Help At Home

What Help At Home does

Help At Home, founded in 1975 and headquartered in Chicago, Illinois, is the largest national provider of personal home care services in the United States. The company operates more than 150 community hub locations across 11 states with a workforce of over 50,000 caregivers serving approximately 60,000 clients (66,000 average monthly), and delivers roughly 85 million home care hours annually at an average intensity of 24 hours per client per week. The primary client base is Medicaid-eligible seniors and individuals with disabilities, with additional service lines addressing individuals with intellectual and developmental disabilities (IDD), post-acute and medically complex patients, and veterans.

The core product portfolio spans Home Care Services (non-medical personal care for activities of daily living), Home Health Services (skilled nursing for post-acute and chronic care), and IDD Services. These are augmented by Care Coordination, Value-Based Care, Fall Prevention, and Community Health Worker (CHW) programs that wrap a clinical and Social Determinants of Health (SDoH) layer around personal care. The technology stack includes AI-powered recruiting and onboarding platforms, an AI-based caregiver-client matching engine that learns from successful matches, a Caregiver Observation Analytics platform that ingests caregiver-reported observations on client mood, health, and behavior to trigger real-time alerts and proactive interventions, and a Centralized Contract Management System with SDoH/Health-related Social Needs (HRSN) analytics. Help At Home is accredited by the Joint Commission.

Help At Home generates revenue primarily through government-funded programs: 70% of business flows through Managed Long-term Services and Supports (MLTSS) arrangements with Medicaid managed care organizations (MCOs), and over 25% of the client base is in value-based care programs. Go-to-market combines direct field operations (local branch teams and Care Experts handling eligibility and onboarding) with channel partnerships through MCOs, state Medicaid programs, value-based provider groups, and healthcare systems. Growth has been driven primarily by acquisition, with at least 17 deals executed since 2017, including Community Care Systems (2021), Edison Home Health Care and Preferred Home Care of New York (2022), Open Systems Healthcare (2023, entering Delaware), Berkshire Homecare and My Care at Home (2023), and Home Care Now of Central Florida (2025). The company is privately held by Centerbridge Partners and Vistria Group, who have reportedly extracted over $737 million from Help At Home and related entities through dividend recapitalizations since 2013.

Name

Help At Home

Legal name

HAH Group Holding Company LLC

Website

https://helpathome.com

Company type

Private

Founded year

1975

Operating status

Operating

Headcount range

5,001–10,000 employees

Short description

Help At Home, founded in 1975 in Chicago, is the largest U.S. personal home care provider, employing 50,000+ caregivers across 150+ hubs in 11 states to serve approximately 66,000 Medicaid-eligible seniors and individuals with disabilities through managed care and value-based care.

Ownership category

akta.pro rank

Product category

Home Care Services

NAICS

Services for the Elderly and Persons with Disabilities (62412), Home Health Care Services (6216), Services for the Elderly and Persons with Disabilities (624120)

SIC

Services-Home Health Care Services (8082), Services-Nursing & Personal Care Facilities (8050)

akta.pro primary industry

Personal Care & ADL Assistance (bathing, dressing, toileting, mobility) (HLADAGAA)

akta.pro secondary industries

Companion Care & Social Support (non-clinical) (HLADAGAB), In-Home Dementia Care Services (Specialized Personal Care) (HLADACAI), Conversation, Cognitive Stimulation & Activity Facilitation (HSABAAAB), Dementia & Alzheimer’s Respite Care (HSABAGAF)

Keywords

• In-home personal care
• Home health services
• Medicaid home care
• Care coordination programs
• Developmental disabilities services

Headquarters

HQ city

Chicago

HQ country

United States

HQ region

North America

Offices3 records

Markets served

GTM type

B2B and B2C

Offering type

Services

Cost components

Personnel, Operations, Marketing or Sales, Technology or R&D, Infrastructure

Revenue model

1. Managed Long-term Services and Supports (MLTSS): Seventy percent of Help at Home's business flows through some type of managed care, specifically Managed Long-term Services and Supports (MLTSS) programs through Medicaid managed care organizations.
2. Value-Based Care Programs: Over 25% of client-base is in value-based care programs with continued expansion. These programs impact cost and quality outcomes through innovative payment models that go beyond traditional fee-for-service.
3. Home Health Services: Skilled nursing care services provided by registered, professional nurses for post-acute care, chronic illness management, and customized care plans addressing individual healthcare needs.

