Articles and Resources for Buying and Selling a Home Care Business
Navigating the CHOW (Change of Ownership): Medicare & Licensure Pitfalls
You can agree on a price and wire the funds—but if CMS denies your "Change of Ownership" (CHOW), the deal is dead. Discover the regulatory landmines that kill healthcare exits, including the infamous "36-Month Rule" and the risks of assuming provider liability.
The Truth About Earn-Outs: Bridging the Valuation Gap in 2026
In a high-interest rate environment, the "Earn-Out" is often the only bridge between the $4M a buyer offers and the $7M a seller wants. Discover the truth about contingent consideration and how to negotiate protections so you actually get paid.
Surviving the "Quality of Earnings" (QoE) Report: A Guide for Founders
If a buyer asks for a "Quality of Earnings" report, you have a serious offer—but you also have a serious problem. The QoE is a financial stress test designed to lower your purchase price. Discover the top 3 red flags buyers look for and how to fix them before due diligence begins.
Asset Sale vs. Stock Sale: Tax Implications for Healthcare Business Exits
It’s not about what you sell for; it’s about what you keep. Buyers prefer Asset Sales for the tax write-offs, while Sellers prefer Stock Sales for the lower tax rate. Learn how to navigate this negotiation and keep more of your hard-earned equity.
Strategic vs. Financial Buyers: Who Pays More for Your Home Care Firm?
Not all money is created equal. Strategic buyers pay for "synergies," while Financial buyers pay for "platforms." Discover which buyer type offers the best valuation and deal structure for your agency.
Maximizing Your Exit: Top 5 EBITDA "Add-Backs" for Home Care Agency Owners
Your tax returns are designed to minimize profit; your exit strategy should maximize it. Discover the "hidden" value in your P&L with these top 5 defensible EBITDA add-backs for home care and hospice agencies.
7 Silent Deal Killers: Why Profitable Healthcare Businesses Fail to Sell
Getting an LOI is just the starting gun. Nearly 50% of healthcare deals fail during due diligence. Discover the 7 "Silent Deal Killers"—like Owner Reliance and Co-Mingled Financials—and how to fix them before they tank your exit.
2026 Healthcare M&A Report: EBITDA / SDE Valuation Multiples
Financials don't always kill deals—emotions do. We analyze a 7-figure deal that fell apart at the finish line and explore the critical psychology of 'Seller Identity' to help you ensure your Exit Strategy protects your legacy and your Home Care Valuation.
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