If you have additional questions about the services Stoneridge Partners provides, please contact us at 800-218-3944 or [email protected].
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Not unless you choose to tell them. We market your business through a blind listing and share identifying details only with qualified buyers who have signed an NDA, so you control when staff, clients, and referral partners learn about the sale.
Hospice transactions involve unique regulatory, reimbursement, licensing, and operational considerations that require specialized industry expertise.
A hospice M&A firm understands the complexities of the industry, maintains relationships with qualified healthcare buyers, and brings experience specific to healthcare transactions.
That expertise helps owners protect confidentiality, position their organizations effectively, and maximize value throughout the sale process.
Home health transactions involve unique reimbursement models, regulatory requirements, referral relationships, and operational considerations that differ from most other industries.
A specialized healthcare M&A advisor understands these complexities and brings industry-specific experience, qualified buyer relationships, and transaction expertise that general business brokers often cannot provide.
A specialized home care business broker understands the factors buyers scrutinize, such as payer mix, caregiver retention, state licensing, and Medicaid rules, that general business brokers rarely handle. That expertise, combined with relationships with qualified healthcare buyers, helps owners protect confidentiality, position the business accurately, and maximize value.
Behavioral health transactions involve far more than matching buyers and sellers.
Organizations in this sector operate within a complex environment shaped by reimbursement models, licensing requirements, accreditation standards, workforce challenges, regulatory oversight, and evolving market dynamics. Buyers expect advisors to understand these nuances.
A behavioral health M&A firm brings specialized industry knowledge, established relationships with qualified healthcare buyers, and experience navigating the unique considerations that influence valuation and deal structure. That expertise helps position your organization more effectively, attract the right buyers, and manage the transaction with confidence from start to finish.
At Stoneridge Partners, our exclusive focus on healthcare M&A allows us to provide strategic guidance tailored to the unique needs of behavioral health organizations across the country.
For 25+ years, Stoneridge Partners has exclusively specialized in the brokerage of home health, home care, hospice, and behavioral health businesses, and we pride ourselves on our in-depth knowledge of the market. Over the years, we’ve built unparalleled contacts and relationships with leaders in these industries. And the members of our team have years of experience working in healthcare operations and development roles. We’re different from other business brokers because we’ve been in the same shoes as the buyers and sellers we represent.
Stoneridge Partners can be your trusted advisor throughout the course of your transaction so you can stay focused on the day-to-day operation of your business.
For sellers, we will analyze your financial statements and review sales of comparable businesses in your industry to help you set the right price; present a comprehensive informational package about your business to targeted buyers; and negotiate to get you the best possible price.
For buyers, we will evaluate all appropriate industry opportunities, recommend suitable targets for acquisition, negotiate with the seller’s representatives to get you the best price; and collaborate with external and internal decision-makers to streamline the transaction process.
The best decision an agency owner can make is to retain a seasoned intermediary that specializes in this industry to manage the transaction process for them.
Hospice buyers may include:
- Strategic healthcare providers
- Regional hospice operators
- National healthcare organizations
- Private equity-backed platforms
- Health systems
- Family offices and institutional investors
Each buyer brings different objectives, making it important to identify organizations that align with your goals and culture.
Home health buyers may include:
- Strategic healthcare operators
- Regional home health providers
- National healthcare organizations
- Private equity-backed platforms
- Independent investors
- Health systems expanding into home-based care
Each buyer has different objectives, making it important to identify organizations that align with your goals and culture.
Home care buyers typically include:
- Regional and national home care operators
- Private equity-backed home care platforms
- Home health and hospice providers adding non-medical services
- Franchise systems and multi-unit franchisees
- Health systems and senior living operators
- Independent investors and family offices
Each buyer has different goals, so identifying the ones that fit your priorities and culture is a key part of the process.
Negotiating a healthcare business transaction is a complex process that takes time and effort, so if you’re thinking about buying or selling, it’s always important to be prepared to enter the market.
