Northwest Ohio Medicare Home Health Agency, 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 percent of revenue is Medicaid sourced, traditional plus managed. The Medicare certification is active, in good standing, and materially underutilized at roughly 4 percent 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 functions are 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 percent Ohio Medicaid (skilled and personal care), 9 percent Aetna MyCare (managed Medicaid), and 4 percent 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 (January through July): $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 hiring an administrator ($65,000 to $95,000 loaded). Figures are per cash basis P&L with an accountant supported normalization schedule. The full earnings bridge is available in the data room following execution of a Confidentiality Agreement.

36 MONTH RULE
The agency's window ends September 2026. Transactions closing after that date transfer 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

BUYER QUALIFICATIONS
Healthcare industry experience required. Ohio Medicaid home health experience strongly preferred. Cash buyers preferred. SBA qualified buyers considered with relevant operating experience and lender pre-qualification. Proof of funds or lender pre-qualification required with or before release of the Confidential Information Memorandum.

- Proof of Funds Required -
- Health Care Industry Experience Required -