Home Healthcare Services
Industry Profile Report
Dive Deep into the industry with a 25+ page industry report (pdf format) including the following chapters
Industry Overview Current Conditions, Industry Structure, How Firms Operate, Industry Trends, Credit Underwriting & Risks, and Industry Forecast.
Call Preparation Call Prep Questions, Industry Terms, and Weblinks.
Financial Insights Working Capital, Capital Financing, Business Valuation, and Financial Benchmarks.
Industry Profile Excerpts
Industry Overview
The 27,400 home healthcare service providers in the US offer skilled nursing and other types of health-related services in the home. Major service categories include traditional home healthcare services (with or without rehabilitative services), home hospice care, home nursing care, homemaker and personal care, home infusion therapy, and the rental or lease of goods and/or equipment. Companies may specialize in a particular service, such as respiratory therapy or hospice care.
Dependence On Third Party Payers
Home healthcare services providers are dependent on third party payers, including Medicare, Medicaid, private insurance companies, and managed care organizations, as sources of revenue.
Risk Of Malpractice
The inherent risk in providing healthcare outside a traditional setting exposes companies to the risk of malpractice.
Industry size & Structure
The average home healthcare services provider operates out of a single location, employs about 58 workers, and generates $4.1 million in annual revenue.
- The home healthcare services industry consists of about 27,400 firms that employ 1.6 million workers and generate $113 billion annually.
- The industry is fragmented; the top 50 firms account for 33% of industry sales.
- Large companies include Apria Healthcare, Lincare Holdings, Amedisys, and Kindred at Home (formerly Gentiva Health Services).
Industry Forecast
Home Healthcare Services Industry Growth
Recent Developments
Feb 8, 2025 - Major Acquisition may Be Blocked
- The Department of Justice released a statement announcing its intent to block UnitedHealth Group’s $3.3 billion acquisition of Amedisys, a home health and hospice provider operating in more than 30 states. The move is prompted by concerns that eliminating competition between the two entities would have negative impacts on patients, insurers, and nurses. “We are challenging this merger because home health and hospice patients and their families experiencing some of the most difficult moments of their lives deserve affordable, high quality care options,” said Attorney General Merrick Garland in a press release about the antitrust lawsuit. “The Justice Department will not hesitate to check unlawful consolidation and monopolization in the healthcare market that threatens to harm vulnerable patients, their families, and health care workers.”
- Many Medicare beneficiaries are not getting the home health care that has been prescribed for them, according to the Association of Health Care Journalists (AHCJ). Fulfillment rates for home health referrals dropped from 66% to 59% between 2016 and 2022, according to a Commonwealth Fund analysis of Medicare claims data. Lack of appropriate services can lead to more frequent rehospitalizations within 30 days of discharge and increased morbidity and mortality, according to the AHCJ.
- Medicare home health payments will increase 0.5% in 2025 under final rules issued by the Centers for Medicare and Medicaid Services (CMS). The increase is slight but CMS had proposed a 1.7% cut in June. The home health prospective payment system final rule reflects the continued implementation of the Patient-Driven Groupings Model. This formula bases reimbursements on patient characteristics rather than therapy hours and sets payments based on 30-day episodes instead of 60 days.
- Home healthcare industry employment increased significantly during the first 11 months of 2024 while and average wages for nonsupervisory employees increased moderately, according to the US Bureau of Labor Statistics (BLS). Home healthcare services increased prices slightly during the first 11 months of 2024, according to the BLS. Industry sales are forecast to increase at a 6.44% compounded annual rate from 2024 to 2028, faster than the growth of the overall economy, according to Inforum and the Interindustry Economic Research Fund, Inc.
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