Case Study

Home Health Company - a Valuation Case Study

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The following case study includes a fictitious company name and altered ownership details for privacy protection. Any resemblance to real companies or individuals is purely coincidental. The names, facts, and figures used in this case study have been changed to preserve confidentiality. This document is designed for educational and illustrative purposes only.

Working with BizWorth was an invaluable experience for us. Their comprehensive valuation allowed us to gain a deeper understanding of our business's worth and potential. This knowledge has been instrumental in our decision-making process as we consider various opportunities for the future.

Case Study: Valuation of CareWell Home Services, LLC by BizWorth


BizWorth, a leading valuation firm, was engaged to perform a valuation of CareWell Home Services, LLC ("CareWell") as of December 31, 2022, for the purpose of assisting the shareholders of CareWell in evaluating the potential sale of 100% equity interest in the company. This case study presents the valuation process, methods used, and the resulting estimated fair market value of CareWell.

Nature & History of Company

CareWell Home Services, LLC is a home health services company that specializes in providing in-home skilled nursing care, physical therapy, occupational therapy, speech therapy, home health aide services, and medical social services to patients located in the greater Sacramento area and nearby counties. The company was incorporated on December 8, 2016, as a Limited Liability Company (LLC) in California, with its headquarters in Sacramento.

As of the valuation date, the company exhibited several key strengths, including its experienced clinicians and manageable patient population. These strengths were expected to continue to support the company's revenue and focus on quality. However, one of the primary risks faced by CareWell was the ability to hire and retain registered nurses, a common challenge in the home health industry. To mitigate this risk, the company offered employee benefits, including medical insurance, retirement plans, and competitive wages.

Financial Analysis

Over the period under review, CareWell's revenue increased significantly, growing from $0 in 2018 to $2,805,474 in 2022. The company experienced its highest growth from 2021 to 2022.

Valuation Methodology

BizWorth considered multiple valuation approaches when assessing CareWell's fair market value. These approaches included the income approach, market approach, and asset approach.

Income Approach - Capitalization of Earnings/Cash Flow:In this case, BizWorth chose the Capitalization of Earnings/Cash Flow approach. This method was selected because it incorporates several crucial factors. It considers CareWell's historical financial performance, expectations for future earnings, industry-specific outlook at the valuation date, and the calculation of an appropriate discount rate. By analyzing CareWell's past financial performance and factoring in elements like projected future earnings and market conditions at the valuation date, BizWorth determined a fair market value of $4,622,000.

Market Approach - Comparable Private Transaction Method:Although the market approach, specifically the Comparable Private Transaction Method, is a valuable tool in business valuation, BizWorth decided not to rely on it for CareWell's valuation. This decision was primarily based on the challenge of finding truly comparable data on other home health companies. Factors such as the length of time these companies have been in business, their management capabilities, customer demographics, and geographic reach can significantly affect comparability. In this case, BizWorth determined that the available data on private transactions in the home health industry did not provide a reliable basis for the valuation. Therefore, this method was not utilized in calculating CareWell's fair market value.

Asset Approach:The asset approach is typically employed when a business has a significant number of tangible assets that play a critical role in its operations. However, CareWell is primarily a service-based business with few substantial fixed assets. As such, this approach was not considered for its valuation. The asset approach would involve determining the value of all the company's assets and liabilities and then arriving at the business's overall value. Given that CareWell's value is more closely tied to its income-generating capacity and reputation, rather than its physical assets, the asset approach was not relevant to this specific valuation.

In summary, BizWorth carefully considered these valuation approaches and determined that the Capitalization of Earnings/Cash Flow approach was the most suitable method for calculating the fair market value of CareWell, given the company's unique characteristics and the quality of available data.

Based on the facts of the engagement, no discounts for lack of control or lack of marketability were applied to the valuation of 100% equity interest in CareWell. Therefore, the conclusion of value for the fair market value of a 100% ownership interest in CareWell Home Services, LLC as of December 31, 2022, on a controlling, marketable basis is best expressed as $4,622,000.

Ownership and Key Personnel

At the valuation date, CareWell operates as a California-registered Limited Liability Company (LLC) with six shareholders. The management team comprises individuals responsible for various crucial roles within the organization, including administration, human resources, patient care, financial management, and logistics.

Services and Customers

CareWell provides a range of healthcare services to patients at home, including skilled nursing care, physical therapy, occupational therapy, speech therapy, home health aide services, and medical social services. The company primarily serves elderly patients and individuals recovering from surgery and illnesses, earning revenue through insurance reimbursements. While the company faced challenges with its marketing team in 2022, it maintained a steady patient flow through referrals from local hospitals.


CareWell competes with various local hospitals' home health agencies and private agencies in the Sacramento area. The company's differentiator is its commitment to hiring clinicians with previous home health experience to ensure high-quality care for its patients.


BizWorth's valuation of CareWell Home Services, LLC, based on the Capitalization of Earnings/Cash Flow method, resulted in an estimated fair market value of $4,622,000 for 100% equity interest in the company as of December 31, 2022. This valuation provides valuable information for the shareholders of CareWell as they consider potential sales or investment opportunities.

Working with BizWorth

At BizWorth, we specialize in providing comprehensive valuation reports that cater to the unique needs of businesses. Whether you need machinery and equipment appraisal, quality of earnings reports, or detailed valuation assessments, we have the solutions to help you make informed decisions and gain a competitive edge in the dynamic landscape of business valuation.

BizWorth is your reliable companion on the journey to understanding and harnessing the power of valuation. We are a trusted valuation company with certified business appraisers who can provide the comprehensive report your business needs. We've streamlined the process, making it easy and affordable for business owners and their advisors to order reports online. To explore the right reports for your business and obtain pricing, visit BizWorth at Let us be your trusted partner in navigating the complexities of business valuation in the age of leveraged buyouts.

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