Buyer requirements, stated up front. This is suited only for parties with direct home health operating experience. Inquiries must include a summary of relevant industry background and proof of funds. Cash buyers preferred. SBA financing will be considered for experienced operators who are otherwise qualified. Parties without home health operating experience will not receive the CIM.
Virginia Medicare-Certified Home Health Agency
Asking Price: $3,250,000 | Ref #8106576234
The Asset
- Medicare-certified, ACHC and Joint Commission accredited
- 2 Home Health PTANs and 1 hospice first license included in the transaction
- Past the 36-month rule; structured to close as a CHOW with provider agreement assignment
- Licensed to serve the entire Commonwealth of Virginia
- Service area: Virginia Beach, Norfolk, Suffolk, Chesapeake, Portsmouth, Hampton, Newport News, Williamsburg, Franklin, Smithfield
- Services: skilled nursing (RN/LPN, wound and psychiatric care, medication and IV therapy), PT/OT/ST, medical social services, home health aides
- Payer mix: Medicare with managed care (Humana, Anthem)
- Owner will assist with transition and staff retention
2025 Financial Performance (Restated)
- Revenue: $2,417,000
- Reported net income: $268,582
- Documented adjustments: $341,443
- Adjusted earnings: $610,025 (25.2% margin)
- 2026 tracking consistent with 2025
Earnings are presented as a clean general ledger P&L with a separate line-by-line adjustment bridge, each item tied to its underlying account. Supporting documentation is in the data room. Buyers get the reported number and the adjustments as distinct figures so the bridge can be tested rather than taken on faith.
Why This Transacts and Most Others Cannot
CMS imposed a nationwide moratorium on new Medicare enrollment for home health agencies effective May 13, 2026. No new HHA, branch, or practice location enrolls in Medicare unless the application reached the MAC before that date. The moratorium runs six months and CMS may extend it in additional six-month increments.
The consequence that matters to a buyer: the moratorium also reaches changes in majority ownership that require the entity to re-enroll as a new provider. A large share of home health agencies currently on the market cannot actually be acquired right now without the buyer losing the billing number.
This agency is one of the few that clears that problem. It is past the 36-month rule and structured to close as a change of ownership with the provider agreement assigned, so billing continues through close. That is what the price reflects, along with real revenue and documented margin, which separates it from the bare-license inventory currently circulating.
Separately, the CY 2026 final rule reduced aggregate home health payments by 1.3%, following permanent PDGM behavioral adjustments in each of the four prior years. The 2025 results were earned under that compressed rate structure, and 2026 is tracking in line under the finalized rates.
Informed parties only. NDA required for CIM release.
Frequently Asked Questions
Why can this agency actually be acquired when many cannot?
It is past the 36-month rule and structured to close as a change of ownership with the provider agreement assigned, so billing continues through close. Agencies that would have to re-enroll are blocked by the CMS moratorium effective May 13, 2026.
What is included in the transaction?
Two Home Health PTANs and one hospice first license, along with the Medicare certification, ACHC and Joint Commission accreditation, and statewide Virginia licensure.
What are the adjusted earnings?
$610,025 on $2,417,000 of 2025 revenue, a 25.2% margin. Reported net income was $268,582 with $341,443 of documented adjustments, presented as a line-by-line bridge tied to the underlying accounts.
Is SBA financing accepted?
Yes. Cash buyers are preferred, but SBA financing will be considered for experienced operators who are otherwise qualified.
Who qualifies to receive the CIM?
Only parties with direct home health operating experience. Inquiries must include a summary of relevant industry background and proof of funds. An NDA is required for CIM release.
Contact Vallexa Advisors: 586-623-5616 | info@vallexa.com
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Cash buyers preferred. SBA financing will be considered for experienced operators who are otherwise qualified. Proof of funds required with every inquiry.
– An abundance of hands-on home health industry experience is required –
