We partner mission-aligned capital with exceptional operators to acquire home healthcare agencies and transition them to employee ownership.
Creating lasting value for patients, caregivers, and communities through disciplined operational improvements and our AI-native operating system.
The Opportunity
America's 73 million+ baby boomers are aging into high-utilization years just as payors push every reimbursable service out of facilities and into the home. The U.S. home-health services market is already a $101B industry—projected to reach $176B by 2032.
Yet most of the 11,000+ Medicare-certified agencies still run on 20-year-old EMRs, siloed fax workflows, and paper OASIS packets. Administrative overhead consumes 25–30% of revenue before a clinician even steps into the home.
This creates two opportunities: acquire and modernize profitable agencies at 4–6× earnings, and commercialize our AI-native operating system as a SaaS platform for the thousands of agencies we don't acquire.
Our Edge
AI Platform (AvidOS)
Field-tested automations that cut clerical touch-time by 50% and accelerate claim submission by 7 days. Originally built inside Obran Health.
Disciplined Roll-Up
Target $1-3M EBITDA agencies at 4–6× multiple, then deploy AvidOS and people-centered management to lift margins 8–10 points within 18 months.
ESOP-Backed Structure
Tax-advantaged employee ownership transition that enables lower acquisition prices and permanent tax-free profits after the flip.
Our Model
We structure and allocate capital at the holding company level to create attractive social and economic returns for all stakeholders. Our unique ownership model creates a confluence of interests that aligns with our purpose in healthcare.
Through our Employee Stock Ownership Plan (ESOP) structure, we transition acquired agencies to employee ownership over 3-5 years. This creates a powerful alignment: as caregivers become owners, their commitment to patient outcomes and operational excellence deepens. The result is better care quality, higher retention rates, and sustainable competitive advantages.
Our capital allocation strategy targets agencies with $1-3M EBITDA at 4-6× multiples, then deploys our AI-native operating system (AvidOS) to drive margin expansion. The combination of operational improvements and employee ownership creates a virtuous cycle where better care delivery drives better financial performance, which in turn enables more investment in people and technology.
This model delivers triple-bottom-line returns: financial returns for investors, meaningful ownership for healthcare workers, and improved outcomes for patients and communities. By aligning all stakeholder interests around quality care delivery, we're building a healthcare system that works better for everyone.
Team
Akshay Prabhu, CEO TechCo
Founder of Foodnome, movement builder, and policy reformer. Led regulatory wins for alternative licensing models in CA and UT. Raised $3M+ and featured in WSJ, NPR, and Hulu.
Laura Sievert, CEO OpCo
Impact investor and M&A specialist with 10+ years structuring and executing over $2B in acquisitions. MBA from Berkeley Haas with focus on alternative economies and ownership structures.
Joseph Cureton, CPO
Former CEO of Obran Cooperative; acquired and scaled $20M+ home health agencies. Built multi-state healthcare infrastructure across operations, compliance, and care delivery.
Contact
For Investors — Download our executive summary and fund strategy overview
For Operators — Learn about our Healthcare Operator Program
Email: hello@avidhealthholdings.com