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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


3Q2025 IBBA Market Pulse Report - Here Comes Gen Z
In the 3Q IBBA report, Millennials and Gen Z are a prominent buyer group.

ntjames5
Nov 14, 20251 min read


3Q2025: Price Drops Spark Faster Deal Closings
In 3Q2025, deals closed faster due to seller price reductions.

ntjames5
Nov 14, 20251 min read


Direct Primary Care: A Growing Market
Direct primary care is growing rapidly as an affordable solution to expensive healthcare.

ntjames5
Sep 20, 20252 min read


The Buyer Landscape is Changing
More strategic buyers are acquiring small medical and dental practices for many reasons. Is your practice properly positioned to attract them?

ntjames5
Sep 20, 20252 min read


Seniors Spark Dental Expenditure Growth
Seniors spending on dental care grew substantially in 2023 due to changes in Medicare Advantage plans and other changes.

ntjames5
Jun 20, 20251 min read


Which is Better - Profits or Cash Flow?
Many practitioner-owners wonder, "what financial performance measures should I focus on? Profit or cash flow?" As any good business...

ntjames5
Jun 20, 20254 min read


Buyers are ignoring Covid 19 impact on business financial performance
80% of brokers say buyers are ignoring Covid 19 impact on financials

ntjames5
Jun 5, 20251 min read


How Inflation Hurts Small Senior Care Homes
Inflation makes managing assisted living facility costs difficult. Unlike many industries, ALF owners cannot pass on the increased costs to patients so easily.

ntjames5
May 16, 20251 min read


Cost of Care Rises in 2024
Every category of the cost of care rose in 2024. See the results in VA, NC, and SC

ntjames5
Mar 21, 20251 min read


Home Health Care: Fastest Growing Personal Health Care Sector in 2024
Home health care is the fastest growing personal health care sector in 2024

ntjames5
Feb 3, 20251 min read


Virginia Minimum Wage Rises to $12.41
Minimum wage in Virginia increases to $12.41 per hour

ntjames5
Dec 23, 20241 min read


Stocks Crash After Fed Projects Fewer Rate Cuts
Stock crash after Fed indicates fewer rate cuts in 2025

ntjames5
Dec 20, 20241 min read


5 Most Expensive Personal Care Services
Personal care can get expensive. It depends upon the level of care and time spent rendering services

ntjames5
Oct 25, 20242 min read


Aging Population Drives Home Care Industry Success
How evolving needs drive the home care industry to success

ntjames5
Oct 14, 20242 min read


A Buyer's Market for Small Acquisitions
In 1Q24, it was a buyer's market for small business acquisitions

ntjames5
Jul 24, 20241 min read


Great Article about Cash Flow and Valuation
The nexus between cash flow and valuation

ntjames5
Jul 16, 20241 min read


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 small business loan.

ntjames5
Jul 15, 20241 min read


Business Acquisitions Up 10% year-over-year
Good News! BizBuySell reports that the volume of business transactions is up 10% over last year. Sellers are dropping prices may be...

ntjames5
Jul 7, 20241 min read


Summer Penumbra Newsletter Now Available
This summer's newsletter introduces Charles Moss, Vice President of Business Development at Crimson Cardinal Realty LLC. Also, CMS will...

ntjames5
May 23, 20241 min read
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