Sell Your Home Care Agency in Nebraska
Who is buying home care agencies in Nebraska
We haven't found a home care agency in Nebraska owned by these platforms yet. That doesn't mean there isn't one: many acquisitions are never announced, and the company usually keeps its own name. The platforms below are the largest groups consolidating home care agencies in the US, with each one's headquarters and scale.
| Platform | Owner / backer | Type | Headquarters | Scale | |
|---|---|---|---|---|---|
| Help at Home | Centerbridge Partners and The Vistria Group (Wellspring Capital stayed on as a minority investor at the 2020 close) | Private equity | Chicago, IL | More than 150 community hub locations across 11 states, serving 60,000 clients with more than 50,000 caregivers (as of Jan 2026, per company boilerplate) | Source ↗ |
| Addus HomeCare | Public company (Nasdaq: ADUS) | Strategic / public | Frisco, TX | About 62,500 consumers through 264 locations across 24 states (Sep 2026) | Source ↗ |
| TEAM Services Group | General Atlantic (bought from Alpine Investors; closed early Apr 2026) | Private equity | San Diego, CA | Operates in all 50 states and employs 100,000 caregivers and household staff | Source ↗ |
| Amivie (formerly Community Based Care) | Martis Capital | Private equity | Research Triangle Park, NC | Home and community-based services across six states, with more than 8,100 employees and 18 locations in Ohio (Oct 2025) | Source ↗ |
| Care Advantage | Searchlight Capital Partners (majority stake, bought from BelHealth Investment Partners in 2021) | Private equity | Richmond, VA | Over 30 office locations in Virginia, North Carolina, Maryland, Delaware, South Carolina and Washington D.C. (May 2026) | Source ↗ |
| HouseWorks | InTandem Capital Partners (since Dec 2022) | Private equity | Woburn, MA | Clients across Maine, New Hampshire, Massachusetts, Connecticut, Rhode Island, Pennsylvania and New York; 12 acquisitions since Dec 2022 (Mar 2026) | Source ↗ |
| Avid Health at Home | Havencrest Capital Management | Private equity | Chicago, IL | Illinois, Kentucky, Michigan, North Carolina and Ohio; eight tuck-in acquisitions as of Jul 2026 | Source ↗ |
| Choice Health at Home | Coltala Holdings and Trive Capital | Private equity | Tyler, TX | Not disclosed | Source ↗ |
| Altocare (Senior Helpers and MedTec Healthcare) | Waud Capital Partners | Private equity | Dallas, TX | Senior Helpers: more than 380 franchised and corporate-owned locations in 44 states, Canada and Australia (Mar 2024) | Source ↗ |
| Active Day | Audax Private Equity (since Dec 2015) | Private equity | Trevose, PA | 100 centers across 10 states (Dec 2025) | Source ↗ |
| Family Resource Home Care | Great Point Partners (investment partnership since 2020) | Private equity | Liberty Lake, WA | Over 35 locations across Washington, Oregon, Idaho and Colorado (Feb 2025) | Source ↗ |
| PurposeCare | Lorient Capital (since Dec 2021) | Private equity | Indianapolis, IN | More than 3,000 clients a month (Mar 2026); operations in Illinois, Michigan, Indiana and Ohio | Source ↗ |
| Dovida | Ardian (majority stake in Horizon Home Care Group AG; agreement signed Jul 2025) | Private equity | Rheinfelden, Switzerland | U.S.: A Place At Home franchise network, about 55 locations across 27 states (per Mertz Taggart) | Source ↗ |
| Cornerstone Caregiving | Warburg Pincus | Private equity | Waco, TX | 430+ locations in 40+ states (company site) | Source ↗ |
| Freedom Senior Services | Gemspring Capital | Private equity | Louisville, KY | Kentucky, Ohio, Pennsylvania, Indiana and Tennessee; about 3,000 workers serving slightly under 3,000 clients (Jun 2026) | Source ↗ |
| Elder Care Homecare | Rallyday Partners | Private equity | Scarsdale, NY | Serves New York, New Jersey, Connecticut and Massachusetts | Source ↗ |
Ownership verified October 6, 2026. See every platform's recent deals in the Home Care roll-up tracker →
How many elder and disability services businesses are in Nebraska
The Census Bureau counted 252 elder and disability services businesses in Nebraska in 2023, ranking 37th of 50 states. 36% had fewer than five employees and 64% had fewer than 20. 44 had 50 or more.
| Employees | Establishments | Share |
|---|---|---|
| Fewer than 5 | 90 | 36% |
| 5 to 9 | 37 | 15% |
| 10 to 19 | 34 | 13% |
| 20 to 49 | 47 | 19% |
| 50 or more | 44 | 17% |
This Census category (NAICS 624120, services for the elderly and persons with disabilities) includes non-medical home care alongside adult day programs and similar services, so it is wider than home care alone.
