AXL Equity

Established San Antonio hospice agency with five years of operating history and stable census. The agency is CHAPS accredited, Medicare certified, and has passed the 36-month rule. Census has remained stable at approximately 20 ADC for the past 12 months.The agency maintains steady referral volume, consistent claims patterns, and strong relationships within the Greater San Antonio region.The seller is flexible in structuring around an ongoing SMRC audit that has been active for roughly six months; outcome pending.2024 Revenue: $1,039,0002025 YTD Revenue: $765,000 (annualized $1.02M)Asking Price: $1,100,000Reference #: 8147186998**Healthcare experience and proof of funds required. ... Less

Established in 2019, this ACHC accredited Texas Home Healthcare agency is fully past the 36-Month rule and positioned for continued growth. The agency serves the entire state of Texas, offering Medicare-certified Home Health and PAS services with a pending hospice contract underway. The entire staff is expected to remain with the buyer, providing a smooth operational transition.Accepted Insurances: Cigna (Healthspring, Medicare, Commercial), United Healthcare (medicare /medicaid), Community Health Choice (medicare/medicaid), Molina (medicare/medicaid), Bluecross Blueshield (Commercial /Medicare), Aetna Medicaid, Superior (Healthplan/ Medicaid), WellmedCurrent census includes approximately 45 Home Health patients and 40 PAS clients.2024 Revenue: $3.6 millionAsking Price: $1,500,000Reference #: 3421618136Healthcare experience and proof of funds required. ... Less

Imagine stepping into a well-established home health care business that's been serving Illinois communities since 2006. You'll find yourself owning a turnkey operation with everything already in place - three valuable licenses including Home Health, Caregiver, and Private Duty Nursing that took years to establish.What makes this opportunity special? You're getting Medicare and Medicaid certification along with IDPH approval, which means you can start generating revenue from day one. The current census of 36 patients provides immediate cash flow, and here's something that will give you peace of mind - there are no ADRs (Adverse Drug Reactions) on record, showing the quality care standards already established.You'll love the geographic coverage spanning seven Illinois counties, giving you plenty of room for growth. The infrastructure is solid, the reputation is clean, and the regulatory hurdles are already cleared. This isn't ... Less

Turnkey Illinois medical laboratory business and asset sale. Includes CLIA license, COLA accreditation, full operations in chemistry (general lab), molecular (PCR) and toxicology (LCMS) testing. Medicare/Medicaid accepted. Monthly billing between $35,000-$45,000. All owned equipment included: QuantStudio5, Kingfisher Flex, BioSafety Cabinet, Aution MaxAX-4030 Analyzer, DXu 840m Iris, Access 2 Immunoassay Analyzer, AU481-10E, DxH690T. Major payer contracts in place (Meridian Medicaid, Molina, Aetna Better Health, BCBSIL, County Care, Medicaid of Indiana, Allied Benefit System, Mdwise Health Plan, Zelis). Asking price: $599,000. Reference #9043413221. Qualified buyer must have healthcare-industry experience and cash equivalent to purchase price set aside for investment. ... Less

36 Month Rule EXEMPT!!Ready to Bill IMMEDIATELY!!Medicare Licensed State CertifiedCLEANCounties Covered: Entire StateAsking Price: $275KReference Number: 8201246576**Cash equivalent to purchase price set aside to invest from currently available funds required***Healthcare specific industry experience required ... Less

Imagine stepping into a thriving home healthcare business that's been serving Northern Massachusetts families since 2010. You'll love the stability this brings - with 32 active census and a perfect 50/50 revenue split between Medicare and Medicaid, private pay, VA, and private insurance clients.What makes this opportunity special? You're getting a skilled nursing-only operation that's already passed the critical 36-month rule, giving you immediate credibility and operational freedom. The best part? The entire office and nursing staff want to stay, so you won't face the headache of rebuilding your team from scratch.With $800K million in 2024 revenue covering Worcester and Middlesex counties, you're looking at a business that's not just profitable but positioned for growth. The skilled nursing focus means higher reimbursement rates and less competition than general home care.You'll appreciate how this business addresses the ... Less

Imagine stepping into a thriving home health agency that's already doing everything right. This turnkey Ohio operation serves 46 patients across Northwest Ohio counties, and you'll love how smoothly everything runs with a fully established team already in place.You're looking at a business with impressive credentials - Medicare and Medicaid licensed, JCAHO accredited, and a spotless survey history that speaks volumes about quality care. The financial story gets even better: revenue jumped from $1.22M in 2024 to $1.6M year-to-date in 2025, with adjusted EBITDA exceeding $450K.What makes this opportunity special? You'll have a rock-solid payer mix anchored by Medicaid at 87%, which means predictable, steady income. The growth trajectory is already mapped out for you - pending contracts with BCBS and AmeriHealth are positioned to expand your revenue streams significantly.Worried about financing? The seller understands your ... Less

