Recent billion-dollar mergers and acquisitions (M&A) in the health and human service field have raised the question: how big is big enough? A more important question is: how many of these deals are built to last?

The pace of mergers and acquisitions in the field continues to accelerate. In the for-profit health care market, transaction volume was up 6% in 2025, with more than 75% of deals focused on consolidation and private equity representing approximately 40% of transactions (see US Healthcare: Companies Continue To Create Value Through Diversification and Strengthen Your Foundation: The Legal Structures & Compliance Tactics You Need to Support Partnerships & Affiliations At Scale). There is also a steady—but less…