ParaMed Home Health Care

What ParaMed Home Health Care does

ParaMed Home Health Care is Canada's largest home health care provider, founded in 1974 and operating as a wholly owned subsidiary of Extendicare Inc. (TSX: EXE). The company delivers a comprehensive suite of in-home services spanning help-at-home support (Alzheimer's/dementia care, palliative care, personal care, senior companion), nursing at home (post-hospitalization care, chronic disease management, IV and wound care, senior wellness checks), respite and caregiver relief, live-in care, specialized allied health (physiotherapy, occupational therapy, speech-language pathology, dietitian, foot care, social work, pediatric home health), and bundled caregiver packages. Operations span seven Canadian provinces via 45+ branch offices and 31,500+ team members delivering 24.5 million+ care hours to 65,000+ clients annually.

Revenue is generated primarily through government-funded contracts with provincial health authorities (Ontario Ministry of Health/LHINs, Alberta Health Services, Nova Scotia Health) on a recurring fee-for-service basis, supplemented by private-pay home care, corporate Workplace Health and Wellness services (on-site clinics, immunization programs, cardiovascular screening, mask fit testing), and transaction-fee revenue from the Placement Pass student compliance portal which has cleared over 200,000 students. The technology stack is deliberately light: no proprietary clinical platform is disclosed; field documentation is captured via electronic devices and student compliance runs through the Placement Pass self-serve web portal.

Distribution combines direct-to-consumer acquisition (free in-home assessments, phone inquiries, 45+ local branch offices), institutional referrals (hospitals, physicians, discharge planners, Ontario Health Teams), and B2B employer contracts. The company has executed two transformative acquisitions in 2025-2026 — Closing the Gap Healthcare Group (July 2025) and CBI Home Health for $570 million (completed April 2026) — extending geographic reach from three to seven provinces. Pricing is not publicly disclosed; services are funded by government health plans for eligible residents, while private-pay rates are quote-based with payment via credit card, pre-authorized bank withdrawal, cheque, or online banking. ParaMed holds Accreditation Canada Exemplary Standing, the highest accreditation tier.

Name

ParaMed Home Health Care

Legal name

ParaMed Inc.

Website

https://paramed.com

Company type

Private

Founded year

1974

Operating status

Operating

Headcount range

5,001–10,000 employees

Short description

ParaMed Home Health Care is Canada's largest home health care provider, serving 65,000+ clients annually across seven provinces with 31,500+ staff, operating as a subsidiary of Extendicare and funded primarily through provincial government health contracts plus private pay and workplace wellness.

Ownership category

akta.pro rank

Product category

Home Health Care Services

NAICS

Home Health Care Services (621610), Services for the Elderly and Persons with Disabilities (62412)

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

Home-Based Post-Surgical & Transitional Care (Skilled) (HLADAFAK), Respite In-Home Care (Short-Term Relief) (HLADAGAH), Overnight & Live-In Respite Care (HLADAKAD), Respite Care for Adults with Disabilities / Special Needs (HSABAGAI)

Keywords

• Home health care services
• Nursing and personal support
• Seniors home care
• Workplace wellness programs
• Student placement services

Headquarters

HQ city

Bancroft

HQ country

Canada

HQ region

North America

Offices44 records

Markets served

GTM type

B2B and B2C

Offering type

Services

Cost components

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

Revenue model

1. Government-Funded Home Care Services: Primary revenue stream from government-funded home health care contracts with provincial and regional health authorities (Ontario Ministry of Health, Alberta Health Services, Nova Scotia Health). Services include nursing, therapeutic care, personal support, and home support provided to eligible residents.
2. Workplace Health and Wellness: Corporate wellness services including on-site health and wellness clinics, immunization programs (flu, hepatitis, and other vaccines), cardiovascular screening, and mask fit testing for employer clients.
3. Private Pay Home Care: Private-pay clients pay for home health care services through credit card, pre-authorized bank withdrawal, cheque, or online banking. Supports clients who are not covered by government plans or seek additional services.
4. Placement Pass Student Services: Pre-placement compliance and validation services for students in healthcare and other sectors, generating revenue through per-student processing fees from colleges, universities, and employers.

Go-to-market motion2 records

Distribution channels6 records

Marketing channels8 records

Core offering

ParaMed Home Health Care delivers in-home nursing, personal support, respite, live-in, and specialized therapeutic care services to seniors and individuals with health needs across Canada. Its Workplace Health and Wellness division provides corporate employers with on-site clinics and immunization programs. The Placement Pass student placement portal handles pre-placement compliance and validation for healthcare, first responder, education, and dental students.

