M&A Advisory · Lower Middle Market

Built on Trust.
Driven by Results.

Trusted home health care M&A advisory helping buyers acquire exceptional businesses and owners achieve successful exits.

Trusted by acquirers, sponsors, and owners nationwide

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Bloomberg
Forbes
Wall Street Journal
Reuters
TechCrunch
Business Insider
Financial Times

The Process

Sourced before the market sees it.

Off-market targets, sourced to your criteria and priced without an auction. You see every asset — and close only the ones that fit.

Week 1

The mandate is exclusive to you

A buy-side engagement bound to your thesis. We sit on your side of the table — never a seller's, never collecting a commission from the counterparty.

Retainer

Low

Alignment

Buyer-only

Mandate engaged

Home health · Northeast

Sterling Home Care

$8M

Apex Home Health

$22M

Beacon In-Home

$3M

Pioneer Care Group

$18M

Hudson Home Care

$6M

Cascade Nursing

$2M

Ridgeline Health

$15M

Summit Personal Care

$4M

Northgate Hospice

$11M

Ironwood Home Aide

$9M

Vertex Care Svcs

$5M

Coolfront Nursing

$12M

Illustrative process. Timelines and outcomes vary by mandate.

Schedule a Consultation

Buy-side advisory

For acquirers with a mandate to build.

We sit on the buyer's side of the table and stay there. From shaping the thesis to signing the deal, we bring the origination, access, and process that turn an acquisition strategy into a closed transaction.

We advise search funds and independent sponsors, private equity add-on programs, strategic and corporate buyers, and family offices — anyone acquiring who wants a senior team originating quietly on their behalf.

Explore buy-side advisory
01

Shape the thesis

We pressure-test what you're trying to acquire — sector, size, geography, and the profile of a business worth owning — before a single name goes on the list.

02

Originate off-market

We map the full landscape and approach owners directly and privately, surfacing businesses that aren't openly for sale rather than only what's already on the block.

03

Run the outreach

We manage first contact, NDAs, and early conversations under your anonymity, qualifying real interest before your time is ever on the line.

04

Quarterback to close

We structure the deal, coordinate diligence, and lead the economic negotiation alongside your counsel — holding the process together until it signs.

01

Position the business

We build your story and financial baseline — normalizing earnings, identifying value drivers, and benchmarking against real comps before we go to market.

02

Reach the right buyers

We approach a curated universe of strategic and financial buyers under your anonymity, creating a competitive process rather than a single conversation.

03

Drive competitive tension

Multiple qualified parties engaging in parallel is what moves price. We manage the field, the questions, and the pace to keep every bidder honest.

04

Negotiate and close

We lead the economic negotiation, protect your interests through diligence, and stand alongside you and your attorney at the closing table.

Sell-side advisory

For owners ready for the right exit.

Selling your business is a once-in-a-lifetime event, and it deserves a process that treats it that way. We run a disciplined, confidential sale designed to maximize value and protect what you've built.

You keep running the company; we run the deal. Aligned fees mean we only succeed when you do.

Explore sell-side advisory

Where we work

Depth in the sectors we know cold.

Select a sector to see how we read it and the kind of deals we advise on there.

How we read it

Our home turf. Demographics and payors are pushing care into the home, and the space is fragmenting and consolidating fast. Value lives in payor mix, census, caregiver retention, and referral sources — we help buyers separate durable platforms from roll-up noise, and help owners time an exit into that demand.

Typical profile
Non-medical / personal care, skilled home health, hospice & palliative, Medicaid / HCBS waiver, pediatric
Deal size
$1M–$50M revenue

In their words

Relationships that outlast the transaction.

"

There is no doubt the transaction would have not been successful without the team at VCG.

Marco D.
"

The knowledge the team brought to the table was invaluable every step of the way. We had several interested buyers for our company, along with multiple LOIs. VCG was able to leverage that interest into a great result.

John S.
"

There isn't a doubt in our mind that you got us the most value out of our company. Thank you again for all your help and making this process a very enjoyable one.

Bill N.
"

Working with VCG met or exceeded all of our expectations. They are a very professional and streamlined organization, with experts in every aspect of the M&A process.

Kristen S.
"

My congratulations to your team. You have done an incredible job for your client, not only in the due diligence and closing, but more importantly in the pricing and holding the valuation through the process.

John W.
"

Selling my company was a very uncertain and stressful time and VCG was always there to steady the ship.

Karl T.

Q&A

Frequently Asked Questions

We're an M&A advisory firm for the lower middle market, working with both owners selling their businesses and acquirers looking to buy. Senior advisors run every engagement end to end — the relationship, judgment, and negotiation are always human, supported by proprietary tools that handle sourcing and benchmarking underneath.

Let's talk about your deal.

A confidential conversation with a senior advisor about what you're trying to do — whether you're selling a business or acquiring one. No retainer, no obligation. We're paid when it closes.

Call us
(646) 470-2085
Visit us
295 Madison Avenue, 12th Floor
New York, NY 10017