|Last Quarterly Update:||10/21/2013|
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Companies in this industry provide a range of skilled nursing and other health care services, as well as personal care services, to patients in their homes. Major companies include AMEDYSIS, Apria Healthcare Group, Gentiva Health Services, and Lincare Holdings (all based in the US), along with LVL Médical Groupe (France), Nestor Healthcare Group (UK) and Revera (Canada).
Expenditures on home health services vary significantly from country to country, according to the World Health Organization (WHO). Most European countries spend between 1 percent and 5 percent of their health care budget on home health care services. (In the US, home health care accounts for 3.3 percent of health care expenditures, according to the Kaiser Family Foundation.) Funding sources include private pay, taxation (in those countries with nationalized health care systems), compulsory or voluntary insurance, and charitable contributions or funding from nongovernmental organizations.
The US home health care industry includes about 29,000 establishments (single-location companies and branches of multi-location companies) with combined annual revenue of about $66 billion.
Developments in portable medical technologies, patients' preference for in-home care, and demographics are driving growth in home care services. The profitability of individual companies depends on effective marketing and efficient operations. Large companies have some economies of scale in sales and marketing. Small companies can compete successfully by serving a local market. The US industry is highly fragmented: the 50 largest companies account for less ...
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