The Home Health & Hospice (HH&H) M&A market has remained active through the first four months of 2026, driven by private equity investment, strategic consolidation and continued demand for home-based care services.
According to data captured in the LevinPro HC database, 42 HH&H deals have been announced so far in 2026 (as of May 11), which is roughly on par with the 43 transactions announced during the same period in 2025. Disclosed purchase price, however, has increased significantly year over year, reaching nearly $4.28 billion compared to just $325 million in the year-ago period.
Here are the standout HH&H transactions captured so far this year in our LevinPro HC database.
General Atlantic acquires TEAM Services Group
Alpine Investors has sold TEAM Services Group to General Atlantic, a private equity firm with more than $120 billion in assets under management. TEAM Services Group provides household employment and home care solutions across all 50 states. Its subsidiary, TEAM Public Choices, provides home care for participants in government-sponsored disability and aging programs, with an emphasis on self-directed care.
The deal is valued at approximately $3 billion, including debt. Under Alpine Investors, TEAM grew significantly, completing more than 10 add-on acquisitions in recent years. General Atlantic initially reached an agreement earlier in 2026 to purchase Team Services from Alpine Investors, though the negotiations remained undisclosed until after closing. This marks the largest home health transaction of the year so far and the eighth-largest HH&H deal announced by purchase price of all time, underscoring strong continued investor appetite for scaled national platforms.
Kinderhook Industries acquires Enhabit, Inc.
In February, private equity firm Kinderhook Industries agreed to acquire national home health and hospice provider Enhabit, Inc. in an all-cash transaction with a total enterprise value of approximately $1.1 billion. The deal represents a 24.4% premium to Enhabit’s unaffected share price, with stockholders slated to receive $13.80 per share in cash.
Headquartered in Dallas, Texas, Enhabit has a nationwide footprint spanning 249 home health locations and 117 hospice locations across 34 states. According to its most recent annual filing, Enhabit generated approximately $1.06 billion in revenue during fiscal year 2025 and reported an adjusted EBITDA of $108.5 million.
The transaction, which is expected to close in the second quarter of 2026 subject to customary approvals, will take the company private while allowing it to continue operating under its existing name and brand. This deal ranks as the second-largest home health/hospice transaction announced this year.
Aveanna Healthcare acquires Family First Homecare
Aveanna Healthcare Holdings Inc. announced its acquisition of Family First Homecare, a pediatric home care provider headquartered in Tampa, Florida, for $175.5 million. Family First offers skilled private duty nursing services across 27 locations in seven states: Florida, Illinois, Iowa, Pennsylvania, South Dakota, Texas and North Carolina. The company was founded in 2012 and had previously received a strategic minority investment from Trivest Partners, a leading growth investment firm, in 2021.
Funded with cash on hand and existing credit facilities, the deal is expected to close in Aveanna’s second fiscal quarter of 2026. The acquisition expands Aveanna’s specialized care model across an enhanced geographic footprint. Closing is expected in Q2 2026, subject to customary conditions.
Platform Expansion Continues Across Regional Markets
Several HH&H operators have also remained active with smaller strategic acquisitions aimed at expanding regional density and service offerings.
Superior Health Holdings, which is backed by Renovus Capital Partners, announced three acquisitions in 2026, expanding its footprint in Louisiana while entering Oklahoma. The transactions included the acquisitions of Hope Healthcare & Hospice in Houma, Louisiana; Pulse Home Health & Hospice in Covington, Louisiana; and Chant Healthcare, which operates through Compassion Home Care and Sans Bois Hospice across 11 counties in southeastern Oklahoma.
Choice Health at Home, backed by Coltala Holdings and Trive Capital, announced two transactions at the end of January. The company acquired Cy-Fair Health Care in Texas alongside Alliant Home Health, Palliative, and Hospice Care in Colorado, while separately announcing the acquisition of Texas-based Senior Nannies. Together, the deals expanded Choice Health at Home’s home health, hospice, palliative care and personal care capabilities across key southwestern markets.
Other notable transactions announced this year include Ares Management and DaVita investing in Dallas, Texas-based Elara Caring, Liberty HomeCare and Hospice acquiring ECU Health’s home health and hospice business unit in North Carolina and Chapters Health System acquiring Portland, Oregon-based Housecall Providers.
The HH&H sector continues to benefit from favorable demographic trends, payer preference for lower-cost care settings and sustained demand for home-based services. At the same time, investors and strategic buyers continue pursuing scale through acquisitions, particularly in fragmented regional markets where operators can expand density and improve operational efficiencies through add-on transactions. You can track all of the HH&H deal announcements this year on the LevinPro HC platform.
