HOME CARE & HOME HEALTH | SECTOR BRIEF
THE INVESTMENT PERSPECTIVE
People at the center. Continuity in the plan.
We seek licensed Texas home care and home health agencies with dependable care teams, diversified referral sources, and a disciplined approach to operations.
Home care & home health
TEXAS / INDEPENDENT SPONSOR
Annual EBITDA
Geographic focus
To 100% ownership
HOW THE BUSINESS CREATES VALUE
01
Referral relationships
02
Care delivery
03
Continuity of service
ACQUISITION FIT
What we look for.
- Licensed agencies providing personal care or skilled home health
- Caregiver retention, diversified referrals, and a balanced payer mix
- Clean documentation and room for thoughtful service expansion
THE OWNER’S PERSPECTIVE
More than a transaction.
Caregiver relationships, clinical leadership, patient continuity, and operational requirements shape the discussion from the outset.
Tell us what matters to you: the role you want after closing, your team, your customers, and the next chapter for the business.
QUESTIONS FROM OWNERS
Start with the right conversation.
How do you approach continuity of care?
We discuss the people, processes, and leadership that support service continuity. Staffing, licensing, documentation, and the transition plan are reviewed during diligence rather than assumed.
Do I need to be ready to sell immediately?
No. An initial conversation can explore fit, your priorities, and the timing you have in mind. Detailed information can follow under appropriate confidentiality arrangements.
How do you approach an offer and ownership transition?
For businesses that fit our criteria, we aim to provide an initial offer within 10 business days of receiving the information needed for our review. Timing, terms, financing, and any ongoing owner involvement depend on diligence and agreement between the parties.
Explore the sector research & market context
Demographic tailwinds and fragmentation converging in the strongest home care seller’s market on record
10.2%non-medical home care market CAGR, 2026–2033 | 80%+of home care agencies generate under $3M in revenue | 5x–10x+EBITDA multiples, hospice through multi-service platforms |
MARKET TRENDS
- Demand is structurally underpinned by demographics: the 60+ population share is projected to nearly double from 12% to 22% by 2050, and adults 85+ will reach 6% of the U.S. population by 2040.
- Roughly 75% of adults over 50 prefer aging in place, and average lifetime long-term care costs approach $120,900 per person, pushing demand from costly institutional settings into the home.
- Deal activity hit its highest level since 2021 in late 2025 on improved financing and available PE capital, even as buyers tighten underwriting: EBITDA add-backs have compressed from roughly 20% to 12–15% amid greater focus on documentation and payor mix.
GREATER AUSTIN & TEXAS MARKET LENS
- Austin is aging faster than most peer metros: median age rose from 31 in 2010 to nearly 35 in 2023, and residents 65+ are now the city’s fastest-growing age group.
- Regionally, the 65+ share of the 5-county Austin metro is projected to grow from 13% today to 22.4% by 2060, adding 500,000+ seniors, one of the steepest senior-population trajectories among major Texas metros.
- Licensing runs through the Texas Health and Human Services Commission (HHSC), which regulates Home and Community Support Services Agencies (HCSSAs) statewide, and the same regulatory framework and consolidation dynamics seen nationally apply across Texas.
Metro-level deal and business-count data are not published for this sector by KPMG, Deloitte, or national trackers; figures above reflect Austin-area and Texas statewide sources, cited below.
INVESTMENT HIGHLIGHTS
- Non-discretionary, demographically-driven demand with a multi-decade runway.
- Highly fragmented, family- and founder-owned agency base supports disciplined buy-and-build.
- Private-pay and diversified payor mix (versus Medicaid-heavy models) support stronger margins and valuation.
ACQUISITION TARGET PROFILE
- Licensed home care/home health agencies with $500K–$3M EBITDA
- 30%+ private-pay revenue mix as a meaningful differentiator
- Caregiver retention above 75%, diversified referral sources, and clean documentation
- Room for service-line expansion (personal care, skilled home health, hospice)
Sources: Coherent Market Insights / Grand View Research Non-Medical Home Care Market Reports; Arnall Golden Gregory 2026 Home Health & Hospice M&A Outlook; Hendon Partners Home Care EBITDA Multiples 2026 Report; Austin Free Press; Opportunity Austin; Texas HHSC.
WHY HOME CARE AND HOME HEALTH DEMAND KEEPS COMPOUNDING
The demand curve behind home care and home health is one of the most reliable in American business: it is demographic, not cyclical. As the 60-plus population share heads toward 22% by 2050 and the 85-plus cohort keeps growing, the preference for aging in place; roughly three-quarters of adults over 50; converts directly into demand for home-based care. Average lifetime long-term care costs near $121,000 per person only accelerate the shift, pushing families toward home care and home health services long before facility-based options enter the picture.
That demand lands in a market built for consolidation. More than 80% of agencies operate under $3 million in revenue, most of them family- or founder-owned, and buyers are paying 5x to 10x-plus EBITDA for platforms with the right characteristics. The operators commanding premiums share a profile: meaningful private-pay mix, caregiver retention above 75%, diversified referral sources, and documentation clean enough to survive tightening underwriting. In what many call the strongest home care seller’s market on record, those agencies aren’t just attractive; they’re scarce.
WHAT TRIDENT RIDGE CAPITAL BRINGS TO HOME CARE & HOME HEALTH PARTNERSHIPS
We invest behind operators, not spreadsheets. Our investment criteria favor licensed home care and home health agencies with $500K–$3M in EBITDA and room to expand across service lines; personal care today, skilled home health or hospice tomorrow. If you’re a founder weighing succession, or an intermediary with a mandate in the space, contact our team: we move quickly, we prioritize continuity in management, and we understand that in this sector, the caregivers are the business.
LET’S TALK ABOUT WHAT COMES NEXT
Your business. Your next chapter.
Start with your industry, location, approximate revenue and EBITDA, and your preferred timing.
CONTACT
team@tridentridgecapital.com
Austin, TX
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CREATING ENDURING VALUE.
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