Private-Pay Home Care Agency, Greater Boston, Founded 2014

Full Editorial Writeup

This is a non-medical, private-pay home care agency built around the Greater Boston market since 2014. It delivers in-home personal care and companionship to seniors who want to age at home, covering daily living assistance, personal hygiene, medication reminders, meal prep, housekeeping, transportation, and fall prevention. The business also supports families through hospice, palliative, and respite situations, which broadens its service mix beyond routine companion care.

What sets it apart from a standard home care shop is the second channel: it staffs caregivers inside nursing homes, assisted living communities, and hospitals. That facility-placement business diversifies both referral sources and revenue, giving the agency a steadier pipeline than agencies that rely purely on family word-of-mouth. With 70 full-time employees and roughly $7.1M in revenue, this is a meaningful operation, not a startup.

At $5M asking against $1.2M of EBITDA, the deal prices at about 4.2x. That is a reasonable number for a private-pay (non-Medicaid) agency in one of the strongest, most affluent aging markets in the country. Private-pay matters here: no reimbursement risk, no government rate cuts, and generally healthier margins than MassHealth-dependent peers like the $20M licensed agency in the same county.