Leading Health Care

What Leading Health Care does

Leading Home Care is a Louisiana-based, privately held provider of non-medical in-home care services founded in 1997 in Lafayette. The company serves elderly individuals, adults and children with developmental disabilities, veterans, and individuals with cognitive impairments such as Alzheimer's and dementia, delivering four core service modules — Companionship, Home Services, Personal Services, and Cognitive Care — through a workforce of trained Direct Support Workers (DSWs).

The company has scaled to 18 office locations across Louisiana, spanning major metros such as Baton Rouge, Shreveport, Lake Charles, Monroe, and Lafayette, alongside smaller regional offices. Growth has been achieved through a combination of organic new-office openings and selective acquisitions, notably the 2016 acquisition of Absolute Care Providers (adding Hammond, Thibodaux, and Baton Rouge) and the acquisition of Innovative Communicators (Monroe office). The company administers a broad set of Louisiana Medicaid Home and Community-Based Services (HCBS) waivers — including the Community Choices Waiver, Children's Choice Waiver, New Opportunities Waiver, Residential Options Waiver, Supports Waiver, Long-Term Personal Care Services, and Monitored In-Home Caregiving — alongside long-term care insurance, VA Home Health Aide and Respite Care, Workers' Compensation, and private pay. Differentiated enrichment offerings include St. Pierre's Center for the Arts, the only free art-class program for clients offered by a Louisiana HCBS provider, and the Randon Costello Scholarship for DSW dependents.

Operationally, Leading Home Care is a labor-intensive service business with no proprietary technology stack disclosed; its competitive position rests on a community-led go-to-market (Client Care Advocates, physician referrals, Council on Aging partnerships), localized office infrastructure across rural Louisiana parishes, and internal talent development (over 35% of open positions filled by internal promotion or transfer). Revenue is recognized monthly through payer-billed recurring arrangements, with no public pricing. The company employs between 1,001 and 5,000 people, including 60+ administrative staff at corporate headquarters and a DSW base that grew 16.4% year-over-year in 2025 alongside 19.6% client growth.

Name

Leading Health Care

Legal name

Leading Home Care

Website

https://lhcla.com

Company type

Private

Founded year

1997

Operating status

Operating

Headcount range

1,001–5,000 employees

Short description

Leading Home Care is a Louisiana-based, privately held non-medical in-home care provider operating 18 offices statewide, serving seniors, individuals with developmental disabilities, children with special needs, and veterans through Medicaid waivers, insurance, VA, and private pay.

Ownership category

akta.pro rank

Product category

Home Health Care Services

NAICS

Services for the Elderly and Persons with Disabilities (624120)

SIC

Services-Home Health Care Services (8082)

akta.pro primary industry

Private Duty Personal Care Agencies (Non-Medical Home Care Providers) (HLADAGAL)

akta.pro secondary industries

Personal Care & ADL Assistance (bathing, dressing, toileting, mobility) (HLADAGAA), In-Home Dementia Care Services (Specialized Personal Care) (HLADACAI), Dementia/Alzheimer’s In-Home Care (Non-Medical) (HLADAGAG), Personal Care / Non-Medical Home Care (Private Duty) (HLAFAEAB), Alzheimer’s Specialized Care (Mid/Late-Stage) (HSABAEAC)

Keywords

• Home care services
• In-home personal care
• Medicaid waiver programs
• Direct support workers
• Developmental disabilities care

Headquarters

HQ city

Lafayette

HQ country

United States

HQ region

North America

Offices18 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Medicaid Home and Community-Based Services (HCBS): Revenue generated through Louisiana Medicaid waiver programs including Children's Choice Waiver (CCW), Community Choices Waiver (CCW), Early Periodic Screening Diagnostic & Treatment (EPSDT), Long-Term Personal Care Services (LT-PCS), Monitored In-Home Care (MIHC), New Opportunities Waiver (NOW), Residential Options Waiver (ROW), Supervised Independent Living (SIL), and Supports Waiver. Services covered include personal care assistance, meal preparation, light housekeeping, mobility assistance, and respite care.
2. Long-Term Care Insurance: Revenue from long-term care insurance payers including Allianz, Bankers Life and Casualty Co., Conseco, Farm Bureau, Genworth Financial, John Hancock, Knights of Columbus, Mass Mutual, MetLife, MedAmerica, Mutual of Omaha Insurance Co., New York Life, Northwestern Long Term Care Ins., Penn Treaty, Physicians Mutual Insurance Co., Prudential, State Farm, Transamerica Occidental, United Teachers Associates Ins. Co., and others.
3. VA Home Health Aide Care and Respite Care: Veterans programs including Home Health Aid Care (H/HHA) and Respite Care through the Department of Veterans Affairs, providing in-home support to veterans needing help with daily self-care activities.
4. Private Pay: Out-of-pocket payments for individuals who need help with two or more activities of daily living due to functional incapacity or severe cognitive impairment.
5. Workers' Compensation: Workers' compensation arrangements for individuals qualifying through a medical professional for help with activities of daily living related to workplace injuries.

