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M&A InsightsHome Care
Home Care M&A guides and market data
State and city guides for selling non-medical home care businesses, private duty, companionship, personal care, and ADL assistance.
Market Snapshot
2.5x - 3.1x
SDE Multiple
2.8x
Typical Multiple
3–6 months
Time to Close
Moderate
Buyer Demand
Key Facts
Private pay mix is the #1 value driver, agencies with 60%+ private pay command the highest multiples.
Caregiver retention rate directly impacts valuation. High turnover = lower value.
W-2 workforce models are valued higher than 1099 contractor models by sophisticated buyers.
Medicaid waiver contracts provide stable recurring revenue but at lower margins than private pay.
National franchise brands (non-specific) compete heavily, independent agencies with strong local brands can differentiate on quality and retention.
Guides & Resources
Everything you need to understand this market, whether you're buying, selling, or advising.
How to Sell Your Home Care Business
15 min
What your agency is worth, private pay vs Medicaid mix, caregiver retention, and the step-by-step process.
Read guide
Home Care Valuation Guide
12 min
SDE calculation, private pay premium, caregiver retention impact, W-2 vs 1099, and real-world examples.
Read guide
How to Prepare Your Home Care Business for Sale
12 min
Pre-sale checklist: stabilize caregivers, grow private pay, document processes, clean up billing.
Read guide
Home Care Guides by State
State-specific market data, licensing requirements, Medicaid waiver programs, and city-level guides.
Read guide
Home Care Guides by State
State-specific licensing, Medicaid waiver programs, and city-level guides.
North Carolina
High
2.5x - 3.1x$1,000,000 – $6,000,000
1,200+ agencies | Charlotte, Raleigh, Durham
South Carolina
Moderate
2.5x - 3.1x$800,000 – $4,000,000
600+ agencies | Charleston, Greenville, Columbia
Virginia
High
2.5x - 3.1x$1,500,000 – $8,000,000
900+ agencies | Northern Virginia, Richmond, Virginia Beach
Georgia
High
2.5x - 3.1x$800,000 – $5,000,000
1,500+ agencies | Atlanta, Savannah, Augusta
Tennessee
High
2.5x - 3.1x$800,000 – $5,000,000
800+ agencies | Nashville, Memphis, Knoxville
Florida
Very High
2.5x - 3.1x$800,000 – $8,000,000
4,000+ agencies | Miami, Tampa, Orlando
Texas
Very High
2.5x - 3.1x$800,000 – $6,000,000
3,500+ agencies | Dallas, Houston, Austin
California
Very High
2.5x - 3.1x$1,000,000 – $10,000,000
5,000+ agencies | Los Angeles, San Francisco, San Diego
Arizona
High
2.5x - 3.1x$800,000 – $5,000,000
700+ agencies | Phoenix, Scottsdale, Tucson
Ohio
High
2.5x - 3.1x$800,000 – $5,000,000
1,400+ agencies | Columbus, Cleveland, Cincinnati
New York
Very High
2.5x - 3.1x$2,000,000 – $15,000,000
1,800+ agencies | New York City, Long Island, Westchester
New Jersey
High
2.5x - 3.1x$1,500,000 – $10,000,000
600+ agencies | Bergen County, Edison, Cherry Hill
Pennsylvania
High
2.5x - 3.1x$1,000,000 – $7,000,000
1,100+ agencies | Philadelphia, Pittsburgh, Allentown
Illinois
High
2.5x - 3.1x$1,000,000 – $7,000,000
1,200+ agencies | Chicago, Naperville, Schaumburg
Colorado
Moderate
2.5x - 3.1x$800,000 – $5,000,000
500+ agencies | Denver, Colorado Springs, Boulder
Maryland
High
2.5x - 3.1x$1,500,000 – $8,000,000
500+ agencies | Baltimore, Bethesda, Columbia
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