Be sure to have your financial records in good order, from operating statements to payroll information to tax documents. Prepare reports that can accurately show the status of your business, such as accounts receivable, admissions and discharges, referral sources, marketing efforts, etc. Make sure you have a strong management team in place. All of these steps will make the due diligence process run more smoothly if a purchase offer is accepted. And be prepared that there will be bumps along the way – staying the course when inevitable challenges arise is key.
In an asset sale, the buyer purchases specific assets of the business; in a stock sale, the buyer purchases the ownership of the company itself. The structure affects taxes, liabilities, and how licenses transfer, so review it with your attorney and accountant.
Stoneridge Partners advises organizations across a broad range of behavioral health services, including:
- Addiction treatment centers
- Substance use disorder programs
- Outpatient behavioral health providers
- Mental health practices
- Residential treatment facilities
- Intensive outpatient programs (IOP)
- Partial hospitalization programs (PHP)
- Medication-assisted treatment (MAT) providers
- Autism service providers
- Intellectual and developmental disabilities (IDD) organizations
Our healthcare-exclusive focus allows us to understand the operational, regulatory, and financial factors unique to each sector.
We use our decades of expertise in the healthcare consulting field to help our clients analyze a wide variety of strategic questions.
We’ll help you look at a possible decision to buy or sell and identify what you need to know to be best prepared for that process. Or, if you’re looking to add new service lines or grow the geographic reach of your business, we’ll put our combination of experience, industry knowledge, and proprietary market data to work to help you determine your next steps.
It depends on the business. Medicare-certified home health agencies and hospices typically require a Medicare change of ownership filing, and most states require licensing approvals or notifications. Your attorneys handle these filings, and we help coordinate timing.
For those agencies considering a sale, we will do a complete market analysis. Based upon comparable sales data and our years of experience, we are able to give an owner a very realistic idea of what we term “the most probable selling price.” There is no charge for this service.
The companies we represent can be separated into five segments: (1) agencies that provide Medicare services, (2) agencies that provide state funded programs, such as Medicaid and Med Waiver, (3) true private duty agencies; (4) hospice agencies, and, (5) behavioral health companies.
At this time, the market for Medicare agencies is going through a massive consolidation as reimbursement continues to decrease and issues, such as Face-to-Face documentation, become increasingly onerous. The market for Medicaid agencies continues to be very strong; the market for private duty agencies has been consistently good, year after year. One of the strongest markets right now is hospice as consolidation continues at a rapid pace.
Behavioral health is another area with a strong market. We work with agencies that provide services to people with intellectual or developmental disabilities, often referred to as MR/DD or ID/DD. Prices for these companies continue to be strong.
A home care company’s value is usually based on a multiple of its EBITDA, adjusted for the risk and growth profile of the business. Buyers commonly evaluate:
- EBITDA and revenue trends
- Payer mix (private pay vs. Medicaid vs. VA)
- Weekly billable hours and client census
- Caregiver recruiting and retention
- Client and referral source concentration
- State regulatory and Medicaid reimbursement environment
- Management depth and owner involvement
- Compliance, including electronic visit verification (EVV) for Medicaid services
Read more in What Is My Home Care Company Worth? 5 Factors That Drive Its Value, or use our EBITDA worksheet.
A letter of intent (LOI) is a written offer that outlines the price, deal structure, and key terms of a proposed acquisition. Signing one usually starts an exclusivity period of 90–120 days while the buyer completes due diligence.
The buyer verifies the information you’ve provided, including financials, clinical operations, compliance, contracts, and legal records. A well-organized data room and complete documentation are the best ways to keep diligence on schedule.
The value of a behavioral health organization is influenced by much more than annual revenue.
Buyers often evaluate factors such as:
- EBITDA and overall financial performance
- Service mix and payer diversification
- Referral relationships
- Clinical outcomes and reputation
- Workforce stability
- Geographic market
- Growth opportunities
- Regulatory compliance
- Licensing and accreditation
- Scalability of operations
Current market conditions and buyer demand also play an important role.
Because every organization is different, a professional valuation provides owners with a clearer understanding of both current market value and opportunities to increase value before pursuing a transaction.
