HCR Home Care

What HCR Home Care does

HCR Home Care is a Rochester, New York-based Certified Home Health Agency (CHHA) that has delivered in-home clinical and supportive care across Upstate New York for over 45 years, structured as a 501(c)(3) nonprofit and operated through an Employee Stock Ownership Plan (ESOP). The firm operates five regional offices — Rochester (Finger Lakes), East Syracuse (Central NY), Oneonta (Catskills), Plattsburgh and Glens Falls (North Country) — collectively covering dozens of NY State counties. Its core service suite spans skilled nursing and clinical care, physical, occupational, speech, and respiratory therapy, home health aide services, medical social work, and care management, supplemented by specialized condition programs (cardiac, diabetes, wound/ostomy, falls prevention, pain, Parkinson's) and a transcultural/inclusive care line (LGBTQ+ affirming, multi-language, culturally competent, plus the grant-funded Diverse Care Project for Black seniors in Monroe County).

The company's technology stack pairs third-party platforms — Forcura for referral management and Home Care Home Base (HCHB) for clinical documentation and billing — with an internal HIPAA-compliant telehealth monitoring capability that transmits patient vital signs and tablet-based wound photographs to centralized specialists for review. Referrals are accepted via fax (888-705-4843) and phone intake (800-270-4904), with patients acquired primarily through physician orders, hospital discharge planning, and direct family inquiries.

Commercially, HCR Home Care generates revenue almost entirely from third-party reimbursement: Medicare, Medicaid, HMO/commercial insurance, Veterans Administration benefits, and residual private pay. Pricing is not publicly disclosed and is governed by payer fee schedules and eligibility/medical-necessity documentation rather than commercial negotiation. Patient volume is highly fragmented across individual seniors and chronically ill households in Upstate NY; concentration risk therefore sits at the payer level (notably Medicare/Medicaid exposure to PDGM, value-based purchasing, and state policy) rather than at the account level. The company is private, employee-owned via ESOP, with no disclosed external equity, debt, or M&A activity in the source material.

Name

HCR Home Care

Legal name

HCR Home Care

Website

https://hcrhealth.com

Company type

Private

Founded year

1980

Operating status

Operating

Headcount range

501–1,000 employees

Short description

HCR Home Care is a 501(c)(3) nonprofit, ESOP-owned Certified Home Health Agency delivering skilled nursing, therapy, aide, social work, and care management services — plus condition-specialty and inclusive-care programs — across five regional offices in Upstate New York, reimbursed primarily by Medicare, Medicaid, HMO, and VA payers.

Ownership category

akta.pro rank

Product category

Home Health Care Services

NAICS

Home Health Care Services (6216)

SIC

Services-Home Health Care Services (8082)

akta.pro primary industry

Medicare-Certified Skilled Home Health Agencies (HHA) (HLADAFAA)

akta.pro secondary industries

Home-Based Chronic Disease Management (Skilled) (HLADAFAL), Home & Community-Based Services (HCBS) Coordination & Case Management (HSABAIAM), Home Infusion Therapy & IV Nursing Services (HLADAFAG), Home Health Aide (HHA) Services (Medically Directed) (HSABACAB)

Keywords

• Home health care
• Skilled nursing
• Therapy rehabilitation
• Wound ostomy care
• Medical social work

Headquarters

HQ city

Rochester

HQ country

United States

HQ region

North America

Offices5 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Medicare Reimbursement: Government health insurance program for seniors (65+) and disabled individuals, covering home health services including skilled nursing, therapy, and home health aide services.
2. Medicaid Reimbursement: State/federal program for low-income individuals, covering home health care services including Health Home Care Management for patients with chronic physical and/or mental health needs.
3. HMO/Commercial Insurance: Accepts Health Maintenance Organizations and commercial insurance plans for covered home health services.
4. Veterans Administration: VA health benefits covering home health care services for eligible veterans.
5. Private Pay: Out-of-pocket payment by patients and families for home health care services not covered by insurance.

Pricing tiers

Go-to-market motion1 record

Distribution channels3 records

Marketing channels5 records

Core offering

HCR Home Care delivers in-home clinical care to patients across Upstate New York, providing skilled nursing, physical/occupational/speech/respiratory therapy, medical social work, home health aide services, and care management. Specialty programs address cardiac care, diabetes, wound and ostomy care, falls prevention, pain management, and Parkinson's disease, supported by HIPAA-compliant wound photography and telehealth vital sign monitoring. Care is reimbursed through Medicare, Medicaid, HMO plans, VA benefits, and private pay.

Product overview

HCR Home Care is a home health care provider offering a comprehensive suite of clinical and supportive services delivered by certified and licensed professionals in patients' homes across Upstate New York. The core offerings include Skilled Nursing & Clinical Care, Physical Therapy, Occupational Therapy, Speech Therapy, Home Health Aide Services, Medical Social Work, and Care Management Services. Specialized programs address specific conditions including Cardiac Care, Diabetes Management, Wound & Ostomy Care, Falls Prevention, Pain Management, and Parkinson's Disease Management. The organization also provides culturally competent and inclusive care programs including LGBTQ+ Affirming Care, Multi-Language Care, and Culturally Competent Care services. Services are delivered through regional offices in Rochester (Finger Lakes), East Syracuse (Central NY), Oneonta (Catskills), Plattsburgh (North Country North), and Glens Falls (North Country South), covering multiple counties across Upstate New York.

