Health systems are pushing more care into patients’ homes, but some are closing, selling or suspending home-based care programs.
Here are the health systems that have ended, sold or announced plans to exit home-based care programs in 2026, as reported by Becker’s:
- Greensboro, N.C.-based Cone Health is ending its hospital-at-home program due to industry pressures.
- Nashville, Tenn.-based HCA Healthcare sold 31 home health and hospice agencies across eight states to Cincinnati-based Deaconess Associations.
- Duluth, Minn.-based Aspirus St. Luke’s closed its home health division and is moving the 29 employees to other roles in the system.
- Rockledge, Fla.-based Health First is ending its hospital-at-home program as part of a broader service and workforce reduction.
- Grand Forks, N.D.-based Altru Health System discontinued home health services due to regulatory pressures. It will continue to offer other home-based programs, including therapy, remote monitoring and medical home visits.
- Knoxville, Tenn.-based Covenant Health discontinued its hospital-at-home, Advanced Care at Home, program in April 2026.
- Greenville, N.C.-based ECU Health is selling its home health and hospice business to Liberty Home Care and Hospice, pending approval from the North Carolina attorney general’s office.
- Minot, N.D.-based Trinity Health is suspending home health and outpatient hospice services and is looking for community providers to take over those services.
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