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The Silver Tsunami is Here.
2 to 3 million boomer business owners will retire over the next decade. The buying spree has begun.

ntjames5
58 minutes ago1 min read
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SBA and Senior Care: A Perfect Fit
As interest rates drop, SBA loans may be a great option for home health and home care agencies.

ntjames5
5 hours ago1 min read
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When Selling Your Agency, You'll Rarely Get a Fair Price
The real price your agency sells for is not the fair price. That's the bad news.

ntjames5
4 days ago2 min read
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With Interest Rates Coming Down, Get Your Banker to Say "Yes"
Interest rates are coming down. Get your banker to say yes to your next healthcare operations loan.

ntjames5
Jan 161 min read
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Good and Not-So-Good Reasons for Selling Your Healthcare Operation
Do you have good reason to sell your healthcare practice? See if your reasons align with what buyers expect.

ntjames5
Jan 111 min read
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Understanding Business Valuations
This is an advanced article explaining how the market determines the price of medical practices and agencies.

ntjames5
Dec 23, 20251 min read
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Using Smart AI Tools in Home Care
Home care agencies can use smart AI tools to help them get work done.

ntjames5
Dec 23, 20252 min read
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10 Reasons Why Lowering PCS Rates Might Benefit Your Agency
Contrary to popular belief, lowering PCS rates may be good for the home care and home health industry.

ntjames5
Dec 10, 20252 min read
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How Much More Would Your Health Insurance Cost If . . .
KFF published a health insurance personal calculator based on getting ACA Enhanced Premium Tax Credit or not getting them.

ntjames5
Oct 31, 20251 min read
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How to Grow Your Home Care Staff 13-Fold and Prosper
Cypress Home Care Solutions rapidly grew its caregivers staff while others complained that they could not find staff. See how Cypress did it.

ntjames5
Oct 25, 20252 min read
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Most Seniors Are Ready for Smart Homes
Most seniors are ready for smart homes. EY wrote an excellent article on senior consumer preferences toward healthcare technology in the home.

ntjames5
Oct 24, 20252 min read
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Most Nurses are Stressed Out
Most nurses are tired and stressed out due to staffing shortages and low pay. But many believe AI can relieve some of the burden.

ntjames5
Oct 24, 20251 min read
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The Good & Bad of Client Concentration
Is client concentration good or bad for small businesses? It depends.

ntjames5
Oct 10, 20252 min read
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Omnicare Files for Bankruptcy
Omnicare files for bankruptcy protection after near $1 billion judgment for medical fraud.

ntjames5
Oct 3, 20251 min read
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Rural Health Transformation Program: More Details
KFF released details on the Rural Health Transformation Program. Some funds are qualitatively allocated and restrictions apply.

ntjames5
Sep 26, 20252 min read
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Hospice Payment Rate Updated by 2.6% (Final CMS 2026 Annual Rate Change)
CMS FY 2026 Hospice Payment Rate increases by 2.6%.

ntjames5
Aug 1, 20251 min read
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How F.U.D. destroys Dreams
Fear, uncertainty, and doubt (F.U.D.). These factors are dream-killers. How to beat them and sell your agency or practice.

ntjames5
Jul 25, 20252 min read
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Valuation Impact of "Big Beautiful Bill"
The recently passed Federal budget could have material impact on business valuations, particularly in healthcare.

ntjames5
Jul 9, 20251 min read
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Job Cuts at Bayada HQ
Bayada lays off 10% of headquarters staff in attempt to align overhead costs.

ntjames5
Jun 16, 20251 min read
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Getting Help Negotiating the Sale of Your Healthcare Operation
Negotiating your operation's sale with a business intermediary has these 5 advantages.

ntjames5
Apr 29, 20251 min read
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