Our History of Successful Transactions
Learn how Agenda Health has journeyed healthcare businesses through the successful M&A transactions listed below. Each real-world sale represents a unique challenge and vision we facilitated. Our faith-led, mission-driven approach implores us to match business owners with goal-aligned buyers as they move into the next chapter of their lives.
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Jefferson Hospice
Acquired by
Constellation Health Services
Hospice
2023
Jefferson Hospice
A Plus Hospice
Acquired by
Bristol Hospice
Hospice
2021
Bristol Hospice Acquires Two California Providers
Bristol Hospice has purchased two California providers from the same owner — A Plus Hospice and NorCal Hospice. Financial terms were undisclosed. The deal comes as companies try to complete their transactions before year’s end, due to the potential for capital gains tax hikes in 2022.
Bristol is a large multi-regional player that has grown seven times larger since Webster purchased the company in 2017. The hospice operates more than 45 locations across 13 states, and its EBITDA exceeds $70 million, according to PE Hub.
M&A Advisory Firm Agenda Health represented A-Plus and NorCal in the transaction.
“Territory and growth were probably two big factors for this opportunity. Bristol has been a leading buyer in that section of the country for quite some time,” Agenda Health CEO Al Veach told Hospice News. “That area of the country is their home turf, and so they’re always going to be competitive in that marketplace. This particular opportunity is a very healthy, attractive business and headed in the right direction, to say the least.”
A Plus Hospice
Hope Hospice
Acquired by
Bristol Hospice
Hospice
2022
Bristol Purchases Hope Hospice in Missouri
Bristol Hospice has acquired Missouri-based Hope Hospice for an undisclosed sum in the company’s first deal of the year. This follows nine acquisitions during 2020 and 14 in total since private equity firm Webster Equity Partners purchased the agency in 2017.
Hope Hospice in St. Louis was established in the early 2000s. Discussions of a possible sale began in late 2020 with its M&A advisors Agenda Health. The deal reflects the growing importance of established community relationships and reputation when it comes to hospice M&A, according to Alex Veach of Agenda Health.
The deal marks Bristol’s entry into the Missouri market.
“Especially for a new market acquisition, I think it’s essential. I’ve had several sellers tell me that their caregivers are actually the best marketers, and when you have a good set of caregivers that emphasize quality of care, it builds a brand for the agency in the area,” Veach told Hospice News. “It allows you to establish your hospice as one that puts the quality of the care and the value of the patient over profit, which every patient is going to prioritize.”
Hope Hospice
Hospice Select
Acquired by
Bristol Hospice
Hospice
2022
Bristol Acquires Texas-Based Hospice Select
Bristol Hospice has acquired Hospice Select in the Dallas-Fort Worth area for an undisclosed sum.
Bristol is a large multi-regional player that has grown seven times larger since private equity firm Webster Equity Partners purchased the company in 2017. The hospice operates more than 45 locations across 13 states, with EBITDA that exceeds $70 million, according to PE Hub.
M&A advisory firm Agenda Health represented Hospice Select in the transaction.
“We ran our bid process for Hospice Select at the start of this year and introduced them to myriad buyers,” Alex Veach, director of operations for Agenda Health, told Hospice News. “Hospice Select felt like the folks at Bristol represented the culture that they wanted to see continued in their hospice.”
Hospice Select
Avenir Hospice Care
Acquired by
CompleteOK
Hospice
2022
CompleteOK to Open Texas De Novo Within 6 Months
Oklahoma-based Hospice provider CompleteOK recently entered the Texas market with the purchase of a license from Avenir Hospice Care for an undisclosed sum. With the license in hand, the company expects to open a de novo in that area within six months.
Acquiring a license generally requires less capital than purchasing an entrenched asset already in operation. License transactions are often favorable for smaller organizations that seek to expand, but may struggle to outbid a large strategic buyer or private equity firm.
“We find value [in a license acquisition] in the fact that it’s an open canvas,” Cleland Edwards, owner of CompleteOK told Hospice News. “We get to take the agency and build it from the ground up. So we know exactly what we have going forward.”
