Census, authorized hours, and trend
Active client census, authorized hours per week, and three years of trend are the operating core. Growth reads as durability; decline reads as risk.
El Paso Owner's Guide · Home Health, Personal Care & Hospice
How to Sell a Home Health or Home Care Agency in El Paso, Texas
Demographics are doing the selling for you: an aging population, a shortage of licensed agencies, and buyers with capital who want census in fast-growing markets. What determines your price is licensure, payer mix, and whether referrals belong to the agency or to you.
- 3×–6×
- Typical multiple of earnings for a licensed agency
- $1M+
- Range where established agencies commonly transact
- 100%
- Confidential — staff, clients, and referrers never know
The Local Market
What buyers pay for in an El Paso home care agency
El Paso's aging population, high demand for Spanish-speaking caregivers, and limited licensed capacity make agencies here attractive to regional platforms and private investors. Every buyer starts with your census and your payer mix.
Payer mix and reimbursement quality
Medicare, Medicaid and waiver programs, managed care, VA, and private pay each carry different rates and collection profiles — and different buyer appetites.
Licensure, accreditation, and survey history
Agency licensure, Medicare certification, accreditation status, and a clean survey record determine which buyers can transact and how quickly.
Referral breadth and caregiver retention
Referrals spread across hospitals, physicians, and case managers price far better than one relationship, and caregiver retention is what keeps census intact after closing.
Free Estimator · No Email Required
What is my El Paso home health agency worth?
Move the slider. This uses owner's discretionary earnings (SDE) — net profit plus your compensation, personal expenses run through the agency, interest, depreciation, and one-time costs. Larger agencies are frequently valued on EBITDA instead, which usually produces a higher multiple.
$180,000 / year
$40K$1.2M
Which of these are true today?
Illustrative Range
Estimated enterprise value
$603,000 – $1,008,000
That’s roughly 3.4× to 5.6× your owner’s earnings, before any real estate you own.
Every box you check is a lever you can still pull before you list. Owners who fix the books and the lease first routinely land at the top of their range instead of the bottom.
Illustration only — not an appraisal or an offer.
Step by Step
The six steps that get a home health or home care agency sold — in that order.
- 01
Document census, payer mix, and earnings
Three years of P&Ls and tax returns, reconciled, plus census by month, authorized versus delivered hours, revenue and margin by payer, referral source breakdown, caregiver roster and turnover, and receivable aging.
- 02
Commission an independent, certified valuation
Not a broker's opinion, and never a platform buyer's opening number. We commission a certified valuation from an independent NACVA-credentialed appraiser — the caliber of report banks, buyers, the IRS, and courts rely on.
- 03
Fill the hours you are already authorized to bill
Unfilled authorized hours are revenue sitting on the table. Closing that gap before listing raises earnings and the multiple applied to them.
- 04
Fix what diligence will find
Licensure and certification status, survey and plan-of-correction history, billing and documentation compliance, caregiver credentialing and background checks, worker classification, overtime and wage records, EMR data quality, and unpaid taxes.
- 05
Market it confidentially — to more than one buyer
No word to your staff, your clients, or your referral network. We market blind on service and financial profile to vetted, financially verified buyers and regional platforms under NDA.
- 06
Negotiate, survive diligence, and close
Offers, escrow, quality-of-earnings and compliance review, license and provider-number transition, referral relationship continuity, caregiver retention, working-capital treatment, and funding. We stay on it through closing.
Costly Mistakes
Six mistakes that cost home health or home care agency owners real money.
Depending on one referral source
A single hospital, physician group, or case manager holding your census is the most heavily discounted risk in the category, because it can change with one phone call.
Weak documentation and billing compliance
Buyers and lenders examine charts and claims. Documentation gaps create clawback exposure, indemnities, and holdbacks against your proceeds.
Ignoring caregiver turnover
Census without staff to serve it is not revenue. Turnover is a direct signal to buyers about what happens after closing.
Assuming licenses and provider numbers transfer
Licensure, certification, and provider enrollment have their own change-of-ownership processes and timelines that must be sequenced before closing.
Telling staff or referrers early
Both react quickly to uncertainty, and caregivers and referrals leaving together can dismantle the very asset you are selling.
Accepting a platform's first offer
Regional acquirers are disciplined and price for themselves, often with earnouts tied to census you no longer control. Competition and structure review protect you.
Questions Owners Ask
Home Health or Home Care Agency owners ask us these first.
Straight answers, no hedging. If yours isn’t here, call us and ask it directly.
Licensed agencies commonly trade between roughly 3 and 6 times owner's discretionary earnings, and larger agencies are often valued on an EBITDA multiple that lands higher. Census growth, payer mix, certification and survey history, referral breadth, and management depth determine where you land. Only a certified independent valuation survives a lender's underwriting.
Licensure, Medicare or Medicaid certification, and provider enrollment generally require a change-of-ownership process rather than a simple transfer, and those timelines shape the closing schedule. Confirm requirements with your own healthcare counsel.
Substantially. Rates, collection speed, and regulatory exposure differ by payer, and some buyers will only pursue specific mixes. Documented margin by payer is one of the most persuasive things you can put in front of a buyer.
Often yes, particularly where referral concentration exists. How census is measured, over what period, and what role you play during it deserve as much attention as the headline number.
Qualified buyers can access SBA 7(a) financing up to $5 million, and larger transactions move to conventional or private-capital structures. All require clean, reconciled financials, compliant documentation, and a defensible independent valuation. SBA pre-qualification is a preliminary, non-binding lender assessment, not a loan commitment.
No. We are brokers, not attorneys, accountants, or healthcare compliance advisors. Confirm licensure, billing, and change-of-ownership obligations with your own counsel.
Where we work
Home Health or Home Care Agency owners we represent across El Paso, West Texas, and southern New Mexico
Whether your home health or home care agency sits on the east side, downtown, out in the valley, or across the state line in Doña Ana County, the sale process is the same: verified financials, an independent certified valuation, and a confidential, competitive market of qualified buyers. We meet owners at a time and place of their choosing.
- El Paso
- West El Paso & Upper Valley
- East El Paso
- Northeast El Paso
- Central & Downtown
- Horizon City
- Socorro
- San Elizario
- Clint & Fabens
- Canutillo
- Anthony, TX & NM
- Fort Bliss corridor
- Las Cruces, NM
- Sunland Park, NM
- Doña Ana County
- Alamogordo & Deming, NM
- Van Horn & Fort Hancock
- Midland & Odessa
Home Health or Home Care Agency Owners · Confidential
Find out what your agency is actually worth.
One confidential conversation with a partner — not a coordinator. We will tell you where your numbers put you today, what would move the multiple, and whether now is your moment.
- Confidential — nothing is shared or listed without your written consent.
- A reply within one business day, usually the same afternoon.
- No fee, no obligation, and no pressure for the first conversation.