Differentiator

Problem solved

Functional benefit

Products and services

• Skilled Nursing & Clinical Care Registered nurses provide skilled clinical services at home, including wound care, IV therapy, medication management, and patient/family education under physician direction.
• Physical Therapy Licensed physical therapists restore mobility, balance, and independence through evidence-based rehabilitation, balance training, and equipment recommendations delivered in the home.
• Occupational Therapy Services Occupational therapists enable patients to perform daily living activities such as bathing and dressing by addressing strength, coordination, balance, vision, and cognitive abilities.
• Speech Therapy Speech-language pathologists provide treatment for communication and swallowing difficulties, including speech, language, voice, and cognitive-communication disorders.
• Home Health Aide Services Certified home health aides provide basic health-related services at home, including blood pressure monitoring, bathing, dressing, and hygiene assistance.
• Medical Social Work Medical social workers and geriatric care managers provide counseling, crisis management, guidance on long-term planning, housing options, and community resource referrals.
• Care Management Services Care management focused on client education and coordination of services that promote self-management and address physical, behavioral, and social health goals. Includes Health Home Care Management for Medicaid patients with chronic needs.
• Cardiac Care Multidisciplinary program managing patients with heart failure and intensive cardiac needs through personalized care plans including diet management, telehealth monitoring, and medication optimization.
• Diabetes Management Expert multidisciplinary team including nurse Diabetic Educators and Registered Dietitians guiding and treating patients with diabetes in self-management at home.
• Wound & Ostomy Care Customized post-surgical and chronic wound care supervised by Certified Wound, Ostomy, Continence Nurses (CWOCN) using HIPAA-compliant wound photo technology for remote specialist review.
• Falls Prevention Evidence-based falls risk assessment and intervention program led by APTA Board Certified Geriatric Certified Specialists that reduces fall risk through balance training and home safety modifications.
• Pain Management Pain management using manual techniques including nerve glides, nerve mobilization, soft tissue and joint mobilizations, and modalities including ultrasound, TENS, and mechanical traction.
• Parkinson's Disease Management Coordinated multidisciplinary support for Parkinson's patients focusing on medication optimization, mobility training, fall prevention, and management of motor and non-motor symptoms.
• Respiratory Therapy Skilled services and training for breathing issues related to conditions such as pneumonia, asthma, COPD, and Parkinson's Disease, including oxygen management and breathing techniques.
• LGBTQ+ Affirming Care Program Program promoting the health and well-being of LGBTQ+ patients through affirming home health care services, including support for transgender patients and identity navigation.
• Multi-Language Care Language access services including bilingual caregiver placement, translated educational materials, and professional HIPAA-compliant medical interpreting via phone or tablet.
• Culturally Competent Care Program ensuring services respect patient traditions, religious beliefs, and cultural practices through training clinicians to integrate cultural norms into care plans.

Quantifiable outcome

• Evidence-based practice supported by translational research partnerships with nurse leaders and nurse scientists across the country
• +1 more outcomes

Named customers3 records

Segments3 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature3 records

Partnerships

Two partnerships are on record, tiered core.

• HCR CarescoreStrategic or Co-development PartnerCollaborative partner in the Diverse Care Project (grant-funded initiative) working to reduce health disparities and improve access to home care services for Black seniors in Monroe County.
• Strategic Community InterventioncoreStrategic or Co-development PartnerCommunity partner collaborating with HCR Home Care and HCR Cares on the Diverse Care Project, working closely with Black religious leaders and their congregations to build trust and address barriers to home care services.

Scale indicators3 records

Recent moves6 records

Expansion highlights6 records

Direct peers

• VNS Health: Large NY-based home health and hospice provider operating skilled nursing, therapy, and chronic disease management services across the state. Direct overlap with HCR's Upstate NY service categories and Medicare-certified CHHA model.
• Bayada Home Health Care: National private-duty, skilled home health, and hospice provider offering nursing, therapy, and home health aide services across many US states. Directly comparable operating model and clinical service mix to HCR.
• LHC Group: Large US home health and hospice operator delivering skilled nursing, therapy, and home health services; now part of Optum. Closely comparable service portfolio and Medicare-certified agency model.
• Amedisys: Public home health and hospice company providing skilled nursing, therapy, and chronic care management across many states. Directly comparable to HCR's CHHA-based skilled services and payor mix.
• Kindred at Home (Humana CenterWell): National Medicare-certified home health provider offering nursing, therapy, and personal care services. Closely comparable in scope, payor mix, and clinical programs (cardiac, wound, etc.).

Broad incumbents

• Encompass Health: Large post-acute provider operating inpatient rehabilitation hospitals alongside home health and hospice services. Overlaps with HCR through skilled home health and rehabilitation therapy services but on a much broader scale.

Regional players

• Catholic Health Home Care: Faith-based home health provider serving Western and Upstate New York with Medicare-certified skilled nursing and therapy services. Comparable CHHA model and regional Upstate NY overlap.
• Rochester Regional Health Home Care: Hospital-affiliated home health agency serving the Rochester region with skilled nursing, therapy, and hospice services. Direct overlap in HCR's core Finger Lakes territory.
• St. Joseph's Health Home Care: Central NY-based home health provider delivering skilled nursing, therapy, and chronic disease management. Operates in overlapping Central NY counties with HCR's East Syracuse region.

Others

• Forcura: Healthcare workflow SaaS used by HCR for referral/intake management. Adjacent technology vendor that enables the operational model HCR uses for referral capture and intake.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat6 records

Key risks5 records

Key highlights6 records

Customer concentration

• Xx.com/hcrtips
• YouTubeyoutube.com/@HCRoutreach
• Facebookfacebook.com/HCRHomeCare
• LinkedInlinkedin.com/company/hcr-home-care
• Instagraminstagram.com/hcr_homecare
• TikToktiktok.com/@hcr_homecare

Revenue estimate

Valuation estimate

Number of profiles

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 HCR Home Care