Healthcare Insights

15 home health agencies ranked by net patient revenue

Patients who require skilled nursing, physical therapy, occupational therapy, or speech therapy may receive short-term rehabilitation from home health care agencies directly in their home.

In addition to rehabilitation and nursing care, home health patients may also receive other home health aide services such patient care education, wound care, pain management, injections, medication management, blood pressure and heart rate monitoring, and regular medical assessments.

Home health organizations are a critical aspect of a patient’s care journey. Not only do they allow patients to recover in the comfort of their own home, but they can reduce the cost burden of an inpatient stay in a rehabilitation facility or skilled nursing facility and lower the risk of acquiring a healthcare-associated infection (HAI).

Definitive Healthcare tracks more than 16,000 active home health agencies. From this data, we’ve compiled a list of the top 15 organizations by net patient revenue (NPR) for 2021.

The top home health agencies by net patient revenue in 2021

Rank Home health agency name Definitive ID City State Net patient revenue Explore dataset
Maxim Healthcare Services 809491 Columbia MD $1,662,328,297  Explore
Amedisys Inc 802283 Baton Rouge LA $1,334,453,319  Explore
Enhabit Home Health & Hospice 1046765 Dallas TX $931,064,825  Explore
AccentCare 809500 Dallas TX $612,569,130  Explore
Bayada Home Health Care 823847 Moorestown NJ $551,735,583  Explore
Interim HealthCare 809490 Sunrise FL $453,633,617  Explore
Elara Caring 972001 Dallas TX $239,240,190  Explore
Aveanna Healthcare 957340 Atlanta GA $232,680,160  Explore
VNS Health (FKA Visiting Nurse Service of New York) 828925 New York NY $221,345,326  Explore
10 Trinity Health at Home 1056315 Livonia MI $204,324,796  Explore
11 VNA Health Group 822156 Holmdel NJ $164,922,421  Explore
12 Hartford HealthCare at Home 1003226 Wethersfield CT $158,515,645  Explore
13 Residential Healthcare Group 825537 Troy MI $145,121,850  Explore
14 UPMC Home Healthcare 825614 Seven Fields PA $144,978,450  Explore
15 CareTenders 1005530 Akron OH $119,333,579  Explore

Fig 1. Data from the Definitive Healthcare LongTermCareView product, sourced from the Centers for Medicare and Medicaid (CMS). Data are accurate as of October 2022.

Which agencies have the highest net patient revenue?

Maxim Healthcare makes the top of the list with $1.6 billion. Based out of Columbus, Maryland, this organization provides home health services in over 30 states nationwide.

Out of their total home care visits, 90% of the visits were non-Medicare visits. This corporation offers not only adult services but also pediatrics, autism, military, federal, and other local services. Because the demographics of Medicare beneficiaries are primarily citizens 65+ years, the difference suggests that most of their visits are serving a younger population.

Second on the list is Amedisys, Inc., based out of Baton Rouge, LA with $1.3 billion. Amedisys is one of the largest homecare providers and has a presence in over 35 states. Nearly 60% of their total home health visits are Medicare, suggesting a focus on providing services to the adult and aging population.

Third on the list is Enhabit Home Health & Hospice with a net patient revenue of $9.3 million. This corporation provides post-operative, balance and fall prevention, cardiopulmonary, and community care programs. Over 70% of their total home health visits were Medicare, suggesting that like Amedisys, they also are more focused on adult and elderly patients.

What home health care is covered by Medicare?

If patients have Medicare Part A and/or Medicare Part B, they may be eligible for services such as a home health nurse, physical therapy, occupational therapy, speech-language pathology, medical social services, home health aide care, injectable osteoporosis drugs for women, durable medical equipment, and medical supplies for use at home.

For Medicare patients to be eligible, they must be homebound, and a physician must be directing their care as well as developing, regularly reviewing, and certifying the care plan.

How do home health care agencies differ from other at-home care options?

Unlike other at-home care such as hospice, home health care does not provide 24-hour care to patients. Generally, Medicare will cover 28-35 hours of home health care services per week for a 60-day period.

After the 60-day “episode of care,” the care can be recertified an unlimited number of times if care is still indicated, and the patient is still demonstrating progress. Additionally, some patients living with chronic conditions can also receive home health coverage for an extended period of time.

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