing and governance to earn buyer trust.
  • Survey disruptions highlight the need for constant readiness. Achieving and maintaining accreditation signals strength.
  • Medicaid reforms hint at future reimbursement stability. Position your payer mix story to show resilience to policy shifts.
  • Work with specialists. Vallexa Advisors understands how these factors feed into hospice valuation and can help you navigate them.

Next Steps: Request Your Hospice Valuation

The hospice market remains attractive, but the rules are shifting. Fraud penalties, federal funding pauses and new payment models are raising the bar for compliance and strategic planning. To capture the highest value for your agency, you need a partner who understands both policy and valuation.

Ready to Know What Your Hospice Is Worth?

Get a confidential, data-driven hospice valuation that reflects the latest regulatory developments. Talk to a healthcare M&A specialist at Vallexa Advisors.


💼 Request Your Valuation

100% confidential · No upfront fees · Trusted by hospice owners nationwide

FAQ: Hospice Valuation & Policy Shifts

  • How do fraud investigations affect hospice valuations?
    Fraud cases heighten buyer concerns about billing integrity. A clean record and detailed compliance documentation can preserve or improve your valuation. A history of irregularities will lower offers.
  • Do government shutdowns reduce hospice value?
    The October 2025 shutdown didn’t stop hospice surveys, but it underscores the need for readiness. A well‑prepared agency won’t suffer valuation penalties from temporary survey delays.
  • Will the new Medicaid payment model impact my hospice valuation?
    The GENEROUS model targets drug costs but signals a broader push for predictable Medicaid budgets. If your payer mix includes Medicaid, improved reimbursement stability could boost value.
  • Why work with Vallexa Advisors?
    We specialize in healthcare M&A. Our experts translate policy changes into valuation strategy, prepare your agency for buyer scrutiny, and run competitive processes to maximize price.

Note: This article is for informational purposes only and does not constitute legal or financial advice. Owners should consult professional advisors before making strategic decisions.

How the 2026 Final Rule and HOPE Tool Shape Hospice Valuation

How the 2026 Final Rule and HOPE Tool Shape Hospice Valuation

In November 2025, Hospice News reported fresh industry concerns about the 2026 Final Rule and the expanded rollout of the Hospice Outcomes & Patient Evaluation (HOPE) Tool. While much of the conversation has centered on compliance burden and workflow disruption, there’s another critical dimension hospice owners can’t ignore:

These changes are already influencing how buyers, lenders, and investors think about hospice valuation.

For owners considering a sale in 2026–2027, understanding how HOPE, quality reporting, and payment penalties flow into valuation is essential.


What the HOPE Tool Actually Changes

The HOPE Tool moves hospices from retrospective chart abstraction to real-time, multi-timepoint patient assessments. Instead of only collecting data at admission and discharge, hospices now report information at several standardized timepoints, all submitted electronically to CMS.

  • HOPE replaces the legacy Hospice Item Set (HIS) and becomes the backbone of the Hospice Quality Reporting Program (HQRP).
  • Hospices must submit HOPE data through CMS’s iQIES system and maintain a minimum submission threshold to avoid payment penalties.
  • New HOPE-based quality measures emphasize symptom reassessment, pain management, and care continuity.

For details straight from CMS, see:


Why HOPE Matters for Hospice Valuation

Historically, hospice valuation centered on metrics such as:

  • Adjusted EBITDA and profit margins
  • Average daily census and growth trends
  • CAP compliance and audit exposure
  • Payer mix (Medicare, Medicaid, commercial, VA, private pay)

Those still matter, but HOPE and the 2026 Final Rule add a new layer of scrutiny. Buyers are increasingly treating HOPE-related performance as a proxy for:

  • Clinical quality (symptom control, reassessments, documentation reliability)
  • Operational discipline (timely submissions, staff training, workflow maturity)
  • Regulatory risk (likelihood of survey issues, payment penalties, or future rate cuts)

In other words, HOPE doesn’t just measure care — it now influences how much a buyer is willing to pay.


Three Valuation Levers HOPE Will Impact

1. Risk Adjustments to EBITDA

Most buyers value hospices using some variation of:

Enterprise Value = Adjusted EBITDA × Valuation Multiple

Under HOPE, “adjusted EBITDA” may be further discounted if:

  • Quality scores are low or inconsistent across locations.
  • Documentation and reassessment timeframes show gaps.
  • Compliance processes are reactive instead of proactive.

Agencies that cannot demonstrate reliable HOPE compliance may see downward adjustments to both EBITDA and the multiple during due diligence.

