The Buy-ups

Buy Them Up.
Sell Them On.

Investors are buying small care businesses, joining them into bigger groups and selling the groups on. The money they earn comes from public funding for disability, aged care, childcare and health.

Some of that investment money is ours too, through the Future Fund.

Newsprint cut-out of a big fish swallowing a small fish.
6

Businesses added to Independent Living Specialists since Riverside invested in April 2020.[1]

18 to 75

Country Care Group’s planned growth in stores, announced when Next Capital bought 51 per cent.[2]

A$540m

Loan to Aidacare to refinance debt and pay a dividend to its owner, Quadrant.[3]

$1,414.5m

The Future Fund’s holding with Quadrant Private Equity at 30 June 2026.[4]

How a Roll-up Works

Buying lots of small businesses and joining them into one big group is called a roll-up.

How a roll-up works Step 1: an investor buys a care business. Step 2: it buys more small local businesses and keeps their names. Step 3: it joins them into one group, centralising prices, wages and suppliers. Step 4: it borrows against the group's public-funded income and pays the owners. Step 5: it sells the whole group to the next investor, and the cycle starts again. 1. Buy oneAn investor buys a carebusiness. 2. Buy moreSmall local businesses areadded. Their names stay. 3. Join them upOne group sets prices,wages and suppliers. 4. Borrow and pay outBorrow against the public-fundedincome. Pay the owners a dividend. 5. Sell it onSell the whole group to the nextinvestor. The group keeps the debt. Local names on the door. One owner behind them. Public money paying for all of it.

An old trading name can stay on the door after the business changes hands, so you might not know who owns the service you use.

One Group, Six Buys

Riverside invested in Independent Living Specialists, an equipment supplier, in April 2020. Then the buying started.[1]

  1. 2020Riverside invests in Independent Living Specialists. Think Mobility is added.
  2. 2021Complete Mobility, Geelong Wheelchairs and Special Needs Solutions.
  3. 2022Leef Independent Living Solutions.
  4. 2024Professional Assistance for Living.[1]

Wheelchairs, hoists, beds and home equipment for disabled people and older people are mostly paid for by the NDIS, aged care programs and state equipment schemes.

Who Bought What

Disability equipment, aged care, cancer care, GPs and employment services.

BusinessWhat it doesWhat happened
AidacareDisability and aged care equipmentQuadrant bought a majority stake, completed 9 December 2022.[5]
Country Care GroupDisability and rehabilitation equipment storesNext Capital bought 51 per cent, announced 20 December 2022.[2]
Estia HealthAged care homesBain bought it in December 2023 and agreed to sell it to Stonepeak on 26 May 2026.[6]
Signature CareAged care homesFor Purpose Investment Partners’ purchase completed August 2024, with a $260 million bank debt facility.[7]
APMEmployment, rehabilitation and disability servicesMadison Dearborn Partners took it private in October 2024.[8]
Icon GroupCancer careEQT Infrastructure V agreed to buy it in November 2021.[9]
Family DoctorGP clinicsKKR lent it $186 million in March 2025. That’s a loan, not a purchase.[10]

Bigger After the Buy

Sites before and after private investment

Estia Health homes when Bain bought it
73
Estia Health homes when Bain agreed to sell
93
Country Care stores in 2022
18
Country Care stores planned
75

Sources: Bain Capital; Next Capital.[6][2]

Borrow Against the Care, Pay the Owners

In February 2026, Bloomberg reported that Bain Capital Credit and UBS were lending about A$540 million to Aidacare. The money would “fund a dividend payout to the company’s private equity owner Quadrant Private Equity Pty and refinance debt.”[3]

This is called a dividend recapitalisation. The owners get cash now. The business keeps the loan and pays the interest out of its future income.

When that income comes from the NDIS and aged care, the interest is paid from the same money that pays for wages and equipment.

The Future Fund has money with Bain Capital Credit ($5,226.4m) and with Quadrant ($1,414.5m).[4] So public money sits on both sides of this deal: the lender and the owner. We don’t yet know whether any of it is in this loan or in Aidacare.

