Buyers will review sustainable earnings, census or patient stability, payer mix, referral concentration, staffing, surveys, claims history, and the proposed transaction structure. The federal moratorium affects the path to closing but does not create an automatic premium. Two agencies with similar revenue can receive different offers when their compliance and ownership histories differ. The confidential calculator can provide a preliminary range, which an advisor should then review against the records.

Nevada is one of our two home markets, with a Vallexa office in Las Vegas. Our team works directly with Clark County owners and buyers and is familiar with the local referral environment and DPBH process. Proximity alone does not sell an agency. A qualified buyer network, accurate preparation, and a disciplined process are what move a transaction forward.

A sale may be possible, but it cannot be assumed to proceed as a routine CHOW. CMS’s May 2026 moratorium is nationwide and applies to initial HHA and hospice enrollment applications and non-exempt changes in majority ownership. DPBH licensing, the Medicare enrollment record, the percentage and form of ownership changing, and any federal exemption must be analyzed before marketing. Buyers will also examine claims, census composition, and survey history. Because CMS may extend, lift, or modify the moratorium, current agency guidance and healthcare counsel should control transaction planning.

Timing for a Nevada sale depends on preparation, buyer diligence, financing, DPBH requirements, Medicare enrollment, transaction structure, and third-party consents. During the current federal moratorium, some majority ownership changes may not be available. Organizing licenses, surveys, claims and census data, ownership records, payer contracts, staffing information, and normalized financials before outreach helps prevent avoidable delays.

We begin with a blind profile and require qualified buyers to sign an NDA before they receive identifying information. This is especially important in the close-knit Las Vegas market, where owners, administrators, and referral partners often know one another. Staff and referral sources are not included until a transition plan is needed, and you approve that plan.

Nevada home care buyers pay close attention to caregiver recruiting and retention because the labor market is tight. They also review the balance between private-pay clients and Medicaid waiver participation, since that mix affects margins and stability. Diverse referral sources across the Las Vegas Valley are another strength. An agency that does not depend on one facility or relationship is more likely to keep its clients through an ownership change.