Medicaid Certified Nurse Registry, Florida In-Home Care

Full Editorial Writeup

This is a Florida-based Medicaid certified nurse registry providing in-home care across AHCA licensed Region 3 (16 counties including Alachua, Marion, Lake, and Sumter) plus newly added Region 5 (Pasco and Pinellas). The company deploys 75 to 100 healthcare professionals including RNs, LPNs, CNAs, and HHAs, with a primary focus on the permanently disabled population and secondary service to the geriatric community. Care is delivered in clients' homes as well as hospitals, nursing homes, and assisted living facilities, with most work being non-skilled personal care and some private duty nursing in the mix.

At roughly $3.57M in revenue and $892K in cash flow, this business runs a healthy 25 percent owner-earnings margin, which is strong for a staffing-heavy home care model. The nurse registry structure is meaningful: registries typically classify caregivers as independent contractors rather than W-2 employees, which lowers payroll tax and benefit burden and helps explain the margin. The Medicaid certification and AHCA licensure in a defined multi-county region create a real regulatory moat that is slow and costly for a new entrant to replicate.

The demand backdrop is about as durable as it gets. In-home care for permanently disabled and geriatric populations is funded largely by Medicaid and does not get cut in a recession, and Florida's aging demographics give this a long runway. The listing explicitly notes the business is positioned for geographic expansion, with Region 5 already added, which is the clearest growth lever on the table.