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A Comprehensive Guide to Purchasing a Home Health Agency

Updated: Aug 5, 2025

At Soriaga & Associates, LLC, we are accountants who specialize in serving home health agencies, hospice providers, home care businesses, and wound care practices. We provide financial guidance, compliance support, and business consulting tailored specifically to the healthcare industry. Our goal is to empower medical professionals like you to thrive in your business endeavors.


1. Ensure Proper Licensing and Medicare/Medicaid Certification


Before purchasing, it is essential to confirm that the agency has:


  • State-issued home health care licenses

  • Medicare and Medicaid certifications

  • Accreditations (ACHC, CHAP)


Compliance is crucial for ongoing operations. We help you review these requirements to ensure you're starting on the right foot.


2. Evaluate the Agency’s Financial Health


A deep dive into the financials is crucial for making an informed decision. Review the following documents:


  • Tax returns (minimum of 3 years)

  • Profit & Loss statements

  • Balance sheets

  • Accounts receivable

  • Payroll records


We specialize in assisting healthcare professionals in assessing these financials to avoid costly surprises down the road.


3. Analyze Client Base and Referral Sources


Ask the right questions to gauge the agency's stability:


  • How many active patients are currently being served?

  • Are referrals diversified across different sources?

  • Does the agency cater to hospice, home care, wound care, or specialty populations?


We help you evaluate referral pipelines to ensure revenue stability and growth potential.


4. Assess Staff and Compliance


A strong team is vital for success. Review the following aspects:


  • Employee licenses and turnover rates

  • Staff training programs

  • Compliance with Medicare billing and OASIS documentation


We guide you through identifying staffing risks and compliance gaps that could affect your business.


5. Review Technology, EMR, and Billing Systems


Modern systems can significantly reduce errors and boost efficiency. Outdated technology can hurt operations and finances. We advise on best practices for implementing effective systems.


6. Check Reputation and Online Presence


Look for indicators of the agency's reputation:


  • Online reviews and ratings

  • CMS Star Ratings

  • Community engagement and involvement


A good reputation fuels growth. We help position your agency for success by enhancing its online presence.


7. Conduct Legal and Contract Review


Have professionals review the following:


  • Existing contracts

  • Any potential lawsuits

  • Corporate structure and compliance


We provide comprehensive financial and compliance reviews to safeguard your investment.


8. Determine Business Valuation and Deal Structure


Ensure the deal is fair and beneficial. Consider the following factors:


  • EBITDA (Earnings Before Interest, Taxes, Depreciation, and Amortization)

  • Asset vs. stock purchase options

  • Working capital needs


We help you structure the transaction to protect your financial future and ensure a smooth transition.


9. Plan for Post-Acquisition Success


After the purchase, you’ll need to focus on:


  • Smooth payroll and bookkeeping processes

  • Compliance systems to meet regulatory requirements

  • Ongoing financial monitoring and reporting


We offer ongoing accounting, payroll, and consulting services tailored to healthcare businesses to ensure your success.


Why Choose Soriaga & Associates, LLC?


We specialize in accounting and business consulting for:


  • Home health agencies

  • Hospice providers

  • Home care businesses

  • Wound care practices


With our expert guidance, you can focus on patient care while we handle the financial side of your operations.


Conclusion: Take the Next Step


If you're considering buying a home health, hospice, home care, or wound care agency, contact Soriaga & Associates, LLC for a free consultation. Let us help you succeed in your new venture. Our expertise will ensure that you are well-prepared for the challenges and opportunities that lie ahead.


For more information, visit Soriaga & Associates, LLC.

 
 
 

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