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United States Virgin Islands
U.S. Virgin Islands Hospice - Profitable, Turnkey, Fully Staffed
Asking Price
$2,490,000
Revenue
$2,250,000
Down
Call/Email
Cash Flow
$450,000
Description
- Hands-on hospice operating experience is required. -
A well established, profitable and fully staffed hospice serving all four U.S. Virgin Islands. Turnkey operation with the owner willing to assist in transition.
KEY HIGHLIGHTS
- ESTABLISHED: In operation since 2000.
- LICENSED: PTAN, NPI, Business Licence and Certificate of Need all in place.
- CENSUS: Average daily census of 50. Average length of stay 75 days.
- COMPLIANCE: No CAP issues.
- SERVICE AREA: Covers all four islands. St. Croix, St. Thomas, St. John and Water Island.
- STAFFING: Turnkey and fully staffed. Owner will assist in transition. A high rate of employee retention is expected.
- 2026 REVENUE RUN RATE: $2,250,000 or better.
- TOTAL EXPECTED ADJUSTED EBITDA FOR 2026: $450,000
- ASKING PRICE, REDUCED: $2,490,000
Please note that staff are not currently aware of sale preparation. Confidentiality is essential.
Detailed package available under a Confidentiality Agreement.
Reference Number: 33398123083
- Cash equivalent to the purchase price set aside to invest from currently available funds is HIGHLY preferred. SBA financing is possible by exception for a very strong candidate with hospice experience. -
- Hands-on hospice operating experience is required. -
Business Details
Year Established:
2000
Posting Information
Posting ID:
8744527
Business Category:
Health, Medical, Fitness, Beauty
Business Types:
Hospice Service
Keywords:
Virgin Islands hospice
hospice agency for sale
Medicare certified
profitable hospice
Caribbean healthcare
Attributes:
Broker Cooperation
Send NDA Request
Please complete the form below to request the NDA for this listing. The broker will review your request and send the NDA for you to sign.
Posting Title
U.S. Virgin Islands Hospice - Profitable, Turnkey, Fully Staffed
Posting ID
#8744527
Full Name (Required)
Email (Required)
Phone (Required)
NDA Signed Successfully!
Your NDA has been signed and submitted. The broker will review and countersign it. Once complete, you will receive access to confidential business details.
Agent, Broker or Seller Contact
Recommended Businesses
United States Virgin Islands
U.S. Virgin Islands Hospice - Profitable, Turnkey, Fully Staffed
$ 2,490,000
CF : $ 450,000
- Cash equivalent to the purchase price set aside to invest from currently available funds is HIGHLY preferred. SBA financing is possible by exception for a very strong candidate with hospice experience. - - Hands-on hospice operating experience is required. - A well established, profitable and fully staffed hospice serving all four U.S. Virgin Islands. Turnkey operation with the owner willing to assist in transition. KEY HIGHLIGHTS - ESTABLISHED: In operation since 2000. - LICENSED: PTAN, NPI, Business Licence and Certificate of Need all in place. - CENSUS: Average daily census of 50. Average length of stay 75 days. - COMPLIANCE: No CAP issues. - SERVICE AREA: Covers all four islands. St. Croix, St. Thomas, St. John and Water Island. - STAFFING: Turnkey and fully staffed. Owner will assist in transition. A high rate of employee retention is expected. - 2026 REVENUE RUN RATE: $2,250,000 or better. - TOTAL EXPECTED ADJUSTED EBITDA FOR 2026: $450,000 - ASKING PRICE, REDUCED: $2,490,000 Please note that staff are not currently aware of sale preparation. Confidentiality is essential. Detailed package available under a Confidentiality Agreement. Reference Number: 33398123083 - Cash equivalent to the purchase price set aside to invest from currently available funds is HIGHLY preferred. SBA financing is possible by exception for a very strong candidate with hospice experience. - - Hands-on hospice operating experience is required. -
