Help At Home

What Help At Home does

Help At Home, founded in 1975 and headquartered in Chicago, IL, is the largest national provider of Medicaid-based Home and Community-Based Services (HCBS) in the United States. The company delivers in-home personal care services primarily to Medicaid-eligible seniors and individuals with physical, intellectual, and developmental disabilities across 11-12 states through a network of approximately 190-200+ branch locations. Operations are supported by roughly 49,000-60,000 caregivers delivering approximately 85 million home care hours annually to about 66,000-70,000 clients per month, with an average caregiver-client relationship tenure of four years and average engagement of 22-24 hours per week per client. The company also offers specialized programs including Home Health skilled nursing, Structured Family Caregiving, and Consumer Directed Personal Assistance Program (CDPAP) Fiscal Intermediary services through its New York sub-brands Preferred Home Care and Edison Home Health Care, and has begun piloting retail-style Care Centers inside Walmart stores.

The underlying technology stack centers on the proprietary CareHub platform and the HealthyMATCH enhanced care coordination program, which ingest structured observations collected by caregivers during home visits (mood shifts, dizziness, breathing changes, fall/ER events) and use advanced analytics to prioritize follow-up, match caregivers with clients, and reduce avoidable hospitalizations. Operational tooling includes an AI-powered recruiting and onboarding system, a formal incident management tracking system, and a Business Intelligence and Analytics team generating hundreds of daily data reports. Data security remains a material operational risk, as evidenced by a March 2024 third-party vendor data incident exposing client PHI.

Revenue is generated primarily through fee-for-service Medicaid HCBS reimbursement (including state waivers such as EDWP-CCSP, SOURCE, OAA, NOW, COMP) supplemented by private-pay and managed care contracts, with approximately 25% of clients in value-based/pay-for-performance arrangements across nearly 30 contracts with state agencies and managed care organizations. The company pursues a dual growth strategy combining organic expansion in existing markets with serial acquisitions of regional home care providers (including Prime Home Care, Excel Home Care, Meridius Health, and the April 2025 acquisitions of LovAbility Home Care and BB's Heaven on Earth). Help At Home is a privately held company (legal entity HAH Group Holding, LLC) with executive depth across clinical, technology, finance, and M&A functions, and is accredited by the Joint Commission.

Name

Help At Home

Legal name

HAH Group Holding, LLC

Website

https://helpathome.com

Company type

Private

Founded year

1975

Operating status

Operating

Headcount range

10,001+ employees

Ownership category

akta.pro rank

Product category

Home Health Care Services

NAICS

Services for the Elderly and Persons with Disabilities (624120), Home Health Care Services (62161)

SIC

Services-Home Health Care Services (8082), Services-Social Services (8300)

akta.pro industry

PRIMARYHLADAGAA

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

Healthcare & Life Sciences/Elder Care & Long-Term Care/Non-Medical In-Home Care & Personal Care

Keywords

• Home care services
• Personal care assistance
• Medicaid HCBS waiver
• In-home senior care
• Caregiver support services

Headquarters

HQ city

Chicago

HQ country

United States

HQ region

North America

Offices6 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Medicaid-based Home and Community-Based Services (HCBS): Primary revenue stream as the nation's largest provider of Medicaid-based HCBS. Services are paid through Medicaid programs including EDWP-CCSP, SOURCE, OAA, NOW, COMP waivers, and Community Access Group.
2. Private Pay/Out-of-Pocket: Private pay options allow families to pay directly for care, enabling families to start services sooner or supplement existing Medicaid-funded care.
3. CDPAP Fiscal Intermediary Services: In New York, provides Consumer Directed Personal Assistance Program (CDPAP) Fiscal Intermediary services, allowing consumers to direct their own care.
4. Value-Based Care Arrangements: Nearly 30 value-based care arrangements with state agencies and managed care organizations, with approximately 25% of clients in some form of pay-for-performance payment arrangement.

Pricing tiers

Go-to-market motion2 records

Distribution channels4 records

Marketing channels5 records

Core offering

Help at Home provides in-home personal care services primarily to Medicaid-eligible seniors and individuals with physical, intellectual, or developmental disabilities across 11+ U.S. states. Services are delivered by employed caregivers through 190+ branch locations and include assistance with daily living activities, skilled nursing, IDD support, and care coordination programs such as HealthyMATCH. The company also offers specialized programs including Structured Family Caregiving in Georgia and CDPAP Fiscal Intermediary services in New York.

Product overview

Help at Home is a national home care provider operating since 1975, offering a comprehensive platform of in-home personal care services. The core offering consists of personal care services and IDD (Intellectual and Developmental Disabilities) services, supplemented by Home Health skilled nursing services. The company has developed proprietary care coordination programs including the HealthyMATCH Enhanced Care Model and operates sub-brands in New York (Preferred Home Care and Edison Home Health Care). Additional offerings include the CareHub digital resource platform, Caregiver Mobile App, and physical Care Center locations. Help at Home also offers specialized programs like Structured Family Caregiving and CDPAP fiscal intermediary services, and operates a strategic M&A program to acquire like-minded home care businesses.

