Care, made visible
You built one of the UK's respected independent home care agencies. Medivale offers a different kind of exit: take a meaningful capital sum off the table now, keep 40% of the agency you built, keep running the care with your team — and share in a second, larger payment when the group is sold.
National franchises and private-equity-backed groups are consolidating home care across the UK. They outspend independents on carer recruitment, enquiry handling and technology — while the independent owner carries CQC compliance, rostering, recruitment and out-of-hours cover personally, often as Registered Manager as well as owner. Demand for self-funded care is rising with the ageing population. The question is who captures the value of serving it. We believe that should include the owners who built these businesses — not only the funds.
Medivale acquires a majority stake in your agency and carries the operational load — while you remain a genuine part-owner of the business you built, not a small fraction of someone else's group.
We acquire circa 60% of your agency. The price is based on the 60% share of your normalised annual profits that we acquire: 2.0x that share in cash at completion, plus a further 1.5x of that share on the first anniversary — 3.5x in total for the 60%.
You retain 40% of your own agency and continue to receive 40% of its profits — alongside a market-rate salary for your continuing role.
Your Registered Manager and care team stay. You continue in your role under a market-rate agreement. Care quality decisions stay local.
Central carer recruitment, rostering and care-management technology, a training academy, marketing and enquiry handling, CQC compliance support, finance and payroll.
When the group is sold — targeted within three to five years — your retained 40% is bought at the same multiple the group achieves. Because groups sell for materially higher multiples than single agencies, this second payment is typically larger than the first.
An illustration for an agency making £250,000 of normalised annual profit (EBITDA). Every agency is valued on its own numbers.
| Stay independent | Join Medivale | |
|---|---|---|
| Agency profit (EBITDA) | £250,000 | £250,000 — growing with group support |
| Value today | £1.06m (4.25x) — if a buyer can be found | £300,000 cash now + £225,000 at month 12 — £525,000 in total, being 3.5x the acquired 60% profit share (£150,000) |
| Your retained stake | — | 40%, sold at group exit — illustrated at 8.5x on £365,000 profit: ~£1.24m |
| Total over ~4 years | £1.06m (once, eventually) | ~£1.8m + salary + 40% of profits en route |
Figures are illustrative, not an offer or forecast; every agency is valued on its own numbers. The deferred anniversary payment is conditional on maintained profits and Registered Manager continuity. The model is long established across owner-led healthcare: dentists (Portman Dentex), vets (IVC Evidensia, Medivet), optometrists (Hakim Group) and home care operators internationally (Honor/Home Instead, TheKey in the US) have all used the sell-majority-keep-a-stake structure to bank value early and share in the group premium later.
The binding constraint on a great agency is rarely demand — it's carer recruitment, rostering capacity and the weight the owner carries alone. These are exactly the problems a group platform solves better than any single agency can.
Central recruitment marketing and candidate pipelines, so growth is no longer capped by hiring.
Modern rostering and care-management systems, implemented and supported centrally.
Structured induction, upskilling and career pathways that help you retain your best carers.
Professional local marketing and responsive enquiry handling to grow the private-pay book.
Specialist support for registration, inspection readiness and quality governance — without taking decisions away from your team.
Group finance, payroll and reporting under a transparent service fee — jointly governed, no surprises.
Medivale is being built by healthcare operators, with founder partners holding meaningful equity in the agencies they created. That alignment is the point: everyone at the table does well when the group does well.
Most independent agency sales go through a business broker. Brokers charge in three ways: an upfront engagement or marketing fee, a success commission when the sale completes, and — less visibly — the cost of months on the open market while your staff and competitors hear rumours. Selling directly to Medivale removes all three. And the risk is real: around four out of five small businesses advertised for sale never sell at all — leaving the owner with the upfront fees and nothing to show for them.
Typical broker engagement, valuation and marketing fees — payable whether or not your agency ever sells.
The standard broker success fee on a small-business sale, often with a fixed minimum. On a £1m sale that is £50,000 – £100,000 off your proceeds.
A typical brokered sale process — with confidentiality risk to carers and clients throughout. Medivale can give an indication of value in around two weeks, under NDA.
On the illustrative £1.06m independent sale shown above, broker costs would typically absorb £60,000 – £120,000 between upfront fees and commission. With Medivale there is no broker fee and no commission: you deal directly with the principals, and your only material transaction cost is your own independent legal and tax advice — which we encourage you to take.
Broker fee ranges are indicative of typical UK small-business brokerage terms and vary by firm and mandate. Figures are illustrative, not a quotation or forecast.
Sell a majority, keep a stake, share in the platform exit — the same template has built category leaders across healthcare sectors in the UK and internationally.
We partner with non-franchised, owner-managed home care agencies with a strong private-pay client base. If you've spent years building an agency you're proud of — with a good CQC rating, a loyal care team and clients who trust you — we'd like to talk.
Confidential and without obligation. We explain the model, you tell us about your agency, and we both decide whether it's worth a second conversation.
Under NDA, we review your headline figures — revenue, payer mix, hours, profitability and CQC history. Nothing leaves the room.
We can usually give you a clear indication of what the model would mean for your agency within two weeks — so you can decide with real numbers, not promises.
A first conversation takes half an hour. There is no obligation, and everything stays confidential. We can usually give you an indication of value within two weeks, under NDA.
Prefer to talk it through? Call 07864 656756, or email Graham Byrne directly.
Your enquiry is seen only by the Medivale founding team. We never contact your staff, clients or competitors.