Selling Your Home Health Care Business in Miami: A Comprehensive Guide
Miami’s home health market is booming—fueled by a large senior population across Miami Beach, Coral Gables, Kendall, Hialeah, and beyond, plus growing demand for in‑home, patient‑centered care. If you’re considering a sale—retirement, a new venture, or simply taking advantage of strong valuations—this guide distills what matters most in Miami‑Dade so you can exit smoothly and confidently.
Below you’ll find practical guidance on timing, valuation, preparation, buyer sourcing, Florida CHOW steps, and transition planning—tailored to the realities of selling a home health agency in Miami.
Why Sell in Miami Now?
Miami remains one of Florida’s most active home health markets. Sellers benefit from:
- Demographic Tailwinds: High concentration of adults 65+ and snowbird inflows support steady demand.
- Buyer Appetite: Private equity platforms and multi‑location operators are expanding across Miami‑Dade.
- Operational Pressures: Wage inflation, staffing competition, and compliance complexity prompt some owners to exit to scaled buyers.
- Owner Timing: Lifestyle changes, health, or portfolio rebalancing.
Agencies with clean surveys, strong outcomes, stable referral sources, and diversified payer mix consistently draw premium interest.
Valuing a Miami Home Health Agency
Typical ranges run about 2–4× earnings (SDE/EBITDA), with premiums for growth, quality metrics, and infrastructure. A Miami agency with $2–5M revenue might command mid‑six to low‑seven figures depending on profitability, payer mix, and trends.
- Financials: Three years of clean, accrual‑basis statements (Medicare, Medicaid, managed care, private pay).
- Clinical & Ops: Census stability, utilization, readmission rates, CMS star ratings, QAPI program.
- Assets & Contracts: EMR, leases, equipment, and assignable agreements.
- Market Position: Density in high‑demand neighborhoods and durable referral pipelines.
Pro tip: Healthcare M&A appraisers familiar with Miami‑Dade can benchmark against local comps and recent deals.
6–12 Month Prep Checklist (Miami‑Focused)
- Compliance: Ensure AHCA licensing is current; clear any survey findings. Plan timelines around Florida’s Change of Ownership (CHOW).
- Financial Cleanup: Normalize add‑backs, reconcile payers, resolve audits; avoid “Ask My Accountant” balances.
- Clinical Quality: Document policies, credentialing, in‑services; maintain outcomes reporting.
- Team & Staffing: Retain nurses, therapists, and schedulers; document coverage plans.
- Brand & Community: Highlight bilingual capabilities and cultural competency central to Miami care.
- Risk Review: Address litigation, lease obligations, and compliance gaps early.
Finding the Right Buyer
- Strategic Buyers: Larger agencies growing share in Miami‑Dade.
- Financial Buyers: PE platforms adding density and clinical programs.
- Experienced Operators: Local entrepreneurs with payer relationships.
Go‑to‑market: Use healthcare brokers for confidential listings, target qualified acquirers, attend HCAF/Miami Chamber events, and enforce NDAs to protect staff and referrals.
Florida Legal & CHOW Essentials
- CHOW Timing: File ~60 days pre‑close; expect Level 2 background checks and potential site reviews.
- Provider Numbers: Plan for Medicare/Medicaid transitions; selling to a licensed Miami‑Dade operator often compresses timelines.
- Contracts & HIPAA: Confirm assignability, BAAs, and patient notification obligations; engage healthcare counsel.
- Deal Structure & Tax: Asset vs. stock sale impacts speed, liabilities, and tax; Florida has no state income tax.
Post‑Close Transition
- Owner Support: 30–60 days of training/consulting stabilizes operations and patient relationships.
- Retention: Stay bonuses for key clinical staff reduce churn.
- Patient Communication: Clear, compassionate notices emphasizing continuity of care.
Why Home Healthy Stands Out in Miami
Joint Commission‑accredited and Miami‑rooted, Home Healthy reflects the quality buyers seek: strong outcomes, cultural competence, and dependable operations. We actively acquire agencies that align with our standards.
Contact our team to discuss a confidential valuation and potential fit. Call 305 403 2065 or email info@homehealthy.com.
Ready to Explore a Sale?
With solid preparation, realistic pricing, and a well‑managed CHOW, you can achieve a smooth, rewarding exit in Miami. We’re here to help.
