HCA Healthcare Sold 31 Home Health Agencies

Deaconess Associations acquired the home health and hospice agencies across eight states.

Updated on Oct. 5, 2026 in Healthcare

Bold flat-color editorial illustration of a modern, clean geometric healthcare building, symbolizing corporate institutional healthcare expansion. — HCA Healthcare has finalized the sale of 31 home health and hospice agencies to Deaconess Associations, which will integrate the facilities into its Central Pyramid subsidiary. AI Illustration. Upload story photo >

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HCA Healthcare has completed the sale of 31 home health and hospice agencies to Deaconess Associations. The facilities, which operate across eight states, have now been integrated into the Central Pyramid subsidiary.

Why it matters

The acquisition allows Deaconess Associations to expand its geographic reach in the home health sector. This move aligns with a broader strategy of investing in complementary organizations to improve patient access to care.

The deal involves 31 home health and hospice agencies operating across eight states. These assets have been absorbed by Central Pyramid, an organization with nearly four decades of experience in the field.

The players

HCA Healthcare

Headquartered in Nashville, Tennessee, this organization is one of the largest healthcare providers in the United States.

Deaconess Associations

Based in Cincinnati, Ohio, this company focuses on expanding healthcare access through the acquisition of regional care providers.

Central Pyramid

This subsidiary of Deaconess Associations has provided home health and hospice services for nearly four decades.

The details

Deaconess Associations successfully integrated the newly acquired agencies and their staff into Central Pyramid. This transition ensures that the operations continue under the framework of the subsidiary's established home health and hospice care model.

The companies announced the acquisition deal in June 2026.
The sale of the 31 agencies officially closed on October 1, 2026.

Market Landscape

This transaction reflects the ongoing consolidation of home health and hospice service providers observed across the national healthcare market. It follows the established industry pattern of larger healthcare systems divesting non-core home care assets to specialized regional operators.

Patients currently served by these 31 agencies will now receive care under the operational management of Central Pyramid. Service quality and provider availability are expected to be maintained as the entities integrate into the new corporate structure.

The takeaway

The divestiture highlights how major health systems are streamlining operations by shifting home-based care responsibilities to specialized entities. Consumers should monitor their local care providers for any changes in billing or service coordination following such acquisitions.