Haven's Story
Home Healthcare Provider
Anonymized
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Get in TouchHaven is a rapidly expanding home-healthcare provider in the United States. A private investor group approached Alehar to assess the opportunity before acquisition, with two clear objectives: build a disciplined valuation view and identify any hidden risks that could affect the investment case.
The investors wanted to understand not only whether the asking price could deliver an acceptable return under realistic assumptions, but also whether there were operational, contractual, or regulatory issues that could weaken the business after closing.
Chapter 1
Where They Were
Haven was attracting attention for strong top-line growth, but the investor group needed a more independent view before moving further. The headline story was attractive, yet growth alone was not enough to support an acquisition decision. The group needed to understand the real earnings profile of the business, the range of possible outcomes under different scenarios, and the risks that might not be obvious from the seller materials alone.
The key challenge was that valuation and diligence could not be separated. To assess whether the business was worth acquiring, the investors needed a cleaned financial picture, a more realistic forecast, and a structured review of the operational and commercial issues that could affect value.
Chapter 2
What We Did
1. Reconstructing the financial story
We began by rebuilding three full fiscal years of profit-and-loss and cash flow data. This included reconciling reported revenue to cash collections, normalising owner-specific adjustments, and separating recurring operating costs from one-off items. Using that cleaned base, we built forecast scenarios testing different growth paths, payer mixes, and reimbursement trends.
We also used sector benchmarks to provide context for margins and built sensitivity views showing how wage inflation and reimbursement pressure could affect performance. The result was not a single point estimate, but a valuation range that gave the investors a clearer view of both upside potential and downside exposure.
2. Focusing diligence on the risks that mattered most
Valuation alone was not enough, so we focused diligence on the areas most likely to affect returns after acquisition.
We reviewed payer contracts and identified clauses in several agreements that allowed unilateral rate resets. We then modelled the impact on revenue if those provisions were exercised. We also reviewed regulatory and compliance risk by sampling caregiver files to confirm licensure, background checks, and visit documentation. The gaps we found were not severe, but they were real, and we translated them into a practical remediation plan.
A further area of focus was staffing scalability. Using industry data alongside Haven’s payroll records, we assessed turnover, overtime, and recruitment lead times, then quantified the likely cost of sustaining staffing levels as patient volumes increased. This helped the investors understand the working-capital and operating pressure linked to labour as the business scaled.
3. Stress-testing the competitive environment
Beyond internal diligence, we also considered how the market around Haven could change. National franchises were expanding into adjacent states, telehealth platforms were beginning to move closer to non-skilled home care, and hospital systems were considering more vertically integrated home-care offerings.
Rather than treating these as abstract threats, we translated them into specific revenue and margin pressures within the model. This allowed the investor group to see how external competition could affect returns and how resilient the acquisition case remained under more difficult market conditions.
Chapter 3
Where They Are Now
The investor group now has a clearer and more disciplined view of Haven’s value, the main risks embedded in the opportunity.
The work provided a more grounded basis for decision-making by combining financial reconstruction, sector-specific diligence, and structured scenario analysis into one view. Rather than relying only on growth and headline narrative, the group can now evaluate the opportunity with a better understanding of earnings quality, downside exposure, and the practical implications of acquiring and scaling the business.



