The home care industry is not a monolith; it includes medically focused home health, non-medical personal care, and specialized services like hospice. The answer to what is the largest home care company in the US hinges on which segment you analyze.
The Largest Home Health Companies by Patient Volume and Revenue
In the home health sector, which involves skilled medical care, several major players lead the market. Recent market consolidation, particularly by UnitedHealth Group's Optum division, has fundamentally shifted the landscape.
UnitedHealth Group (via Optum)
Following its 2023 acquisition of LHC Group and its 2025 acquisition of Amedisys, UnitedHealth Group has become a dominant force in home health. The combined patient volume and geographic reach of these two providers place UnitedHealth Group at the top of the home health category. In 2023, Amedisys alone served over 332,000 patients.
Maxim Healthcare Services
Ranked highly by net patient revenue, Maxim Healthcare Services is another significant provider in the home health space, operating in over 40 states. The company provides both home care and healthcare staffing services.
BrightSpring Health Services
A publicly traded company, BrightSpring specializes in home and community-based health services and projected net revenues between $12.2 billion and $12.6 billion for the full year 2025 across its various business segments. Their services include home health, personal care, and rehabilitation.
Enhabit Home Health & Hospice
A spin-off from Encompass Health in 2022, Enhabit immediately became one of the largest home health entities in the US and remains a top player by patient volume.
The Largest Non-Medical Home Care Providers
Non-medical home care focuses on assistance with daily living activities (ADLs) and companionship. For more information, see {Link: Honor Acquires Home Instead to Transform Care Experience ... PR Newswire https://www.prnewswire.com/news-releases/honor-acquires-home-instead-to-transform-care-experience-for-caregivers-and-older-adults-301350109.html}.
Conclusion
The largest home care company in the US depends on the type of care considered. For home health, UnitedHealth Group's Optum, through its acquisitions of LHC Group and Amedisys, is the most dominant force in skilled services. In non-medical care, the combination of Honor and Home Instead created a leading platform with the largest franchise network. The home care market is dynamic, with mergers and technology continuously reshaping the landscape.
Key Takeaways
- Largest Home Health Provider: UnitedHealth Group (via Optum, LHC Group, and Amedisys) is the largest home health provider.
- Largest Non-Medical Provider: Honor, following its acquisition of Home Instead, is the largest non-medical home care provider, utilizing a technology-enabled franchise network.
- Revenue vs. Volume: Rankings vary depending on metrics.
- Competitive Market: The home care industry is consolidating.
- Care Type Matters: The distinction between skilled medical home health and non-medical personal care is crucial.
- Technology is a key driver: Companies like Honor leverage advanced technology.
FAQs
Question: Is Home Instead the largest home care company in the US? Answer: As of 2021, Home Instead was acquired by Honor, a technology-focused home care provider. The combined Honor-Home Instead entity now holds that market-leading position.
Question: Who is the largest home care provider by total revenue? Answer: BrightSpring Health Services projects a large overall revenue in 2025 across multiple services, while Maxim Healthcare Services reports the highest net patient revenue specifically for home health.
Question: Which is the biggest franchise in the home care sector? Answer: The Honor-Home Instead network is the largest franchise system in non-medical home care. Visiting Angels also ranks highly for the number of locations.
Question: Did UnitedHealth Group acquire the largest home care companies? Answer: Yes, UnitedHealth Group, through its Optum subsidiary, acquired both LHC Group (in 2023) and Amedisys (in 2025). These acquisitions made Optum a dominant home health provider.
Question: What is the difference between home health and personal care? Answer: Home health is skilled medical service, while personal care is non-medical assistance with daily activities.
Question: How has consolidation impacted the home care industry? Answer: Consolidations have reshaped the market by creating large entities with expanded reach and offerings.
Question: Who are some other major players in the US home care market? Answer: Other significant companies include BrightSpring Health Services, Enhabit Home Health & Hospice, AccentCare, and Bayada Home Health Care.
