North Carolina is one of the most consistently active home care M&A markets in the Southeast, anchored by strong demographic growth, CON-protected home health and hospice licensure, and concentrated buyer interest across the Charlotte MSA and the Research Triangle. For NC home care owners, 2026 offers favorable exit conditions.
NC maintains CON requirements for:
NC DHSR oversees CON. CON-protected home health and hospice licenses trade at substantial premiums due to scarcity.
NC DHSR licenses Home Care Agencies for in-home aide and skilled services:
State Medicaid PCS program for adults requiring assistance with ADLs. Provider qualification through NC DHHS.
NC has expanded Medicaid managed care through:
Standard Plan MCOs include AmeriHealth Caritas NC, Carolina Complete Health, Healthy Blue, UnitedHealthcare Community Plan, and WellCare. Provider contracting status across MCOs is a primary value driver.
Tailored Plans have specific provider networks and contracting requirements for behavioral health, IDD, and TBI populations. Tailored Plan contracting creates specialty value for behavioral and IDD-focused providers.
Standard CMS framework. NC MAC: Palmetto GBA.
Multiple VA facilities in NC. Significant referral source.
Strong private pay market in Charlotte, Raleigh-Durham (Triangle), Asheville, and coastal markets.
| Asset Type | EBITDA Size | Multiple Range |
|---|---|---|
| Home Care Agency (sub-$1M) | sub-$1M | 3.5x–5x |
| Home Care Agency ($1M–$3M) | $1M–$3M | 4.5x–6.5x |
| Home Care Agency ($3M+) | $3M+ | 6x–8x |
| Medicare home health (CON) | All sizes | 9x–13x |
| Hospice (CON) | $1M+ | 9x–13x |
| Tailored Plan-focused (BH/IDD) | $2M+ | 6x–9x |
| Multi-license CON platform | $3M+ | 9x–13x |
Premiums apply for CON-protected licensure, multi-MCO contracting (Standard and Tailored), multi-region NC footprint, strong compliance history.
Hendon Partners advises NC home care owners across CON-protected home health and hospice, Standard Plan personal care, and Tailored Plan behavioral and IDD services through preparation and sale process. Our buyer network includes strategic acquirers and PE platforms most active in the NC market.
Schedule a confidential NC-focused conversation with Hendon Partners →
Hendon Partners is a sell-side only M&A advisory firm with Southeast home care transaction experience.
Selling a Home Care Agency in New Jersey: 2026 M&A Guide
State GuidesSelling a Home Care Agency in Ohio: 2026 M&A Guide
State GuidesSelling a Home Care Agency in Michigan: 2026 M&A Guide
State GuidesSelling a Home Care Agency in New York: 2026 Market Guide
Industry VerticalsDME Company M&A in 2026: Valuations, Buyers, and What's Driving Deal Activity
Industry VerticalsAdult Day Health Center Valuation & M&A in 2026: An Underexplored Exit Opportunity
Newsletter
Receive new articles, EBITDA benchmark updates, and deal intelligence directly in your inbox. No spam — unsubscribe anytime.
Join 1,200+ home care executives. Unsubscribe anytime.
