BUYER REQUIREMENTS, PLEASE READ FIRST: Hands-on hospice operating experience (or a credible plan for experienced local leadership) and cash equivalent to the purchase price, less any approved seller financing, are required. All-cash offers receive preference.
The largest Medicare-certified hospice in the U.S. Virgin Islands, serving St. Croix, St. Thomas and St. John for 27 years in a Certificate of Need market. Census stands at 57 and the agency runs day-to-day under two RN directors, so a new owner steps into a stable team rather than a start-up.
What a buyer gets:
- A census of 57 today, averaging 52 to 56 patients every year from 2021 through 2025.
- Net patient revenue of $2,414,960 and seller discretionary earnings of about $664,028 for the twelve months to September 30, 2026.
- About $587,000 of adjusted EBITDA after funding a fulltime outreach role and leadership incentive pay.
- Past the 36month rule, so the Medicare certification transfers through an equity sale with no new enrollment.
- Almost no marketing to date (under $1,000 in twelve months), so referral outreach is untapped growth.
- About $130,000 a year of outsourced finance and HR that a larger operator can fold into shared services.
Deal terms: equity sale, cash-free and debt-free; 10 percent of the price held back for 12 months; $100,000 of current Medicare receivables delivered at close; seller financing up to $500,000, inclusive of the holdback, on acceptable terms. Pre-close Medicare cap liability stays with the seller.
Asking price: $2,250,000.
Financial figures are from accountant-prepared statements that have not been audited or reviewed. Qualified buyers authorize an NDA to receive the confidential information package.
An abundance of hands-on hospice operating experience is required.
Cash equivalent to the purchase price, less any approved seller financing, set aside to invest from currently available funds required.