Same Group, Different Names

In February 2021, the NDIA named the businesses on its panel to run independent assessments. APM and Konekt were both on it. They were in the same group.[11]

The compulsory assessments were dropped in July 2021 after disabled people fought them. The panel still shows how one group can look like two competitors.[11]

NDIS plan management and booking platforms have buyers too. nib Thrive bought the NDIS marketplace platform Kynd. McMillan Shakespeare’s Plan Partners bought My Plan Support in May 2025. McMillan Shakespeare’s chief executive, Rob De Luca, used to run the NDIA.[12]

It doesn’t stop at care. In 2022 the Future Fund, ROC Partners and private investors put $255 million into a Quadrant vehicle buying MotorOne from another Quadrant fund, with plans for up to 40 smash-repair shops.[13]

Case Study: Veterans’ Care and Childcare

Coming soon

How a veterans’ health business funded by DVA connects to a childcare roll-up, the people behind both, and where the money comes from.

Read what Four Corners found about veterans’ care

What We Want Released

If public money pays for it, we should know who owns it.

  • The legal name and ultimate owner of every provider and supplier at the date of each government contract or panel.
  • Every change of ownership after the contract starts.
  • How much of each provider’s income goes on interest, management fees, related-company payments and dividends.
  • Where the Future Fund’s money with each private equity and credit manager has gone, company by company, in care.
  • A public register of who owns disability, aged care, childcare and veterans’ services, by service name.
  • Who will be held accountable, and what will be done to make sure this never happens again.

Sources

  1. Riverside, Independent Living Specialists portfolio page, checked 6 October 2026. Investment in April 2020 and add-on businesses by year. https://www.riversidecompany.com/investment-portfolio/independent-living-specialists/
  2. Next Capital, Next Capital buys into rehabilitation retailer Country Care Group, 20 December 2022. 51 per cent stake; 18 sites; plan to reach 75 stores in three to five years. https://nextcapital.com.au/next-capital-buys-into-rehabilitation-retailer-country-care-group/
  3. Bloomberg, republished by Swissinfo, Bain, UBS lend $382 million to Quadrant’s Aidacare in Australia, 18 February 2026. A$540 million; six-year loan. https://www.swissinfo.ch/eng/bain%2C-ubs-lend-%24382-million-to-quadrants-aidacare-in-australia/90961459
  4. Future Fund, Periodic Investment Report, 30 June 2026, Table 1. https://content.futurefund.gov.au/Periodic+Investment+Report+30+Jun+2026+-+Future+Fund+(A1435346).csv
  5. Mergers Alliance, Aidacare transaction record, 9 December 2022. https://www.mergers-alliance.com/madds/aidacare/
  6. Bain Capital, Bain Capital to exit Estia Health, 26 May 2026. https://www.baincapital.com/news/bain-capital-exit-estia-health
  7. For Purpose Investment Partners, Signature Care case study. https://www.fpinvest.com.au/investment-case-studies/signature-care
  8. Latham & Watkins, Latham advises on financing for Madison Dearborn Partners’ acquisition of APM, October 2024. https://www.lw.com/en/news/2024/10/latham-advises-on-financing-for-madison-dearborn-partners-acquisition-of-apm-human-services-intl
  9. EQT, EQT Infrastructure to acquire Icon Group, 19 November 2021. https://eqtgroup.com/news/eqt-infrastructure-to-acquire-icon-group-australias-largest-integrated-cancer-care-provider-2021-11-19
  10. KKR, KKR provides bespoke financing solution to Australian GP group Family Doctor, Business Wire, 2 March 2025. https://www.businesswire.com/news/home/20250302805504/en/KKR-Provides-Bespoke-Financing-Solution-to-Australian-GP-Group-Family-Doctor
  11. NDIA, Independent assessment panel announced, 26 February 2021; Joint Standing Committee on the NDIS, Independent assessments, chapter 2. https://www.ndis.gov.au/news/6118-independent-assessment-panel-announced https://www.aph.gov.au/Parliamentary_Business/Committees/Joint/National_Disability_Insurance_Scheme/IndependentAssessments/Report/Chapter_2_-_Background_to_independent_assessments
  12. nib, nib Thrive acquisition, July 2023; McMillan Shakespeare, Plan Partners acquisition of My Plan Support, 30 May 2025; Rob De Luca biography. https://www.nib.com.au/media/2023/07/nib-thrive-buys-digital-ndis-marketplace-platform-kynd https://mmsg.com.au/news/plan-partners-expands-regional-support-with-acquisition-of-my-plan-support https://mmsg.com.au/our-company/executive-team/ceo
  13. Quadrant, Future Fund, ROC Partners back Quadrant’s new buyout fund (Australian Financial Review), 1 November 2022. https://www.quadrantpe.com.au/news-insights/afr-future-fund-roc-partners-back-quadrants-new-buyout-fund