Post-Acute Healthcare Advisory Firm, 20-Year Compliance & Revenue Cycle Consultancy

Full Editorial Writeup

This is a healthcare consulting firm built around operational and compliance support for post-acute care providers: skilled nursing facilities, assisted living, home health agencies, hospice providers, rehab centers, and continuing care retirement communities across the US. The core work is advisory: helping care teams navigate regulatory guidance, improve clinical performance, and optimize revenue cycle. Over a 20-plus year operating history the firm has embedded itself deeply into client operations, which is exactly what you want to see in a services business that lives or dies on retention.

The financial profile is genuinely attractive for a consulting shop. Gross profit margins averaged 44.7% and adjusted EBITDA margins 34.1% from 2023 to 2025, and on roughly $3.78M of revenue the business threw off about $1.01M of EBITDA. More importantly, over 95% of annual revenue is recurring, structured through evergreen agreements with monthly billing. That is not typical for consulting, which usually reads as lumpy project work; here the revenue behaves more like a subscription book tied to ongoing regulatory and revenue cycle needs.

The firm operates from two small facilities in the Northeast and Southeast US, neither of which is included in the sale. Ownership is two partners on a 99/1 split, both seeking a full exit, with the majority owner willing to stay on temporarily to hand over relationships. The stated growth paths are logical extensions of the existing base: deepen legal-adjacent referral channels, expand the Southeast footprint, build in-house medical billing and coding to reclaim margin currently paid to third parties, and lean into M&A diligence work as post-acute consolidation continues.