2. Perceived Regulatory & Payment Risk

CMS has signaled that non-compliance with HOPE reporting thresholds can trigger payment penalties. Solutions vendors are already warning that incomplete or late submissions could result in up to a 4% reduction in Medicare payments, depending on HQRP performance.

From a buyer’s perspective, that means:

  • Higher perceived risk = lower valuation multiple.
  • Unclear HOPE processes = heavier due diligence and longer timelines.
  • Pattern of non-compliance = reduced interest from top-tier buyers.

Owners who can show clean, timely HOPE submission logs and robust internal audit trails will be viewed as lower risk, higher value assets.

3. Differentiation Through Quality Data

There is an upside. The same data that worries some hospices can become a for others.

Hospices that consistently demonstrate:

  • Timely symptom reassessments
  • Strong caregiver and family experience
  • Accurate, complete HOPE assessments across all timepoints

will be able to prove their quality story with data. In a competitive sale process, that can justify higher valuation multiples and stronger deal terms.


Strategic Steps for Owners Planning a Sale

If you’re thinking about exit timing, here’s how to position your hospice for a stronger valuation in a HOPE-driven world:

1. Audit Your HOPE Readiness

  • Map out who collects HOPE data, when, and how it is validated.
  • Review internal error rates, missing items, and late submissions.
  • Document policies and workflows so buyers can see structure, not chaos.

Use CMS’s own HOPE resources as a checklist and training foundation:

2. Connect Quality Metrics to Financial Performance

  • Show how strong HOPE performance correlates with census stability, lower rehospitalizations, and better margins.
  • Highlight initiatives that improved quality and reduced risk — for example, clinical training or EMR upgrades.
  • Prepare dashboards or summaries that a buyer can quickly understand.

This turns abstract quality data into a valuation story buyers can underwrite.

3. Shore Up Compliance Before Due Diligence

  • Resolve outstanding survey issues and document corrective action plans.
  • Establish internal HOPE audits and spot checks.
  • Ensure policies align with CMS guidance and Conditions of Participation.

Agencies that show a proactive compliance culture are far more likely to command premium pricing than those that “scramble to fix things” once buyers start asking questions.

4. Work With a Hospice-Focused M&A Advisor

HOPE and the 2026 Final Rule have added complexity to a market that was already nuanced. Partnering with an advisor who lives exclusively in healthcare M&A can make the difference between a defensive, price-driven sale and a competitive, premium process.

Vallexa Advisors works solely with healthcare businesses — including hospice, home health, home care, and senior care providers — to prepare, position, and sell agencies for maximum value.


How Vallexa Advisors Supports Your Hospice Valuation

Here’s how Vallexa Advisors can help hospice owners navigate this new landscape:

  • Valuation grounded in today’s rules: We incorporate HOPE, HQRP, and the 2026 Final Rule into our hospice valuation models so you know where you truly stand.
  • Quality & compliance positioning: We help you present your HOPE data, survey history, and compliance culture in a way that buyers understand — and value.
  • Buyer network: We maintain relationships with strategic buyers, private equity groups, and regional consolidators actively seeking hospice platforms and add-ons.
  • Confidential, success-based representation: No upfront fees. You pay only when your transaction closes.

Explore more resources and listings on our sister platforms:


Next Step: Get a Hospice Valuation Built for 2026

The rules governing hospice care — and the data that define “quality” — are changing quickly. Those changes are already impacting hospice valuation and deal terms.

If you’re thinking about selling in the next 12–24 months, now is the time to align your HOPE processes, compliance posture, and financial story.

Ready to Understand Your Hospice’s True Value?

Get a confidential, data-driven hospice valuation that reflects the HOPE Tool, the 2026 Final Rule, and today’s buyer expectations. Talk to a healthcare M&A specialist at Vallexa Advisors.


💼 Schedule Your Confidential Consultation

100% confidential · No upfront fees · Built for hospice owners

Hospice valuation under the HOPE Tool and 2026 Final Rule – Vallexa Advisors
The HOPE Tool and 2026 Final Rule are transforming hospice valuation — Vallexa Advisors helps owners stay ahead.
Hospice valuation and compliance insights – Vallexa Advisors

Hospice Valuation & HOPE Tool FAQ (2026)

What is “hospice valuation” and how does the HOPE Tool affect it?

Hospice valuation is the process of estimating what your agency is worth to a buyer, usually based on adjusted EBITDA multiplied by a market multiple. Starting in 2026, the HOPE Tool (Hospice Outcomes & Patient Evaluation) feeds detailed quality and compliance data into that equation. Strong HOPE performance can support higher multiples, while poor scores or inconsistent reporting can increase perceived risk and lower valuation.

