M&A InsightsHome Health & Hospice

    Home Health & Hospice

    Market data, valuation guides, and exit strategies for home health, hospice, home care, and private duty agencies.

    Market Snapshot

    3.0x – 6.0x

    Profit Multiple (SDE)

    4.5x

    Average Multiple

    4–9 months

    Time to Close

    High

    Buyer Demand

    Key Facts

    Home health and hospice M&A activity has rebounded strongly in 2025-2026, with PE-backed platforms actively acquiring across all states.

    Medicare star ratings are a major value driver, agencies with 4+ stars command a 1-2x multiple premium over lower-rated competitors.

    Compliance history is the #1 deal-killer. Clean survey results and no deficiencies in the last 2 years are essential for premium valuations.

    Hospice agencies with strong Average Length of Stay (ALOS) and growing census are the most sought-after targets.

    The shift toward value-based care is increasing demand for agencies that can demonstrate reduced hospital readmissions.

    Guides & Resources

    Everything you need to understand this market, whether you're buying, selling, or advising.

    How to Sell Your Home Health Agency in 2026

    15 min

    What your agency is worth, who's buying, Medicare certification, and the complete step-by-step selling process.

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    How to Sell Your Hospice Business in 2026

    15 min

    Hospice valuations, census growth, average length of stay, and what buyers pay for quality hospice agencies.

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    Home Health & Hospice Valuation Guide

    12 min

    How buyers value agencies. Medicare census, star ratings, payer mix, compliance history, and what drives multiples up or down.

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    How to Prepare Your Home Health or Hospice Agency for Sale

    12 min

    The pre-sale checklist. Survey readiness, compliance cleanup, census optimization, and documentation buyers expect.

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    Ready to Take the Next Step?

    Whether you're buying, selling, or just exploring, we can help.