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.
| Rank | Home health agency name | City | State | Definitive ID | Total patients | Explore dataset |
|---|---|---|---|---|---|---|
| 1 | AccentCare | Dallas | TX | 809500 | 400,300 | Explore |
| 2 | Amedisys Inc | Baton Rouge | LA | 802283 | 322,582 | Explore |
| 3 | Enhabit Home Health & Hospice | Dallas | TX | 1046765 | 231,842 | Explore |
| 4 | Bayada Home Health Care | Moorestown | NJ | 823847 | 126,419 | Explore |
| 5 | Interim HealthCare | Sunrise | FL | 809490 | 112,251 | Explore |
| 6 | VNS Health (FKA Visiting Nurse Service of New York) | New York | NY | 828925 | 86,695 | Explore |
| 7 | Elara Caring | Dallas | TX | 972001 | 61,530 | Explore |
| 8 | Aveanna Healthcare | Atlanta | GA | 957340 | 61,493 | Explore |
| 9 | 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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