Every hospice organization is valued differently. Buyers typically evaluate:
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- Financial performance
- EBITDA
- Census trends
- Referral relationships
- Geographic market
- Workforce stability
- Compliance history
- Growth opportunities
- Operational efficiency
Current market conditions and buyer demand also influence valuation.
A professional valuation helps owners understand both today’s market value and opportunities to strengthen the business before pursuing a transaction.
Our team helps decision-makers in the home care, home health, hospice, and behavioral health industries plan for the future by pursuing strategic growth opportunities; preparing for transitions in ownership; and identifying new strategies that will put their companies on the path to success.
A hospice M&A advisor represents buyers or sellers throughout the acquisition process while providing strategic guidance from initial planning through closing.
Services often include:
- Business valuation
- Confidential marketing
- Buyer identification
- Negotiation support
- Due diligence coordination
- Transaction management
Beyond managing the process, experienced advisors help owners understand market conditions, evaluate offers, and navigate one of the most important financial decisions of their careers.
A home health business broker represents buyers or sellers throughout the acquisition process while managing every stage of the transaction.
For sellers, services often include valuation, confidential marketing, buyer identification, negotiations, due diligence, and closing support. For buyers, an advisor helps identify acquisition opportunities, evaluate targets, and navigate the complexities of purchasing a healthcare business.
Because home health is highly regulated, working with a broker who specializes in healthcare M&A provides valuable industry insight throughout the transaction.
A behavioral health M&A advisor represents buyers or sellers throughout the acquisition process while providing strategic guidance from initial planning through closing.
For sellers, this includes business valuation, confidential marketing, buyer identification, negotiations, due diligence coordination, and transaction management. For buyers, an advisor helps identify acquisition opportunities, evaluate potential targets, coordinate financial analysis, and navigate the complexities of healthcare transactions.
Behavioral health organizations operate within a highly regulated environment. Working with an advisor who understands reimbursement models, licensing requirements, compliance considerations, workforce challenges, and market trends provides valuable insight throughout the transaction process.
At Stoneridge Partners, our team combines healthcare operating experience with decades of M&A expertise to help clients make informed decisions with confidence.
Home care (also sometimes known as personal care or private-duty) companies typically provide in-home, non-clinical services that help patients live independently. Caregivers may assist patients with daily activities like getting dressed or bathing, or may perform light housekeeping duties. Traditionally these services may be covered by any of a number of payors, such as Medicaid or other public funding sources, private pay or long-term care insurance. Find out more about the current home care market from one of Stoneridge Partners’ experienced advisors here.
Home health companies use medical professionals to provide post-acute clinical services in the home. These services may include wound care, intravenous therapy, assistance with managing chronic health conditions and physical, occupational and speech therapy. These services are covered by Medicare, Medicare Advantage plans or commercial insurance. Click here to learn more about the current home health market from one of Stoneridge Partners’ advisors.
Hospice and/or palliative care is provided to patients who are suffering from a life-limiting illness. The goal of hospice care is to ease any pain or symptoms and to make the patient as comfortable as possible. Other services may include assistance with managing household tasks while the patient is being cared for; counseling for the patient, family and friends; and respite care for the patient’s caregivers. Hospice services are traditionally covered under the Medicare benefit.
Behavioral health is a field that encompasses a wide spectrum of healthcare services. Some providers specialize in working with clients who have intellectual or developmental disabilities; often these services may be provided in group homes, community-based settings or via in-home support services. Others provide treatment for substance use disorders through out-patient or residential in-patient services. Read more about the current market for behavioral health service providers here.
There is no universal answer. The right time to sell depends on both market conditions and your personal goals.
Some owners are preparing for retirement. Others are seeking capital for growth, looking for a strategic partner, or planning succession after years of building their organization.
Evaluating your options early allows you to understand today’s market while giving you flexibility to decide when the timing is right.
Even if you’re several years away from selling, speaking with an experienced healthcare M&A advisor can help you understand how to maximize value before entering the market.
Yes. Your agency’s identity is shared only with qualified buyers who have signed confidentiality agreements. Protecting confidentiality keeps caregivers, clients, and referral partners stable while you continue running the business.
