May has been a busy month for deals in the Home Health & Hospice sector with eight transactions announced midway through the month. The latest is Oak Hill Capital Partners‘ sale of its post-acute care platform, AccentCare, Inc. to Advent International. Financial terms were not disclosed.

Today, AccentCare is the sixth largest home health platform and the third largest personal care platform in the United States. It serves health systems, physician practices and managed care organizations, and includes strategic joint ventures and partnerships. Its range of services includes personal, non-medical care to skilled nursing, rehabilitation, hospice care and care management.

Oak Hill acquired AccentCare in December 2010, then promplty merged it with Guardian Home Care Holdings, Inc. (dba as Texas Home Health Group), a homecare and hospice provider owned by Friedman Fleischer & Lowe. At the time, AccentCare was based in Menlo Park, California, but moved its headquarters to Dallas following the deal.

Way back in 2000, AccentCare provided home care services in 13 locations in Arizona and southern California. That year, it acquired two San Jose-based home care agencies, ContinuCare and Victorian Care Providers.

In 2006, the company acquired SunPlus Home Health Services  for $19.5 million, the only deal in which it disclosed a price. SunPlus Home Health, part of the Sun Healthcare Group (formerly NASDAQ: SUNH), provided skilled and non-skilled home health care, as well as home pharmacy services at 22 locations in California and Ohio.

Then came the Oak Hill Capital acquisition, the merger with Guardian and the move to Dallas. Many more acquisitions around Texas followed, five taking place in 2018 alone.

Three deals have been announced so far in 2019. In January, AccentCare branched out to Massachusetts, where it acquired Steward Home Care and Hospice from the privately held hospital operator, Steward Health Care. That deal added rehabilitative therapies, hospice, private duty, care management and healthcare management services in Massachusetts and New Hampshire.

The two deals announced in May targeted home health agencies in Florida, adding Aloha Home Care and Mobile Physicians Group (both in Melbourne), joining Doctors’ Choice, based in Sarasota.

Advent International has been investing in healthcare companies for nearly 30 years, with most of its deals for life sciences, pharmaceuticals and healthcare technology companies. ATI Physical Therapy was added to its healthcare services roster in May 2016. The rehabilitation company was owned by KRG Capital Partners  and operated more than 500 clinics in 19 states. This could be the start of a big platform.