Avenir Hospice Care
Corpore Sano Hospice
Acquired by
St. Croix Hospice
Hospice
2022
St. Croix Hospice Adds Second Michigan Location with Acquisition of Corpore Sano Hospice in Plymouth
[PLYMOUTH, MICH.] Aug. 1, 2022 – St. Croix Hospice is adding a second location in Michigan with the acquisition of Corpore Sano Hospice in Plymouth.
“We are pleased to have the opportunity to expand our services in Michigan with the acquisition of Corpore Sano Hospice,” said Heath Bartness, Chief Executive Officer of St. Croix Hospice. “Bringing this new team in Plymouth on board, along with our existing location in Troy, expands our ability to offer the hospice benefit in Michigan partnering with local providers in these communities. Corpore Sano and their workforce have an impeccable reputation for providing care in the greater Plymouth area and we are excited to welcome patients, referral sources and employees to the St. Croix Hospice family.”
Corpore Sano Hospice
Journey Hospice of Alabama
Acquired by
Agape Care Group
Hospice
2022
Agape Expands to Alabama, Louisiana with Journey Hospice Deal
The company’s newest acquisition, Journey Hospice, serves patients in eight counties across Alabama and 13 parishes in Louisiana. M&A advisory firm Agenda Health advised the seller on the deal.
“A strong patient-focused culture in two markets across the Southeast that open additional expansion opportunity make Journey a great fit,” Yarborough said. “Our near term focus is successful integration of our recent entries into North Carolina, Coastal Georgia and now Alabama and Louisiana.“
Journey Hospice of Alabama
Cardinal Hospice
Acquired by
Transitions Care
Hospice
2022
Cardinal Hospice
Texas Hospice License
Acquired by
Unity Hospice
Hospice
2022
Unity Hospice & Palliative Care Expands to Texas
Illinois-headquartered Unity Hospice & Palliative Care has expanded to Houston, Texas, following its acquisition of an existing license in that market.
Unity is a family-owned provider established in 1992 that since then has cared for more than 30,000 patients, the company reported. This transaction marks the company’s first entry into Texas. Unity also has locations in Missouri, Indiana and its home state of Illinois.
“This expansion coincides with Unity’s 30th anniversary as a premier hospice and palliative care organization,” Unity owner Michael Klein told Hospice News in an email. “As the Unity family of programs has grown, we’ve successfully maintained our independence as a multi-generational, family-owned organization.”
Texas Hospice License
Safe Harbor Hospice
Acquired by
Legacy Hospice
Hospice
2023
Legacy Hospice Acquires Safe Harbor
Legacy Hospice has expanded in Missouri by acquiring Safe Harbor Hospice for an undisclosed sum.
Safe Harbor’s 13-county service region builds on Legacy’s footprint in southeastern Missouri. All told, Legacy now operates 19 locations in seven states, predominantly in rural areas. The company is backed by the Chicago-based private equity firm Prairie Capital.
The Safe Harbor asset, which currently has an average daily census of 55 patients, represents a substantial growth opportunity for Legacy, according to CEO Clark Blair.
“We feel the opportunity to grow Safe Harbor is tremendous. Since Feb. 2021, Legacy has organically grown our census by over 63%. We have no reason to believe this growth won’t continue,” Blair told Hospice News. “We are actively integrating our state-of-the-art technology into the Safe Harbor location, along with extensive employee education and training so they can experience the same results.”
Safe Harbor Hospice
Assured Hospice Care
Acquired by
Agape Care Group
Hospice
2023
AGAPE CARE GROUP EXPANDS ITS PRESENCE IN ALABAMA AND GEORGIA WITH THE ACQUISITIONS OF HOPE HOSPICE AND ASSURED HOSPICE
Agape Care Group (Agape Care), a portfolio company of Ridgemont Equity Partners and the premier provider of hospice and palliative care in the Southeast, has acquired Hope Hospice based in Birmingham, Alabama and Assured Hospice based in Cartersville, Georgia.
The addition of Hope Hospice’s offices in Birmingham and Rainbow City extends Agape Care’s service footprint across 20 counties in Alabama, reaching 37% of the population in the state. Agape Care has also expanded its coverage in Georgia through the acquisition of Assured Hospice and the recent opening of a new start-up location in Gainesville. All locations in Georgia, across all 159 counties in the state, will operate as Georgia Hospice Care.
