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.
Hear from Former Clients
Hope Services
Acquired by
US Pediatric Partners
Behavioral Health, Featured
2025
US Pediatric Partners Expands Behavioral Health Footprint with Acquisition of Hope Services in North Carolina
New partnership adds three Raleigh area locations and strengthens integrated pediatric care model
RALEIGH, N.C., April 22, 2025 /PRNewswire-PRWeb/ — US Pediatric Partners (“USPP”), a pediatric healthcare provider dedicated to serving underserved communities, has acquired Hope Services, a community-based mental health and care management provider with three locations in the greater Raleigh, North Carolina area.
This acquisition follows USPP’s recent integration of BTST Services, a Maryland based behavioral health provider and fellow Webster Equity Partners-backed company, further advancing its vision to build a national, integrated pediatric care model that bridges physical and mental health services. With the addition of Hope Services, USPP is well-positioned to deliver enhanced care to patients across North Carolina and now operates more than 55 locations across New Jersey, Maryland, North Carolina and South Carolina.
Hope Services
Bridges Behavioral
Star of Texas Hospice
Acquired by
Uplift Hospice
Featured, Hospice
2025
Uplift Hospice has acquired Star of Texas Hospice. Financial terms were undisclosed.
The transaction will bring Uplift’s average daily census up to 450 across three states — Arizona, Nevada and Texas. The two organizations first connected to discuss a potential transaction through a mutual relationship with the M&A advisory firm Agenda Health, according to Uplift Hospice’s CEO Owen Lawrie.
Star of Texas Hospice
C.A.B.S Autism & Behavior Specialists
Acquired by
Already Autism Health
Behavioral Health, Featured
2025
Already Autism Health Acquires CABS Autism & Behaviour Specialists Days after Commonwealth ABA Deal
Already Autism Health announced Jan. 29 that it acquired C.A.B.S Autism & Behaviour Specialists.
The terms of the deal were not announced. Based in Itasca, Illinois, C.A.B.S Autism & Behaviour Specialists offers applied behavior analysis (ABA) to children and young adults in one clinic in Illinois and three in Georgia.
This is the third deal – and second acquisition – that Already Autism Health has announced in the past week. On Jan. 23, the Charlotte, North Carolina-based autism therapy provider announced that it had secured its first round of investors — a group of three firms led by Triton Pacific Healthcare Partners, which is now the majority shareholder. On Jan. 24, Florence, Kentucky-based Commonwealth ABA announced it had been acquired by Already.
C.A.B.S Autism & Behavior Specialists
Commonwealth ABA
Acquired by
Already Autism Health
Behavioral Health, Featured
2025
Already Autism Health Lands PE Investment, Buys Commonwealth ABA
Already Autism Health has acquired Commonwealth ABA and secured the backing of three investment firms.
The Charlotte, North Carolina-based autism therapy company is primed for and has already executed a growth strategy that includes M&A. The news comes amid a flurry of dealmaking activity in behavioral health, especially autism therapy, in early 2025.
Already Autism Health announced Jan. 23 that it has received investment from the private equity firms Triton Pacific Healthcare Partners, Star Mountain Capital and Ace & Company. Terms of the deal were not disclosed. The next day, Commonwealth ABA announced the merger deal.
Commonwealth ABA
Magnolia Behavior Therapy
Acquired by
Regency ABA
Behavioral Health
2025
Behind the Deal: Agenda Health Acts as Sell-Side Advisor in Magnolia Behavior Therapy Sale to Regency ABA
Regency ABA, a Georgia-based provider of personalized one-on-one Applied Behavior Analysis (ABA) services, announced that it acquired Magnolia Behavior Therapy in Seattle, Washington. The deal, which closed in Q1 2025, was facilitated by Agenda Health, an Austin, Texas-based healthcare-focused M&A advisory firm.
Regency ABA provides ABA therapy across multiple regions, focusing on autism care with a strategy that blends organic growth and targeted acquisitions. Magnolia Behavior Therapy, based on the West Coast, offers ABA services for children with autism, specializing in building independence and social skills through personalized therapy programs.
We spoke with Dannie Klompsma, ABA Group Vice President at Regency ABA, and Ryan Lafferty, M&A Advisor at Agenda Health, to unpack what sparked this buyout and how it fits into the behavioral health market.
Agenda Health has been an active advisor for ABA providers across the West Coast in recent years. The firm connected with Ralph Pampino, the owner of Magnolia Behavior Therapy, after he decided to explore a sale.
“We met Ralph through the power of referrals. We helped a friend of his sell the year prior, and they had a great experience and sent Ralph our way,” said Lafferty.
Magnolia Behavior Therapy
Freedom Home Care
Acquired by
PurposeCare
Featured, Home Health
2024
Freedom Home Care, one of the most respected home care organizations in Chicagoland and throughout Northern Illinois, is proud to announce it has joined the PurposeCare family of companies.
