Completed home-based care M&A transactions fell by roughly half in the third quarter of 2026. In this 40-second video, Moses Shmueli, Managing Partner of Northeastern Advisors, explains what the slowdown means for home care agency owners thinking about a sale.
The Q3 2026 numbers at a glance
- 11 completed deals in home-based care in Q3 2026, down from 23 in Q2 and 27 in Q1.
- Home care saw the steepest drop: 4 deals, down from 12 the prior quarter.
- About 73% of Q3 closings involved private equity-related buyers.
- Large deals are still happening: Addus agreed to acquire AccentCare’s personal care business for about $275 million.
What it means for agency owners
Fewer closings do not mean capital has left the sector. Private equity-related buyers remained the most active group, and strategic buyers are still paying for scale. What has changed is selectivity. Buyers are looking harder at the quality of what they acquire, and three things continue to earn serious attention: a stable caregiver workforce, steady referral sources, and clean financials.
For the full data set, selected transactions and our valuation framework, read the Q3 2026 Home Healthcare M&A Industry Update.
Video transcript
Home care M&A deals just dropped by half. Here’s what that means if you own an agency. In Q3 2026, we tracked 11 completed home-based care deals, down from 23 in Q2 and 27 in Q1. Home care took the biggest hit: just four deals, down from twelve. But the money hasn’t left. About 73 percent of Q3 deals involved private equity-related buyers, and Addus agreed to buy AccentCare’s personal care business for about 275 million dollars. What it means: buyers are getting pickier. Agencies with stable caregivers, steady referrals, and clean financials still get serious attention.
Thinking about selling your agency?
Get a quick estimate with our free business valuation calculator, or contact Northeastern Advisors for a confidential conversation about your agency and today’s buyer market. You can also call us at (646) 461-6630.
