SBA Loans To Buy A Home Health Agency
In FY2026, SBA lenders made 104 loans totaling $152 million to buy existing home health agencies, an average of $1.5M per acquisition. Buy a home health agency with as little as 10% down. We take your deal to the SBA lenders that fit, from our network of 50+, and it costs you nothing.
Based on SBA 7(a) data through September 30, 2026. Acquisition loans are SBA 7(a) loans to businesses recorded as a change of ownership.
The Home Health Agency Acquisition Market
Demand for home care and senior care keeps growing, and these businesses sell often. Lenders focus on licensing, how revenue is paid, caregiver staffing and compliance history, because each can change the cash flow quickly after a sale.
Medicare certified home health agencies carry more regulatory weight than non-medical home care. Lenders review survey results, provider number transfer and reimbursement timing.
Acquisitions made up 46.7% of all SBA 7(a) dollars lent to home health agencies in FY2026, compared with 27.4% across all industries. Buying an existing business is one of the main reasons owners in this industry use SBA loans, so lenders here see a steady flow of acquisition files. The average acquisition loan was $1.5M, about 18% above the $1.2M average for business acquisitions nationally. Across every purpose, lenders made 535 SBA 7(a) loans for $326 million in the industry, with an average loan of $609K and a median of $232K.
28% of those loans went to startups or businesses under two years old and 36% to franchises. The most financed franchise brands were Home Instead, BrightStar Care and Senior Helpers. By dollars, California, Texas and Florida led the industry. Loan count was down 37% from FY2025, partly because FY2026 had no October 2025 approvals during the federal shutdown, so it covers about 11 months. Home health agencies rank #14 of the 77 industries in our buy a business by industry guide by number of acquisition loans.
Based on SBA 7(a) data through September 30, 2026.
SBA Loans In This Industry By Size
All SBA 7(a) loans to home health agencies, FY2026.
What It Costs To Buy A Home Health Agency
There is no single price for a home health agency. The loan follows the cash flow. The most common SBA loan size in this industry was $150K to $350K, while the most dollars went to loans of $2M to $5M. Acquisition loans ran larger than the industry average of $609K because they finance goodwill as well as equipment, inventory and working capital.
At the industry’s average acquisition loan of $1.5M, and a loan covering 90% of the project, the typical total project is about $1.6M, which includes the purchase price, working capital and closing costs. 51 loans in the industry, 52% of the dollars, were between $2 million and $5 million.
What you can borrow is set by earnings, not the asking price. SBA requires the business’s cash flow to cover all debt payments at least 1.25 times for an acquisition, measured on historical results. An independent business valuation must support the price on purchases above $350,000; if the price is higher than the valuation, the gap is filled with more buyer cash or a seller note on full standby.
Larger deals carry extra steps. When the Business Purchase Price, not counting real estate, is $3 million or more, SBA requires a Quality of Earnings report. The SBA 7(a) loan tops out at $5 million, and bigger purchases pair it with a conventional loan in a pari passu structure.
How Much You Need Down To Buy A Home Health Agency
SBA requires a Down Payment of at least 10% of the total project cost on the purchase of a business, and the lender cannot reduce or waive it. You do not have to bring all of it in cash.
Up To Half From The Seller
A seller note can count for up to half of the Down Payment if it is on full standby, with no principal or interest payments for the life of the SBA loan. That means as little as 5% from you.
Your Savings, Gifts Or Retirement Funds
Cash that is not borrowed counts, including gifts and money from retirement accounts. Many of our buyers use a retirement funds structure.
Investors
Minority investors can fund part of the Down Payment. Anyone who owns 20% or more of the buyer personally guarantees the loan.
Example: A Home Health Agency At The Industry Average
| Total project (price, working capital, closing costs) | $1,627,000 |
| Down Payment (10%) | $163,000 |
| From the seller (note on full standby, max half) | Up to $81,000 |
| From you (cash, gifts, retirement funds, investors) | From $81,000 |
| SBA loan | About $1,464,000 |
Built from the $1.5M average acquisition loan for home health agencies in FY2026. Based on SBA 7(a) data through September 30, 2026. Illustration only; your lender sets the final structure, and some lenders ask for more than 10%.
Get A Pre-Qualification Letter Before You Make An Offer
Sellers and brokers move faster with buyers who can show they are financeable. Our letter takes a few minutes to request.
What Lenders Look For In Home Health Agencies
Medicare certified home health agencies carry more regulatory weight than non-medical home care. Lenders review survey results, provider number transfer and reimbursement timing. Beyond the industry specifics, every SBA acquisition is judged on the same core questions.
Licensing And Surveys
State licenses, survey results and any deficiencies are reviewed closely. A clean compliance history matters.
Payer Mix
Private pay, long-term care insurance, Medicaid waiver and Medicare revenue are paid on different timelines and carry different risk.
Caregiver Staffing
Turnover, wage trends and scheduling systems show whether the business can deliver the hours clients need.
Client Or Census Trends
Client counts, hours billed or resident census over several years show demand.
Management Depth
Lenders want an administrator or director of care who stays after closing.
Cash Flow That Covers The Loan
SBA sets the minimum at 1.25 times the debt payments for an acquisition, using the last fiscal year or the average of the last two. Projections can be reviewed but cannot be relied on to meet it.
Lenders also look at you: management experience that fits the business, personal credit, and current taxes and debts. Owners of 20% or more of the buyer personally guarantee the loan.
What To Check Before You Buy A Home Health Agency
Due diligence protects your Down Payment and speeds up underwriting, because lenders ask for most of this anyway. Start these items as soon as your letter of intent is signed.