Will the 2026 Final Rule and HOPE Tool automatically lower my hospice’s value?

Not automatically. The 2026 Final Rule and HOPE Tool create more transparency around clinical quality, documentation, and compliance. Agencies that already document well, train staff on HOPE workflows, and maintain clean survey histories are more likely to protect or improve their hospice valuation. Agencies with gaps in data, late submissions, or compliance issues may see buyers discount the price to reflect added risk.

Which metrics matter most for hospice valuation in 2026?

Buyers still focus on adjusted EBITDA, margins, and average daily census, but they now look closely at HOPE-related indicators as well. Key metrics include:

  • HOPE completion rates and error rates across all required timepoints
  • Quality and symptom management measures tied to HOPE and HQRP
  • CAP compliance, survey history, and any corrective action plans
  • Payer mix (Medicare, Medicaid, managed care, VA, private pay)
  • Referral diversity and market presence in your service area

What can I do now to improve my hospice valuation before I sell?

Focus on three areas: financials, quality data, and compliance. Normalize EBITDA (remove one-time and discretionary expenses), stabilize census, and review documentation for HOPE, surveys, and CAP exposure. Implement internal audits for HOPE, train staff on workflows, and track quality trends in a simple dashboard. When buyers can see clean numbers and strong quality data, they are more willing to pay top-of-market multiples.

How long does it take to sell a hospice agency in this regulatory environment?

Most hospice transactions still take about 6–9 months from launch to closing, but HOPE and 2026 Final Rule requirements can lengthen the preparation phase. Plan on 3–6 months of prep to clean up financials, documentation, and quality reporting before going to market. A well-prepared hospice will generally move faster through buyer due diligence and encounter fewer surprises.

Do I really need a hospice-focused M&A advisor for a sale?

With new HOPE reporting rules, HQRP penalties, and survey scrutiny, hospice deals are more technical than ever. A general business broker may not understand how HOPE data, CAP liability, or survey findings affect value and deal structure. A hospice-focused M&A advisor like Vallexa Advisors can interpret those details for buyers, position your agency correctly, and create a competitive process that typically leads to better pricing and cleaner terms.

How do I get a hospice valuation or confidential consultation from Vallexa Advisors?

You can request a confidential hospice valuation by contacting Vallexa Advisors directly. We review your financials, HOPE readiness, quality metrics, and market position to provide a realistic view of what your hospice could be worth in today’s 2026–2027 buyer environment.

Get started here: 

Contact Us

Hospice Valuation: Understanding the Process and Maximizing Your Agency’s Worth

Hospice Valuation: Understanding the Process and Maximizing Your Agency’s Worth

 

Hospice valuation isn’t just a number—it’s the culmination of your organization’s hard work, quality of care and growth potential. If you’re considering a sale or want to understand what your business is worth, this guide will walk you through the valuation process, explain what drives value, and show you how to position your hospice for a premium multiple.

   

Why Hospice Valuation Matters

 

The hospice industry has seen meteoric growth, and valuations reflect both enthusiasm and caution. In the boom years of 2021–2022, some hospice transactions traded at multiples exceeding 30× EBITDA. Recently, valuations have moderated as buyers and sellers become more aligned. That said, quality assets with scale, clean compliance records and strong margins are still commanding healthy prices, often in the high single digits or low double digits.

   

Key Components of a Hospice Valuation

  Buyers typically use a simple formula to value healthcare businesses: Enterprise Value = Adjusted EBITDA × Valuation Multiple   Adjusted EBITDA strips out owner perks and one‑time expenses to reveal true operating profitability. The multiple reflects the buyer’s perception of risk and growth. Multiples for healthcare businesses often range from 3×–5× for smaller agencies to 7×–10× for larger platforms. For hospices, independent agencies commonly sell for 3×–6× EBITDA, while regional platforms fetch 6×–10× and multi‑state providers can achieve 10×–15×.  

Financial Health

  Consistent revenue growth and healthy margins are essential. Review your income statements, normalize EBITDA and resolve any issues that depress profitability. Sophisticated buyers will focus on your adjusted EBITDA as the foundation of their valuation. Keep in mind that add‑backs (non‑recurring expenses) increase EBITDA and thus valuation.  

Patient Census & Payer Mix

  A stable or growing average daily census signals demand. Buyers also scrutinize payer mix—Medicare remains the dominant source, but a diversified mix (Medicaid, private insurance, VA contracts) reduces risk. Agencies with clean billing practices and no CAP liability (Medicare’s reimbursement cap) command higher multiples.  