Product overview

ParaMed Home Health Care is a unified home health care services platform providing comprehensive in-home medical and support services across Canada. The core offering consists of six main service lines: Help at Home (Alzheimer's/dementia care, palliative care, personal care, senior companion), Nursing at Home (post-hospitalization care, chronic disease management, IV care, wound care, wellness checks), Respite Care and Caregiver Relief, Live-In Care, Specialized Care (occupational therapy, physiotherapy, pediatric care, social work, speech pathology, dietitian, foot care), and Caregiver Packages (Freedom, Memory Care, Out & About, Rise N' Shine). Supporting services include Workplace Health and Wellness (clinics, immunization programs), Placement Pass (student placement services portal), training programs (HSW to PSW Bridging, Leadership Academy), Patient and Family Advisory Council, and In-Home Care Assessments. Recent acquisitions include CBI Home Health (April 2026) and Closing the Gap Healthcare Group (July 2025), expanding geographic reach across seven provinces.

Differentiator

Problem solved

Functional benefit

Brands

• Placement Pass: Canada's leading student placement services portal providing pre-placement validation and screening services for health care, first responders, educators, and other sectors.

Products and services

• Help at Home General home assistance services for seniors and individuals needing Alzheimer's/dementia care, palliative care, personal home care, and senior companion services delivered in clients' homes.
• Nursing at Home Professional nursing services delivered in patients' homes including post-hospitalization care, chronic disease management, IV care, wound care, and senior wellness checks.
• Respite Care and Caregiver Relief Short-term and longer-term care services that allow family caregivers to take breaks while trained ParaMed staff meet the care and support needs of their loved ones.
• Live-In Care Around-the-clock care services where trained professionals reside in the patient's home to provide continuous support and assistance.
• Specialized Care Comprehensive specialized health care services including Alzheimer's and Dementia Care, Dietitian, Foot Care, Occupational Therapy, Pediatric Home Health Care, Physiotherapy, Social Work, and Speech Language Pathology.
• Caregiver Packages Curated bundles of care services including Caregiver Freedom, Memory Care, Out & About, and Rise N' Shine packages designed to meet specific caregiving needs.
• Workplace Health and Wellness Corporate health services including on-site workplace clinics, immunization programs, and wellness seminars designed to promote employee health and control healthcare expenses for employer clients.
• Placement Pass Canada's leading student placement services portal that manages pre-placement compliance validation and clearance for health care, first responders, educators, and dental students; has cleared over 200,000 students across Canada.

Quantifiable outcome

• 65,000+ clients served annually across Canada
• +4 more outcomes

Named customers1 record

Segments5 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature1 record

Partnerships

Eleven partnerships are on record, tiered core and minor.

• CBI Home HealthcoreOthers · 19 November 2025Extendicare announced the acquisition of CBI Home Health for $570 million in cash to expand home health care services across Canada. The deal aims to boost Extendicare's geographic footprint and operational capabilities, with expected annual synergies of approximately $7.4 million. CBI Home Health was welcomed to ParaMed on April 1, 2026, bringing operations across seven provinces.
• Closing the Gap Healthcare GroupcoreOthers · 2 July 2025ParaMed officially welcomed Closing the Gap Healthcare Group to its organization on July 2, 2025, as an acquisition marking an exciting step forward in ParaMed's mission to provide people with the care they need wherever they call home.
• Waterloo Region Public HealthminorStrategic or Co-development Partner · 1 January 2022ParaMed partnered with Waterloo Region Public Health to operate a mobile vaccine clinic providing COVID-19 vaccines to homebound patients in Kitchener-Waterloo. The initiative, which started in 2021, provided over 2,000 vaccines to homebound patients and was later expanded to serve teachers and their families. This partnership exemplifies cross-system collaboration in Ontario's health system.
• Extendicare (Parent Company)OthersExtendicare Inc. is the parent company of ParaMed Home Health Care, which operates as Extendicare's home health care division. Extendicare is a major Canadian provider of senior care services operating long-term care homes and home health care services. ParaMed is listed as an affiliate of Extendicare along with Extendicare Assist and SGP (SGP Network).
• CTS Canadian Career CollegeminorStrategic or Co-development PartnerCTS Canadian Career College is a partner institution where ParaMed team members serve as preceptors for healthcare students. ParaMed's Northeastern Ontario team was honoured as Preceptor of the Year by CTS in 2026. ParaMed has also collaborated with CTS on student placement programs.
• Canadore CollegeminorStrategic or Co-development PartnerParaMed works with Canadore College to offer preceptorship placements for students in Northern Ontario as part of ParaMed's efforts to grow the home health care workforce.
• Nipissing UniversityminorStrategic or Co-development PartnerParaMed partners with Nipissing University to provide clinical placement opportunities for students in Northern Ontario as part of its student preceptorship program.
• Cambrian CollegeminorStrategic or Co-development PartnerParaMed partners with Cambrian College to offer student clinical placements in Northern Ontario as part of its workforce development and preceptor program.
• Lakehead UniversityminorStrategic or Co-development PartnerParaMed partners with Lakehead University to provide clinical placement and preceptorship opportunities for healthcare students in Northern Ontario.
• Confederation CollegeminorStrategic or Co-development PartnerParaMed partners with Confederation College to offer student clinical placements and preceptorships for healthcare students in Northwestern Ontario.
• Guelph Wellington Ontario Health TeamminorStrategic or Co-development PartnerParaMed is an active partner in the Guelph Wellington Ontario Health Team (OHT), supporting the Guelph Wellington Home Care Program by providing connected, coordinated home care services that align with the OHT's integrated care model.

