Cash equivalent to purchase price set aside to invest from currently available funds required. SBA-qualified buyers with hands-on home health operating experience considered by exception.
– An abundance of hands-on home health industry 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. The agency is Medicare certified with an active provider agreement, but the census and revenue engine is skilled Medicaid, and buyers should understand that distinction before inquiring. With CMS enrollment moratoria restricting new home health enrollment, an established, certified, accredited Ohio home health agency is an asset that cannot currently be replicated de novo.
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 materially 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, and we say that respectfully to save everyone time.
Key Highlights
- Census: 46 active patients
- Staffing: Fully staffed. Blended employee and contract clinical model. Billing and payroll functions are 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), and 4% Medicare. Contracting in process with Blue Cross Blue Shield (Medicare and Medicaid) and AmeriHealth Caritas (Medicaid).
- 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 (January through July): $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 hiring an administrator ($65,000 to $95,000 loaded). Figures are per cash-basis P&L with an accountant-supported normalization schedule. The full earnings bridge, including general ledger support behind every adjustment, is available in the data room following execution of 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.
Asking Price: $1,799,000
Reference Number: 8154869196
Frequently Asked Questions
Is this a Medicare agency?
It carries an active Medicare certification, but approximately 96% of revenue is Medicaid sourced, traditional plus managed. Buy it for the Medicaid book and grow it with the Medicare certification.
Why is net income lower than SDE?
The owner and a related party are paid through the P&L. Net income is what remains after those payments. SDE adds back what a new owner would actually control.
What about the 36-Month Rule?
The window has ended, so the Medicare enrollment transfers via a standard change of ownership.
Is the staffing model transferable?
Yes. Billing and payroll functions are performed by non-family staff who stay, and an internal administrator successor has been identified.
Why does the seller prefer cash?
Speed and certainty. SBA is workable for the right operator, but a financed process adds 60 to 90 days and lender-driven diligence.
Contact Vallexa Advisors: 586-623-5616 | info@vallexa.com
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Cash equivalent to purchase price set aside to invest from currently available funds required. SBA-qualified buyers with hands-on home health operating experience considered by exception.
– An abundance of hands-on home health industry experience is required –
