MGA Homecare buys Care IV’s private duty nursing unit in Arkansas

MGA Homecare has acquired Care IV Home Health’s private duty nursing division, giving the company entry into Arkansas and its seventh state. The deal preserves Care IV’s local leadership and expands in-home care for children and adults with complex medical needs.

Why it matters: - The acquisition expands MGA Homecare’s reach into Arkansas and strengthens its push across the Southeast. - The deal gives medically complex patients another option for skilled in-home nursing, especially families caring for children and adults who depend on ventilators, tracheostomy support and other advanced medical technology. - Keeping patients at home can reduce avoidable hospitalizations and support more stable, family-centered care.

What happened: - MGA Homecare acquired the private duty nursing division of Care IV Home Health. - The announcement came Sept. 25, 2026, in Little Rock, Arkansas. - The transaction marks MGA’s entry into its seventh state. - Care IV’s private duty nursing division has served Arkansas patients for more than 33 years.

The details: - Care IV’s PDN division provides skilled private duty nursing for technology-dependent pediatric and adult patients. - Services include care for patients who need ventilators, tracheostomy care and complex respiratory support. - The division also offers coordinated in-home nursing that helps medically fragile patients remain safely at home with their families. - Care IV’s direct care teams have long-standing relationships in Arkansas’s private duty nursing community. - The division includes registered nurses and licensed practical nurses known for compassionate care. - Joseph Kennon, who leads Care IV’s PDN division, will remain in his leadership role after the acquisition. - MGA plans to preserve Care IV’s leadership team, direct care workforce and patient-centered model. - MGA also intends to work with payers and health plans to improve outcomes and reduce avoidable hospitalizations among technology-dependent patients. - The Braff Group advised Care IV on the sale. - Arent Fox Schiff served as legal advisor to MGA. - MGA Homecare provides private duty nursing, skilled nursing visits, physical and behavioral therapies, attendant and CNA care, consumer-directed care, home medical supplies and long-term care pharmacy at home. - MGA’s private duty nursing serves patients whose needs might otherwise require prolonged hospitalization, including patients with ventilators, tracheostomies, complex respiratory conditions and feeding tubes. - MGA says its care model is built around reliable access, quality days at home and team-based support for patients and families. - The company says more than 5,500 team members serve over 6,000 patients and families each day across Arizona, Arkansas, Colorado, North Carolina, Tennessee, Texas and Washington.

Between the lines: - Care IV is narrowing its focus to Medicare intermittent skilled home health while handing off its private duty nursing legacy. - The deal brings MGA immediate local scale in Arkansas without replacing the people already serving patients. - Retaining the existing leadership team suggests both companies want continuity for families, caregivers and referral partners. - MGA’s emphasis on value-based care signals a broader strategy: use home-based nursing to improve outcomes while lowering system costs.

What's next: - MGA and Care IV’s PDN team will work together to expand care access in Arkansas, especially in rural and underserved areas. - The companies also plan to engage on legislative and policy issues affecting private duty nursing patients and families. - MGA will look to build on Care IV’s Arkansas base as part of its regional growth strategy.