Georgia
Metro Atlanta Georgia Hospice for Sale - Medicare Certified, Past 36-Month Rule
$ 600,000
BUYER REQUIREMENTS, PLEASE READ FIRST: This is a CASH-ONLY transaction. The seller will not consider financing and the asking price is firm. Buyers must bring hands-on hospice operating experience and cash equivalent to the purchase price already set aside from currently available funds. Financed offers, and buyers without substantial hospice operating experience, cannot be considered. An established Medicare-certified hospice serving the metro Atlanta market of Georgia, offered as an equity transaction so the existing Medicare provider agreement conveys. ═══════════════════════════════════════════════════════════ GEORGIA HOSPICE FOR SALE - METRO ATLANTA ═══════════════════════════════════════════════════════════ MEDICARE CERTIFIED | ACTIVE PTAN | PAST THE 36-MONTH RULE A rare opportunity to acquire an established, Medicare-certified Georgia hospice at a moment when new hospice enrollments are closed nationally. Key Highlights: - MEDICARE CERTIFIED: CMS Certification Number in place, certification effective October 2021. - ACTIVE ENROLLMENT: Medicare enrollment reactivation approved by the Medicare Administrative Contractor in May 2026. - PAST THE 36-MONTH RULE: Because certification dates to October 2021, the 36-month change-of-ownership restriction has already run. In an equity transaction the existing provider agreement conveys - no new initial Medicare enrollment is required. - WHY THIS MATTERS NOW: CMS suspended NEW Medicare hospice enrollments effective May 13, 2026. Acquiring an existing, seasoned, active enrollment is currently the practical route into this market. - STATE LICENSED: Georgia Department of Community Health hospice permit in place; county business licenses current. - SERVICE AREA: Clayton County, Cobb County, DeKalb County, Douglas County, Fayette County, Fulton County, Gwinnett County, Henry County, Rockdale County, and Newton County, Georgia. - TURNKEY OFFICE: Approximately 1,040 square feet, five workstations with computers, furniture,phone and fax, copier, and durable medical equipment supplies included. The office real estate is owner-controlled and available under separate negotiation. KEY FACTS - Georgia Department of Community Health hospice permit in place. County business licenses current. - Licensed across ten metro Atlanta counties: Clayton, Cobb, DeKalb, Douglas, Fayette, Fulton, Gwinnett, Henry, Rockdale and Newton. - Turnkey office of approximately 1,040 square feet with five workstations, computers, furniture, phone and fax, copier, and durable medical equipment supplies included. The office real estate is owner-controlled and available under separate negotiation. This is a license-forward opportunity. No patient census or revenue is represented or conveyed with the sale. ASKING PRICE: $600,000. Cash only, no financing, price firm. Vallexa reference number 8968450045. A confidentiality agreement is required to receive the detailed package. - CASH BUYERS ONLY. NO FINANCING. ASKING PRICE IS FIRM. - - An abundance of hands-on hospice operating experience is required - Cash equivalent to purchase price set aside to invest from currently available funds required.
