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
Loving Hands Hospice
Acquired by
Three Oaks Hospice
Hospice
2021
Loving Hands Hospice
Norcal 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.”
Norcal Hospice
Signal Home Health & Hospice Care
Acquired by
Jet Health
Home Health, Hospice
2021
Jet Health, Inc. Acquires Signal Home Health & Hospice in San Antonio, Texas
Jet Health, Inc., a leading regional provider of home health and hospice services, announced today the acquisition of Signal Home Health & Hospice, a San Antonio, Texas-based company. The acquisition marks Jet Health’s seventh acquisition and furthers the Company’s strategy to build a premier home health and hospice provider across the western and southwestern U.S.
Founded in 2010, Signal Home Health & Hospice primarily serves patients in the greater San Antonio area as well as adjoining counties, providing hospice services, skilled nursing, physical therapy, occupational therapy, speech therapy, social workers and home health aides.
“Jet Health got its start in Texas, and we have been looking for opportunities to build density in the state by acquiring quality providers. San Antonio is the second-largest market in Texas, and the Signal Home Health & Hospice acquisition provides us the ability to further expand our presence throughout the state. This acquisition further reflects Jet Health’s attractiveness to sellers seeking buyers that can provide not just a fair purchase price, but also one that shares their culture and commitment to quality care,” explained Stacie Bratcher, Jet Health’s chief executive officer.
Signal Home Health & Hospice Care
Integrity Hospice
Acquired by
Agape Care Group
Hospice
2021
Agape Care Grows in Georgia with Integrity Hospice Acquisition
South Carolina-headquartered Agape Care Group has acquired Integrity Hospice in Dublin, Ga. This boosts Agape’s footprint to cover 45% of the Peach State in addition to 46 counties in South Carolina. Financial terms of the transaction were undisclosed.
Agape, a portfolio company of the private equity firm The Vistria Group, is pursuing a three-pronged growth strategy in the Southeast focused on same-store admissions, de novo locations and acquisitions. The objective is to build density and to create a platform that performs similarly in each one of its markets, Agape CEO Troy Yarborough told Hospice News. The company has additional acquisitions in its pipeline for 2021 and 2022.
“As the health care landscape continues to change, there is an increased need for quality hospice and palliative care,” Yarborough told Hospice News. “This opportunity allows us to expand our reach and provide access to care for more patients and families across the state.”
Integrity Hospice
Alpha Home Health & Hospice
Acquired by
Choice Health At Home
Home Health, Hospice
2021
Choice Health at Home Announces a Third Oklahoma Acquisition of Home Health and Hospice
TYLER, Texas, July 27, 2021 /PRNewswire/ — Choice Health at Home, LLC (“Choice”) formally announced the acquisition of Oklahoma-based Alpha Home Health and Hospice (“Alpha”). For Choice, the transaction marks the third in Oklahoma since January 1, 2021, creating a substantial service footprint in the state.
David Jackson, Founder and CEO of Choice Health at Home made the announcement and commented on this flurry of activity: “Our level of M&A activity is indicative of our excitement about the expansion of our home health and hospice services in the state of Oklahoma. Alpha Home Health and Hospice shares our vision and mission to provide the full home health and hospice continuum at home.”
For a second look at the story, you can also read this article.
Alpha Home Health & Hospice
Open Heart Hospice
Acquired by
Pennant Group
Hospice
2021
Pennant Group Purchases Open Heart Hospice
The Pennant Group, Inc. (NASDAQ: PNTG) has acquired Amarillo,Texas-based Open Heart Hospice. The organization will rebrand as Kinder Hearts Hospice of Amarillo. Financial terms are confidential.
The Pennant Group’s (NASDAQ: PNTG) acquisition strategy is fueling growth in both the near- and long-term for the company’s home health and hospice segment. Pennant has been very active in the M&A market during the past two years, with additional transactions waiting in its pipeline.
“We are excited to expand our presence into the Texas Panhandle,” said Pennant CEO Danny Walker. “With affiliate operations in Abilene, Lubbock, and Wichita Falls, this acquisition is an excellent fit for our cluster model and opens the door to further expansion and long-term growth opportunities in the region.”
Open Heart Hospice
Area Community Hospice
Acquired by
Traditions Health
Hospice
2021
Traditions Health Acquires Multiple Agencies
COLLEGE STATION, Texas, May 18, 2021 /PRNewswire/ — Traditions Health, LLC (“Traditions”) a national hospice and home health provider, announced that it has acquired Area Community Hospice (“Area Community”) and AmeraCare Family Hospice and Home Health (collectively “AmeraCare”). These acquisitions further Traditions’ mission of providing exceptional clinical care to patients and their families.
