NASHVILLE, Tennessee—Avenues Home Care, a provider of personalized homecare in the Southeast, announced its expansion into Alabama through the acquisition of As Close As Family (ACAF). Based in Rainsville, Alabama, ACAF operates multiple locations across the state and has a proven commitment to providing compassionate homecare, reflected in affiliations with the Home Care Association of America and the Alabama Elder Care Planning Council.
ACAF said local leadership and caregivers will remain in place, ensuring continuity of care and preserving the trusted relationships built across Alabama communities.
“The team at As Close As Family knows these communities better than anyone,” said Doug Markham, CEO of Avenues Home Care. “Our job is to protect that local trust and deepen community ties by equipping our Alabama team with the support they need to keep delivering reliable, compassionate care.”
According to analysis from the University of Alabama’s Center for Business and Economic Research, approximately one in five Alabamians is age 65 or older in 2025. Alabama’s senior population grew by 11% between 2020 and 2024 and is expected to keep rising contributing to the U.S. homecare market being projected to more than double, reaching nearly $381 billion by 2033.
“As more families look for ways to age in place and care for loved ones of all ages, the demand for dependable homecare has never been greater,” said Adam Berry, COO of ACAF. “We’ve always believed care should feel like family, and we found that same philosophy at Avenues. It’s the right fit for our team and the families we serve.”
With this acquisition, Avenues Home Care now serves clients in four states—Texas, Tennessee, Georgia and Alabama—offering personal care, respite and transition care, and companion services, along with specialized programs for veterans and individuals with disabilities.
“This acquisition enables us to expand while preserving the personal touch that defines exceptional homecare,” said Markham. “We’re honored to serve families across Alabama and remain committed to building something truly special throughout the Southeast.”
The M&A market for healthcare companies continues to build on STRATEGIC opportunities and a fragmented market. Consolidations along with unprecedented demand are driving scale across the continuum of care. The strategic corporate buyers and private equity investors remain committed to acquiring strong businesses that are well prepared for a transaction. Across the continuum of care, these buyers and investors are looking for well established, profitable businesses and offering prime valuations and options for management.
Do you know the current market value of your business? We do! We are here to help you plan, prepare, explore and succeed in executing your strategic options.
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