2 Years to Buy, Double & Exit a Medical Billing Firm

2 Years to Buy, Double & Exit a Medical Billing Firm

Today’s guest was a whirlwind of activity during the Covid years. Nik Hulewsky bought a medical billing company in June of 2020, anticipating (correctly) the impending demand for billing services. Two short years and a tripling of EBITDA later, he sold that business for more than twice what he’d acquired it for — a life-changing exit. And also during those two years, he started a hospice business, then acquired a home health bolt-on, and grew that combined business to $11m in revenue and exited it in June 2023. Now, these are big dollar figures, especially for such short time frames. But there were disappointments along the way, and I think you’ll agree that Nik’s tone is not one of victory, but humility. So this is a story of one entrepreneur’s rollercoaster through 2 healthcare niches that are popular among the searcher community: medical billing and home care/home health. Listen closely if you’ve ever considered either of these, or healthcare broadly. We get philosophical about it at moments. Here is Nik Hulewsky, buyer and builder of a medical billing business and home health & hospice business.