Absolutely. Confidentiality is one of the most important aspects of any healthcare transaction.
Premature disclosure can create uncertainty among employees, referral partners, payers, and patients while potentially affecting business performance.
An experienced behavioral health M&A advisor develops a confidential marketing strategy that protects your identity while introducing your organization only to qualified buyers who have signed appropriate confidentiality agreements.
Maintaining discretion throughout the process helps protect the value of your organization while allowing you to continue operating the business without unnecessary disruption.
The right time depends on your personal goals as much as market conditions. Some owners are preparing for retirement, while others are looking for a strategic growth partner or succession solution.
Beginning the conversation early gives you time to understand your options, prepare your organization, and make decisions on your own timeline rather than reacting to changing circumstances.
Market conditions, buyer demand, and your personal goals all influence the right time to sell.
Many owners begin planning years before an actual transaction. Starting early gives you time to understand your agency’s value, identify opportunities to increase that value, and prepare for a successful exit when the timing is right.
The right time depends on your personal goals as much as on market conditions. Many owners start planning one to three years before a sale, which gives them time to understand their value, strengthen the business, and choose their timing rather than react to change. Our monthly Post-Acute & Home-Based Care Index tracks current market conditions.
The value of a home health agency depends on numerous factors, including:
- Financial performance
- EBITDA
- Referral relationships
- CMS quality metrics
- Payer mix
- Geographic market
- Workforce stability
- Growth opportunities
- Compliance history
Every agency is different, making a professional valuation one of the most important first steps.
Stoneridge Partners charges no upfront fees.
Most hospice transactions take several months from initial planning through closing. The timeline depends on factors including financial readiness, operational performance, buyer demand, regulatory review, and due diligence.
Preparing early often results in a smoother transaction and stronger buyer interest.
Most home health transactions take several months from planning through closing. The timeline depends on factors such as financial performance, regulatory considerations, buyer demand, and due diligence.
Preparing your agency before entering the market often creates a smoother transaction and stronger buyer interest.
Most home care transactions take several months from initial planning to closing. Timing depends on financial readiness, buyer demand, due diligence, and any state licensing or change-of-ownership requirements. Preparing financial and operational records in advance usually shortens the process.
Most healthcare transactions take six to nine months from first consultation to closing. Due diligence alone usually takes 90–120 days, and regulatory approvals can add time depending on your state and license type.
Every transaction is different, but most behavioral health transactions take several months from initial planning to closing.
The timeline depends on many factors, including the organization’s financial performance, operational readiness, buyer interest, regulatory requirements, and the complexity of due diligence.
Preparing early often results in a smoother process. Organizing financial information, reviewing compliance documentation, addressing operational issues, and developing a clear growth story before entering the market can help reduce delays later.
Rather than focusing solely on speed, most owners benefit from taking the time necessary to position their organization appropriately and identify the right strategic partner.
Our consulting and analytics services are fee-based. When we represent a buyer or seller in a transaction, we are only paid a percentage of the sale price. There are no upfront fees of any kind, and our client has absolute discretion accepting or rejecting any offer.
Selling a hospice business begins with understanding its current market value and developing a strategy that aligns with your personal and financial goals. The process typically includes a confidential valuation, preparing financial and operational information, identifying qualified buyers, negotiating offers, completing due diligence, and successfully closing the transaction.
Because hospice organizations operate in a highly regulated environment, sellers benefit from working with an experienced healthcare M&A advisor who understands reimbursement, compliance, licensing, and the unique factors that influence buyer interest and valuation.
Every hospice transaction is different. The right approach depends on your organization, your timeline, and what you hope to accomplish after the sale.
Selling a home health agency begins with understanding its current market value and preparing the business for a confidential sale. The process typically includes a valuation, financial and operational review, buyer outreach, negotiations, due diligence, and closing.
Working with an experienced home health business broker helps ensure your agency is positioned appropriately in the market while protecting confidentiality throughout the transaction. Every sale is unique, and the right strategy should align with your financial goals, timeline, and long-term plans.
Selling a home care business typically follows six steps:
- Get a confidential valuation.
