Looking for direction?

Ascend Healthcare Advisors can get your home health, home care, hospice or behavioral health business on the right road.

Looking for Direction?

Ascend Healthcare Advisors can get your home health, home care, hospice or behavioral health business on the right road.

Who we are

Ascend Healthcare Advisors is a boutique mergers and acquisitions firm specializing in home health, home care, hospice, and behavioral health transactions. Our team focuses on building strategic partnerships, helping buyers and sellers find the right deal at the right time.  AHA combines big firm experience with one-on-one, personalized service, tailored specifically to your needs.

What we do

Our team has closed hundreds of transactions of all sizes, from family-owned businesses to multi-million-dollar corporate operations. We understand complicated healthcare regulatory environments and know the importance of confidentiality at all levels of a negotiation. We have decades of experience in healthcare business development and a deep roster of contacts to show for it.

Confidentiality is Our Top Priority

Preparing for your company’s future involves lots of planning and people, from your patients and clients to your employees. Whether you’re seeking advice or ready to close a deal, it’s important to protect your company – and your company’s competitive advantage. At Ascend Healthcare Advisors, you can trust us to keep your information completely confidential.

Unmatched expertise. Exceptional results.

Our level of expertise is unmatched. When you work with AHA, you’ll get access to industry insights other brokers can’t provide.

OUR PEOPLE, PRACTICE AREAS & PUBLICATIONS

International

Behavioral Health

Behavioral health is experiencing a pronounced M&A revival, marked by surging deal activity and investor interest in ID/DD, residential and community-based care. Sectors like autism services, teletherapy and interventional psychiatry also remain active and command high valuations.

Partnerships

Home Healthcare

The home healthcare industry is experiencing a cautious but clear rebound in M&A activity. Enabled by high liquidity and strategic consolidation motives, transactions are picking up and buyers are paying a premium for companies with strong clinical and operating results.

Excellence

Home Care Services

Home care services M&A in 2025 is experiencing renewed momentum. After a lull in 2024, deal activity surged in early 2025, driven by Medicaid funding and strategic acquisitions of well-positioned agencies. Investors—including private equity and sponsors—are deploying capital into agencies with strong operations and scalability.

Excellence

Hospice Services

Mergers and acquisitions remain active. In 2025, M&A deals, especially among smaller hospice and dual home health/hospice operators, increased.

Strategic growth now includes not just acquisitions but also joint ventures, de novo entries, and service diversification.

What our Clients Say

Brian Bruenderman represented us in the sale of a significant Intellectual and Developmental Disabilities business in the southwest region of the United States.  We were evaluating an acquisition offer from a private equity firm when we turned to Brian for assistance.  His relationships and reputation in the industry facilitated introductions, offers, and conversations with decision makers, leaders, and management of the several prospective purchasers.  I believe Brian’s involvement led to the best overall transaction at a markedly higher price than we otherwise would have obtained.  As a seller, we were able to select the buyer through a competitive process evaluating several key factors.  When the transaction began to bog down during the due diligence process, Brian assisted with important communications.  As a result, our transaction was successfully closed in a reasonable time frame.  Brian Bruenderman brings substantial value to transactions. 

Stephen Barkley, The Tungland Company

I would recommend Brian Bruenderman’s services to any business owner looking to sell their company, especially the owner of a home care or home healthcare company. With many years of experience working with buyers and sellers, he has a full understanding of the home care business. About a year after I started Sovereign Home Health of Connecticut I reached out to a couple business brokers to lay the foundation of a relationship in case the day came when I would be ready to sell my business. Brian was gracious to spend time with me when we were very small and it was clear that an exit was a long time off in the future. The market intelligence that he shared along the way was critical and invaluable as I built the business. When the time came and I made the decision that I wanted to exit the business he quickly and effectively made several introductions and within a short period of time we had offers on the table. He held my hand at every step along the way and coached me well throughout the entire process.

Syd Kain, Sovereign Home Health Care

My name is Beverly Mineo and my husband and I are the founders and sellers of Quality Home Staffing, Inc. Home Care Agency. We had been in business for 23 years and had around 400 employees. We reached out to Brian last year to discuss selling options so that we could retire. He fully explained what is involved in selling a business and what we would need to do to prepare the business for sale. After putting together a detailed analysis and package on our business, he was be able to discuss with potential buyers and quickly had compelling offers, which he was able to leverage to get us the very best price possible for our business. During due diligence, Brian always made sure that we understood this process and kept it moving forward so that we were able to close. Brian is extremely detail-oriented, professional and focused. He is an exceptional business broker and I would highly recommend him to any business owner who is looking to sell with the very best results.

Beverly Mineo, RN, Quality Home Staffing, Inc.

Let Our Experts Point You in the Right Direction.