Sell Your Home Care Agency for What It’s Actually Worth
Selling a private duty or non-medical home care agency is different from selling a Medicare-certified home health agency — and it requires a broker who understands the distinction. Private pay, Medicaid waiver, companion care, and personal care aide (PCA) agencies are valued on client retention, caregiver capacity, geographic territory, and owner dependency. Home Care Business Broker works exclusively with home care sellers, and we know exactly what private duty buyers are looking for — and what they're willing to pay.
This page covers private duty, non-medical, companion care, and personal care agencies. If you own a Medicare-certified home health agency, visit our home health page. If you own a home care franchise, visit our franchise resale page.
What Is a Private Duty Home Care Agency Worth?
Private duty home care agency valuations are based on annual revenue and SDE (Seller's Discretionary Earnings), with multiples ranging from 2x to 5x SDE for most non-medical agencies. Key value drivers include: private pay client percentage (higher private pay = higher multiple), caregiver supply and retention, billable hours per week, geographic territory, and the owner's operational role. Agencies generating $1M+ in revenue with a stable caregiver bench and diversified client base regularly attract multiple competitive offers. Our free valuation will tell you where your agency falls in the current market.
Private Pay vs. Medicaid Waiver: How Payer Mix Affects Your Sale
Private pay (client-funded) home care agencies typically sell at higher multiples than Medicaid waiver-funded agencies. Private pay revenue is not subject to rate changes, billing audits, or regulatory reimbursement risk — making it more predictable and more valuable to buyers. Medicaid waiver agencies are valued at slightly lower multiples but still attract strong buyer interest, particularly from acquirers who want geographic coverage in states with robust HCBS waiver programs. Most agencies have a mix of both — we model each component separately to give you an accurate composite valuation.
Non-Medical Home Care vs. Medicare Home Health: Know the Difference
Non-medical home care agencies provide companion care, personal care aide (PCA) services, homemaker services, and activities of daily living (ADL) support — without clinical nursing or therapy services. They do not require Medicare certification. Medicare-certified home health agencies provide skilled nursing, PT, OT, and speech therapy under a Medicare benefit — and are valued and sold differently. If you own a Medicare-certified home health agency, we handle those transactions separately. This page focuses exclusively on private duty, non-medical, and companion care agencies.
We Know the Difference Between "Private Pay" and "Medicaid"
Valuation multiples vary wildly based on your payer mix. We position your specific model to the right buyers.
The Franchise Resale
Focus: (e.g., Visiting Angels, Home Instead, Comfort Keepers)
Value Driver: Territory Rights. We market your protected territory and established referral network to buyers looking for a "turnkey" expansion without the startup ramp.
Independent Private Pay
Focus: Boutique Senior Care & Concierge Nursing
Value Driver:Gross Margins. Without franchise royalties (5-7%), your bottom line is stronger. We sell this "margin capture" to financial buyers looking for maximum cash flow.
Medicaid Waiver / State Funded
Focus: High-Volume PAS (Personal Assistance Services)
Value Driver:Census Volume. Buyers here aren't looking for high margins; they want volume. We highlight your "authorized hours" and consistent state billing history.
The "Deal Killers": We Fix Them Before We List
Valuation multiples vary wildly based on your payer mix. We position your specific model to the right buyers.
The "Owner-Scheduler" Trap
The Problem: If you (the owner) are the one answering the on-call phone at 2 AM or covering shifts when a caregiver calls out, the business is unsellable.
The Solution: We help you install a Care Coordinator or outsource your on-call dispatch before the sale, proving to buyers that the business runs without you.
Caregiver Turnover Data
The Problem: Buyers assume 80% turnover is the norm. If your data looks messy, they will discount your price.
The Solution: We audit your "Active Caregiver Roster" vs. "Dormant Roster." We clean up the data to show a core, loyal team, increasing the perceived stability of your workforce.
EVV Compliance (Electronic Visit Verification)
The Problem: With the 21st Century Cures Act, if your EVV match rate is low, you risk clawbacks.
The Solution: We run an EVV Compliance Check on your software (HHAeXchange, AxisCare, etc.) to ensure your digital paper trail is audit-proof during Due Diligence.
The "Silver Tsunami" Exit Window
10,000 Americans turn 65 every day. Private Equity knows this. They are rolling up Private Duty agencies to create massive "Aging in Place" platforms.
The Shift: Buyers used to care only about Revenue. Now, in 2026, they care about "Shift Fill Rates" and "Caregiver Retention."
The Opportunity: If you have over 1,000 weekly authorized hours and a stable office team, you can command a premium multiple (4x-6x EBITDA) that didn't exist five years ago.
Common Questions About Selling Private Duty Home Care
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A: Valuations depend heavily on size and owner involvement. Smaller agencies (under $1M revenue) typically trade at 2.5x–3.5x Seller Discretionary Earnings (SDE). Larger, managed agencies ($2M+ revenue) trade at 4x–6x EBITDA. Premium multiples are awarded to agencies with low caregiver turnover and high Private Pay ratios.
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A: Yes. We often sell "territory-only" deals or low-census resales to neighboring franchisees who want to expand their map. However, the highest value comes from selling a territory with an established caregiver roster and active clients.
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A: In 99% of home care sales, the buyer keeps all active caregivers. In this industry, the caregivers are the business. Buyers are terrified of losing staff, so they typically offer retention bonuses or immediate employment contracts to your care team.
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A: Not necessarily. While Medicaid margins are lower than Private Pay, the client lifecycle is often longer and the revenue is more predictable. We position Medicaid agencies as "Volume Plays" to buyers looking for stable, government-backed revenue streams.
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A: No. We conduct a confidential sale process. Your clients and caregivers will not know the business is for sale until the deal is closed and a smooth transition plan is in place. We use "Blind Profiles" to market the opportunity without revealing your agency's name.
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