Well Established Profitable Hospice In Virgin Islands

Location

US Virgin Islands

Employees

20

Real Estate

Lease

Management Type

This business is owner operated.

Premises Details

This is a turnkey hospice operation with all essential regulatory approvals and infrastructure in place. Assets include a fully staffed team of clinical, administrative, and management professionals with strong retention history. The business holds an active Medicare Provider Number (PTAN), National Provider Identifier (NPI), business license, and Certificate of Need (CON) covering all four U.S. Virgin Islands—St. Croix, St. Thomas, St. John, and Water Island.

Support & Training

Turnkey and Fully Staffed, Owner will assist in Transition

Expansion Potential

The business offers multiple avenues for growth. Geographic expansion across the smaller islands and increased outreach to referring providers could further grow the average daily census. Additional service lines—such as palliative care or home health—would complement hospice operations and leverage existing clinical infrastructure. Operational improvements and technology integration present opportunities to improve margins, while marketing and community education initiatives could enhance visibility and drive referral growth. The company’s strong staffing, regulatory standing, and cash flow profile make it an ideal platform for a strategic or regional acquirer seeking a foothold in the Caribbean hospice market.

Competition / Market

The hospice serves all four U.S. Virgin Islands—St. Croix, St. Thomas, St. John, and Water Island—providing complete territorial coverage and strong brand recognition built over 20+ years of operation. The local market is limited in size, and the Certificate of Need (CON) requirement restricts new entrants, creating a high barrier to competition. The agency maintains well-established referral relationships with hospitals, skilled nursing facilities, and community physicians, contributing to consistent patient volumes and a stable revenue base.