Semi-Absentee Healthcare Business w/ Real Estate & Medicaid Contracts

Description

Rare opportunity to acquire a well established residential healthcare business with owned real estate assets, recurring Medicaid revenue, and a strong reputation for quality care in Southern Iowa. Operating for more than 14 years, this mission driven company is supported by an experienced team and offers a combination of stable cash flow and meaningful community impact.Established in 2012, the business provides residential and home based habilitation services for adults with intellectual and physical disabilities through Iowa Medicaid waiver programs. Operations are conducted across multiple fully ADA compliant residential properties and an administrative office, all included in the sale. The company is recognized for strong operational performance and has consistently achieved the State of Iowa three year certification cycle.Financial HighlightsAnnual Revenue: $1.14MSeller’s Discretionary Earnings (SDE): $577KSDE Margin: 50.5%Three Year Revenue Growth: 38.8%Operational OverviewServices include 24 hour supervised residential care and community based support focused on daily living assistance, medication management, transportation coordination, behavioral support, and habilitation programs. The operation is supported by dedicated house managers, regional oversight, office administration, and established internal documentation systems.A key strength of the business is its mature operational infrastructure. Policies, procedures, employee training systems, and internal standards have been developed over more than a decade, creating a strong operational advantage. Compliance and documentation processes are well established with structured medication management protocols.The business currently operates below historical peak levels following reduced scale during the COVID period, creating opportunities for future growth. At peak operations the company managed six residential homes with approximately 40 employees. Demand remains strong with consistent referrals from hospitals, case managers, and government agencies.Growth OpportunitiesExpand residential capacity through additional homesAdd nursing and home health servicesIntroduce therapy services and additional Medicaid supported programsGrow community based independent living servicesExpand respite care offeringsIncrease growth through established referral channels without significant marketing investmentReason for SaleThe owner is pursuing family and lifestyle priorities after more than a decade of ownership and development. The business remains stable, respected, and positioned for continued growth under new ownership.