Non-Medical Home Care (Private Pay, Medicaid, VA, Long Term Care Insurance)Franchise with proprietary operations manual, CRM, and marketing frameworkZERO FRANCHISE FEE!!Turnkey: Franchisees receive full onboarding, lead generation assistance, and operations coachingSelling Individual Locations Scalable Nationwide!!Franchise Infrastructure: Includes training programs, marketing systems, operations manual (192+ pages), and technology stack (CRM, QuickBooks, etc.)Franchise startup costs range: $109,500 – $282,000Avg. franchisee earnings: $150,000/year (*Home Care Industry data).Asking Price: Option 1: $25K upfront fee + 5% royaltiesOption 2: $12,500 upfront fee + 10% on first $1M in gross revenueReference Number: 4406951 ... Less

Imagine stepping into a well-established hospice operation that's already serving 16 active patients across Texas - this could be your next chapter in healthcare. You'll find a Medicare-certified hospice business perfectly positioned in the Greater Houston Metro area, with state licensing that opens doors throughout all of Texas.What makes this opportunity special? You're getting a business that's already navigated the complex world of healthcare compliance. The state accreditation is current, Medicaid acceptance is in place, and here's the exciting part - the 36-month rule exemption is approaching completion by October 2025. This means you'll have clean Medicare billing capabilities right when you need them most.You'll love the strategic positioning. The Greater Houston Metro provides a robust patient base, while your licensing extends statewide - giving you room to grow as you see fit. With 16 active patients, you have that ... Less

Medicare Home Health First License For Sale in Virginia (Bill Medicaid NOW!)W/ Medicaid Approval to Bill Medicaid immediatelyEst. 2021Need to Relocate After Sale (Relocatable anywhere in the state!)Medicare application submitted, Buyer would pursue, would take 2-3 Mos36 Month Rule Does Not ApplyMedicaid Only (at This time)Covers the Entire StateAsking Price $75kListing Number: 22422156180**Cash equivalent to purchase price set aside to invest from currently available funds required** ... Less

Past the 36-Month RuleMedicare CertifiedCan be Moved to Any City in MichiganNo Census Covers the Entire State of MichiganAsking Price: $199KReference Number: 18126941488—------------------------------------------Contact Vallexa Advisors: 586-623-5616Cash equivalent to purchase price set aside to invest from currently available funds required– Healthcare-specific industry experience required – ... Less

Well Established Profitable Hospice For Sale in U.S. Virgin IslandsTurnkey and Fully Staffed, Owner will assist in TransitionEstablished in 2000PTAN, NPI, Business License & Certificate of Need in Place Average Daily Census : 65ALOS : 75 daysNo Cap IssuesService Area: Covers all 4 Islands: St. Croix, St. Thomas, St. John and Water Island.*Staff currently unaware of sale preparation, but high rate of employee retention is expected Net income for YTD Sept. 2025 = $475,195TOTAL Expected AEBITDA Run-Rate for 2025 = $633,000Asking Price: $3,250,000Reference Number: 33398123083—------------------------------------------Cash equivalent to purchase price set aside to invest from currently available funds required– Healthcare-specific industry experience required – ... Less

Established in 2016, this state-certified Home & Community Support Services Agency (HCSSA) is licensed to operate anywhere in Texas. Currently private pay only, with no census or staff, and covering Harris & Montgomery Counties. License can be upgraded to include medical services. Ideal for buyers seeking a turnkey foundation in the Texas home care market.Key Details:Location: Houston Metroplex (expandable across Texas)License: HCSSA – State CertifiedStatus: No census / No staffServices: Private Pay Only (upgradeable to medical)Price: $50,000Reference Number: 22813497615------------------------------------------Cash equivalent to purchase price set aside to invest from currently available funds required– Healthcare-specific industry experience required – ... Less

Texas Region 6 Hospice for SaleEstablished : 20142024 Revenue: $2.4M2025 Run Rate: $1.7MMedicare/Medicaid AcceptedPayor Mix: 95% Medicare 5% Private InsuranceCurrent Census: 37State CertifiedFULLY StaffedALOS: 164 *Actively reducing to target of 100CAP Liabilities: $450K (to be paid at closing}Recently completed full UPIC AuditCurrently Serving Regions 5 & 6 (Able to cover entire State)Asking Price: $1.999MReference Number: 20356518704____________________________________________Contact Vallexa Advisors: Cash equivalent to purchase price set aside to invest from currently available funds required– Healthcare-specific industry experience required – ... Less

Michigan Home Health Agency for SalePast the 36-Month RuleMedicare CertifiedCan be Moved to Any City in MichiganNo Census Covers the Entire State of MichiganAsking Price: $199KReference Number: 41488**Cash equivalent to purchase price set aside to invest from currently available funds required***Healthcare-specific industry experience required ... Less

Imagine stepping into the thriving Texas home health market with this turnkey opportunity! This Medicare-certified agency gives you everything you need to hit the ground running in South Central Texas.PTAN in Hand!What makes this special? You're getting a fully compliant operation that's ACHC accredited and 36-Month Rule exempt - that's huge in our industry. The agency sits under a holding company structure, which means your CHOW process will be surprisingly smooth and fast. No lengthy delays or regulatory headaches.Here's where it gets exciting - you're starting with a clean census. While some might see this as a challenge, savvy operators know this is actually a golden opportunity. You'll build your clinical team exactly how you want it. You'll establish referral relationships that align with your vision. You'll create the culture and standards that reflect your values.The license covers the entire state of Texas - imagine ... Less