Scale indicators8 records

Recent moves7 records

Expansion highlights5 records

Direct peers

• SE Health: One of Canada's largest social enterprises providing home health care, personal support, and rehabilitation services across multiple provinces. Directly comparable to ParaMed in scope (nursing + personal support + therapy), government-contract model, and national ambitions, making it the closest direct competitor for provincial home care contracts.
• CarePartners: Ontario-headquartered home health care provider delivering nursing, personal support, and therapy services primarily to Ontario Health atHome and LHIN-funded patients. CarePartners is a direct competitor in the Ontario market with overlapping skilled nursing and PSW service lines and similar government-payer mix.
• Nurse Next Door: Canadian-founded home care franchise operating across Canada and the US, focused on private-pay senior home care, personal support, and companionship services. Nurse Next Door is a direct peer in the private-pay segment and competes for similar senior and family caregiver customers, though with a more franchised, premium-brand model.
• Bayshore HealthCare: Privately held Canadian home health care provider offering nursing, personal care, home support, and pharmacy services with national reach. Bayshore competes head-to-head with ParaMed for government contracts and private-pay clients, and offers similar specialty services (infusion therapy, wound care) and a comparable employer-focused health solutions arm.
• Victorian Order of Nurses (VON) Canada: National charitable home and community care provider offering nursing, personal support, respite, and palliative care across Canada. VON is a legacy direct peer to ParaMed, serving similar senior and post-acute patient populations under comparable provincial contract structures and competing for the same home care referral pool.
• Home Instead Canada: Canadian operations of Home Instead, the global senior home care franchise network providing personal care, companionship, and Alzheimer's/dementia support. Directly comparable to ParaMed's Help at Home service line, targeting the same private-pay senior and family caregiver segments with similar in-home assessment and caregiver matching workflows.
• VHA Home HealthCare: Ontario-based not-for-profit home health care provider offering nursing, personal support, rehabilitation, and caregiver respite services. VHA directly competes with ParaMed for Ontario Health atHome contracts and LHIN referrals in the Greater Toronto Area and across Ontario, with overlapping service lines and a similar not-for-profit/for-profit operational model.

Broad incumbents

• Amedisys: Large US home health and hospice provider focused on skilled nursing, therapy, and post-acute care in patient homes. Comparable to ParaMed's Nursing at Home and post-hospitalization service lines in scope and clinical model, though operating at significantly larger scale in the US market with public-company transparency.
• BrightSpring Health Services: US-listed diversified home and community health services provider offering home health, hospice, personal care, and pharmacy services across the United States. Comparable to ParaMed in offering a comprehensive home health + personal care platform, but operating as a much larger public-company incumbent in a different geography.

Others

• Extendicare Assist: Sister company to ParaMed under parent Extendicare, providing supplemental health care staffing and support services across Canada. They share corporate parent, governance, and back-office infrastructure with ParaMed, but operate as a distinct staffing-focused business rather than a direct home care services competitor.

Market position

Strengths5 records

Weaknesses4 records

Competitive moat5 records

Key risks5 records

Key highlights7 records

Customer concentration

Compliance3 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles8 records

Subsidiaries1 record

Funding overview

Funding rounds

Investors

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

M&A2 records

Investments

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

Frequently asked questions about ParaMed Home Health Care