Asking Price: $25M | Location: New York | Status: Active
A nurse-owned, tech-enabled LHCSA with $41.7M in revenue and $4.5M Adjusted EBITDA, anchored by New York’s fastest-growing waiver program and nearly four decades of community trust on Long Island.
The Opportunity
Montauk AI is representing an established Licensed Home Care Services Agency serving three No Need counties on Long Island: Nassau, Suffolk and Queens. Founded in 1986 and licensed since 2009, the agency is nurse-owned and nurse-managed, with a payor base that is 95.6% government-backed and 450+ patients served monthly.
The company is the rare LHCSA built on the NHTD/TBI waiver program, which now drives 53.7% of revenue. Downstate waiver rates run 21.6% above upstate peers on average, and NHTD participant census has grown 95% statewide since 2015 — a stable, recurring revenue base with a built-in growth engine.
Highlights
- Waiver-led payor mix: 53.7% NHTD/TBI waiver, 41.6% MLTC; downstate rates raised 13.5% to 30% effective 7/1/2025
- Workforce execution: 97% coverage across 10,000+ scheduled shifts; caregiver retention 10 points above industry average
- Tech-enabled operations: HHAeXchange hub-and-spoke model, 87% caregiver app adoption (4x industry), 98% visit completion
- Clean growth runway: revenue growing 10% annually with waiver, geographic and private-pay upside
- QofE completed in the last 3 months; full financial model and valuation materials available under NDA
- Featured in Yahoo Finance
Financial Summary
- 2025 Revenue: $41.7M+
- 2025 EBITDA: $4.5M+
- 2026E Revenue: $46.0M+
- 2026E EBITDA: $5.0M+
- 2027E Revenue: $50.8M+
- 2027E EBITDA: $5.5M+
This business is represented exclusively by Montauk AI, the investment bank focused solely on home care, home health, and hospice M&A. Request the full overview and NDA here or email Jbauer@montauk.ai.