Close

Choose your country

Or view all businesses for sale

Worldwide

Advertisement

Listed by:

Vallexa Advisors

Northwest Ohio Skilled Home Health Agency For Sale

Ohio, US
Asking Price:
$1,799,000
Sales Revenue:
$1,879,199
Cash Flow:
On request

BUYER REQUIREMENTS: Cash equivalent to purchase price set aside to invest from currently available funds required. An abundance of hands-on home health operating experience is required.

Northwest Ohio Skilled Home Health Agency For Sale. Medicare Certified, Skilled Medicaid Census, JCAHO Accredited.

Established, profitable skilled home health agency serving seven Northwest Ohio counties. Medicare certified with an active provider agreement, but the census and revenue engine is skilled Medicaid, and buyers should understand that distinction before inquiring.

PLEASE READ BEFORE INQUIRING
This is a skilled Medicaid agency with a Medicare certification, not the reverse. Approximately 96% of revenue is Medicaid sourced, traditional plus managed. The Medicare certification is active, in good standing, and underutilized at roughly 4% of revenue. For a buyer who knows how to build Medicare census, that certification is the growth story, purchased at a Medicaid agency price. For a buyer unfamiliar with Ohio Medicaid home health, EVV requirements and managed Medicaid billing, this is not the right opportunity.

KEY HIGHLIGHTS
Census: 46 active patients
Staffing: Fully staffed, blended employee and contract clinical model. Billing and payroll performed by non-family staff who remain post-close. A qualified internal candidate has been identified to assume the administrator role.
Survey: Clean survey history
Licensed: Medicare and Medicaid certified, Ohio licensed, JCAHO accredited
Payor Mix: Approximately 87% Ohio Medicaid (skilled and personal care), 9% Aetna MyCare (managed Medicaid), 4% Medicare. Contracting in process with Blue Cross Blue Shield and AmeriHealth Caritas.
Service Area: Defiance, Fulton, Henry, Lucas, Paulding, Williams and Wood Counties, Ohio

FINANCIAL PERFORMANCE
2024 Revenue: $1,220,183
2025 Revenue: $1,879,199
2026 Revenue (Jan-Jul): $1,293,230
2026 Run Rate: approximately $2,217,000

Seller's Discretionary Earnings
2024: $357,063
2025: $431,137
2026 Run Rate: approximately $623,200

Adjusted EBITDA
2025: $336,100 to $366,100
2026 Run Rate: approximately $528,000 to $558,000

Adjusted EBITDA equals SDE less the market cost of an administrator ($65,000 to $95,000 loaded). Figures per cash basis P&L with an accountant supported normalization schedule. Full earnings bridge available in the data room following a Confidentiality Agreement.

36-MONTH RULE
The agency's 36-month window has ended. A transaction now transfers the Medicare enrollment through a standard change of ownership, without triggering new enrollment and resurvey. With CMS enrollment moratoria restricting new home health enrollment, an established, certified, accredited Ohio agency cannot currently be replicated de novo.

Asking Price: $1,799,000
Reference Number: 8154869196

Cash equivalent to purchase price set aside to invest from currently available funds required
An abundance of hands-on home health operating experience is required

Property Information

Real Estate:

Lease

Location:

Property Features & Assets
Fully licensed home health agency operating in Northwest Ohio
Medicare and Medicaid certified with active billing
JCAHO accredited with strong compliance standing
Clean survey history with no immediate jeopardy
Established operations with 46 active patients
Fully staffed clinical and administrative team in place
Strong referral relationships supporting consistent census
Existing contracts with Aetna and Assure One Medicare/Medicaid
Pending approvals with Blue Cross Blue Shield and AmeriHealth Caritas
Service coverage across seven counties providing broad regional reach
Infrastructure in place for continued scaling without rebuild

Business Operation

Expansion Potential:

Growth & Expansion Opportunities
Expand census through existing referral network and hospital relationships
Leverage pending payor approvals to increase reimbursement streams and patient volume
Increase Medicare census to improve margin profile
Add specialty programs such as therapy-focused care or chronic condition management
Expand staffing to support higher patient capacity across current counties
Explore adjacent county expansion where demand exceeds current provider supply
Implement operational efficiencies and technology to improve scheduling and billing performance
Opportunity to scale marketing efforts for private duty and skilled services

Competition / Market:

Market Competition & Positioning
Located in a stable and growing Midwest healthcare market with consistent demand for home-based care
Strong positioning in Medicaid personal care services which continue to see increased utilization
Established presence across multiple counties creates barrier to entry for new operators
Accreditation and clean survey history enhance credibility with referral sources and payors
Diverse payer mix reduces reliance on a single revenue stream
Expansion into additional managed care contracts strengthens competitive advantage
Aging population trends in Ohio continue to drive long-term demand for home health services

Other Information

Support & training:

Ownership will provide transition support to ensure continuity of operations
Introduction to referral sources, staff, and key operational workflows
Guidance on billing systems, compliance processes, and payor relationships
Support with credentialing transitions and contract continuity where applicable
Assistance with maintaining census and staff retention during ownership transfer
Ideal for experienced healthcare operators familiar with home health regulations

Relocatable:
This business can be relocated

Listed by

Vallexa Advisors