Differentiator

Problem solved

Functional benefit

Products and services

• Home Care Services (Personal Care) In-home personal care services for Medicaid-eligible seniors and individuals with disabilities, providing assistance with daily living activities, fall prevention, and companionship to enable aging-in-place at home.
• IDD Services (Intellectual and Developmental Disabilities) Specialized home care services for individuals with intellectual and developmental disabilities, supporting skill-building, community engagement, and independent living.
• Home Health (Skilled Nursing) Skilled nursing care provided by registered professional nurses, including post-operative care, medication management, wound care, diabetic care, and IV therapy delivered in the client's home.
• HealthyMATCH Enhanced Care Model Care coordination program that captures caregiver-collected insights from the home to identify client needs and engage the broader healthcare system, reducing avoidable ER visits and inpatient admissions through proactive care measures.
• Preferred Home Care New York-based home care agency providing home attendant services as a Licensed Home Care Services Agency, with CDPAP Fiscal Intermediary services available across NYC boroughs and NY State.
• Edison Home Health Care Joint Commission-accredited home care services agency licensed with the NY State Department of Health, providing medical, nursing, and personal care services tailored to individual patient needs across New York State.
• Structured Family Caregiving (SFC) Georgia program allowing eligible family members to receive financial support while providing care at home to their loved ones.
• CDPAP (Consumer Directed Personal Assistance Program) New York program providing Fiscal Intermediary services that allow clients to direct their own care and hire preferred family members as caregivers.

Quantifiable outcome

• 68% caregiver retention rate (more than 2x industry average)
• +5 more outcomes

Named customers4 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

AI capability7 records

Feature4 records

Partnerships

Six partnerships are on record, tiered core.

• LovAbility Home CarecoreStrategic or Co-development Partner · 9 April 2025Indiana-based home care organization acquired to strengthen Help at Home's presence in central Indiana. The acquisition aims to enhance capacity and service quality for Indiana's aging population.
• BB's Heaven on Earth Home Care ServicescoreStrategic or Co-development Partner · 9 April 2025Indiana-based home care organization acquired to strengthen Help at Home's presence in central Indiana, supporting safe aging-in-place for Indiana residents.
• Prime Home Care (Ohio)coreStrategic or Co-development PartnerFormer Prime Home Care CEO transitioned to Help at Home with the acquisition. Galit Aminov, former Prime Home Care employee for 17 years, transitioned and received promotion to Quality and Compliance Leader for Ohio.
• Excel Home Care (Pennsylvania)coreStrategic or Co-development PartnerJosh Drebes, former President/CEO of Excel Home Care, became Regional Leader at Help at Home after acquisition. Quote states alignment in culture, processes, and client care.
• Meridius Health (Pennsylvania)coreStrategic or Co-development PartnerRustam Suvanidze, founder of Meridius Health, praises Help at Home's experienced team and high-quality service as reasons for acquisition partnership.
• State agencies and managed care organizationscoreStrategic or Co-development PartnerNearly 30 value-based care arrangements with state agencies and managed care organizations across the 11 states of operation. Approximately 25% of clients in pay-for-performance arrangements.

Scale indicators18 records

Recent moves7 records

Expansion highlights6 records

Direct peers

• Interim HealthCare: Franchised national home care, hospice, and staffing provider serving elderly and disabled clients in homes. Directly comparable service lines, including personal care and home health aide services.
• Aveanna Healthcare: Public home health and private duty services provider serving pediatric and adult Medicaid populations. Overlaps directly with Help at Home's personal care and skilled home health offerings, particularly for IDD and elderly populations.
• Maxim Healthcare Services: Large private home healthcare and personal care services provider serving adults and pediatric populations across the U.S. Comparable in caregiver employment model, Medicaid payer exposure, and multi-state footprint.
• Bayada Home Health Care: Large private nonprofit home care provider offering personal care, home health, and pediatric services across multiple states. Comparable in service mix, caregiver employment model, and geographic breadth.
• Comfort Keepers: Franchised in-home care provider offering personal care, companionship, and respite services to seniors. Comparable in caregiver-client matching focus and Medicaid/private pay mix.
• BrightSpring Health Services: Public diversified home and community-based services platform serving complex populations including elderly and IDD. Closely aligned in payer mix (Medicaid), M&A rollup strategy, and value-based care direction.
• Pennant Group: Public home health, hospice, and senior living operator with decentralized acquisition-driven growth model. Overlaps in home health skilled services and decentralized operating model.
• Addus HomeCare: Public personal care services company focused on Medicaid-eligible seniors and individuals with disabilities across multiple states. Directly comparable in payer mix, service model (personal care, home health), and M&A growth strategy.

Broad incumbents

• Amedisys: Public large home health and hospice provider. Overlaps with Help at Home's Home Health skilled nursing offering but does not specialize in personal care for Medicaid populations.
• Encompass Health: Large public post-acute care provider operating inpatient rehabilitation and home health segments. Touches the same patient populations through home health but is a much larger, broader incumbent.

Market position

Strengths4 records

Weaknesses5 records

Competitive moat7 records

Key risks6 records

Key highlights7 records

Customer concentration

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

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles8 records

Subsidiaries7 records

Funding overview

Funding rounds

Investors

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

M&A1 record

Investments

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

Frequently asked questions about Help At Home