Pricing tiers

Go-to-market motion1 record

Distribution channels3 records

Marketing channels7 records

Core offering

Leading Home Care delivers non-medical in-home care services to elderly individuals and people with developmental disabilities across 18 office locations in Louisiana. Care is provided by trained Direct Support Workers (DSWs) who deliver personal care, companionship, home services, and cognitive care (Alzheimer's/dementia) in the client's home. Revenue is drawn from Louisiana Medicaid Home and Community-Based Services (HCBS) waiver programs, long-term care insurance, VA benefits, workers' compensation, and private pay.

Product overview

Leading Home Care operates as a unified in-home care service platform offering four core service modules: Companionship Services, Home Services, Personal Services, and Cognitive Care Services. These services are delivered through a network of trained Direct Support Workers (DSWs) who provide day-to-day hands-on care. The company administers multiple government-funded waiver programs including Children's Choice Waiver, Community Choices Waiver, Long-Term Personal Care Services, New Opportunities Waiver, Residential Options Waiver, Supports Waiver, Supervised Independent Living, Monitored In-Home Caregiving, VA programs, and Workers' Compensation. Additionally, the company offers unique enrichment programs including St. Pierre's Center for the Arts (the only home care provider in Louisiana offering free art classes for clients) and the Art-A-Go-Go mobile art program. The company has grown from a single Lafayette office in 1997 to 18 locations across Louisiana through organic growth and strategic acquisitions.

Differentiator

Problem solved

Functional benefit

Brands

• St. Pierre's Center for the Arts: An art program for Leading Home Care clients offering free art classes at the Lafayette office. The only home and community-based provider in Louisiana offering art classes to clients. Named in honor of Pierre Coco, uncle of founder Josette Rovira Smalling, who was an artist with Down's Syndrome.

Products and services

• Companionship Services Companionship services providing comfort of friendship through conversation, games, reading, community activities, organized functions, and correspondence to improve mental and emotional well-being of clients in their homes.
• Home Services Home support services including light housekeeping, laundry, bed making, meal planning and preparation, dish washing, personal errands, grocery shopping, and transportation to medical appointments.
• Personal Services Personal care assistance including bathing, dressing, feeding, oral care, shaving, toileting assistance, transfers and walking, medication assistance, and nutrition and diet monitoring.
• Cognitive Care Services Specialized services for individuals with cognitive impairments such as Alzheimer's Disease and Dementia, including adaptable communication methods, behavior management, supervision and security, and coordination with companionship, home, and personal services.
• Louisiana Medicaid HCBS Waiver Programs Enrollment and service delivery under nine Louisiana Home and Community-Based Services waivers: Children's Choice Waiver (CCW), Community Choices Waiver (CCW), Early Periodic Screening Diagnostic & Treatment (EPSDT), Long-Term Personal Care Services (LT-PCS), Monitored In-Home Caregiving (MIHC), New Opportunities Waiver (NOW), Residential Options Waiver (ROW), Supervised Independent Living (SIL), and Supports Waiver. Services include personal care assistance, meal preparation, light housekeeping, mobility assistance, and respite care.
• VA Home Health Aide Care and Respite Care Veterans programs including Home Health Aide Care (H/HHA) and Respite Care delivered through the U.S. Department of Veterans Affairs, providing trained aides to support veterans with daily self-care activities and providing short-term relief for family caregivers as an alternative to nursing home placement.
• Long-Term Care Insurance Reimbursement Service Service delivery billed through 20+ long-term care insurance carriers including Allianz, Genworth Financial, John Hancock, MetLife, Prudential, State Farm, Transamerica Occidental, Mutual of Omaha, and Northwestern Long Term Care Insurance, covering home health aide services not paid by Medicare or standard health insurance.
• Workers' Compensation In-Home Care Workers' compensation in-home care arrangement for individuals with medical-professional-qualifying needs for help with activities of daily living related to workplace injuries.
• Private Pay Home Care Out-of-pocket home care services for individuals who need help with two or more activities of daily living due to functional incapacity or severe cognitive impairment.
• St. Pierre's Center for the Arts Free art classes offered to Leading Home Care clients at the Lafayette office — described as the only home and community-based provider in Louisiana offering free art classes. The program leverages therapeutic benefits of art to enhance quality of life, supporting creative expression, motor skills, cognitive function, and socialization. Named in honor of Pierre Coco, uncle of founder Josette Rovira Smalling, who was an artist with Down's Syndrome.
• Art-A-Go-Go Mobile art program that brings St. Pierre's Center for the Arts programming to Leading Home Care offices across Louisiana, extending therapeutic art engagement statewide to clients who cannot travel to Lafayette.

