Virginia Medicare Home Health Agency, 2 PTANs and Hospice License, Hampton Roads VA

Full Editorial Writeup

This is a Medicare-certified home health agency serving the Hampton Roads region of southeastern Virginia, including Virginia Beach, Norfolk, Chesapeake, Portsmouth, Newport News, and surrounding communities. The agency is accredited by both ACHC and the Joint Commission and delivers a full clinical menu: skilled nursing (RN/LPN, wound care, psychiatric care, medication and IV therapy), physical, occupational and speech therapy, medical social services, and home health aides. Payer mix is Medicare with managed care through Humana and Anthem.

The headline asset here is not just the operating book but the regulatory infrastructure. The transaction includes 2 home health PTANs plus one hospice first license, and the agency sits outside the 36-month window that would otherwise force a buyer to re-enroll as a new provider. That matters enormously because CMS imposed a six-month nationwide moratorium on new home health Medicare enrollments effective May 13, 2026, which can be extended in six-month increments. In that environment, an established provider agreement that can be assigned via CHOW is scarce and defensible.

On the numbers, 2025 restated revenue was $2.417M with reported net income of $268,582 and $341,443 of documented adjustments bridging to $610,025 of adjusted earnings, a 25.2% margin. The seller reports 2026 tracking consistently with 2025. At $3.25M the deal is priced at 5.33x cash flow, a premium to typical small home health multiples that is being justified by the license package and the moratorium-driven scarcity of new entry.