Home & Community Care M&A Report, Fall 2026

Lucas Gielen · October 2026 · 4 min read

Our Fall 2026 report: 28 pages, written for owners of care businesses.

Home and community care is a seller's market. More buyers are looking at home health, hospice, home care and adult day businesses than at almost any point on record. But buyers have also raised the bar. They are paying more attention to size, payer mix, state exposure and the strength of the team that will stay after a sale.

We wrote our Fall 2026 Home & Community Care M&A Report for the people who own and run these businesses rather than for investors. It is in plain English, every number is sourced, and it ends with a practical checklist.

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Three things owners should know

• Size is worth several turns of EBITDA. In GF Data's private transactions, home health agencies with $1–5M of EBITDA sold for an average of 6.6x–6.9x, against 4.3x for those below $1M.

• Established agencies are harder to replace. Since May 13, CMS has not accepted new Medicare home health or hospice enrollments. Buyers who want to grow now have to acquire.

• Medicaid is changing. Work requirements begin December 31, 2026, and provider-tax limits follow in 2028. Buyers are pricing state exposure more carefully, so owners should understand theirs before going to market.

  
  

What's inside

• What care businesses sell for: PitchBook and GF Data benchmarks for home health agencies by size

• Deal activity: 105 home-based care deals in 2025, up 25% from 2024, and who is buying now

• Policy watch: the Medicare enrollment moratorium, 2027 rates, and the One Big Beautiful Bill Act

• From price to proceeds: what a headline offer means for the cash you take home

• Owner FAQ and checklist: how long a sale takes, and what to do 12–24 months before one

• Case study: Best Home Care's sale to Honor Health Network

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If the report raises questions about your business, we're happy to talk. Every conversation is confidential, and there is no obligation. Reach Lucas Gielen at lgielen@riverparkib.com or (718) 200-5086.