Arizona
Tucson Arizona Medicare Certified Hospice Agency
$ 1,700,000
- CASH BUYERS ONLY. Cash equivalent to the purchase price set aside to invest from currently available funds required. - - An abundance of hands-on hospice operating experience is required. - A Medicare certified, Arizona licensed and AHCCCS approved hospice agency serving Pima County and the greater Tucson region. Certified since 2010 and well past the 36 month ownership seasoning threshold, so an equity purchase transfers cleanly. KEY DETAILS - LICENSED: Medicare certified since December 2010. Arizona licensed. AHCCCS approved. - CENSUS: 16 current, with 194 patients served over the trailing 12 months. - PAYERS: Blue Cross Blue Shield and VA through TriWest, both at 100 percent of Medicare fee for service rates. United Healthcare contracted. Medicare Advantage plans revert to Medicare for hospice. - TEAM: Full interdisciplinary team in place including medical director, clinical manager, RNs, LPNs, social work, chaplaincy, bereavement, aides and volunteer coordination. - SURVEYS: Clean history with multiple no deficiency findings on file. - PREMISES: Shared office on a five year lease with flexibility from 2027. - SERVICE AREA: Pima County, Arizona. - TRANSITION: Owner is open to remaining with the business post closing, which is meaningful for a buyer new to the Arizona market. - ASKING PRICE: $1,700,000 WHY TIMING MATTERS A nationwide freeze on new Medicare hospice and home health enrollments took effect in May 2026, so new entrants cannot simply obtain their own certification while it runs. Because this agency is well past the 36 month seasoning threshold, it is one of a small number of genuinely transferable Arizona platforms currently available. Reference Number: 7317320401 - CASH BUYERS ONLY. Cash equivalent to the purchase price set aside to invest from currently available funds required. - - An abundance of hands-on hospice operating experience is required. -
Collin County, Texas
Medicare Certified Texas Hospice for Sale | Dallas Agency
$ 350,000
Dallas Texas Hospice for Sale Based in Dallas- Full state coverage! 2 Census Medicare Certified Full State Coverage State Accreditation 2025 Revenue: $75,000 2025 Net Income: $5k Asking Price: $350,000 Reference Number: 9324577579 Cash equivalent to purchase price set aside to invest from currently available funds required – Healthcare-specific industry experience required –
San Diego, California
Relocatable Hospice – San Diego, No ADRs
$ 550,000
This ACHC-accredited hospice agency represents a clean, turnkey platform for a qualified buyer seeking immediate entry into the San Diego County hospice market. Established as a California C-Corporation, the agency is licensed through October 11, 2027 and operates within an approved San Diego County GSA. The office footprint is approximately 1,000 square feet on an annual lease at about $800 per month, providing a low overhead base of operations with the flexibility to relocate the agency, subject to regulatory approval. * The hospice is currently operating with a very low census of one patient, which allows a buyer to step in without inheriting a large, complex case load. The seller reports no current or past ADRs, no liens, judgments, or other business debt, and no historical billing issues. Taxes are up to date. Furniture, fixtures, and equipment are included in the sale, offering an efficient physical and administrative set-up for a buyer who wants to focus on growth rather than build-out. The seller reports a CAP of approximately $56,300 total for 2023, 2024, 2025-2026. ** This hospice does not fall under the 36-month Medicare rule, which means a qualified buyer can pursue a change of ownership and begin billing under the existing provider number once CMS and state approvals are in place. Buyers are still expected to verify this status during due diligence and to confirm all regulatory details with their own Medicare consultants, attorneys, and compliance professionals. * Operationally, the agency benefits from standardized policies, procedures, and survey-tested practices consistent with ACHC requirements. The most recent accreditation survey was completed on November 17, 2025, and the agency remains in good standing based on the seller’s disclosures. Existing staff are expected to remain with the buyer, supporting continuity of care, smoother onboarding, and preservation of day-to-day operational know-how, subject to the buyer’s hiring decisions and staff acceptance of new employment terms.* The San Diego County hospice market continues to experience strong long-term demand, driven by an aging population, chronic disease burden, and continued policy and payer support for home- and community-based end-of-life care. Older adults (60+) already represent over 23% of the local population, with the 65+ segment at more than 17%, and these cohorts are projected to continue growing over the coming decade. At the same time, California has one of the largest concentrations of hospice organizations in the country, so buyers must compete on compliance, quality, and referral relationships rather than on licensing status alone. This listing offers a compliant platform with minimal operational baggage, giving an experienced operator the chance to focus on building census and referral pipelines instead of navigating legacy issues.