NW Ohio Skilled Home Health Agency, $623K SDE

Business Overview:

BUYER REQUIREMENTS: Cash equivalent to purchase price set aside to invest from currently available funds required. An abundance of hands-on home health operating 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. Medicare certified with an active provider agreement, but the census and revenue engine is skilled Medicaid, and buyers should understand that distinction before inquiring.

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 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.

KEY HIGHLIGHTS
Census: 46 active patients
Staffing: Fully staffed, blended employee and contract clinical model. Billing and payroll 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), 4% Medicare. Contracting in process with Blue Cross Blue Shield and AmeriHealth Caritas.
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 (Jan-Jul): $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 an administrator ($65,000 to $95,000 loaded). Figures per cash basis P&L with an accountant supported normalization schedule. Full earnings bridge available in the data room following 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. With CMS enrollment moratoria restricting new home health enrollment, an established, certified, accredited Ohio agency cannot currently be replicated de novo.

Asking Price: $1,799,000
Reference Number: 8154869196

Cash equivalent to purchase price set aside to invest from currently available funds required
An abundance of hands-on home health operating experience is required

Contact the Seller:

To request more information regarding this listing, simply check the ADD TO REQUEST INFO BASKET button (above Quick Facts) and when you are done searching and have made all your selections, simply click on the REQUEST FREE INFO button at the bottom of this page.

Property Features and Assets:

1. Fully licensed home health agency operating in Northwest Ohio
2. Medicare and Medicaid certified with active billing
3. JCAHO accredited with strong compliance standing
4. Clean survey history with no immediate jeopardy
5. Established operations with 46 active patients
6. Fully staffed clinical and administrative team in place
7. Strong referral relationships supporting consistent census
8. Existing contracts with Aetna and Assure One Medicare/Medicaid
9. Pending approvals with Blue Cross Blue Shield and AmeriHealth Caritas
10. Service coverage across seven counties providing broad regional reach
11. Infrastructure in place for continued scaling without rebuild

Market Competition and Expansion:

Market Competition & Positioning

• Located in a stable and growing Midwest healthcare market with consistent demand for home-based care
• Strong positioning in Medicaid personal care services which continue to see increased utilization
• Established presence across multiple counties creates barrier to entry for new operators
• Accreditation and clean survey history enhance credibility with referral sources and payors
• Diverse payer mix reduces reliance on a single revenue stream
• Expansion into additional managed care contracts strengthens competitive advantage
• Aging population trends in Ohio continue to drive long-term demand for home health services

• Expand census through existing referral network and hospital relationships
• Leverage pending payor approvals to increase reimbursement streams and patient volume
• Increase Medicare census to improve margin profile
• Add specialty programs such as therapy-focused care or chronic condition management
• Expand staffing to support higher patient capacity across current counties
• Explore adjacent county expansion where demand exceeds current provider supply
• Implement operational efficiencies and technology to improve scheduling and billing performance
• Opportunity to scale marketing efforts for private duty and skilled services

Reason for Selling:

Kindly ask the seller for more information.

Additional Details:

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