Compliance & Accreditation

  Regulatory compliance is non‑negotiable. Medicare certification, accreditation (e.g., ACHC, CHAP, Joint Commission) and a spotless survey history reassure buyers that there are no hidden liabilities. Conversely, a history of survey deficiencies or CAP issues can significantly depress valuation.   

Scale & Market Density

Bigger isn’t always better, but size correlates with higher multiples. Empirical data show that larger hospice platforms with multiple locations and strong market share command higher valuation multiples. State‑wide and regional operators often sell for 6×–10× EBITDA, while small, owner‑dependent hospices trade at 3×–6×. Build density in targeted markets to strengthen your negotiating position.    

Referral Relationships & Growth Potential

  A diversified referral base—hospitals, skilled nursing facilities, clinics and physicians—reduces concentration risk and supports higher valuations. Buyers also evaluate your future growth: expansion into new counties, adding palliative care or home health lines, or investing in clinical technology. Solid growth plans can push multiples higher.  

Clinical Quality & Reputation

  High patient and family satisfaction scores, low average length of stay relative to CAP limits, and a strong community reputation contribute to premium pricing. Your hospice’s brand and goodwill are intangible assets that buyers value.    

Valuation Methods Explained

  Though the EBITDA multiple method is most common, valuators also consider: 
  • Comparable Sales: Using recent transactions of similar hospices as benchmarks. However, valuators should adjust for differences in size, geography and regulatory environment.
  • Discounted Cash Flow (DCF): Projecting cash flows and discounting them back to present value. This method requires reliable projections and is often used in combination with multiples for more established hospices.
  • Revenue Multiples: While less common in hospice, some buyers may look at revenue per average daily census. However, EBITDA multiples remain the dominant metric.
  Remember that multiples are influenced by buyer motivations, synergies and capital structures. Strategic buyers may pay more if they can eliminate duplicate overhead or absorb your leadership team. Private equity buyers focus on growth potential, scalability and exit prospects.    

Common Pitfalls to Avoid

     

How to Maximize Your Hospice’s Value

  Preparation is everything. Here are steps you can take now to improve your valuation:  
  • Improve financial performance: Strengthen margins by controlling costs and diversifying revenue. Secure long‑term contracts with payers and referral partners.
  • Enhance compliance: Resolve any licensure or survey issues and maintain accurate documentation.
  • Strengthen referral networks: Expand and diversify your referral base across hospitals, SNFs, physician practices and community partners.
  • Invest in your team: Retain experienced nurses, physicians and leadership. A deep bench reduces reliance on the owner and increases buyer confidence.
  • Plan for growth: Identify new service lines, geographic expansions or partnerships. Buyers pay premiums for scalable businesses with future upside.
      

Frequently Asked Questions

 

What is hospice valuation?

  Hospice valuation is the process of estimating what a buyer would pay for your hospice agency. It involves calculating Adjusted EBITDA and applying a market-derived multiple that reflects your agency’s risk, growth prospects and operational strength.  

How are hospice valuations calculated?

  The most common approach is Enterprise Value = Adjusted EBITDA × Valuation Multiple. Adjusted EBITDA is your operating profit after normalizing for non-recurring or discretionary expenses, while the multiple reflects market conditions and your agency’s quality. Comparable sales and discounted cash flow analyses can supplement this calculation.

What multiples can I expect for my hospice agency?

    Multiples vary by size, profitability and risk. Smaller, owner‑dependent hospices typically trade at 3×–6× EBITDA, mid‑sized agencies at 6×–10×, and larger multi‑state platforms at 10×–15×. Exceptional assets with strong growth trajectories have achieved higher multiples during peak market periods.  

What factors drive higher valuations?

  Key drivers include revenue growth and profitability, stable census, diversified payer mix, clean compliance history, strong referral networks, experienced leadership, geographic scale and a compelling growth story.  

How can I maximize my hospice’s value before sale?

  Start by normalizing your financials and improving profitability. Resolve any compliance issues, diversify referrals, invest in staff retention and craft a realistic growth plan. Working with a specialized M&A advisor can also increase your sale price and ensure a competitive process.          

Ready to Explore Your Hospice’s Value?

  Understanding hospice valuation is the first step toward a successful exit. If you’re curious about what your agency could be worth—or if you’re ready to start the sale process—reach out to Vallexa Advisors for a complimentary, confidential valuation. Our healthcare M&A experts can help you prepare, position and negotiate for the best possible outcome.       Interested in related services? Visit our sister sites for more resources:      Request your free valuation now and start planning your hospice’s future.  

View other available healthcare opportunities by clicking HERE

Contact Vallexa Advisors: 586-623-5616 

Thinking of selling YOUR healthcare agency? Find out how by clicking HERE

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Ready to Discover Your Hospice’s True Value?