Quantifiable outcome

• 19.6% increase in clients year-over-year in 2025
• +5 more outcomes

Named customers8 records

Segments4 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Partnerships

Eight partnerships are on record, tiered core and minor.

• Acadiana Center for the ArtscoreStrategic or Co-development PartnerThrough a partnership with the Acadiana Center for the Arts, clients of Leading Home Care have opportunities to showcase their work in community festivals and gallery exhibitions, celebrating their talents and contributions. This partnership supports St. Pierre's Center for the Arts program and client art showcases.
• Healing HouseminorOthersHealing House is a nonprofit organization providing grief support services for children, teens, and families throughout Acadiana. Leading Home Care partners with Healing House and donates backpacks through their annual drive. This connection is personally meaningful to the company as CEO Josette honors her late daughter Randon Costello through involvement with the organization.
• The DREAMS FoundationminorOthersThe DREAMS Foundation is a community partner that Leading Home Care supported in 2025. The company is proud to support community partners doing life-changing work in Louisiana.
• Miles Perret Cancer CenterminorOthersMiles Perret Cancer Center is a community partner that Leading Home Care supported in 2025 through community giving and involvement.
• HopefestminorOthersHopefest is a community partner that Leading Home Care supported in 2025 as part of its community involvement and giving back initiatives.
• Ush One SeeminorOthersUsh One See is a community partner that Leading Home Care supported in 2025 as part of its community involvement and giving back initiatives.
• Train UniqueminorOthersTrain Unique is a community partner that Leading Home Care supported in 2025 as part of its community involvement and giving back initiatives.
• Local Councils on Aging (Caddo, Bossier, and Natchitoches Parishes)minorOthersThe Shreveport office maintains partnerships with local Councils on Aging in Caddo, Bossier, and Natchitoches Parishes as part of its community outreach and service coordination efforts.

Scale indicators11 records

Recent moves22 records

Expansion highlights5 records

Direct peers

• LHC Group: Formerly headquartered in Lafayette, Louisiana, LHC Group was a leading home health and hospice provider that merged with Optum in 2023. Highly comparable to LHC in Louisiana roots and home-care focus, though weighted more toward skilled home health and hospice rather than non-medical personal care.
• Aveanna Healthcare: National provider of pediatric and adult home health, private duty nursing, and medical solutions across Medicaid waiver programs. Comparable to LHC in its reliance on state Medicaid HCBS reimbursement and its mix of personal care plus skilled services for elderly and disabled populations.
• ComForCare (a Franchise Brand by Executive Home Care): National franchise network providing non-medical in-home personal care, Alzheimer's and dementia care, and companionship services to seniors and disabled adults. Directly comparable to LHC in service mix and Medicaid/private-pay reimbursement pathways.
• Bayada Home Health Care: Large private multi-state home health and personal care provider serving pediatric, adult, and senior populations across Medicaid waivers, private pay, and insurance. Closely aligned with LHC on service mix (personal care, companionship, dementia support) and payer mix including HCBS waivers.
• BrightSpring Health Services: National provider of home and community-based services including personal care, hospice, and behavioral health across Medicaid and private pay populations. Highly comparable to LHC's HCBS waiver-driven personal care model, though operating at much larger national scale across all 50 states.
• Addus HomeCare Corporation: Public personal care and home health provider focused on Medicaid HCBS populations, with significant presence in southern and midwestern states. Closely comparable to LHC in business model — primarily non-medical personal care reimbursed through state Medicaid waivers — making it a direct operating comp.
• Help at Home: Pennsylvania-based personal care services provider serving Medicaid waiver populations across more than a dozen states. Directly comparable to LHC in non-medical personal care delivered through Medicaid HCBS programs, though at a significantly larger multi-state scale.
• Senior Helpers: Franchise-based national provider of in-home personal care, companionship, and Alzheimer's/dementia care for seniors. Comparable to LHC in private-duty non-medical care for elderly populations, including dementia-specific services.

Broad incumbents

• CareCentrix (now part of Walgreens Boots Alliance / Conduent context): National care management and home-based services coordinator working with health plans and providers. Comparable to LHC as a broader home-care ecosystem player managing transitions of care and HCBS-like services, though it operates as a payor-facing platform rather than direct caregiver employer.
• Amedisys: Baton Rouge-headquartered home health and hospice provider, now part of UnitedHealth/Optum. Comparable as a Louisiana-based incumbent in home care services, though its core offering is skilled home health rather than non-medical HCBS personal care like LHC.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat6 records

Key risks6 records

Key highlights7 records

Customer concentration

• Instagraminstagram.com/artwithstpierres
• Xx.com/getleadingcare
• Facebookfacebook.com/getleadingcare

Revenue estimate

Valuation estimate

Number of profiles

Profiles16 records

Funding overview

Funding rounds

Investors

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

M&A

Investments

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

Frequently asked questions about Leading Health Care