- Prepare financial, payer, and caregiver data.
- Confidentially market the business to qualified buyers.
- Negotiate offers and a letter of intent.
- Complete due diligence, including licensing and Medicaid reviews.
- Close the transaction and transition ownership.
Working with an experienced home care M&A advisor helps you position the business correctly, protect confidentiality, and reach terms that match your financial goals and timeline. See our process for details.
Selling a behavioral health company begins long before the business goes to market. The process typically starts with understanding your organization’s current value, evaluating financial and operational performance, and identifying opportunities that could strengthen your position before approaching potential buyers.
Once you’re ready to move forward, an experienced behavioral health M&A advisor will prepare confidential marketing materials, identify qualified strategic and financial buyers, manage negotiations, coordinate due diligence, and guide the transaction through closing. Throughout the process, confidentiality is critical to protect relationships with employees, referral partners, and payers.
Every behavioral health organization is unique. Whether you operate an outpatient mental health practice, addiction treatment center, residential facility, autism services provider, or another behavioral health organization, the right transaction strategy should reflect your business goals, your timeline, and the legacy you’ve worked hard to build.
We have 25+ years of experience working in the home care, home health, hospice, and behavioral health mergers and acquisitions markets, so we understand what makes deals work or falter. We can review your financial, clinical and operational performance to address potential stumbling blocks prior to the initiation of the deal process. Whether you need help with revenue cycle bottlenecks, clinical compliance issues or personnel change management challenges, Stoneridge Strategic Consulting can help you smooth the path toward a successful transaction.
Yes. Payer mix is one of the biggest drivers of buyer interest and deal structure. Private pay and Medicaid agencies attract different buyers and carry different risks around reimbursement rates, state policy, and margins. We have closed transactions in both models and can help you understand how your mix affects value.
Absolutely. When a seller retains Stoneridge Partners, our job is to use our knowledge of the industry and the healthcare marketplace to help the seller determine the appropriate valuation for their business and connect them with the right buyers. And when we are retained by a buyer, our role is to use our expertise and wealth of industry contacts to help them grow or diversify their healthcare business by identifying strategic opportunities – sometimes even before they’ve hit the market – and negotiating a fair deal.
Yes. Stoneridge Partners works with both qualified buyers and hospice owners throughout the acquisition process.
Whether you’re expanding an existing platform or entering the hospice market for the first time, our advisors help identify opportunities, evaluate potential acquisitions, and manage the transaction from beginning to end.
Yes. Stoneridge Partners represents both buyers and sellers throughout the acquisition process.
Our team works with qualified buyers seeking home health acquisition opportunities while helping sellers identify the right strategic partner and maximize transaction value.
Yes. Stoneridge Partners works with qualified buyers entering the home care market or expanding an existing platform. Our advisors help identify opportunities, many of which are not publicly marketed, and guide valuation, negotiation, due diligence, and closing.
Yes. In addition to representing behavioral health owners during the sale process, Stoneridge Partners works with qualified strategic buyers, private equity groups, family offices, and healthcare organizations seeking acquisition opportunities.
Our advisors help buyers identify organizations that align with their investment strategy while guiding valuation, negotiations, due diligence, and closing.
Because many healthcare transactions are confidential, buyers often gain access to opportunities that are not publicly marketed.
Absolutely. We’ll use our in-depth understanding of the healthcare industry combined with our proprietary data resources to help you identify strategic referral sources, market opportunities and payor contracts.
Yes. Selling a home care franchise is common, but it usually requires franchisor approval of the buyer and may involve transfer fees or other conditions in your franchise agreement. Reviewing those terms early helps avoid delays once you have an interested buyer.
Yes, and you should. Buyers watch performance throughout the process, so steady results protect your value. We handle buyer outreach, questions, and coordination so you can stay focused on operations.
Featured Insights
Stoneridge Partners gives you the latest news and updates for market developments, financial indicators, and other indicators that give our clients an edge.
What Is My Home Care Company Worth? 5 Factors That Drive Its Value
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The National Post-Acute & Home-Based Care Index | 2026 SEPTEMBER UPDATE
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