Whether you’re preparing to sell your hospice agency or exploring what it’s worth in today’s market, Vallexa Advisors offers confidential, success-based guidance from experts who understand healthcare M&A. Get a free, no-obligation valuation and discover how to maximize your exit.

💼 Schedule Your Free Consultation

100% confidential · No upfront fees · Trusted by healthcare sellers nationwide

Hospice valuation process and growth chart illustration by Vallexa Advisors
Learn how Vallexa Advisors helps hospice owners understand and maximize their agency’s valuation.
Hospice valuation guide – Vallexa Advisors

Home Care Agency for Sale in the Central State of Pennsylvania

Home Care Agency for Sale in the Central State of Pennsylvania

Est. In 2023

This is Non-Medical

State Licensed and Medicaid Certified

New buyer is eligible to apply for MCO’S

Serves Region 5, PA

Counties covered: Adams, Cambria, Dauphin, Fulton, Huntingdon, Juniata, Lancaster, Lebanon, Perry, and York.

CASH OFFER ONLY

Asking Price: $80K
Reference Number: 9385647852


Frequently Asked Questions

What services does this home care agency provide?

This agency offers non‑medical home care services, including personal care, companion support and daily living assistance. It does not provide skilled nursing.

Is the business licensed and certified?

Yes. The agency is state licensed and Medicaid certified. A new buyer is eligible to apply for MCO (Managed Care Organization) contracts to expand its payer mix.

Where does the agency operate?

The agency serves Region 5 of Pennsylvania, covering the counties of Adams, Cambria, Dauphin, Fulton, Huntingdon, Juniata, Lancaster, Lebanon, Perry and York.

When was the business established?

The home care agency was established in 2023 and has obtained its licensure and certification since then.

What is the asking price and payment terms?

The asking price is $80,000. The seller is only considering cash offers. Reference Number: 9385647852.

Who qualifies to buy this business?

Qualified buyers should have experience in home care or healthcare operations and must have the funds available to complete the purchase. Cash buyers only.

Contact Vallexa Advisors: 586-623-5616

Cash equivalent to purchase price set aside to invest from currently available funds required

– Healthcare-specific industry experience required –

View other available healthcare opportunities by clicking HERE

Thinking of selling YOUR healthcare agency? Find out how by clicking HERE


Business Overview

This non‑medical home care agency in Central Pennsylvania represents a valuable entry point or add‑on for home health providers. Licensed by the state and Medicaid certified, it provides personal care and companionship services across a multi‑county territory.

  • Year Established: 2023
  • Service Type: Non‑medical home care (personal care and companion services)
  • Licensing: State Licensed & Medicaid Certified
  • Future Potential: Eligible to apply for MCO contracts
  • Coverage Area: Pennsylvania Region 5 (Adams, Cambria, Dauphin, Fulton, Huntingdon, Juniata, Lancaster, Lebanon, Perry and York counties)
  • Payment Terms: Cash offer only
  • Asking Price: $80,000
  • Reference Number: 9385647852

This opportunity is ideal for an established agency or entrepreneur seeking to expand into the Central Pennsylvania market with a fully licensed, Medicaid certified operation.

Home » Home Care for Sale

Comprehensive Guide to Selling Senior Healthcare Businesses: Assisted Living, Hospice, Home Health & More

Comprehensive Guide to Selling Senior Healthcare Businesses: Assisted Living, Hospice, Home Health & More

Comprehensive Guide to Selling Senior Healthcare Businesses: Assisted Living, Hospice, Home Health & More

Introduction

Owners of senior‑care facilities often ask the same questions: How do I sell my assisted living facility? What are hospice valuations? How do I sell my home health care business? Each sector—assisted living facilities, RCFEs (Residential Care Facilities for the Elderly), home health agencies, skilled nursing facilities and hospice businesses—has unique valuation drivers, regulatory issues and buyer pools.

In 2025 the market is both dynamic and confusing. Boutique senior‑care deals can fetch anything from 3× to 7× EBITDA depending on recurring revenue and operational quality (OffDeal). Publicly available data show that mid‑market senior‑care companies sell at multiples ranging from 6.5× to 9.9× EBITDA for assisted living and 4.3× to 7.9× for hospice care (First Page Sage). Larger platform transactions can command higher multiples, but only for the best assets; some large strategic buyers have temporarily stepped back because high asking prices exceed their return thresholds. Aveanna Healthcare, for example, recently said it is “not a buyer of hospices” because hospice valuations are trading between 12× and 20× EBITDA, while home health deals are in the 5× to 8× range (Hospice News).

