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M&A InsightsHospice
Hospice M&A guides and market data
State and city guides for selling hospice businesses, market data, regulations, Certificate of Need info, and buyer landscapes.
Market Snapshot
2.4x - 3.8x
SDE Multiple
3.0x
Typical Multiple
4–9 months
Time to Close
Very Strong
Buyer Demand
Key Facts
Hospice M&A is one of the most active healthcare segments in 2026, driven by aging demographics and Medicare reimbursement stability.
Certificate of Need (CON) states limit new competition, existing licenses in CON states are significantly more valuable.
Average Length of Stay (ALOS) between 60-90 days is the sweet spot. Too short signals late referrals; too long raises compliance flags.
PE-backed platforms are the most active buyers. Hospice platforms buying add-ons paid 11x-13x EBITDA (profit after paying a manager, a different yardstick from SDE) in $30,000,000 to $120,000,000 deals (Hendon Partners, Q2 2026), a price a small single-site agency doesn't get.
Clean compliance history is non-negotiable, recent deficiencies or survey issues can reduce your value by 30-50%.
Guides & Resources
Everything you need to understand this market, whether you're buying, selling, or advising.
How to Sell Your Hospice Business in 2026
15 min
What your agency is worth, who's buying, census and ALOS, and the complete step-by-step process.
Read guide
Home Health & Hospice Valuation Guide
12 min
How buyers value agencies. Census, star ratings, payer mix, compliance, and what drives the multiple.
Read guide
How to Prepare Your Agency for Sale
12 min
The pre-sale checklist. Survey readiness, compliance, census optimization, and documentation.
Read guide
Hospice Guides by State
State-specific market data, CON regulations, buyer activity, and city-level guides.
Read guide
Hospice Guides by State
State-specific market data, CON regulations, buyer activity, and city-level guides.
North Carolina
Very High
2.4x - 3.8x$3,000,000 – $12,000,000
350+ agencies | Charlotte, Raleigh, Durham
South Carolina
High
2.4x - 3.8x$2,000,000 – $8,000,000
150+ agencies | Charleston, Greenville, Columbia
Virginia
Very High
2.4x - 3.8x$3,000,000 – $15,000,000
200+ agencies | Northern Virginia, Richmond, Virginia Beach
Georgia
Very High
2.4x - 3.8x$2,500,000 – $10,000,000
280+ agencies | Atlanta, Savannah, Augusta
Tennessee
High
2.4x - 3.8x$2,500,000 – $10,000,000
220+ agencies | Nashville, Memphis, Knoxville
Florida
Very High
2.4x - 3.8x$2,000,000 – $15,000,000
750+ agencies | Miami, Tampa, Orlando
Texas
Very High
2.4x - 3.8x$2,000,000 – $12,000,000
900+ agencies | Dallas, Houston, Austin
California
Very High
2.4x - 3.8x$2,000,000 – $15,000,000
1,400+ agencies | Los Angeles, San Francisco, San Diego
Arizona
High
2.4x - 3.8x$2,000,000 – $10,000,000
250+ agencies | Phoenix, Scottsdale, Tucson
Ohio
High
2.4x - 3.8x$2,000,000 – $10,000,000
400+ agencies | Columbus, Cleveland, Cincinnati
New York
Very High
2.4x - 3.8x$5,000,000 – $25,000,000
120+ agencies | New York City, Long Island, Westchester
New Jersey
Very High
2.4x - 3.8x$4,000,000 – $20,000,000
80+ agencies | Bergen County, Edison, Cherry Hill
Pennsylvania
High
2.4x - 3.8x$2,500,000 – $12,000,000
300+ agencies | Philadelphia, Pittsburgh, Allentown
Illinois
High
2.4x - 3.8x$2,500,000 – $12,000,000
250+ agencies | Chicago, Naperville, Schaumburg
Colorado
High
2.4x - 3.8x$2,000,000 – $10,000,000
130+ agencies | Denver, Colorado Springs, Boulder
Maryland
Very High
2.4x - 3.8x$3,000,000 – $15,000,000
100+ agencies | Baltimore, Bethesda, Columbia
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