The Home Health & Hospice (HH&H) sector saw steady M&A momentum in 2025, with 110 transactions announced according to LevinPro HC data. This marked a solid increase from the 97 deals in 2024 and 99 in 2023, reflecting continued consolidation amid an aging population, rising demand for in-home care and strategic efforts by providers to expand geographic reach and service capabilities.
Activity remained focused on smaller, tuck-in acquisitions, though the year also featured the closing of Optum’s $3.3 billion acquisition of Amedisys in August. That deal followed a lengthy regulatory review and settlement with the Department of Justice, and it significantly reshaped the competitive landscape for large-scale home health and hospice providers. Private equity was involved in about 37% of the HH&H deals announced in 2025, either through PE firms or their portfolio companies. Strategic and regional operators drove the majority of volume through aggressive add-on strategies to build scale in home health personal care, hospice and palliative services.
Several buyers stood out with multiple acquisitions, highlighting aggressive growth strategies in a competitive landscape. The most active buyers included those completing three or more deals:
NEW DAY HEALTHCARE
New Day Healthcare emerged as one of the sector’s top acquirers in 2025, closing four transactions that bolstered its home health and hospice footprint. The year began with the February acquisition of Christian Senior Care Services, followed by Patient Recovery Home Healthcare Services in March. In June, New Day added Heritage Home Healthcare and Dunes Hospice, further strengthening its continuum of care offerings. These moves included New Day’s entry into a new state (New Mexico) and reinforced its presence in Texas and surrounding markets.
New Day was formed in 2020 by G. Scott Herman and a group of home health, home care and hospice leaders. The company offers home health, hospice, pediatric, clinical decision support and personal care services in Texas, Missouri, Kansas, Illinois, Indiana and New Mexico. The company’s 10,000 team members help service nearly 180,000 patients annually.
HELP AT HOME
Help At Home, Inc. matched New Day’s pace with four acquisitions. The year kicked off strongly in January with Affordable Home Care, Total Care Home Health and Penn Highlands Personal Care Services. In April, the company added LovAbility Home Care and BB’s Heaven on Earth Home Care Services, before closing out with Home Care Now of Central Florida in May. These deals expanded Help At Home’s presence in key markets, particularly in personal care services.
Help at Home is a national provider of in-home care services and delivers personal care and other services to help seniors and the disabled remain in their homes. As of September 2024, Help at Home operated more than 180 branch locations across 11 states and provided in-home personal care and integrated care management services to approximately 68,000 clients with the help of more than 59,000 caregivers. The company is backed by Centerbridge Partners and The Vistria Group.
LIFECARE HOME HEALTH
LifeCare Home Health pursued a focused hospice expansion, announcing three acquisitions late in the year. In September, it acquired St. Gabriel’s Hospice & Palliative Care, followed by Infinity Hospice Care in November. The streak concluded in December with Traditions Health‘s Georgia hospice and palliative operations. Through these M&A moves, LifeCare has entered a new state (Georgia).
Headquartered in Irving, Texas, LifeCare Home Health provides Medicare-certified hospice, home health and private duty care services. The company has been backed by private equity firm Zenyth Partners since June 2024.
ST. CROIX HOSPICE
St. Croix Hospice LLC completed three strategic acquisitions to deepen its Midwest presence. January brought the additions of Mayo Clinic Health System‘s hospice operations in Minnesota and Hospice of Siouxland. In August, St. Croix acquired Mayo Clinic’s hospice operations in Northwest and Southwest Wisconsin, enhancing its footprint across the Upper Midwest.
Founded in 2008, St. Croix Hospice provides hospice services across the Midwest. Its footprint includes approximately 85 branches throughout Illinois, Indiana, Iowa, Kansas, Michigan, Minnesota, Missouri, Nebraska, South Dakota and Wisconsin. The company serves more than 5,600 patients throughout the Midwest. It has been a portfolio company of H.I.G. Capital since October 2020.
UPLIFT HOSPICE
Uplift Hospice completed three transactions in 2025: Star of Texas Hospice in March, Stoneridge Hospice in September and both Grace Hospice and Palliative Care and Grace Medical Group in October. These moves supported Uplift’s growth in hospice services across targeted regions.
Uplift Hospice is a local, family-owned and operated hospice business located in Scottsdale, Arizona. Uplift provides hospice care in the home, respite care, bereavement services and continuous home care, according to the company’s website.
Other notable active buyers with two deals each included Bristol Hospice, CareGivers of America, Caretech Inc., Chapters Health System, Choice Health at Home LLC, Extendicare Inc., h/care, Quipt Home Medical Corp., Team Select Home Care and The Pennant Group Inc. These players contributed to the sector’s overall stability and incremental consolidation.
The 2025 HH&H market demonstrated resilience, with buyers prioritizing strategic fits, regulatory compliance and operational synergies to meet growing demand for home-based end-of-life and supportive care. This trend sets the stage for continued activity into 2026.
