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Hospice Valuation Multiples (2026)
EBITDA & revenue sale multiples, deal flow, and active acquirers - based on 78real disclosed M&A transactions in the hospice space. Run the calculator below to price your business at current multiples.
What multiple does a hospice sell for?
In the $5M-$25M EV range, a hospice sold at a median of 1.30x revenue (middle 50% of deals 0.80x-2.00x) across 11disclosed M&A transactions, 2018-2026, from SEC EDGAR filings and verified press releases. That is the population midpoint — your specific number depends on margins, growth, customer concentration, and owner-dependence.
Updated 2026-07-09 · 11 disclosed deals · source window 2018-2026
| Size bracket | Median EV/revenue | Typical range (IQR) | n |
|---|---|---|---|
| $5M-$25M EV | 1.30x | 0.80x-2.00x | 11 |
Aggregate population median for the size bracket - disclosed transactions only (SEC EDGAR + verified press releases), 2018-2026, n≥10 per cell. A precise figure for your business depends on margins, growth, customer concentration, and owner-dependence. See the full $5M-$25M EV breakdown →
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State of HospiceM&A in 2026
The hospice M&A market is tracked across 78 disclosed transactions in the ExitValue.ai database (56 with EBITDA disclosed, 66 with revenue). The current market trend is growing.
Active acquirers include Linden Capital Partners / CDPQ, The Pennant Group, Adoration Hospice Care, Martis Capital. Recent named transactions: Agape Care Group (2025); Signature Healthcare at Home (Hospice & Home Health) (2025); West Virginia Hospice (2025).
Premium valuations in hospice are driven by cms star rating 4+ with low survey-deficiency history (vitas / amedisys / compassus prefer these); average daily census above 200 with multi-county footprint (geographic density premium); diversified referral base (no single hospital or snf above 30% of admissions).
What compresses valuations: medicare cap-overage history (claw-back exposure priced into purchase price); length-of-stay trending below 60 days (negative selection on case-mix); single hospital referral source above 50% (concentration kills the buyer pool).
Source: SEC filings, EDGAR 8-K/S-4, and verified press releases. Run the calculator below to see the specific multiples that apply to your business.
Recent named M&A deals in hospice
Most-recent disclosed transactions. Click any deal for full detail (multiples, financials, source).
Sourced from SEC filings, EDGAR 8-K/S-4, and verified press releases.
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What drives a premium valuation
- ●CMS Star rating 4+ with low survey-deficiency history (VITAS / Amedisys / Compassus prefer these)
- ●Average daily census above 200 with multi-county footprint (geographic density premium)
- ●Diversified referral base (no single hospital or SNF above 30% of admissions)
What compresses valuation
- ●Medicare cap-overage history (claw-back exposure priced into purchase price)
- ●Length-of-stay trending below 60 days (negative selection on case-mix)
- ●Single hospital referral source above 50% (concentration kills the buyer pool)
Hospice valuation: common questions
What multiple does a hospice sell for?
In the $5M-$25M EV range, a hospice sold at a median of 1.30x revenue (middle 50% of deals 0.80x-2.00x) across 11 disclosed M&A transactions filed 2018-2026 (SEC EDGAR + verified press releases). That is the aggregate population midpoint for the size bracket; a precise figure for your specific business depends on margins, growth, customer concentration, and owner-dependence — run the ExitValue.ai hospice calculator for that.
How is a hospice business valued?
Hospice businesses are valued by benchmarking against comparable completed M&A transactions, then adjusting for the specific business. Owner-operator practices are typically priced on an earnings or seller-discretionary-earnings basis, while businesses at platform scale shift toward institutional earnings-multiple methodology. The ExitValue.ai engine selects the methodology that the comparable deal set actually used and adjusts for margin quality, growth, owner dependency, customer concentration, and recurring-revenue mix.
What drives hospice valuation?
The biggest value levers in hospice are recurring or repeat revenue, owner independence (the business runs without the founder), customer diversification (no single client dominates), a credible growth trajectory, and operating-margin quality relative to the vertical. In this space specifically, buyers pay up for cms star rating 4+ with low survey-deficiency history (vitas / amedisys / compassus prefer these); average daily census above 200 with multi-county footprint (geographic density premium); diversified referral base (no single hospital or snf above 30% of admissions).
How many hospice M&A deals are tracked?
ExitValue.ai tracks 78 disclosed hospice M&A transactions, 56 with EBITDA disclosed, 66 with revenue disclosed, sourced from SEC filings, EDGAR 8-K/S-4 documents, and verified press releases and refreshed daily. Current market trend: growing.
Who buys hospice businesses?
Hospice businesses are acquired by strategic acquirers (larger operators in the same space), and private-equity platforms and roll-up consolidators, and unknown. Recent named acquirers include Linden Capital Partners / CDPQ, The Pennant Group, Adoration Hospice Care, Martis Capital.
What is my hospice business worth?
Run the ExitValue.ai hospice calculator to see your business priced against the 78 disclosed hospice transactions in the database. The engine applies adjustments for margin, growth, owner dependency, customer concentration, and recurring revenue mix to produce a tight range around the most-likely transaction value.
More on hospice valuations
- Value a hospice· run the calculator
- Who buys hospice businesses?· active buyers
- Recent deal: Agape Care Group· comparable transaction
- Who acquired Agape Care Group?· buyer profile
- How to value a hospice· long-form guide
Methodology details: how ExitValue computes valuation ranges · full hospice calculator