Home Care Business Broker —
Healthcare M&A Specialists for Home Care, Home Health & Hospice Owners
Home Care Business Broker is a specialist M&A advisory firm representing owners of home care, home health, hospice, and healthcare service businesses across the United States. We work exclusively in healthcare — Medicare and Medicaid certifications, CHOW transfers, payer mix analysis, survey history, and clinical leadership transitions are not adjacent to our practice; they are our practice. Founder-led, 100% success-fee, fully confidential.
Why a Healthcare-Only M&A Firm
Outperforms a Generalist Broker
Owners of home care, home health, and hospice agencies who hire a specialist healthcare M&A firm consistently close at higher multiples, in less time, with fewer broken deals than owners who hire a generalist business broker. The reason is structural: the value of your agency lives in your CHOW process, your survey history, your payer mix, and your clinical leadership transition plan — and a generalist broker has never managed any of these.
Home Care Business Broker represents owners exclusively in healthcare service businesses. We do not list restaurants, retail, manufacturing, or general service businesses. Every engagement is led personally by Matt Lowd or Dave Carlson — both founders, both former operators, both senior closers on every deal we run.
What healthcare specialization means in practice:
We speak the buyer's language. Strategic acquirers, PE-backed roll-ups, and healthcare consolidators expect a CIM that addresses payer mix, census stability, episode trends, CMS Star Ratings, OASIS performance, and survey deficiency history. We build it that way the first time.
Our buyer network is healthcare-only. PE platforms acquiring home health, hospice consolidators executing roll-ups, regional operators expanding service lines, healthcare-focused family offices. We don't pitch your business to a buyer who has never bought an agency.
We anticipate deal-killers before buyers find them. Open Medicaid audits, RAC reviews, deficient surveys, expired licenses, undocumented family compensation — every one of these has killed deals at the 60-day mark for owners who didn't have a specialist preparing them. We surface and resolve these issues before going to market.
CHOW, licensing, and certification transfers are our home turf. Medicare Provider Agreement transfers (CMS-855A), state licensure changes, hospice certification continuity, Medicaid waiver assignment — we manage these end to end with your attorney and the buyer's, not as a side task.
Healthcare Sectors We Represent
We represent owners of healthcare service businesses with $1M to $50M+ in annual revenue across the following sectors. If your business model is below, you are in the right place.
Non-Medical Home Care Agencies — private duty, companion care, personal care services. Private pay, Medicaid waiver, VA, and franchised or independent.
Skilled Home Health Agencies — Medicare-certified, multi-location, licensed clinical providers. Single state and multi-state operators.
Hospice Agencies — Medicare-certified hospice, with or without Certificate of Need, community-reputation-driven and PE-attractive.
Healthcare Staffing & Nurse Registries — PRN pools, travel nurse agencies, MSP contracts, allied health staffing.
Medical Transportation — non-emergency medical transport (NEMT), wheelchair van services, Medicaid transportation contracts.
Senior Living Referral & Placement — lead generation platforms, placement services, aging-in-place advisors.
Behavioral Health & Specialty Practices — outpatient mental health, autism and ABA centers, substance use treatment, IDD services.
Durable Medical Equipment (DME) — Medicare-accredited DME providers, mobility, respiratory, and home medical equipment.
Recently Closed Healthcare Transactions
The clearest measure of an M&A firm is the deals it has closed. Below is a sample of recent home care, home health, hospice, and healthcare service businesses we have represented and successfully sold.
Illustrative Examples — Sample Transaction Profiles
The transactions below represent typical deal profiles in our segment. Actual closed deal data available on request during your consultation.
| Sub-Sector | Multiple Range | State |
|---|---|---|
| Hospice Agency | 6.5x – 8.5x | Illinois |
| Medicare-Certified Home Health | 5.5x – 7.0x | California |
| Non-Medical Home Care (Independent) | 3.5x – 5.0x | California |
| Non-Medical Home Care (Franchise Resale) | 2.5x – 4.0x | Iowa |
| Medicaid Waiver Home Care | 3.5x – 5.0x | Pennsylvania |
Illustrative ranges for typical lower middle market agencies. Quality, scaled platforms with strong management depth and clean compliance can command premium multiples above these ranges. All actual transactions completed under NDA.
Free Business Valuation: Your First Step
The first step toward a successful exit is understanding what your business is actually worth in today's market. Our free, confidential business valuation takes 10 minutes to request and is delivered within 3 to 5 business days by Matt or Dave personally — not a junior associate, not a software tool.
If you'd rather start with a conversation, learn more about our exit process or contact our team directly