* This opportunity is well suited for an experienced hospice owner, clinical operator, or strategic healthcare group looking for a licensed and accredited hospice shell with minimal liabilities and low fixed costs. The seller will only consider all-cash buyers and will not entertain any SBA 7(a) loans or seller financing structures. All reasonable offers will be reviewed, provided the buyer can demonstrate healthcare experience and verifiable proof of funds. * Seller Preferences: (1) Possess healthcare experience, particularly in operating a hospice agency or similar agency, (2) provide verifiable proof of funds for the transaction, and (3) have access to patient referral sources and a network of licensed healthcare professionals. Seller Recommendations: (1) Buyer should possess the capability to generate patient referrals, (2) Buyer should have access to the necessary professional team members, (3) It is advised that the buyer engages a professional team (e.g., Medicare Consultant, Accountant, Attorney) to assist with due diligence and review processes. Buyer Requirements: (1) All prospective buyers must sign a Non-Disclosure Agreement (NDA) and (2) Proof of Funds is required from all potential buyers. Due Diligence: All in-depth due diligence beyond the Confidential Information Memorandum (CIM) will require the Buyer to submit a Purchase Agreement. Disclaimer: The seller is solely responsible for the accuracy of any information provided. Healthcare Biz Brokers, its agents, representatives, or subsidiaries make no representations or warranties regarding the accuracy, completeness, or validity of the information shared. Buyers are strongly encouraged to seek advice from their professional advisors (e.g., accountant, attorney, Medicare consultants) and to conduct their own due diligence for verification purposes. If any agreements, contracts, or legal documents are shared with a buyer or seller party, it is the sole responsibility of each respective party to review and seek independent legal counsel before signing any document. Healthcare Biz Brokers, Inc. does not provide legal interpretations, enforceability opinions, or transactional guarantees regarding any document shared during the transaction process. * Buyer to verify due diligence. ** Medicare CAP verification to be done by the Buyer as part of their Due Diligence
Los Angeles County, California
Hospice for Sale – SoCal
$ 295,000
Fully accredited hospice agency - priced at $295,000 This is a unique opportunity to acquire a Medicare-certified hospice agency located in Southern California, servicing a broad geographic service area that includes Los Angeles, Kern, Orange, Riverside, San Bernardino, and Ventura counties. The business is structured as a California C-Corporation and is accredited by CHAP and a state license active through December 2027. The agency has not intentionally never billed making it an ideal platform for a buyer looking to enter or expand in the hospice space without legacy operational constraints. * The business offers flexibility with relocation permitted, allowing the buyer to strategically position operations based on referral networks and staffing availability. The office lease is highly affordable at approximately $800 per month, providing a low overhead entry point into a highly regulated and in-demand healthcare sector. Included in the sale are furniture, fixtures, and equipment along with inventory. * This hospice does not fall under the 36-month Medicare rule, which provides a significant advantage to buyers seeking smoother ownership transition and operational continuity. The EMR system currently in use is DSL. ** The seller is open to reasonable offers with seller financing to be entertained as part of acquisition; however, the seller will not entertain SBA financing. Next steps include signing a Non-Disclosure Agreement and providing proof of funds to receive additional details. Interested buyers are encouraged to move forward promptly, as clean hospice licenses with broad GSAs and no operational liabilities are increasingly difficult to find.* Seller Preferences: (1) Possess healthcare experience, particularly in operating a hospice or similar agency, (2) provide verifiable proof of funds for the transaction, and (3) have access to patient referral sources and a network of licensed healthcare professionals. Seller Recommendations: (1) Buyer should possess the capability to generate patient referrals, (2) Buyer should have access to the necessary professional team members, (3) It is advised that the buyer engage a professional team (e.g., Medicare Consultant, Accountant, Attorney) to assist with due diligence and review processes. Buyer Requirements: (1) All prospective buyers must sign a Non-Disclosure Agreement (NDA) and (2) Proof of Funds is required from all potential buyers. Due Diligence: Any in-depth due diligence beyond the Confidential Information Memorandum (CIM) will require the Buyer to submit either a Letter of Intent (LOI) or a Purchase Agreement. Disclaimer: