How many home health agencies are there in the US? (2026 data)
Home health is one of the fastest-growing healthcare segments, propelled by demographics and a payer preference for care at home. DealSeam tracks roughly 307,000 registered home health provider records from CMS NPPES. As with other NPPES verticals, this counts providers rather than businesses, so the agency count is lower — but the demand tailwind and fragmentation make it a prime consolidation target.
Agencies that command premium multiples have a diversified payer mix (not over-concentrated in one referral source or program), strong clinical-quality and survey scores, durable caregiver staffing, and clean compliance. Regulatory exposure and payer concentration are the main valuation risks buyers diligence.
DealSeam is not a traditional business broker; where there is a fit, it introduces agency owners to qualified buyers, with the buyer paying the success fee so sellers pay nothing.
Where they are: top states
| State | Providers |
|---|---|
| CA | 29,774 |
| TX | 25,723 |
| FL | 23,780 |
| OH | 22,860 |
| NC | 16,991 |
| PA | 12,386 |
Typical valuation: about 4.5x-8.5x EBITDA (2.5x-5.5x SDE for smaller, owner-operated businesses). See the full valuation & buyer guide.
Methodology & sources
Count reflects home health provider records in DealSeam's companies database sourced from CMS NPPES as of June 2026. NPPES registers providers (individual and organizational NPIs), so this is a PROVIDER count, not an agency/business census (the business count is smaller). State is the provider's practice-location state.
This is general educational information, not legal, tax, or financial advice.
Related questions
How many home health agencies are in the US?
CMS NPPES lists about 307,000 registered home health providers; the number of distinct agencies is smaller because providers and individual caregivers are registered separately. The market is fragmented and growing.
What multiple do home health agencies sell for?
Roughly 4.5x-8.5x EBITDA for established agencies with a diversified payer mix and strong quality scores; smaller agencies are usually valued on SDE at about 2.5x-5.5x.
Why is private equity interested in home health?
An aging population, a shift toward home-based care, and a highly fragmented provider base make home health attractive for PE roll-ups — subject to careful diligence on payer concentration and regulatory compliance.
Thinking about selling?
DealSeam introduces owners to qualified, funded buyers off-market — confidentially, and at no cost to sellers. Start with a private conversation.