Sell Your Home Health Agency in Montana
Who is buying home health agencies in Montana
We haven't found a home health agency in Montana 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 health agencies in the US, with each one's headquarters and scale.
| Platform | Owner / backer | Type | Headquarters | Scale | |
|---|---|---|---|---|---|
| Amedisys (with LHC Group) / Optum | UnitedHealth Group (Optum) | Strategic / public | Baton Rouge, LA | Amedisys: over 340 home health and over 160 hospice locations in 38 states and D.C.; LHC: over 530 home health and over 120 hospice locations (DOJ figures, before the 164 required divestitures) | Source ↗ |
| Enhabit Home Health & Hospice | Kinderhook Industries | Private equity | Dallas, TX | 251 home health locations and 117 hospice locations across 35 states | Source ↗ |
| Elara Caring | Ares Private Equity Group (majority); DaVita (non-controlling minority) | Private equity | Dallas, TX | 200 locations in 18 states, serving over 60,000 patients daily | Source ↗ |
| BrightSpring Health Services (Adoration Home Health) | Public (Nasdaq: BTSG) | Strategic / public | Louisville, KY | Whole-company footprint not stated in the sources I read; bought 107 of 110 former Amedisys/LHC home health and hospice branches in 18 states | Source ↗ |
| The Pennant Group | Public (Nasdaq: PNTG) | Strategic / public | Eagle, ID | Home health, hospice and home care agencies and senior living communities in 17 states | Source ↗ |
| Compassus | TowerBrook Capital Partners and Ascension Health Alliance | Private equity | Nashville, TN | 270 locations nationwide; care in 30 states | Source ↗ |
| VitalCaring Group | The Vistria Group and Nautic Partners | Private equity | Dallas, TX | 89 home health locations and 40 hospice locations (after the Carter Healthcare deal) | Source ↗ |
| Choice Health at Home | Coltala Holdings and Trive Capital | Private equity | Tyler, TX | Count not disclosed; serves Texas, Oklahoma, Kansas, Arizona, Colorado, Utah and Nevada | Source ↗ |
| Interim HealthCare | Caring Brands International (acquired by Wellspring Capital Management, Oct 2021) | Franchisor | Sunrise, FL | 294 US units (98% franchised) | Source ↗ |
| PruittHealth | Pruitt family (family-owned) | Strategic / family-owned | Norcross, GA | 15 home health offices in Georgia; more than 190 locations overall | Source ↗ |
| LiveWell Partners | Encore Management Group (BPEA also lists LiveWell as a current portfolio investment) | Private equity | St. Louis, MO | Operations in Illinois, Kansas, Michigan, Missouri and Ohio | Source ↗ |
| Graham Healthcare Group (Residential Home Health & Hospice) | Graham Holdings Company (NYSE: GHC) | Strategic / public | Troy, MI | 7 states (Florida, Illinois, Kansas, Michigan, Missouri, Ohio, Pennsylvania) | Source ↗ |
| Superior Health Holdings | Renovus Capital Partners | Private equity | Baton Rouge, LA | Home health and hospice across much of southern Louisiana and northwest Louisiana; entered Oklahoma (11 counties) in 2026 | Source ↗ |
| Frontpoint Health | Cimarron Healthcare Capital and Tacoma Holdings | Private equity | Dallas, TX | Home health and hospice across 176 counties in Texas | Source ↗ |
| PurposeCare | Lorient Capital | Private equity | Indianapolis, IN | Not disclosed | Source ↗ |
| Sacred Heart Health Care (Faith Home Health & Hospice, Freudenthal) | Creach Family Holdings | Private equity | Kansas City, MO | Home health and hospice in Missouri, Kansas and Iowa | Source ↗ |
| Alternate Solutions Health Network (ASHN) | Founders David and Tessie Ganzsarto (no outside investor found) | Strategic / family-owned | Kettering, OH | Not disclosed | Source ↗ |
Ownership verified October 6, 2026. See every platform's recent deals in the Home Health roll-up tracker →
How many home health care businesses are in Montana
The Census Bureau counted 102 home health care businesses in Montana in 2023, ranking 44th of 50 states. 42% had fewer than five employees and 73% had fewer than 20. 14 had 50 or more.
| Employees | Establishments | Share |
|---|---|---|
| Fewer than 5 | 43 | 42% |
| 5 to 9 | 12 | 12% |
| 10 to 19 | 19 | 19% |
| 20 to 49 | 14 | 14% |
| 50 or more | 14 | 14% |
Source: U.S. Census Bureau, County Business Patterns 2023 ↗ (NAICS 621610). An establishment is a single physical location, so an owner with three locations counts three times.
What a home health agency in Montana is worth
Home health agencies typically sell for 4.5x-8.5x EBITDA, or 2.5x-5.5x SDE for smaller owner-operated home health agencies, with most deals in the $500K - $8M range. These are industry-wide benchmarks, reviewed July 2026, not an appraisal of your agency.
What buyers pay more for
- +Medicare certification
- +Referral relationships
- +Nursing staff depth
- +Geographic coverage
What buyers discount
- -Single payer concentration
- -Compliance issues
- -Staff turnover
- -Limited geographic reach
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 health agency in Montana: common questions
How much is a home health agency in Montana worth?
Home health agencies typically sell for 4.5x-8.5x EBITDA, or 2.5x-5.5x SDE for smaller owner-operated home health agencies, with most deals in the $500K - $8M range. Buyers tend to pay more for medicare certification, referral relationships, nursing staff depth and geographic coverage, and less where they see single payer concentration, compliance issues, staff turnover and limited geographic reach. These are industry-wide ranges, not an appraisal of your agency.
Who is buying home health agencies in Montana?
Nationally, the largest groups consolidating home health agencies include Amedisys / Optum (UnitedHealth Group), Enhabit Home Health & Hospice (Kinderhook Industries) and Elara Caring (Ares Private Equity Group); 10 of the 17 platforms we track are private-equity-backed.
How many home health care businesses are there in Montana?
The Census Bureau's County Business Patterns counted 102 home health care businesses in Montana in 2023, ranking 44th of 50 states. 42% had fewer than five employees, 73% had fewer than 20, and 14 had 50 or more.
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 Montana?
Selling a home health agency in another state?
Thinking about selling your home health 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 Montana agency
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Sources
Valuation multiples are DealSeam's industry benchmarks, reviewed July 2026. Establishment counts are from the U.S. Census Bureau, County Business Patterns 2023 (NAICS 621610). 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.