Northwest Ohio Medicare Home Health Agency, JCAHO Accredited

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