Source: U.S. Census Bureau, County Business Patterns 2023 ↗ (NAICS 624120). An establishment is a single physical location, so an owner with three locations counts three times.
What a home care agency in Nebraska is worth
Home care agencies typically sell for 3x-8x EBITDA, or 2.2x-3.6x SDE for smaller owner-operated home care agencies, with most deals in the $0.7M median sale (BizBuySell home health care businesses, 2021–2025); disclosed Addus add-ons $7.4M–$21.3M (2025) range. These are published industry ranges from Scope Research, FOCUS Investment Banking and others, not an appraisal of your agency.
What buyers pay more for
- +Private-pay dominant client mix
- +High caregiver retention
- +Recurring hours and scheduling efficiency
- +Strong management team and clean financial reporting
What buyers discount
- -Medicaid rate and state-specific exposure
- -Caregiver supply constraints
- -Billing and compliance exposure
- -Weak documentation and financial reporting
How selling through DealSeam works
A confidential conversation
We learn about your agency and what you want from a sale. Nothing is listed publicly.
Introductions where there is a fit
Where a qualified buyer fits your agency, we introduce you, and only after you approve it.
You decide
You choose whether to go further, on your own timeline. Sellers pay nothing; the buyer pays our fee if a deal closes.
Selling a home care agency in Nebraska: common questions
How much is a home care agency in Nebraska worth?
Home care agencies typically sell for 3x-8x EBITDA, or 2.2x-3.6x SDE for smaller owner-operated home care agencies, with most deals in the $0.7M median sale (BizBuySell home health care businesses, 2021–2025); disclosed Addus add-ons $7.4M–$21.3M (2025) range. Buyers tend to pay more for private-pay dominant client mix, high caregiver retention, recurring hours and scheduling efficiency and strong management team and clean financial reporting, and less where they see medicaid rate and state-specific exposure, caregiver supply constraints, billing and compliance exposure and weak documentation and financial reporting. These are industry-wide ranges from Scope Research, FOCUS Investment Banking and others, not an appraisal of your agency.
Who is buying home care agencies in Nebraska?
Nationally, the largest groups consolidating home care agencies include Help at Home (Centerbridge Partners and The Vistria Group), Addus HomeCare (Public company) and TEAM Services Group (General Atlantic); 15 of the 16 platforms we track are private-equity-backed.
How many elder and disability services businesses are there in Nebraska?
The Census Bureau's County Business Patterns counted 252 elder and disability services businesses in Nebraska in 2023, ranking 37th of 50 states. 36% had fewer than five employees, 64% had fewer than 20, and 44 had 50 or more. This Census category (NAICS 624120, services for the elderly and persons with disabilities) includes non-medical home care alongside adult day programs and similar services, so it is wider than home care alone.
Does it cost anything to sell through DealSeam?
No. Sellers pay nothing. When a deal closes, the buyer pays DealSeam's fee. There is no listing fee and no retainer.
Will my employees or customers find out I'm thinking about selling?
No. Nothing is listed publicly, and your details go to a buyer only after you approve that introduction.
Selling another kind of business in Nebraska?
Selling a home care agency in another state?
Thinking about selling your home care agency?
DealSeam works confidentially with owners to understand their options and, where there's a fit, introduces them to qualified buyers, at no cost to sellers.
Talk to us about your Nebraska agency
Tell us how to reach you and we'll start a confidential, no-obligation conversation.
Sources
Valuation multiples are published ranges from Scope Research, Home Health Valuation Multiples and M&A Trends 2026 (Jun 18, 2026; updated Aug 24), FOCUS Investment Banking, Home Health and Hospice EBITDA Multiples 2026 Report (Apr 30, 2026) and BizBuySell, Home Health Care Business Valuation Benchmarks (sold businesses 2021–2025). Establishment counts are from the U.S. Census Bureau, County Business Patterns 2023 (NAICS 624120). Platform ownership comes from each platform's own or press sources, verified October 6, 2026. Named acquisitions are the deals we have recorded from public announcements, each linked to its source; they are not every deal in the state. Ownership in this sector changes often. None of this is investment, legal or tax advice.