NAICS 621610 Quarterly Industry Report
Home Health Care Services
Comprehensive industry research for valuation professionals, business owners, buyers, and lenders
NAICS Code: 621610Sector: Health Care and Social Assistance (62)Updated: Q1 2026
About This Report
This industry profile for Home Health Care Services (NAICS 621610) draws on data from the U.S. Census Bureau[6], Centers for Medicare and Medicaid Services[9], Bureau of Labor Statistics[7], and SBA size standards database[8]. Published by Fair Market Value and updated quarterly, it provides valuation professionals, home health industry analysts, and healthcare investors with current market data. All quantitative claims are sourced to publicly verifiable databases.
Industry Snapshot
Key metrics for the home health care services industry.
NAICS Sector
62
Health Care and Social Assistance
Industry Definition & Overview
Home Health Care Services (NAICS 621610) encompasses establishments primarily engaged in providing skilled nursing services in the home, along with a range of other home health care services such as physical therapy, occupational therapy, speech therapy, and medical social work per the U.S. Census Bureau[5]. Home health agencies deliver physician-ordered medical care to patients who are homebound or have difficulty traveling to outpatient clinical settings.
Market size reached $107 billion in 2025 and is projected to grow to $176 billion by 2032 at a 7.4 percent compound annual rate. Roughly 455,000 home health agencies employ 1.58 million workers per Census Bureau[6] and Bureau of Labor Statistics[7] data. Amedisys, LHC Group (now part of UnitedHealth Group's Optum), Kindred at Home (now Gentiva), and Bayada Home Health Care operate among the largest multi-state networks. Average agency size is 4.9 employees, reflecting the predominance of small independent operators.
Per the SBA Table of Size Standards[8], the size standard is $19 million in average annual receipts. CMS[9] reimburses home health under the Patient-Driven Groupings Model (PDGM), which classifies 30-day payment periods based on patient characteristics, clinical grouping, and functional impairment level. CMS proposed a 1.3 percent payment reduction for CY 2026. Agencies must meet Medicare Conditions of Participation including skilled nursing supervision, patient rights protections, and quality assurance standards. OASIS-E assessment data drives both payment and quality measurement, with Home Health Value-Based Purchasing (HHVBP) adjusting payments based on quality performance scores. Workforce shortages in home health aides and certified nursing assistants remain a primary operational challenge, with turnover rates exceeding 60 percent annually at many agencies.
What's Included in This Industry
- Skilled nursing visit and assessment services
- Physical therapy home-based rehabilitation treatment
- Occupational therapy daily living skills training
- Speech-language pathology home treatment services
- Medical social work counseling and resource coordination
- Home health aide personal care and assistance
- Wound care management and dressing change services
- Medication management and patient education programs
- Chronic disease monitoring and telehealth check-ins
- Medicare PDGM billing and OASIS assessment compliance
NAICS Classification Hierarchy
| Level | Description | Code |
|---|---|---|
| Sector | Health Care and Social Assistance | 62 |
| Subsector | Ambulatory Health Care Services | 621 |
| Industry Group | Home Health Care Services | 6216 |
| NAICS Industry | Home Health Care Services | 62161 |
| National Industry | Home Health Care Services | 621610 |
Related NAICS Codes
| Code | Description | Relationship |
|---|---|---|
| 621111 | Offices of Physicians (except Mental Health Specialists) | Offices of Physicians (General) prescribe and oversee home health services through physician orders and face-to-face encounter requirements, with physician certification of homebound status required for Medicare-covered home health episodes |
| 622110 | General Medical and Surgical Hospitals | General Medical and Surgical Hospitals generate home health referrals through discharge planning, with hospital readmission penalties creating financial incentives for effective post-acute home health care that prevents return hospitalizations |
| 621340 | Offices of Physical, Occupational and Speech Therapists, and Audiologists | Offices of Physical, Occupational and Speech Therapists provide clinic-based rehabilitation that serves as an alternative or supplement to home-based therapy, with patient mobility and preference determining the treatment setting choice |
| 623110 | Nursing Care Facilities (Skilled Nursing Facilities) | Nursing Care Facilities provide residential skilled nursing as an alternative to home health care for patients requiring 24-hour supervision, with home health agencies competing for post-acute patients who could recover in either setting |
| 624120 | Services for the Elderly and Persons with Disabilities | Services for the Elderly and Persons with Disabilities provide non-medical home support that complements skilled home health services, with personal care, meal delivery, and transportation programs operating alongside clinical home health agencies |
| 621492 | Kidney Dialysis Centers | Kidney Dialysis Centers coordinate with home health agencies to support home dialysis patients who require nursing visits for peritoneal dialysis training, vascular access monitoring, and medication management |
Geographic Concentration
Top states by share of national establishments.
