Healthcare M&A Advisors Serving Agency Owners in All 50 States
Vallexa helps owners of home health, hospice, and home care agencies value and confidentially sell their businesses — with state-by-state guidance on licensure, change-of-ownership, and the buyers active in your market.
Find your state Free valuation calculator Jump to FAQs
No upfront fee. No obligation. Success-based, confidentiality-first advisory.
Does the state you operate in change what your agency is worth?
Yes. Licensure rules, Certificate of Need and moratorium status, Medicaid program design, and the density of active buyers all vary by state — and each one moves either the multiple a buyer will pay or the speed and structure of your deal. A hospice license in a moratorium state carries scarcity value; a home health sale inside the Medicare 36-month window changes deal structure entirely.
The state guides below cover what actually differs where you operate: who licenses your agency, how change-of-ownership works, what buyers are active in your market, and what agencies like yours have been trading for.
Where is Vallexa based?
Vallexa Advisors works nationwide from two home bases, with deal experience across the country. Every engagement is run confidentially, so where we sit matters far less than where the buyers are — and we bring them to you wherever you operate.
Detroit, Michigan
Midwest deal team · (586) 623-5616
Las Vegas, Nevada
Western deal team · (586) 623-5616
Which states does Vallexa serve?
All 50 states and Washington, D.C. States with a dedicated selling guide are highlighted; more are added regularly. Don’t see yours yet? Talk to an advisor — we are active in every market.
West
Midwest
South
Northeast
Highlighted states link to a dedicated selling guide with licensure, change-of-ownership, and market detail. Every state guide is written and reviewed by the Vallexa deal team. Updated August 2026.
Which states restrict new home health and hospice licenses?
State entry rules vary, and a separate federal rule now applies nationwide: effective May 13, 2026, CMS imposed a six-month enrollment moratorium on new Medicare HHA and hospice enrollments, including non-exempt changes in majority ownership. The moratorium may be extended or lifted, so every transaction needs a current state-and-federal pathway review before structure or timing is set.
| State | Home health entry | Hospice entry | What it means for a seller |
|---|---|---|---|
| California | No state CON identified | State licensure moratorium; federal enrollment moratorium | State and federal approval paths must be reviewed separately |
| Florida | No state CON identified; RCD applies | State CON plus federal enrollment moratorium | Hospice CON and federal enrollment rules both affect planning |
| Michigan | No state license or CON for ordinary HHAs | State license; no general hospice-agency CON | Federal enrollment rules remain transaction-critical |
| Georgia | State CON plus federal enrollment moratorium | No state CON identified; federal enrollment moratorium | The applicable state and federal pathways differ by service |
| Texas | No state CON; RCD applies | No state CON identified | The federal enrollment moratorium applies to both |
| Arizona | No state CON identified | No state CON identified; enhanced oversight applies | Federal enrollment and ownership-change rules require current review |
| Nevada | No state CON identified | No state CON identified; enhanced oversight applies | Federal enrollment and ownership-change rules require current review |
| Ohio | No state CON identified; RCD applies | No state CON identified; enhanced oversight applies | RCD and federal enrollment rules both affect diligence |
Sources: current state licensure and CON agencies; CMS Provider Enrollment Moratoria and Review Choice Demonstration guidance. Rules change; confirm the current state and federal pathway with the responsible agencies and qualified counsel before acting. Updated August 2026.
How does a confidential sale work, wherever you are?
Know your value
Start with a baseline valuation grounded in your state’s buyer demand and payer landscape.
Go to market confidentially
We approach qualified buyers active in your state behind NDAs — staff, clients, and referral sources never hear about it from us.
Negotiate and close
We manage diligence, licensure and change-of-ownership steps, and terms so value holds through closing.
Start with a number, not a commitment
The valuation calculator gives you a confidential range in minutes. From there, an advisor who knows your state’s rules and buyers can refine it against live demand.
No upfront fee. No obligation.
Selling by state: FAQs
Do I need a broker or advisor located in my state to sell my agency?
No. Healthcare agency sales are driven by buyer networks and regulatory process, not office proximity. What matters is an advisor who knows home-based care, maintains relationships with the buyers active in your state, and manages your state’s licensure and change-of-ownership steps correctly. Vallexa runs sales in all 50 states from its Detroit and Las Vegas bases.
How do state rules change the sale of a home health, hospice, or home care agency?
States differ on licensure, Certificate of Need or moratorium status, Medicaid program design, and how change-of-ownership is processed. These affect timeline, deal structure, and sometimes the value of the license itself — in moratorium states, an existing license can carry meaningful scarcity value.
Which states does Vallexa have active buyers in?
Vallexa maintains a national buyer network of strategic acquirers, private equity platforms, and individual operators, with concentrated activity in Texas, California, Arizona, Michigan, Nevada, Illinois, Ohio, and the Southeast. Buyer demand shifts by quarter — an advisor can tell you who is actively acquiring in your state right now.
Does Vallexa charge differently by state?
No. Vallexa works on a success-based fee everywhere: no upfront cost, no obligation, and nothing owed unless your deal closes. A valuation and an initial conversation are free and confidential in every state.
Find out what your agency is worth in your state
Tell us where you operate and what you own. An advisor will come back within 24 hours with a confidential read on value and buyer demand in your market.
No upfront fee. No obligation. 100% success-based.
Regulatory information is educational only. Licensure and program rules change; confirm current requirements with the responsible state and federal agencies and qualified counsel before acting.