The seller is solely responsible for the accuracy of any information provided. Healthcare Biz Brokers, its agents, representatives, or subsidiaries, make no representations or warranties regarding the accuracy, completeness, or validity of the information shared. Buyers are strongly encouraged to seek advice from their professional advisors (e.g., accountant, attorney, Medicare consultants) and to conduct their own due diligence for verification purposes. If any agreements, contracts, or legal documents are shared with a buyer or seller party, it is the sole responsibility of each respective party to review and seek independent legal counsel before signing any document. Healthcare Biz Brokers, Inc. does not provide legal interpretations, enforceability opinions, or transactional guarantees regarding any document shared during the transaction process. * Buyer to verify due diligence. ** A Third-Party CAP Analysis is recommended as part of the Buyer's Due Diligence
Los Angeles County, California
Clean Hospice License Opportunity
$ 185,000
Price adjusted to $185,000 An opportunity to acquire a California-based hospice agency (no PTAN) positioned within a highly active and regulated healthcare market. This hospice operates under a California C-Corporation structure and is licensed with the California Department of Public Health, with licensure in place through December 15, 2027. Agency will require an accreditation survey for its accreditation. * The agency maintains an approved Geographic Service Area (GSA) covering Los Angeles, Riverside, Kern, Orange, and San Bernardino counties, providing broad regional coverage and significant expansion potential. The business is relocatable, allowing a buyer to strategically position operations based on referral networks and cost efficiencies. The current lease is approximately $800 per month, supporting a low overhead structure. * Furniture, fixtures, equipment, and inventory are included in the sale. The business utilizes Synergy EMR, allowing for continuity in clinical documentation and compliance infrastructure. The seller has indicated that taxes are up to date and no known liabilities, liens, or billing issues are currently disclosed, though all information remains subject to buyer verification through due diligence. ** The seller is exiting due to retirement and may be available for a transition period, subject to mutual agreement, to ensure continuity and support onboarding. * The seller will entertain reasonable seller financing. All reasonable offers will be considered. The seller will not entertain SBA 7(a) loans. * Seller Preferences: (1) Possess healthcare experience, particularly in operating a hospice or similar agency, (2) provide verifiable proof of funds for the transaction, and (3) have access to patient referral sources and a network of licensed healthcare professionals. Seller Recommendations: (1) Buyer should possess the capability to generate patient referrals, (2) Buyer should have access to the necessary professional team members, (3) It is advised that the buyer engages a professional team (e.g., Medicare Consultant, Accountant, Attorney) to assist with due diligence and review processes. Buyer Requirements: (1) All prospective buyers must sign a Non-Disclosure Agreement (NDA) and (2) Proof of Funds is required from all potential buyers. Due Diligence: Any in-depth due diligence beyond the Confidential Information Memorandum (CIM) will require the Buyer to submit either a Letter of Intent (LOI) or a Purchase Agreement. Disclaimer: The seller is solely responsible for the accuracy of any information provided. Healthcare Biz Brokers, its agents, representatives, or subsidiaries make no representations or warranties regarding the accuracy, completeness, or validity of the information shared. Buyers are strongly encouraged to seek advice from their professional advisors (e.g., accountant, attorney, Medicare consultants) and to conduct their own due diligence for verification purposes. If any agreements, contracts, or legal documents are shared with a buyer or seller party, it is the sole responsibility of each respective party to review and seek independent legal counsel before signing any document. Healthcare Biz Brokers, Inc. does not provide legal interpretations, enforceability opinions, or transactional guarantees regarding any document shared during the transaction process. * Buyer to verify due diligence. ** A Third-Party CAP Analysis is recommended as part of the Buyer's Due Diligence
Online / Remote
Hospice
$ 275,000
New DHS hospice license that has never been operated. It can be relocated, and 100% of the shares can be transferred to the new owner. Assistance will be available for CHOW, CHOL, accreditation, and/or operation if needed. The GSA includes the following counties: San Diego ,Imperial County LA, Ventura, San Bernardino, Riverside, and Orange County. The license is from the Department of Health. The cost to take it to the next level with a provider will be less than fifteen thousand dollars. The agency has never operated and is a clean agency. The present owner is a nurse and hospice operator.
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