Home & Alternate-Site Infusion Therapy Services | Waynesboro & Richmond, Virginia
Valley Vital Care is a home and alternate-site infusion therapy provider based in Waynesboro, Virginia, operating alongside sister company Vital Care of Richmond under the Vital Care Infusion Services franchise model.
Founded in 2014 by Preston Estep, a Marine Corps veteran and clinical pharmacist, together with colleagues from the University of Virginia's home infusion program, Valley Vital became one of the earlier franchisees in the Vital Care system. The Richmond location followed in 2020, with an additional site in Winchester expanding the company's reach across North Central Virginia.
The companies provide acute, chronic, and specialty infusion therapies in patients' homes and dedicated infusion suites, supported by pharmacists, nurses, intake teams, and billing professionals. By the time of the transaction, Valley Vital served more than 900 active patients and was contracted with roughly 50 payor groups.
Valley Vital's founder was not looking to walk away from the business. He remained committed to the work, the company's patients, and the clinical team.
The challenge was scale. Expanding into new markets and franchise territories, broadening specialty therapies, and building the infrastructure needed to support continued growth required a partner with real healthcare-services experience.
With several partners holding stakes across two operating entities, the transaction also needed to address different priorities around liquidity, continued involvement, and long-term direction while protecting the company's clinical culture and referral relationships.
Sunbelt Atlanta served as exclusive sell-side advisor, with the transaction led by Dealmaker Doreen Morgan. The engagement covered the full process, including opinion of value, preparation of the Confidential Information Memorandum, buyer qualification, due diligence, and closing.
The buyer universe included healthcare-focused private equity firms, strategic operators in home infusion and post-acute care, and other financial sponsors. In total, 128 qualified buyers engaged in the process, each completing confidentiality and qualification requirements before receiving detailed information.
The process generated multiple letters of intent from different types of buyers, allowing the owners to compare distinct partnership models rather than simply choose between similar offers.
Ownership selected RF Investment Partners, a lower-middle-market private capital firm with healthcare services as a core focus. RF brought the resources to complete the transaction and fund an ambitious growth plan while remaining small and hands-on enough to operate as an active partner rather than a distant institutional owner.
RF saw a founder-led healthcare services business with strong clinical operations, deep referral relationships, and a market position that had outgrown its existing infrastructure. The buyer believed it could add systems, management depth, and capital to support geographic expansion and service-line development as infusion care continues moving out of hospitals and into homes and community settings.
Valley Vital's founder still wanted to build the business. The transaction therefore had to create liquidity and institutional support without treating closing as the end of the founder's involvement.
Home infusion is one of the fastest-growing areas of home healthcare, supported by greater acceptance of in-home treatment, payor preference for lower-cost sites of care, a growing specialty-drug pipeline, and continued consolidation among regional infusion providers.
Industry data cited in the case study also indicated fewer than 1,000 infusion providers nationally, while roughly 40% of infusion services historically performed in hospitals may be suitable for delivery at home. A growing drug pipeline creates additional demand for infusion-based therapies, while the fragmented provider landscape continues to attract strategic and private-equity investment.
Valley Vital Care's story shows how the right transaction can create liquidity without ending the growth story. Sunbelt Atlanta helps owners evaluate strategic and financial buyers through confidential, competitive sale processes with no upfront fees.
Since 1998, Sunbelt Atlanta has helped business owners across Georgia and the Southeast sell their companies confidentially and on their own terms. With more than 1,250 businesses sold, a no-upfront-fee, success-driven approach, and experience across industries including healthcare services and home infusion, Sunbelt Atlanta's Dealmakers guide owners through every stage of a sale, from valuation through closing.
Owners of home infusion, specialty pharmacy, and healthcare services companies who are considering a sale or growth partnership, whether now or a few years down the road, are welcome to begin with a confidential conversation about their options.