Area Community is a hospice provider with locations in Plainview and Lubbock, TX. The acquisition of Area Community expands Traditions’ reach to West Texas and strengthens an expansive and growing presence in the state. AmeraCare is a longstanding home health and hospice provider in the greater New Orleans area, servicing patients for over 20 years through multiple sites. The acquisition of AmeraCare establishes a new footprint for Traditions in the Louisiana home health market and complements its existing hospice presence.
The announcement was made by David Klementz, the President and CEO of Traditions. “I am extremely excited to further expand Traditions’ care in both Texas and Louisiana. This is great accomplishment for our organization and we could not be more excited to welcome both Area Community’s and AmeraCare’s employees and patients into the Traditions family,” said Mr. Klementz.
Area Community Hospice
Alliance Home Health & Hospice Care
Acquired by
Mission Healthcare
Home Health, Hospice
2021
Mission Healthcare Expands Geographic Footprint to Northern California Through Acquisition
SAN DIEGO, March 15, 2021 /PRNewswire/ — San Diego-based Mission Healthcare, one of the largest regional home health, hospice, and palliative care providers in Southern California, will acquire Alliance Home Health & Hospice Care, a Medicare-certified home health and hospice organization in Pleasanton, Calif. This marks the first acquisition by Mission Healthcare outside Southern California.
“Mission Healthcare is looking forward to partnering with Alliance and bringing new services to the Bay Area focused on the continuum of care,” says Mission Healthcare CEO, Paul VerHoeve. “Mission Healthcare and Alliance share a strong dedication to patient care and clinical excellence, and we look forward to applying our resources and proven model in partnership with Alliance’s experienced and passionate team.”
Alliance Home Health & Hospice Care
Hospice Care of America
Acquired by
St. Croix Hospice
Hospice
2021
St. Croix Hospice Acquires Hospice Care of America
ST. PAUL, Minn., April 1, 2021 /PRNewswire/ — St. Croix Hospice, the leading Midwestern hospice provider, is pleased to announce the acquisition of Hospice Care of America in Rockford, Illinois.
The regional leader of hospice services, St. Croix Hospice provides exceptional hospice care to patients and their families throughout the Midwest. With a growing footprint including 39 branches in Iowa, Kansas, Minnesota, Missouri, Nebraska, Wisconsin, and now Illinois, St. Croix Hospice’s 800+ employees serve 2,200+ patients daily. Hospice Care of America marks St. Croix Hospice’s first location in Illinois.
“Entering the Illinois marketplace with this location in Rockford is a natural extension of the services we currently offer in southern Wisconsin. We welcome the opportunity to partner with an organization that shares our dedication to providing comfort and quality of life for patients at the end of life,” said Heath Bartness, CEO of St. Croix Hospice.
Hospice Care of America
Angelic Family Hospice
Acquired by
Choice Health At Home
Hospice
2021
Choice Health at Home Announces Multiple Acquisitions in Texas and Oklahoma
TYLER, Texas, June 3, 2021 /PRNewswire/ — Choice Health at Home, LLC (“Choice”) announced today the acquisition of multiple home health and hospice agencies in Texas and Oklahoma.
The Texas-based home health, hospice, and rehabilitation service provider formally announced the entrance into the Oklahoma market via the Jan. 1, 2021 acquisition of Angelic Hospice in Shawnee, Oklahoma (“Angelic”). Choice has now followed that step with the June 1, 2021, purchase of Restore Home Health (“Restore”), operating in Central and Northeast Oklahoma. Restore provides home health services via locations in Tulsa, Edmond, Grove, Stigler, and Muskogee.
David Jackson, founder and CEO of Choice Health at Home, made the announcement reiterating the mission of Choice. “Our goal is to provide excellent healthcare to our patients in the comfort of their home. We are very excited about our segments of healthcare and the opportunity to serve the residents of the state of Oklahoma.”
Angelic Family Hospice
Nextgen Hospice Care
Acquired by
Choice Health At Home
Hospice
2020
Choice Homecare of Texas Acquires Nextgen Hospice
Choice Homecare of Texas, LLC has purchased Nextgen Hospice for an undisclosed sum. Nextgen will rebrand under the Choice name.
Choice Homecare provides hospice, rehab services and home health care in more than 100 counties throughout Texas. The post-acute provider has been on a growth trajectory for a number of years both due to acquisitions and same-store growth.
This expansion marks the company’s entry into the Houston hospice market, where it already has home health and rehab operations.
For a second look at the story, you can also read this article.
Nextgen Hospice Care
Diversified Health: Hospice Operations
Acquired by
Traditions Health
Hospice
2020
Diversified Health: Hospice Operations
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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.”