3.0× The typical home health or senior care agency for sale in the US asks 3.0 times its yearly cash flow.
We read 498 home health and senior care agencies listed for sale on a major online marketplace and compared each asking price with the cash flow its seller reported.
The findings in eight sentences.
- The middle half of home health and senior care agencies ask between 2.0 and 4.0 times their yearly cash flow.
- Home health and senior care agencies ask more than the typical business for sale, which asks 2.6 times.
- The typical asking price for a home health or senior care agency is $462,000.
- Measured against revenue, the typical home health or senior care agency asks 0.7 times its yearly sales.
- 18% of home health and senior care agencies for sale offer seller financing, against 22% overall.
- 34% of owners who say why they're selling are moving on to other businesses or interests, and 31% are retiring.
- 34% of home health and senior care agencies for sale show no revenue, cash flow or EBITDA, against 18% overall.
- 16% of the home health and senior care agencies for sale are listed in California, 13% in Texas and 8% in Florida.
Of the health, beauty and fitness industries, home health and senior care agencies tie for the most, at 3.0 times.
Assisted living and care homes ask the least, 1.4 times their yearly cash flow.
- Home health and senior care agencies: median 3.0×, middle half from 2.0× to 4.0×
- Pharmacies: median 3.0×, middle half from 2.2× to 4.8×
- Gyms, fitness studios and spas: median 2.7×, middle half from 2.0× to 3.5×
- Medical practices: median 2.6×, middle half from 1.9× to 3.6×
- Hair salons and barbershops: median 2.0×, middle half from 1.4× to 3.0×
- Chiropractic practices: median 1.8×, middle half from 1.6× to 2.6×
- Nail salons and beauty studios: median 1.8×, middle half from 1.1× to 2.7×
- Assisted living and care homes: median 1.4×, middle half from 1.0× to 2.8×
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52% of home health and senior care agencies ask between two and four times their yearly cash flow.
25% ask less than two, and 23% more than four.
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Home health and senior care agencies ask 2.5 to 3.5 times at each size.
The typical ask is 3.5 times below $100,000 of yearly cash flow, 2.5 times at $100,000 to $250,000 and 3.4 times at $250,000 to $500,000.
- Under $100k: median 3.5×, middle half from 2.6× to 4.0×
- $100k to $250k: median 2.5×, middle half from 1.3× to 3.0×
- $250k to $500k: median 3.4×, middle half from 2.6× to 4.2×
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What a home health or senior care agency like yours would ask.
The middle half of similar listings ask
$267,000 to $644,000
The typical one asks $533,000, 2.5× its yearly cash flow.
Based on home health and senior care agencies with $100k to $250k of yearly cash flow. These are asking prices, not sale prices or appraisals.
After the close.
We write the software a newly bought business runs on, one process at a time, such as quoting, scheduling or billing, and the new owner keeps the code. How we work with buyers and operating partners.
The data.
We read the listings on September 24, 2026, and their full details from September 25 to 30, 2026.
Questions
What multiple of cash flow do home health and senior care agencies sell for?
Home health and senior care agencies listed for sale in the US ask a median 3.0 times their yearly cash flow (seller's discretionary earnings), and the middle half ask between 2.0 and 4.0 times. Sale prices usually come in lower.
How much does it cost to buy a home health or senior care agency?
The typical home health or senior care agency for sale asks $462,000, and the middle half ask between $260,000 and $1,400,000. Sale prices usually come in lower.
How many home health and senior care agencies for sale offer seller financing?
18% of home health and senior care agencies for sale offer seller financing, against 22% overall.
What multiple of revenue do home health and senior care agencies ask?
The typical home health or senior care agency for sale asks 0.7 times its yearly sales, and the middle half ask between 0.4 and 1.1 times.
Why are home health and senior care agencies for sale?
34% of owners who give a reason are moving on to other businesses or interests. 31% are retiring, and 11% are relocating.
How we did it
We read every listing on a major US online marketplace for businesses for sale on September 24, 2026, and went back to each one from September 25 to 30, 2026 for its full details. This page covers the 498 established home health and senior care agencies among them. 206 show both an asking price and a cash flow, and 200 of those are left after the exclusions below.
Older listings use a flat list of named categories, and newer ones a two-level list whose subcategories have no names. A listing without its own photo shows its category's default photo. Each default photo almost always shows up in a single newer subcategory, so each named category joins the subcategory where its photo appears.
A multiple is the asking price divided by the seller's discretionary earnings the listing reports. We left out multiples below 0.3 or above 20, and listings whose price includes the property. Prices and cash flows on this page come from the listings with a multiple. These are asking prices, and a business usually sells for less than it asks. The full method.
Cite this page
Fulkerson Advisors (2026). What home health and senior care agencies for sale ask. From What Small Businesses for Sale Ask: 39,587 US Listings, September 2026. https://www.fulkersonadvisors.com/research/small-business-multiples/home-health-care-agencies
Use any of these numbers or charts. Credit Fulkerson Advisors and link to this page. The data is under a CC BY 4.0 license.