4.6.1.3Vertical
Hospital-Based Home Health
Home health agencies operated by hospital systems.
Market snapshot
These figures describe Home Health Agencies (4.6.1), the segment that Hospital-Based Home Health sits within — not Hospital-Based Home Health on its own.
- Market size
- ~$114B
- Growth
- ~6.2%CAGR (2017–22, nominal)
- Companies
- ~39,000
FragmentationConsolidatingEstimate
U.S. Census Bureau 2022 CBP/Economic Census, NAICS 621610 (Home Health Care Services) — also includes hospice care.
Business model & economics
Revenue model
Medicare/MA episodic reimbursement for skilled home care
Key economics
- Recurring revenue
- Moderate–High
- EBITDA margin
- 10–18%
- Capex intensity
- Low
episodic but recurring care
reimbursement-policy-sensitive
Characteristics
- Medical core of home-based care, payer-owned at the top.
- Cost advantage of treating patients at home.
- Reimbursement policy heavily shapes economics.
M&A deal context
Deal activityHigh
Who’s acquiring
- Payer-owned home-health platforms
- Large home-health operators
- PE-backed consolidators
What’s driving deals
- Payer acquisition and vertical integration.
- Antitrust scrutiny of major deals.
- Medicare Advantage and care-shift demand.
Find Hospital-Based Home Health acquisition targets
Search Acquisera’s index for companies classified under Hospital-Based Home Health (4.6.1.3) and build a targeted deal pipeline.
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