Despite this volatility, Vallexa Advisors sees tremendous opportunity for well‑prepared sellers. As a specialist in healthcare mergers and acquisitions, Vallexa helps owners of assisted living facilities, RCFEs, hospice agencies, skilled nursing facilities, home health agencies and palliative‑care businesses navigate valuations, prepare for sale and maximize value. This guide compiles current data on valuation ranges, outlines the steps to sell different types of senior‑care businesses and explains why partnering with Vallexa increases your chances of a premium exit.

Market & Valuation Landscape by Sector

Assisted Living & RCFE

Valuation multiples. Data from First Page Sage’s 2025 senior‑care report shows that mid‑market assisted living businesses (EBITDA $500k–$1M) sold at ~6.5× EBITDA with revenue multiples around 2.3×. As EBITDA climbs toward $5M, multiples increase toward ~9.9× EBITDA (First Page Sage). Cap rates (NOI ÷ value) for assisted living facilities average around 7.6%, implying values roughly 13× NOI (First Page Sage).

Drivers of value. OffDeal’s 2025 valuation guide notes that recurring resident revenue yields the highest multiples (~5–7× EBITDA) while a mix of short‑term stays lowers multiples to ~4–5×; high turnover and frequent vacancies push multiples down to ~3–4× (OffDeal). Buyers prize recurring revenue stability, a diversified resident mix, strong operational procedures with reduced owner dependence, robust compliance and risk management, and clearly articulated growth opportunities.

In California’s RCFE market, the value depends heavily on whether real estate is included; you may be selling the business, the property or both.

Hospice & Palliative Care

EBITDA multiples. Hospice businesses generally trade at lower multiples than assisted living because of reimbursement risk and regulatory complexity. First Page Sage’s report places hospice multiples for $500k–$1M EBITDA at ~4.3× EBITDA, rising to ~7.9× EBITDA for larger operations (First Page Sage). Aveanna Healthcare’s CEO recently noted that hospice transactions can command 12×–20× multiples—so high that Aveanna is not currently buying hospices—while home health deals can be done at ~5×–8× (Hospice News).

Factors influencing value. Hospice valuations depend on both objective factors (cash flow, payer mix, EBITDA) and subjective ones (quality scores, clinical reputation, referral relationships). Operational maturity, compliance history and stable census can either elevate or compress multiples.

Home Health & Home Care Agencies

Typical multiples. While large home health platforms occasionally command higher valuations, most home health and non‑medical home care agencies trade at ~4×–7× EBITDA, similar to assisted living. Publicly available data show that buyers focus on clean financials, diversified referral sources, stable census, strong margins, payer diversification (Medicare/Medicaid/private pay), and clinical quality. Vallexa’s internal analysis notes that representation by experienced advisors often leads to higher proceeds—companies represented by an M&A advisor earned ~21% higher payouts than facilities that ran their own deal process (First Page Sage).

Skilled Nursing Facilities & Senior Housing (Active Adult, Memory Care)

Skilled nursing facilities (SNFs) and other senior‑housing assets command distinct valuations. Cap rate data show that SNFs have higher cap rates (~12.4%), implying lower valuation multiples, due to heavier regulatory oversight and operational complexity. Active adult and memory‑care communities maintain cap rates around 6–9%, implying moderate multiples (First Page Sage). As with all senior housing, occupancy rates, payer mix, property age and local demographics heavily influence value.

Why Large Buyers Sometimes Sit Out (and Why That Creates Opportunity)

High asking prices, interest‑rate uncertainty and regulatory risk have caused some large strategics to pause acquisitions. In October 2025, Aveanna Healthcare publicly stated it is “not a buyer of hospices” because valuations are too high—hospice multiples are 12×–20× compared with home health deals at 5×–8× (Hospice News). However, this doesn’t mean demand has vanished—it means that buyers are selective. Well‑prepared, high‑quality agencies still attract premium offers from private equity firms, family offices and regional strategics.

Steps to Sell Your Senior‑Care Business — The Vallexa Process

Whether you own an assisted living community, RCFE, hospice, home health or palliative‑care agency, Vallexa’s proven process ensures you extract maximum value:

  1. Valuation & Pricing. We provide a free valuation and a broker’s opinion of value. We benchmark your numbers against sector‑specific multiples and cap rates (First Page Sage), adjust for risk factors, and incorporate both tangible assets and goodwill.
  2. Preparation & Documentation. Clean financial statements, normalize EBITDA (adding back owner perks and one‑time expenses), ensure regulatory compliance, optimize operations, and gather critical documents (licenses, payer contracts, leases, staffing files). Our team helps identify and fix value detractors—such as census volatility, payer concentration or weak internal controls.
  3. Marketing & Outreach. We craft anonymous teasers and confidential information memoranda highlighting your strengths: recurring revenue, diversified resident/patient mix, growth opportunities, strong compliance. Your listing is promoted on our network of high‑authority sites—SellMyHomeHealth.com, HomeHealthSellers.com, HomeCare.ForSale, Hospice.ForSale and SellHomeHealth.com—plus targeted outreach to pre‑qualified healthcare buyers.
  4. Buyer Qualification. We vet buyers’ financial capacity, strategic fit and confidentiality. Only serious, qualified buyers access your data room and speak with management.
  5. Offers & Negotiations. We solicit multiple letters of intent, negotiate price and terms (cash vs. earn‑out, rollover equity, escrow), and create competitive tension to push offers higher.
  6. Due Diligence & Closing. We coordinate legal, financial and clinical reviews, manage buyer requests, address issues proactively and drive to a smooth closing. You only pay us when your sale closes.

How to Increase Your Business’s Value Before Selling

  • Stabilize revenue. Secure long‑term resident agreements, reduce turnover, and convert short‑term stays into recurring contracts. Demonstrating strong occupancy rates with predictable income dramatically enhances buyer interest and valuation multiples (OffDeal).
  • Reduce owner dependence. Document standard operating procedures (SOPs), train your team and delegate responsibilities. Buyers pay more for businesses that run smoothly without the current owner (OffDeal).
  • Strengthen compliance & risk management. Maintain perfect licensing records, implement quality assurance programs, and monitor clinical outcomes. Buyers discount businesses with regulatory issues.
  • Invest in growth initiatives. Identify expansion opportunities—adding beds, service lines (e.g., memory care or palliative care), geographic expansion or complementary acquisitions. Demonstrating a credible growth roadmap can push multiples higher.
  • Know your numbers. Keep detailed financial records and monitor KPIs like NOI, occupancy rates, revenue per resident/patient, length of stay, staff turnover and payer mix. Benchmark against industry averages and share these metrics with prospective buyers.

Why Choose Vallexa Advisors

  • Exclusive focus on healthcare. We only sell healthcare businesses—home health, hospice, assisted living, RCFE, skilled nursing, behavioral health and other clinical services. Our expertise spans compliance, reimbursement, referral dynamics and buyer trends.
  • Success‑based fees. No up‑front costs; you only pay when your sale closes.
  • Nationwide network. We maintain a network of pre‑qualified buyers across the U.S., ensuring competition and premium offers.
  • Proven results. Sellers represented by advisors earn higher payouts. Our disciplined processes and strong negotiations consistently achieve above‑market valuations.
  • Confidential & personalized. We manage every detail, protect your brand and staff, and tailor strategies to your goals.

Ready to Sell Your Senior‑Care Agency?

Schedule a free, confidential valuation today and let Vallexa Advisors transform your hard‑earned business into a legacy sale.

Home » Home Care for Sale

Key Valuation Insights

  • Assisted living & RCFE: Typical valuations range from 6–9× EBITDA with recurring resident fees and diversified mix pushing multiples higher. Cap rates average 7.6%.
  • Hospice & palliative care: EBITDA multiples generally fall between 4–8×.Cap rates hover around 6.6%. Quality scores, referral networks and compliance history strongly influence value.
  • Home health & home care: Platform transactions can reach 16.3× EBITDA., but most agencies trade around 4–7×. Public healthcare comparables trade at 2.8× revenue and 18× EBITDA..
  • Skilled nursing & senior housing: Cap rates range from 6–9% for active adult/memory care to 12.4% for skilled nursing., implying lower multiples due to higher risk.
  • Value drivers: Recurring revenue stability, diversified payer/resident mix, strong SOPs and reduced owner dependence. Clinical quality and compliance, and clearly defined growth opportunities determine premiums. Sellers represented by advisors achieve 25–37% higher payouts.

Frequently Asked Questions – Selling Senior Healthcare Businesses

How do I value an assisted living facility or RCFE?

Valuation typically uses a multiple of EBITDA or net operating income (NOI). Mid-market facilities trade around 6–9× EBITDA, with recurring monthly fees and diversified resident mix commanding the highest multiples. Cap rates average ~7.6%.

What are hospice valuations like?

Hospice agencies typically trade at 4–8× EBITDA. Depending on size, payer mix and compliance history. Robust clinical quality, diversified referrals and steady census increase multiples. Cap rates hover around 6.6%.

How can I sell my home health or home care agency?

