Virginia Medicare Home Health Agency, 2 PTANs Included

Virginia Medicare-Certified Home Health Agency

Asking Price: $3,250,000 | Ref #8106576234

BUYER REQUIREMENTS

This opportunity is suited only for parties with direct home health operating experience. Inquiries must include a summary of relevant industry background and proof of funds. Cash buyers are preferred. SBA financing will be considered for experienced operators who are otherwise qualified. Parties without home health operating experience will not receive the CIM.

THE ASSET

- Medicare-certified, ACHC and Joint Commission accredited
- 2 home health PTANs and 1 hospice first license included in the transaction
- Past the 36-month rule and intended to close as a CHOW with provider agreement assignment, subject to CMS and MAC review
- Licensed to serve the Commonwealth of Virginia
- Service area: Virginia Beach, Norfolk, Suffolk, Chesapeake, Portsmouth, Hampton, Newport News, Williamsburg, Franklin, and Smithfield
- Services: skilled nursing, including RN/LPN, wound and psychiatric care, medication and IV therapy; PT, OT, and ST; medical social services; and home health aides
- Payer mix: Medicare with managed care through Humana and Anthem
- Owner will assist with transition and staff retention

2025 FINANCIAL PERFORMANCE, RESTATED

- Revenue: $2,417,000
- Reported net income: $268,582
- Documented adjustments: $341,443
- Adjusted earnings: $610,025, a 25.2% margin
- Seller reports that 2026 is tracking consistently with 2025

Earnings are presented as a clean general ledger P&L with a separate line-by-line adjustment bridge, with each item tied to its underlying account. Supporting documentation is in the data room. Buyers receive the reported number and the adjustments as distinct figures so the bridge can be tested rather than taken on faith.

TRANSACTION STRUCTURE AND MEDICARE ENROLLMENT ENVIRONMENT

CMS imposed a six-month nationwide moratorium on new Medicare enrollment by home health agencies effective May 13, 2026. The moratorium applies to initial enrollments, new branches and practice locations, and non-exempt changes in majority ownership that require initial enrollment under 42 CFR 424.550(b). CMS may extend the moratorium in six-month increments.

CMS guidance states that a change in majority ownership occurring more than 36 months after initial enrollment or the most recent change in majority ownership generally does not cause a home health agency to be treated as a new provider. Based on seller-provided information, this agency is outside that 36-month window. The proposed transaction is intended to be processed with the buyer accepting assignment of the existing Medicare provider agreement. Final treatment is transaction-specific and subject to CMS and MAC review.

For CY 2026, CMS projected that the final rule's combined policies would reduce aggregate home health agency payments by 1.3% relative to CY 2025. Actual effects vary by provider. CMS previously applied permanent PDGM-related rate reductions in CY 2023, CY 2024, and CY 2025.

Information is seller-provided and subject to buyer verification. Informed parties only. NDA required for CIM release.

Asking Price: $3,250,000 | Ref #8106576234
Proof of Funds Required | Direct Home Health Operating Experience Required