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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 many patients’ care journeys. 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 17,000 active home health agencies through our LongTermCareView product. From this data, we've compiled a list of the top 15 home health agencies ranked bynet patient revenue (NPR) for 2026, the most recent full year of data available. It is important to note that not all agencies or home health corporations we track have reported their NPR to the Medicare Cost Report. The data below only represents agencies and corporations that have reported their revenue during the most recent tracking interval.

Top home health agencies by net patient revenue

Rank Definitive ID Home health agency name State  Net patient revenue  Explore dataset
1 790462 Americare Certified Special Services NYC Regional Office NY  $388,930,000  Explore
2 784793 Southcentral Foundation Home Based Services AK  $369,767,000  Explore
3 789940 VNS Health - New York Home Care (FKA Visiting Nurse Service of New York Home Care) NY  $218,889,977  Explore
4 791073 Option Care Health - Wood Dale Home Health IL  $194,732,000  Explore
5 790582 Prime Home Health Services NY  $187,444,000  Explore
6 982181 Hartford HealthCare at Home - Bloomfield CT  $165,604,300  Explore
7 790798 Girling Health Care of New York Inc CHHA NY  $153,340,470  Explore
8 794236 Barnabas Health Home Care NJ  $139,790,028  Explore
9 794361 VNA of Central Jersey Home Care NJ  $139,790,028  Explore
10 782348 OSF Home Health - Escanaba MI  $139,527,200  Explore
11 1077268 Premier Infusion Care CA  $138,647,375  Explore
12 902786 21st Century Home Health Services Inc CA  $128,953,000  Explore
13 790703 Excellent Home Care Services LLC NY  $122,415,000  Explore
14 782287 McLaren Homecare - Bay City (FKA Mclaren Visiting Nurse & Hospice - Bay City) MI  $121,318,800 Explore
15 791960 Allina Health Home Health - Twin Cities Metro (FKA Allina Health Home Health - Saint Paul) MN $109,663,600 Explore

Fig. 1 Data from the Definitive Healthcare LongTermCareView product, sourced from the Centers for Medicare and Medicaid (CMS). List only includes HHAs that report NPR in the Medicare Cost Report. Data accessed September 2026.

Which home health agencies have the highest net patient revenue?

Americare Certified Special Services NYC Regional Office, located in New York, is first on our list of home health agencies ranked by net patient revenue. It reported an NPR of nearly $389 million.

Southcentral Foundation Home Based Services ranks second. It reported an NPR of $370 million and is located in Alaska.

Third on the list of home health agencies we track is VNS Health - New York Home Care. It reported an NPR of more than $218 million and is located in New York.

Top home health corporations by net patient revenue

Rank Definitive ID Home health corporation name State  Net patient revenue   Explore dataset
1 809491 Maxim Healthcare Services MD  $1,662,330,000   Explore
2 1098859 CenterWell Home Health (FKA Kindred at Home) GA  $1,462,044,274   Explore
3 802283 Amedisys Inc LA  $1,247,968,783   Explore
4 1046765 Enhabit Home Health & Hospice TX  $721,607,184   Explore
5 823847 Bayada Home Health Care NJ  $582,103,421   Explore
6 809500 AccentCare TX  $578,904,496   Explore
7 825536 BrightSpring Health Services (FKA ResCare) KY  $440,828,471   Explore
8 972425 Adoration Home Health & Hospice AL  $440,828,471   Explore
9 823828 Americare NY  $388,930,000   Explore
10 809490 Interim HealthCare FL  $351,106,062   Explore
11 972001 Elara Caring TX  $288,668,379   Explore
12 965579 Graham Healthcare Group MI  $225,807,859   Explore
13 825537 Residential Healthcare Group MI  $222,611,181   Explore
14 828925 VNS Health (FKA Visiting Nurse Service of New York) NY  $218,889,977   Explore
15 1056315 Trinity Health at Home MI  $195,309,350   Explore

Fig. 2 Data from the Definitive Healthcare LongTermCareView product, sourced from the Centers for Medicare and Medicaid (CMS). List only includes home health corporations that report NPR in the Medicare Cost Report. Data accessed September 2026.

Which home health corporations have the highest net patient revenue?

Maxim Healthcare Services ranks first among home health corporations tracked in our database with the highest reported net patient revenue at $1.66 billion.

CenterWell Home Health, formerly named Kindred at Home, ranks second with a reported NPR of $1.5 billion.

Amedisys Inc ranks third on our list with a reported NPR of $721 million.

Recent trends in home health agencies

Home health activity has trended upward in recent years. The volume of home health care claims has increased by 56% from 2021 through 2025. The number of distinct home health patients is up nearly 90% across the same time period.

That growth reflects broader demand for care outside traditional facility settings, but it also follows an important change in how patients can access Medicare home health services. Passed in March 2020, the CARES Act permanently expanded who can order and oversee home health care. Previously, physicians were responsible for certifying patients for the Medicare home health benefit. That authority has now expanded to nurse practitioners, clinical nurse specialists, and physician assistants, allowing these practitioners to certify and recertify patient eligibility, order home health services, and establish and periodically review plans of care.

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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