Your Primer to Healthcare Mergers and Acquisitions

Mixin' It Up And Makin' It Right: 5 Ways To Diversify And Strengthen Your Home Care Company

Apr 29, 2014

by Tom Schramski

By Tom Schramski, PhD

Volume 1 Issue 7, April 29, 2014

Today’s home care marketplace, including private duty, skilled nursing, and non-medical support for people with disabilities, is experiencing rapid growth and change, as well as a dramatic increase in competition.  Public payers view home care as one of the most cost-effective ways to provide necessary services, while customers want to stay in their own homes as late in their life as possible.  In a sense, it’s the perfect intersection of consumer desire and economics.

The challenge of leading a successful home care company requires executives to continually focus on diversifying their base to ensure profitable and quality-driven operations in the future.  I suggest five ways to focus your leadership efforts:

  • Look to other populations (e.g. people with intellectual/developmental disabilities) where you can use your same business model with a modest tweaking of your operations.
  • Explore other payer sources for your current target market, including private insurance and cash reimbursements.  In some cases, this is a diversification of not only payers but also of positive cash flow sources for your company.
  • Consider horizontal acquisition of similar services that you can afford and that offer expansion to new geographical areas and/or to new populations.  Sometimes you will find this is less expensive than trying to do it from the ground up.
  • Evaluate vertical opportunities that would complement existing services and help you reach into new markets and/or payer sources.
  • Divest yourself of operations and contracts that are dragging down your bottom line, management’s focus, and overall organizational energy.  This is often very tough to do, however, once you accomplish it, you will wonder why it took you so long to act.

As my title suggests, it’s worth it to mix things up from time to time to allow you to see new opportunities for you and your home care company.  By doing so, you increase the likelihood that you will find some new avenues for growth and prosperity.

Tom Schramski

Tom Schramski PhD, CM&AA


Tom was the Founder and Managing Partner of VERTESS. He was a Certified Merger & Acquisition Advisor (CM&AA), consultant, and Licensed Psychologist with over 35 years of very successful national experience in the healthcare marketplace, including co-founding and building a $25 million behavioral health/disabilities services company. Tom represented sellers and investors across the healthcare spectrum and was recognized for his executive leadership in the 2005 Entrepreneur of the Year issue of Inc. Tom passed away in December 2018.

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