“We are thrilled to join forces with the Hope Hospice and Assured Hospice teams. Both have talented staff with many years of experience in providing superior, patient-focused care to their communities,” said Troy Yarborough, chief executive officer of Agape Care Group.
Assured Hospice Care
Texas Hospice License
Acquired by
Zimmet Healthcare Services Groups
Hospice
2023
Texas Hospice License
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Insights from Those We’ve Served
Hear from those who have gone before you and learn how our unique approach has helped healthcare organizations like yours achieve their transition goals and sell their business.
Having spoken with several agencies before making our decision, the transparency of Agenda stood out. That made it real simple: if we were going to do business, we wanted to do business with a firm of that integrity. They were present at every meeting, and the prep and debrief conversations meant we always knew what to expect. As we got closer to the end of the deal, it was new terrain for me and I didn’t know how to navigate it, but Agenda did a great job helping us work through those difficult talking points. In the end, they came through with everything promised on the front end, and that exceeded expectations.
Initially, the process felt overwhelming since it was my first time selling a business, but Agenda Health helped ease my concerns and answered all my questions. Agenda filled in the gaps where I lacked understanding … in the end, Agenda made a very complicated process feel simple.”
The Agenda Team was patient and went at the pace that we needed to go, which was important for us. They also provided education on the various dynamics of the process, which we greatly appreciated. We were introduced to a variety of buyers, which opened our eyes to various possibilities and gave us a good idea of what we were looking for in an acquirer. We would highly recommend Agenda for the value they bring.”
My overall experience working with Agenda was very positive. The team was professional, supportive, and ultimately delivered a great outcome. The valuation they provided was very insightful and valuable in understanding my company’s position, and I really appreciated the constant communication throughout the process, which kept me informed at every stage. Overall, the guidance, insights, and consistent support were invaluable in reaching a successful outcome, and I’m pleased with the experience.”
Agenda really understands ABA – they understood the differences in my practice and others and had great knowledge of the ABA-specific M&A market. They were able to clearly express our mission and program to potential buyers and understood what made my business different. Everyone was aligned on my goals and worked hard to accomplish them.”
Working with Agenda Health was a first-class experience. As first-time sellers, their clear communication and steady support helped calm our nerves throughout the process. We hadn’t planned to sell until Agenda provided a valuation, but we never felt pressured in this process. After Agenda presented our valuation information and the pros and cons of selling, we felt equipped to make an informed decision and committed to partnering with Agenda to sell our business.”
Agenda Health’s deep understanding of the ABA space and knowledge of the market made all the difference in my transaction. They knew exactly how to position our business and connected us with the right partner quickly. Agenda’s expertise gave us confidence every step of the way, and the outcome exceeded my expectations.”
Agenda gave us peace of mind and ease in selling our business. It’s such a big decision and undertaking, and Agenda takes something that’s probably one of the biggest decisions that a company owner is going to make and makes it easy and smooth. I would highly recommend it to anybody that is in our same kind of situation.”
Initially, the process felt overwhelming since it was my first time selling a business, but Agenda Health helped ease my concerns and answered all my questions. Agenda filled in the gaps where I lacked understanding … in the end, Agenda made a very complicated process feel simple.”
I needed an M&A firm with the connections to assist me with small, targeted home health investment opportunities that I could grow. Not only did Agenda Health deliver on that need, but they also managed the sale of that large agency at its maximized value. This team is able to excel at both large and small levels in M&A.”
Starting as a small hospice owner with a passion to grow, Agenda Health was instrumental in helping us identify acquisition opportunities and managing the process. Once we grew our company to over 600 patients in 7 states, Agenda found a buyer that allowed us to maximize our value and ensure that our family could retire comfortably. With over 10 years of experience working with their team, I can attest to their commitment to building long term relationships.”
Our family-owned, hospice company was only a small part of our $40 million healthcare enterprise, but it was intertwined with our home health business. Agenda Health worked with us to structure that divestiture and find the right partner. I recommend them to owners looking for a trusted and skilled partner.”