Healthcare Insights

Top 25 home health corporations by total patient volume

Home health agencies provide the care necessary to support patients with chronic illness or other disabilities in their homes rather than in hospitals or skilled nursing facilities. These may be publicly or privately owned, but many of the largest providers in the space are private home health corporations.

Home health care services are usually delivered by home health aides and nurses, and may include wound care, medication administration, drug infusion therapy, or patient and caregiver education, among others.

Using data on more than 1,000 active home health agencies, we’ve compiled a list of the top 25 home health agencies ranked by their total patient volumes in 2021.

Home health agencies ranked by total number of patients

Rank Home health agency name City State Definitive ID Total patients Explore dataset
AccentCare Dallas TX 809500 400,300 Explore
Amedisys Inc Baton Rouge LA 802283 322,582 Explore
Enhabit Home Health & Hospice Dallas TX 1046765 231,842 Explore
Bayada Home Health Care Moorestown NJ 823847 126,419 Explore
Interim HealthCare Sunrise FL 809490 112,251 Explore
VNS Health (FKA Visiting Nurse Service of New York) New York NY 828925 86,695 Explore
Elara Caring Dallas TX 972001 61,530 Explore
Aveanna Healthcare Atlanta GA 957340 61,493 Explore
Trinity Health at Home Livonia MI 1056315 59,179 Explore
10 UPMC Home Healthcare Seven Fields PA 825614 44,952 Explore
11 Hartford HealthCare at Home Wethersfield CT 1003226 40,049 Explore
12 Mission Healthcare San Diego CA 826173 39,990 Explore
13 CareTenders Akron OH 1005530 39,340 Explore
14 BayCare HomeCare of BayCare Health System Largo FL 1036449 34,598 Explore
15 Mass General Brigham Home Care (FKA Partners HealthCare at Home) Waltham MA 1010936 33,700 Explore
16 BrightSpring Health Services (FKA ResCare) Louisville KY 825536 33,194 Explore
17 Visiting Nursing Association of Western New York (VNA of WNY) Cheektowaga NY 855956 31,890 Explore
18 Ascension at Home Dallas TX 1006781 31,440 Explore
19 Medical Services of America Lexington SC 812319 28,563 Explore
20 Pinnacle Home Care Oldsmar FL 825501 27,044 Explore
21 Mederi CareTenders Altamonte Springs FL 1005615 25,384 Explore
22 Residential Healthcare Group Troy MI 825537 25,248 Explore
23 VNA Care & Hospice Dorchester MA 828902 25,077 Explore
24 Personal Touch Home Care Lake Success NY 825525 22,194 Explore
25 Angmar Medical Holdings Inc Mansfield TX 812344 21,414 Explore

Fig. 1 – Data is from Definitive Healthcare’s LongTermCareView product. Data is accurate as of December 2022.

Which home health agencies had the highest patient volumes in 2021?

AccentCare tops our list with 400,300 patients seen in 2021. Based out of Dallas, Texas, AccentCare serves patients in 31 states via 260 sites of care.

In second is Amedisys with 322,582 patients recorded last year. The Baton Rouge, Louisiana-based home health corporation operates over 330 facilities, including both home health and hospice offices.

Dallas, Texas’s Enhabit Home Health & Hospice takes third place on our list, with 231,842 patients seen across 34 states.

Who qualifies for home health care services?

In order to qualify for Medicare Part A or Part B coverage of home health services, a patient must be under the care of a doctor and require (as certified by a doctor) skilled nursing care beyond drawing blood, and/or physical, speech, or occupational therapy.

The patient must also be certified as homebound by a doctor. Full-time, round-the-clock care at home is not covered by Medicare, except for in specific cases of hospice care.

How is home health care different than hospice care?

Many agencies that provide home health services also deliver hospice care. While home health care and hospice care are both services covered by Medicare and delivered to patients in the home, they each focus on different types of patients.

Home health care and hospice patients may both require care for chronic or life-limiting illnesses, but patients only qualify for Medicare hospice coverage when they have elected to forgo curative care and have been certified by a doctor to have six months or less to live.

Additionally, home health services generally aim to help a patient get better so they can return to routine living. Hospice services instead aim to provide a patient and their family with comfort and support during the final months of life.

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