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Healthcare services

Home health and hospice agencies

Wild Rose Advisors advises the owners of licensed home health and hospice agencies, where the change of ownership runs through the state.

What a buyer pays for

In this trade, value is driven by the share of the work that recurs without being sold again, more than by revenue.

  1. 01

    Census Composition

    The census is the book of business. What stands behind it determines value: Medicare-certified episodic care, hospice and private-pay personal assistance are three different businesses that share a license type.

  2. 02

    Certification Record

    Medicare certification is a barrier a buyer cannot quickly replicate, and a clean survey history allows the buyer to rely on the census. Neither can be assembled in the month before a sale.

  3. 03

    Change of Ownership

    The license names an administrator and does not transfer on sale. Transactions in this sector generally favor the party that has mapped the regulatory path before the letter of intent.

The buyers

Regional operators and serial acquirers buy agencies in the markets they already serve, and some are funded specifically for acquisitions. They are typically the first strategic buyers for an agency in their footprint.

An owner who has received an approach may bring the offer to Wild Rose Advisors before signing anything. A letter of intent usually carries an exclusivity clause, and once it is signed the seller's leverage is largely gone.

All Sectors

The Practice Serves

  • Owner-operated agencies with a stable census and a clean survey history
  • Hospice license holders
  • Founders seeking a change of ownership handled properly

Wild Rose Advisors welcomes conversations with the owners of founder-owned companies.

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