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M&A InsightsHome Health
Home Health M&A guides and market data
State and city guides for selling Medicare-certified home health agencies, star ratings, PDGM, referral networks, and buyer landscapes.
Market Snapshot
2.2x - 3.6x
SDE Multiple
3.0x
Typical Multiple
4–8 months
Time to Close
Strong
Buyer Demand
Key Facts
Medicare star ratings are the #1 value driver, agencies with 4+ stars sell near the top of the range.
PDGM compliance and efficient episode management are critical for demonstrating profitability to buyers.
Hospital discharge referral networks are a key asset, agencies with strong, diversified referral sources are more valuable.
PE-backed platforms are actively consolidating home health across all major markets.
Certificate of Need (CON) states limit competition, existing licenses in CON states carry significant premium value.
Guides & Resources
Everything you need to understand this market, whether you're buying, selling, or advising.
How to Sell Your Home Health Agency in 2026
15 min
What your agency is worth, who buys home health agencies, Medicare certification, and the step-by-step process.
Read guide
Home Health & Hospice Valuation Guide
12 min
How buyers value agencies. Star ratings, census, payer mix, compliance, and what drives multiples.
Read guide
How to Prepare Your Agency for Sale
12 min
Pre-sale checklist. Survey readiness, compliance, census optimization, and documentation.
Read guide
Home Health Guides by State
State-specific market data, regulations, and city-level guides.
Read guide
Home Health Guides by State
State-specific market data, Medicare regulations, and city-level guides.
North Carolina
Very High
2.2x - 3.6x$2,000,000 – $10,000,000
400+ agencies | Charlotte, Raleigh, Durham
South Carolina
High
2.2x - 3.6x$1,500,000 – $7,000,000
200+ agencies | Charleston, Greenville, Columbia
Virginia
Very High
2.2x - 3.6x$2,500,000 – $12,000,000
250+ agencies | Northern Virginia, Richmond, Virginia Beach
Georgia
Very High
2.2x - 3.6x$2,000,000 – $9,000,000
350+ agencies | Atlanta, Savannah, Augusta
Tennessee
High
2.2x - 3.6x$2,000,000 – $9,000,000
280+ agencies | Nashville, Memphis, Knoxville
Florida
Very High
2.2x - 3.6x$1,500,000 – $10,000,000
1,200+ agencies | Miami, Tampa, Orlando
Texas
Very High
2.2x - 3.6x$1,500,000 – $10,000,000
1,500+ agencies | Dallas, Houston, Austin
California
Very High
2.2x - 3.6x$2,000,000 – $12,000,000
1,100+ agencies | Los Angeles, San Francisco, San Diego
Arizona
High
2.2x - 3.6x$1,500,000 – $8,000,000
300+ agencies | Phoenix, Scottsdale, Tucson
Ohio
High
2.2x - 3.6x$1,500,000 – $8,000,000
500+ agencies | Columbus, Cleveland, Cincinnati
New York
Very High
2.2x - 3.6x$3,000,000 – $18,000,000
350+ agencies | New York City, Long Island, Westchester
New Jersey
Very High
2.2x - 3.6x$3,000,000 – $15,000,000
150+ agencies | Bergen County, Edison, Cherry Hill
Pennsylvania
High
2.2x - 3.6x$2,000,000 – $10,000,000
450+ agencies | Philadelphia, Pittsburgh, Allentown
Illinois
High
2.2x - 3.6x$2,000,000 – $10,000,000
400+ agencies | Chicago, Naperville, Schaumburg
Colorado
High
2.2x - 3.6x$1,500,000 – $8,000,000
180+ agencies | Denver, Colorado Springs, Boulder
Maryland
Very High
2.2x - 3.6x$2,500,000 – $12,000,000
130+ agencies | Baltimore, Bethesda, Columbia
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