Go-to-market motion2 records

Distribution channels5 records

Marketing channels7 records

Core offering

Help At Home provides relationship-based in-home personal care and home health services primarily to Medicaid-eligible seniors and individuals with disabilities across 11 states. The company's core offerings include non-medical personal care (bathing, dressing, meal preparation, companionship), skilled nursing home health, IDD services, and a Care Coordination program that connects clients to the healthcare system and addresses Social Determinants of Health.

Product overview

Help at Home is a unified home care platform offering a coordinated portfolio of in-home personal care and healthcare services. The core offerings include Home Care Services (non-medical personal care for daily living activities), Home Health Services (skilled nursing care), and IDD Services (intellectual and developmental disabilities support). These are augmented by Care Coordination and Value-Based Care Programs that wrap clinical support around personal care to connect clients with the broader healthcare system. Additional specialized offerings include Fall Prevention, Community Health Worker Programs, and Direct Support Professional Services. The platform emphasizes relationship-based, person-centered care with an average caregiver-client relationship of four years, operating across 11 states with over 150 hub locations serving approximately 60,000 clients with more than 50,000 caregivers.

Differentiator

Problem solved

Functional benefit

Products and services

• Home Care Services

Quantifiable outcome

• 50% reduction in inpatient and ER utilization through Care Coordination program
• +4 more outcomes

Named customers3 records

Segments5 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

AI capability7 records

Feature5 records

Scale indicators10 records

Recent moves6 records

Expansion highlights6 records

Broad incumbents

• Amedisys: Large home health and hospice provider (now majority-owned by UnitedHealth/Optum) with national footprint and significantly greater scale. Overlaps with Help at Home's home health segment but does not focus on personal care services.

Direct peers

• Addus HomeCare: Addus HomeCare is one of the largest U.S. personal care providers, with a similar Medicaid-focused HCBS model serving seniors and individuals with disabilities across 22+ states. Highly comparable in customer base, payer mix (MCO/Medicaid), and service lines.
• BrightSpring Health Services: Public PE-backed provider of home and community-based health services including personal care, home health, and IDD services. Operates at significantly larger scale with similar value-based care orientation and complex Medicaid populations—highly comparable business model and regulatory exposure.
• Aveanna Healthcare: Public home health and private duty nursing provider serving medically complex pediatric and adult patients. Comparable in delivering in-home skilled and personal care across multiple states, with similar Medicaid managed care exposure.
• Bayada Home Health Care: Large nonprofit home health and personal care provider operating in 20+ states, serving similar populations (adults, pediatric, seniors) with comparable in-home skilled and non-skilled services. Closest peer on mission-driven scale and national footprint.
• Pennant Group: Public home health, hospice, and senior living operator with growing personal care segment. Operates a decentralized local-leader model similar to Help at Home's Market Leader structure, with comparable geographic expansion via acquisitions.
• Enhabit: Public home health and hospice provider spun off from Encompass Health, operating across 30+ states. Comparable in home-based clinical care delivery and Medicare/Medicaid payer mix, though heavier on skilled nursing than personal care.
• Maxim Healthcare Services: Private national provider of home health, personal care, and behavioral services operating across 40+ states. Comparable in offering both skilled and non-skilled home care with similar Medicaid-funded populations.
• Interim HealthCare: Franchise-based home health and personal care provider with 300+ locations nationwide. Comparable in offering a mix of skilled nursing and personal care services, though franchise model differs from Help at Home's direct operation.
• Sevita Health: PE-owned (Centerbridge/Vistria co-portfolio) provider of home and community-based specialty services, particularly for individuals with intellectual and developmental disabilities (IDD). Co-owned with Help at Home by same PE sponsors, with substantial operational and clinical overlap in IDD services.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat6 records

Key risks7 records

Key highlights7 records

Customer concentration

• Facebookfacebook.com/HelpatHomeUSA
• LinkedInlinkedin.com/company/help-at-home-llc
• Instagraminstagram.com/helpathomeus

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles14 records

Subsidiaries9 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A17 records

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Help At Home