The move marks an exciting new chapter for Freedom Home Care, expanding its capacity to serve families across the Midwest while preserving the values, relationships, and community commitment that have defined the organization for over 28 years.
Freedom Home Care
Clear Path Home Care
Acquired by
Avenues Home Care
Featured, Home Health
2024
Avenues Home Care™ Expands Footprint in Texas with Acquisition of Clear Path Home Care
Avenues Home Care™ Strengthens Commitment to Quality Veteran-Centric Care Across 14 Locations in Texas and Tennessee
DALLAS, Dec. 13, 2024 /PRNewswire-PRWeb/ — Avenues Home Care™, a leading provider of high-quality, compassionate home care, announces its expansion into six new locations across Dallas and surrounding Texas communities through the acquisition of Clear Path Home Care. This acquisition marks a significant milestone in Avenues Home Care’s mission to deliver trustworthy, personalized home care services for adults, seniors, and veterans across a growing network in Texas, Tennessee, and Georgia.
With this strategic acquisition, Avenues Home Care now spans 14 locations across three states, further establishing itself as a dedicated advocate for home care excellence and veteran support. This expansion strengthens Avenues’ veteran-focused offerings, providing specialized assistance tailored to the unique needs of those who have served, including programs through the VA Homemaker and Home Health Aide program.
Avenues Home Care offers comprehensive support for daily living, medication assistance, meal preparation, companionship, transportation, light housekeeping, and more. The company’s veteran-centric programs further solidify Avenues’ role as a trusted provider for those who served our nation.
“Adding Clear Path Home Care’s multiple North Texas locations to Avenues is a tremendous step in our mission to support families and veterans seeking reliable, quality care in their communities,” said Doug Markham, CEO of Avenues Home Care. “With this expansion, we can serve more clients with local roots and individualized care while maintaining our commitment to quality and compassionate service.”
Clear Path Home Care
Bay ABA
Acquired by
Behavior Genius
Behavioral Health
2024
Behind the Deal: Agenda Health and Behavior Genius CEO Break Down SF Bay Area Acquisition
Behavior Genius, LLC, a growing provider of Applied Behavior Analysis (ABA) services, announced that it has bolstered its presence in California through the acquisition of Bay ABA in the San Francisco Bay Area. The deal, facilitated by Austin, Texas-based Agenda Health, a healthcare-focused M&A advisory firm, underscores the ongoing consolidation trend in the ABA sector.
Announced in early 2025, this transaction aligns Behavior Genius with a provider that’s built a solid presence in the region, opening the door to broader service coverage across the state. To unpack the dynamics of this deal, the LevinPro HC team spoke with Randy Decko, Senior Director at Agenda Health, and Portia C. James, M.A., BCBA, Chief Executive Officer of Behavior Genius, about what drove the acquisition and what it signals for the broader behavioral health landscape.
Bay ABA, based in San Mateo, has been delivering ABA therapy with a focus on client outcomes since 2017, operating across the Peninsula, South Bay, San Francisco and East Bay markets. Behavior Genius, an Ontario, California-based company that provides behavior treatment services for individuals with special needs across home and community settings, saw Bay ABA as a strong match.
“Bay ABA stood out as an acquisition target because of their strong clinical leadership and established presence in the Bay Area market,” James said. “Their commitment to quality care and positive outcomes aligned perfectly with our vision at Behavior Genius.”
That shared focus made Bay ABA a natural fit for Behavior Genius’s growth plans. The deal came together after months of talks, with both sides eyeing a bigger impact in California’s autism care landscape.
“Before the acquisition, Bay ABA demonstrated consistent growth and maintained strong client relationships across multiple regions,” James continued. ” They had successfully expanded from Peninsula into South Bay, with emerging presence in SF and East Bay markets.”
Agenda Health stepped in after locking down an exclusive listing agreement with Bay ABA’s sellers, handling the sell-side advisory role.
“We witnessed lots of compromise and patience by both parties, which significantly contributed to the success of this deal,” Decko said.
Bay ABA
A Plus Hospice
Acquired by
Eden Health
Hospice
2024
A Plus Hospice Care Merges with Eden Health of Northern Nevada
Eden Health of Northern Nevada dba Eden Hospice has acquired A Plus Hospice Care effective November 1, 2024. Eden Health commits to providing the same great quality of hospice care to A Plus Hospice Care’s current patients as well as continuing employment for their employees to ensure continuity of care. This merger also provides access to other healthcare services to A Plus Hospice Care’s community like home health, home care and palliative care.
“We are committed to continuing to provide the highest level of quality care to the Northern Nevada Community. We look forward to the opportunity that this brings for our mutual patients and employee-owners,” said Jamie Brown, Eden Health’s Chief Operating Officer. “This merger with A Plus Hospice Care and their amazing staff will elevate our suite of health services and we couldn’t be more excited.”
A Plus Hospice
Commonwealth Nursing Solutions
Golden Years Homecare Services
Acquired by
Honor Health Network
Home Health
2024
Golden Years Homecare Services
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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.”