Prepare early: normalize your financials, diversify referrals, secure long-term payer contracts and document SOPs. Work with a specialist like Vallexa Advisors to obtain a broker’s opinion of value, market confidentially and negotiate offers. Platform deals can reach 16× EBITDA, while smaller agencies generally trade around 4–7× EBITDA.

Why are large buyers not buying hospices right now?

Some strategics paused acquisitions due to record‑high asking prices and regulatory risk. Aveanna Healthcare, for example, said it is not buying hospices due to high multiples. However, private equity firms and family offices remain active—well‑prepared sellers still achieve premium valuations.

What’s the difference between selling the business and selling the real estate?

In senior housing, you may sell the operating company, the property, or both. Valuation methods differ: business value is based on EBITDA multiples, while real estate is valued via cap rates or price per bed. Clarifying the transaction structure is critical.

How long does the sale process take?

Most healthcare agency sales close within 6–9 months. Preparation (cleaning up financials, resolving compliance issues) should begin 3–6 months before launch. With Vallexa’s disciplined process, you only pay when the sale closes.

Why choose Vallexa Advisors?

We focus exclusively on healthcare M&A, maintain a national buyer network, charge success‑based fees and consistently deliver higher valuations. Our confidential, end‑to‑end service maximizes your sale price and protects your legacy.


Owners of senior‑care facilities often ask the same questions: How do I sell my assisted living facility? What are hospice valuations? How do I sell my home health care business? Each sector—assisted living facilities, RCFEs (Residential Care Facilities for the Elderly), home health agencies, skilled nursing facilities and hospice businesses—has unique valuation drivers, regulatory issues and buyer pools. Your listing is promoted on our network of high‑authority sites—SellMyHomeHealth.com, HomeHealthSellers.com, HomeCare.ForSale, Hospice.ForSale, SellHomeHealth.com—plus targeted outreach to 2,300+ pre‑qualified healthcare buyers. … 👉 Request your free valuation and consultation

Las Vegas NV Medicare Home Health Agency for Sale

Home » Home Care for Sale

Las Vegas NV Medicare Home Health Agency for Sale

Fully Staffed -Turnkey! 

Past the CMS 36 Month Rule

CHAP Accredited

Medicare AND Medicaid  Certified

25 Current Census

2025  Projected Revenue $700,000

2024  Revenue  $549,716

2023  Revenue: $328,359

Counties Covered: Amador, Churchill, Clark, Esmerelda, and Nye

Asking Price: 799K
Reference Number: 2781905214


Contact Vallexa Advisors: 586-623-5616

Cash equivalent to purchase price set aside to invest from currently available funds required

– Healthcare-specific industry experience required –

View other available healthcare opportunities by clicking HERE

Thinking of selling YOUR healthcare agency? Find out how by clicking HERE


Frequently Asked Questions

What type of agency is being offered?

A Medicare certified home health agency in Las Vegas, Nevada. It is fully staffed and turnkey.

Is the agency past the CMS 36 Month Rule?

Yes. The agency is past the CMS 36 Month Rule, which supports a smoother ownership transfer.

What accreditations and certifications does it have?

The agency is CHAP accredited and Medicare certified.

What is the current census?

There are 25 active patients at the time of this teaser.

What are the recent revenues and projections?

2025 projected revenue is $700,000. 2024 revenue was $549,716 and 2023 revenue was $328,359.

Which counties are covered?

Amador, Churchill, Clark, Esmerelda, and Nye.

What is the asking price?

$799,000. Reference Number: 2781905214.

Are there buyer requirements?

Yes. Buyers must have cash equivalent to the purchase price available to invest and healthcare industry experience.

Will training and transition support be available?

Customary transition support is available and can be discussed with qualified buyers.

How do I request more information?

Submit an inquiry with your name, company, proof of funds, and relevant experience to receive the NDA and next steps from Vallexa Advisors.

Listing Details — Las Vegas NV Medicare Home Health Agency

Highlights

  • Fully staffed and turnkey
  • Past the CMS 36 Month Rule
  • CHAP accredited and Medicare certified
  • 25 current census

Financial Snapshot

  • 2025 projected revenue: $700,000
  • 2024 revenue: $549,716
  • 2023 revenue: $328,359
  • Asking price: $799,000

Service Area

Amador, Churchill, Clark, Esmerelda, and Nye counties.

Operations

  • Staff in place to support ongoing operations
  • Processes aligned to CHAP standards
  • Medicare certified and actively billing

Buyer Requirements

  • Cash equivalent to the purchase price from currently available funds
  • Healthcare specific industry experience

Reference

Reference Number: 2781905214

Next Steps

Qualified buyers may request more information by submitting an inquiry with proof of funds and brief background to Vallexa Advisors.