How Home Health Agency Acquisitions Are Structured
Every SBA acquisition follows SOP 50 10 8.1, the SBA rulebook in effect for applications from October 1, 2026. Within those rules, the structure is built around the business’s cash flow, the seller’s goals and how much cash you want to keep.
10% Down, Part From The Seller
Most home health agency deals combine buyer cash with a seller note. A seller note on full standby counts for up to half of the 10% Down Payment; a note that is paid during the loan must fit the cash flow alongside the SBA payment.
10-Year Term, 25 For Real Estate
The business portion repays over up to 10 years with no balloon. Real estate bought with the business can run up to 25 years, in a blended loan or a separate one.
Working Capital For Payroll
Care businesses pay caregivers weekly and collect from payers later. Many buyers add working capital or a line of credit to the loan so payroll is covered from day one.
Working Capital Line
Many buyers add an SBA Express or other line of credit at closing, so the business has cash for payroll, inventory and receivables from the first day.
Quality Of Earnings At $3M
When the Business Purchase Price, not counting real estate, is $3 million or more, the lender needs an independent Quality of Earnings report in addition to the business valuation.
Above $5M: Pari Passu
The SBA 7(a) loan is capped at $5 million. Larger acquisitions pair it with a conventional loan that shares the collateral equally, with the same 10% Down Payment on the total project.
The seller cannot stay on as an owner or employee, but can consult for up to 24 months to hand over customers, staff and know-how.
Recent Deals We Closed In This Industry
Real loans GoSBA placed. Borrower and lender names are kept private. GoSBA funded $320M across 126 loans in 2025, working with 50+ lenders.
Non-Medical Home Care Agency
5% down + 5% seller note on full standby
Non-Emergency Medical Transportation Company
Buyer cash + subordinated seller note + SBA Express line of credit
Top SBA Lenders For Home Health Agency Acquisitions
Among the 15 largest SBA lenders to home health agencies by dollars in FY2026, these made the most acquisition loans. The best lender for you depends on deal size, your experience and the structure, which is why we take each deal to the lenders that fit.
| Lender | Headquarters | Acquisition Loans | All Loans In Industry |
|---|---|---|---|
| Live Oak Banking Company | Wilmington, NC | 47 | 115 |
| The Huntington National Bank | Columbus, OH | 7 | 34 |
| Associated Bank | Green Bay, WI | 6 | 13 |
| Newtek Bank | Miami, FL | 4 | 49 |
| East West Bank | Pasadena, CA | 4 | 5 |
| Bankwell Bank | New Canaan, CT | 2 | 2 |
| Cross River Bank | Fort Lee, NJ | 1 | 1 |
| T Bank | Dallas, TX | 1 | 1 |
Based on SBA 7(a) data through September 30, 2026. See the full ranking of SBA lenders for home health agencies
How It Works With GoSBA
One team from pre-qualification to closing. You never pay us; the lender does, after closing.
Get Pre-Qualified
Request a pre-qualification letter so sellers and brokers take your offer seriously. It takes a few minutes.
Send Us The Deal
Once you have a business in mind, share the listing or letter of intent and the seller’s financials.
Lenders Compete
We package the deal and take it to the SBA lenders that fit, from our network of 50+. You choose the best offer.
Close With Us
We handle lender questions, third party reports and the closing checklist until the loan funds.
Documents You Will Need
Lenders ask for the same core package on every acquisition, plus a few items specific to home health agencies. We help you gather anything missing and send it to lenders in one clean package.
- Signed letter of intent or purchase agreement
- The business’s last 3 years of tax returns
- Year-to-date profit and loss statement and balance sheet
- State licenses and recent survey reports
- Revenue by payer and hours billed for three years
- Caregiver roster and payroll reports
- Your last 3 years of personal tax returns
- Personal financial statement and resume
- Proof of your Down Payment funds
What Buyers Say
Ishan is phenomenal. He guided me through the SBA process, connected me to multiple lenders, and ultimately drove to a deal at much better terms than I expected.
Just when the deal looked like it could not get completed, Ishan found a lender.
Frequently Asked Questions
How much do I need down to buy a home health agency?
At least 10% of the total project cost, and SBA does not allow the lender to waive it on a business purchase. Up to half can be a seller note on full standby. At the industry’s average acquisition loan of $1.5M, that is a Down Payment of about $163K, with as little as $81K from you.
How big an SBA loan can I get to buy a home health agency?
An SBA 7(a) loan goes up to $5 million, and larger deals add a conventional loan in a pari passu structure. In FY2026 lenders made 104 acquisition loans to home health agencies, averaging $1.5M. Your amount is set by the business’s cash flow and an independent valuation.
Does the license transfer when I buy a care business?
It depends on the state and the license type. Some states allow a change of ownership filing, others require a new license. Lenders will want that timeline settled before closing.
Can the seller stay on after I buy a home health agency?
Not as an owner or employee. The seller can work as a consultant for up to 24 months in total to transition customers, staff and know-how, and often carries part of the price as a seller note.
Which lenders finance home health agency acquisitions?
In FY2026, Live Oak Banking Company, The Huntington National Bank and Associated Bank were among the most active acquisition lenders in this industry. The right lender depends on the size of the deal, your experience and the structure. We take your deal to the lenders that fit from our network of 50+.
What does GoSBA cost?
Nothing. We are paid by the lender after your loan closes, not by you.
Buy A Business In A Related Industry
Keep reading: SBA Business Acquisition Loans · SBA Pari Passu Loans · Buying A Business Guide · Best SBA Lenders For Home Health Agencies · Closed Deals · Pre-Qualification Letter · All Industries
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