How Much Does It Cost to Sell a Home Care Agency? Broker Fees & Commissions Explained (2026)

Almost no advisory firm in this industry publishes its fee structures. We think that’s a mistake — fee opacity breeds mistrust in a market where sellers are already (rightly) cautious. So here is a complete, honest breakdown of what it actually costs to sell a home care, home health, or hospice agency in 2026.

The Short Answer

For a professionally managed sale of a home care agency, expect:

Deal Size (Enterprise Value)	Typical Total Success Fee
Under $1M	10–12%
$1M – $2M	8–10%
$2M – $5M	6–8%
$5M – $10M	5–6%
$10M – $25M	4–5%
$25M+	2.5–4%

Plus, depending on the firm: a retainer or engagement fee ($0–$10K/month, usually credited at close), and legal/accounting costs you’d incur with or without an advisor (typically $25K–$75K for deal counsel and, on larger deals, $30K–$60K for a quality of earnings report).

How Success Fees Are Structured

Flat percentage

Simplest model: one percentage applied to total transaction value. Common on smaller deals. A $1.5M sale at 10% = $150,000 fee.

Lehman-style sliding scale

The classic structure for mid-market deals, e.g. the “Double Lehman”:

• 10% of the first $1M
• 8% of the second $1M
• 6% of the third $1M
• 4% of the fourth $1M
• 2% of everything above

On a $5M sale, that’s $300K — an effective 6%. Sliding scales reward the advisor for pushing value higher where it matters: the marginal dollars.

Reverse/accelerator scales

Some sell-side specialists invert the structure — a lower base percentage with a higher percentage on proceeds above a target valuation. This is the most seller-aligned structure available because the advisor earns disproportionately by beating expectations, not just closing.

The Four Contract Terms That Matter More Than the Percentage

1. Minimum fee. Most firms set a floor ($100K–$250K). Reasonable — a $900K deal takes the same work as a $3M deal — but make sure the minimum makes sense against your realistic valuation range.
2. Retainer treatment. Is the retainer credited against the success fee at close? It should be.
3. Tail period. 12–24 months covering buyers the advisor actually introduced is standard. Push back on tails covering “any buyer from any source.”
4. Fee base on contingent consideration. If part of your price is an earnout or escrow, does the fee come due at close or when you actually receive the money? Advisor fees on earnouts should be payable when the earnout pays.

What You Get for the Fee (Or Should)

A real sell-side process — not a listing — includes:

• EBITDA normalization and add-back analysis — routinely uncovers 10–25% more adjusted EBITDA than the seller’s own books show (our add-backs guide covers this)
• A confidential information memorandum (CIM) professionally positioning the business
• Outreach to 50–200+ pre-qualified buyers under NDA, without your name in the market
• A managed competitive process — multiple IOIs and LOIs, forcing buyers to compete on price and terms
• Negotiation of structure: working capital pegs, escrows, earnouts, rollover equity, non-competes
• Due diligence quarterbacking for the 60–90 days between LOI and close, where deals most often die

The ROI Math

The honest question isn’t “what does the fee cost” — it’s “what does the fee net me.” Documented spread between a negotiated single-buyer deal and a competitive process in home-based care is 15–30% of enterprise value.

On a business worth $4M in a single-buyer negotiation:

• Competitive process outcome at +20%: $4.8M
• Fee at ~7%: –$336K
• Net to seller: $4.46M — $460K more than going it alone, before counting better terms (lower escrow, cleaner working capital peg, protected earnout).

That’s the base case, not the best case. It’s also why buyers, notably, almost never encourage sellers to hire an advisor.

When a Full-Fee Advisor Is Not Worth It

We’d rather tell you this than have you learn it the hard way:

• Very small agencies (under ~$250–300K EBITDA) may not attract enough institutional buyers to run a real auction. A volume-style broker or a direct strategic conversation may be more economical.
• A pre-agreed family or management buyout at a fixed price needs deal counsel and a QoE, not a full process fee.
• Distressed situations with imminent license or payer issues need restructuring advice first.

If you’re unsure which side of the line you’re on, ask — any credible advisor will tell you in one call. Ours is free and confidential.