Growing, Highly Profitable Peer to Peer Recovery Coaching Services Business

Health Care & Fitness Businesses for Sale

• Primary Category: Home Health Care Businesses for Sale

Launched in 2023, this is a rapidly growing and highly profitable business providing peer-to-peer recovery coaching services to support individuals overcoming addiction. Operating in a formally regulated industry, ownership has gone to great lengths to establish a competent and professional management team, an embedded coaching philosophy, and a comprehensive infrastructure including well documented policies and procedures.

30+ Coaches / Peer Support Specialists use their own unique, life-altering experiences to guide and support others in the process of their recovery while upholding the core competencies listed by the Substance Abuse and Mental Health Services Administration (recovery-oriented, person-centered, voluntary, relationship-focused, trauma-informed). This program decreases re-hospitalizations, substance abuse, and criminal justice involvement, while increasing satisfaction, retention rates, and relationships with providers.

Currently, the company only works with clients whose costs are covered and reimbursed by Medicaid. This was by design during the early years but the company is fully licensed to work with other government agencies and insurance companies; this is a significant growth opportunity for the right buyer.

In just three years, there have been more than 800 clients and, on average, 35-40 new clients are onboarded every month. There is no client concentration risk nor key-person risk and the business has minimized operational risk during the start up phase by intentionally limited itself to working with just Medicaid-eligible clients.

Supporting the team of 30+ Coaches is a full time, professional management, supervisory, and administrative team which includes two Clinical Supervisors, a Quality Assurance department, a Client Coordinator, and a Sales team (two Business Development directors); total management / supervisory / administrative support staff headcount is around 30. The owner typically works in the business no more than three hours a day.

While a small physical office is maintained, the majority of Coach / Client meetings are managed remotely, via Zoom. Lease costs and the physical footprint are therefore minimal.

In it's first year of operations in 2023, the business generated $629,000 in revenue and, even as a start up, was very profitable with EBITDA at $314,000 (net margin of 50%). In 2024, revenue more than tripled to $1,919,000 and EBITDA was $1,066,000 (56% net margin). In 2025, notwithstanding the fact the business voluntarily hit the pause button for three months to formally implement enhancements called for by new federal regulatory requirements, revenue still, once again, almost tripled to $5,390,000 and EBITDA was an outstanding $3,715,000; without the three month pause, revenue would likely have exceeded $7 million and EBITDA $5 million.

There are significant growth opportunities. Expansion beyond just the Medicaid provider can happen immediately as the business is fully licensed to start working with other payer sources such as commercial insurance plans. Licensed but not yet activated are additional services such as Outpatient Therapy Services, Behavioral Health Counseling, and Clinical Intervention. There is also a significant opportunity to work with all Regional Accountable Entities (RAE’s) and expand coverage across the entire state of Colorado.

This business operates in a tightly regulated industry and, as such, the acquirer will likely already have relevant experience sufficient to satisfy various regulatory and licensing requirements.