| # | State | % Est. | Total Est. |
|---|---|---|---|
| 1 | California | 13.1% | 5,118 |
| 2 | Texas | 11.2% | 4,385 |
| 3 | Florida | 8.5% | 3,342 |
| 4 | Ohio | 4.2% | 1,660 |
| 5 | Missouri | 4.0% | 1,547 |
| 6 | Michigan | 3.8% | 1,467 |
| 7 | Pennsylvania | 3.7% | 1,461 |
| 8 | Georgia | 3.7% | 1,439 |
| 9 | Virginia | 3.5% | 1,360 |
| 10 | New York | 3.4% | 1,337 |
% Of Establishments
0%
13%
Source: County Business Patterns, U.S. Census Bureau[3]
SBA Lending Summary
6,792
Total SBA Loans
$3.1B
Total Loan Volume
$449K
Average Loan Size
11 yrs
Average Loan Term
10.40%
Average Interest Rate
212,216
Jobs Supported
Source: SBA 7(a) Program Data, U.S. Small Business Administration — FY 2025[4]
Key Insight: Per the SBA Table of Size Standards[8], Home Health Care Services (NAICS 621610) has a size standard of $19 million in average annual receipts for federal contracting purposes. SBA lending programs[10] support agency acquisition, clinical technology investment, and service territory expansion for qualifying home health care operators. Eligible businesses can access SBA 7(a) loans[11] for working capital, equipment, and acquisition financing, while 504 loans[12] support major fixed-asset purchases including real estate and heavy machinery.
Top SBA Lenders
| # | Lender | Loans | Volume | Avg Loan |
|---|---|---|---|---|
| 1 | Live Oak Banking Company | 712 | $616.2M | $865K |
| 2 | The Huntington National Bank | 976 | $243.6M | $250K |
| 3 | Newtek Bank, National Association | 376 | $214.3M | $570K |
| 4 | Northeast Bank | 848 | $208.3M | $246K |
| 5 | Readycap Lending, LLC | 400 | $73.9M | $185K |
Frequently Asked Questions
Common questions about this industry.
What is the NAICS code for home health agencies?
NAICS 621610 covers home health care services providing skilled nursing, physical therapy, occupational therapy, and related medical services in the patient's home per the U.S. Census Bureau[5].
How large is the home health care market?
What is the SBA size standard for home health agencies?
The SBA size standard[8] is $19 million in average annual receipts, determining eligibility for federal small business contracting programs and SBA lending products.
How does Medicare reimburse home health services?
CMS[9] reimburses home health under the Patient-Driven Groupings Model (PDGM), classifying 30-day payment periods based on patient clinical characteristics, functional impairment level, and admission source, with a proposed 1.3 percent reduction for CY 2026.
What quality measures apply to home health agencies?
Home Health Value-Based Purchasing (HHVBP) adjusts payments based on quality performance scores per CMS[9] program guidelines, with OASIS-E assessment data driving both payment classification and quality measurement across all Medicare-certified agencies.
How severe is the home health workforce shortage?
Workforce shortages in home health aides and certified nursing assistants remain a primary challenge, with turnover rates exceeding 60 percent annually at many agencies per Bureau of Labor Statistics[7] labor market data.
Who are the largest home health operators?
Amedisys, LHC Group (Optum), Kindred at Home (Gentiva), and Bayada Home Health Care operate among the largest multi-state networks per industry tracking data, though average agency size of 4.9 employees reflects small operator predominance.
What conditions must agencies meet for Medicare?
Agencies must meet Medicare Conditions of Participation including skilled nursing supervision, patient rights protections, and quality assurance standards per CMS[9] certification requirements, with physician orders and homebound status certification required for covered episodes.
Sources & References
Government datasets and editorial sources used in this report.
- [1]U.S. Bureau of Labor Statistics, Quarterly Census of Employment and Wages bls.gov
- [2]U.S. Census Bureau, Economic Census census.gov
- [3]U.S. Census Bureau, County Business Patterns census.gov
- [4]U.S. Small Business Administration, SBA 7(a) Loan Program Data data.sba.gov
- [5]U.S. Census Bureau census.gov
- [6]Census Bureau data.census.gov
- [7]Bureau of Labor Statistics bls.gov
- [8]SBA Table of Size Standards sba.gov
- [9]CMS cms.gov
- [10]SBA lending programs sba.gov
- [11]SBA 7(a) loans sba.gov
- [12]504 loans sba.gov
Disclaimer
This publication has been prepared by Fair Market Value (“Fair Market Value”) for informational purposes only. It is provided on an “as-is” and “as available” basis. Fair Market Value makes no representations or warranties, express or implied, regarding the merchantability, fitness for a particular purpose, completeness, or accuracy of the data or information contained herein. This publication is not intended to be, and should not be construed as, professional financial, legal, tax, or investment advice. Users should consult with qualified professionals before making any financial or business decisions based on the information presented.
To the extent permitted by law, Fair Market Value disclaims all liability for loss or damage, direct and indirect, suffered or incurred by any person resulting from the use of, or reliance upon, the data in this publication.
Copyright © 2026 Fair Market Value. All rights reserved. All data, information, articles, graphs, and content contained in this publication are copyrighted works and Fair Market Value hereby reserves all rights. No part of this publication may be copied, reproduced, republished, uploaded to a third party, or distributed without the prior written permission of Fair Market Value.