Horizon Home Care

What Horizon Home Care does

Horizon Home Care LLC is a privately held, ACHC-accredited home health agency headquartered in Fresno, California, founded in 2005 and operating across five Central Valley counties — Fresno, Madera, Merced, Kings, and Tulare. The company delivers clinical and personal-care services to homebound patients through a four-line service portfolio: Skilled Nursing (RN/LVN), Therapy Services (physical, occupational, and speech therapy), Medical Social Worker support, and Certified Home Health Aide assistance. Supporting these core lines, the company coordinates Durable Medical Equipment, pharmacy, laboratory work, and interpreter services (the latter delivered through a partnership with Language Line Services) so that care plans can be executed end-to-end at the patient's residence. Patient acquisition is referral-led, sourced from physicians, hospitals, and other healthcare providers, supplemented by direct family/patient inquiries routed through the company's website and contact channels, including assessment scheduling and a referral submission tool.

The core technology underlying the business is a clinical service delivery platform — staffed by licensed nurses, therapists, medical social workers, and certified aides — rather than a software product; there is no proprietary technology stack disclosed and no mobile app or public API. Revenue is generated on a recurring, fee-for-service basis reimbursed through most major insurance plans, including Medicare, Medicaid, and private insurance, with pricing not publicly disclosed and patients advised to contact the agency for coverage specifics. Customer concentration sits with payors (Medicare/Medicaid and a panel of commercial plans) rather than with any single enterprise client; the patient base spans homebound individuals recovering from illness or surgery, those needing chronic disease management, post-hospital patients, and families seeking respite and care-coordination support. Operationally the company runs as a single direct-services channel across a regional 5-county geography, marketing through its website, Facebook/Twitter social presence, and provider referral networks, with an ACHC-accredited quality assurance posture and a post-service client satisfaction survey as its primary feedback loop.

Business-model considerations for an investor: the franchise is a regional, reimbursable healthcare services business with a regulatory moat (ACHC), a local-density advantage, and a licensed clinical workforce — but it operates without disclosed AI/documentation technology, no software revenue layer, no disclosed funding, and no M&A history, making it a pure-play clinical services bet where margin expansion depends on visit density, payor mix, and labor productivity rather than productized technology leverage.

Name

Horizon Home Care

Legal name

Horizon Home Care LLC

Website

https://horizonhomecarellc.com

Company type

Private

Founded year

2005

Operating status

Operating

Headcount range

501–1,000 employees

Short description

Horizon Home Care LLC is an ACHC-accredited home health agency in Fresno, California, delivering skilled nursing, therapy, medical social work, and home health aide services to homebound patients across five Central Valley counties on a Medicare, Medicaid, and private insurance-reimbursed basis.

Ownership category

akta.pro rank

Product category

Home Health Care Services

NAICS

Home Health Care Services (621610), Home Health Care Services (62161)

SIC

Services-Home Health Care Services (8082)

akta.pro primary industry

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

Keywords

• Home health care
• Skilled nursing services
• Physical therapy
• Home health aide
• Medical social work

Headquarters

HQ city

Fresno

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Insurance-Reimbursed Home Health Services: Home health care services covered through most major insurance plans including Medicare, Medicaid, and private insurance. Services include skilled nursing, therapy services (physical, occupational, speech), medical social worker support, and certified home health aide assistance.

Go-to-market motion1 record

Distribution channels2 records

Marketing channels4 records

Core offering

Horizon Home Care LLC is an ACHC-accredited home health agency that delivers skilled nursing, therapy, medical social work, and certified home health aide services directly to patients in their homes across five California Central Valley counties. Services are reimbursed through Medicare, Medicaid, and most major private insurance plans, with personalized assessments used to tailor care plans to each patient's clinical and personal needs.

Product overview

Horizon Home Care provides a unified home health care service offering in Fresno, California, serving Fresno, Madera, Merced, Kings, and Tulare counties. The core portfolio consists of four main service lines: Skilled Nursing (RN/LVN services), Therapy Services (Physical, Occupational, and Speech Therapy), Medical Social Worker support, and Certified Home Health Aide assistance. These core services are supplemented by ancillary support services including Durable Medical Equipment coordination, Pharmacy coordination, Laboratory work coordination, and Interpreter Services via Language Line Services. The company also offers client intake tools such as Needs Assessment and Referral Services. All services are delivered by licensed, compassionate professionals who have undergone thorough qualification exams.

Differentiator

Problem solved

Functional benefit

Products and services

• Skilled Nursing Registered Nurse (RN) and Licensed Vocational Nurse (LVN) services providing skilled nursing care including treatment, injections, wound care, IV fluids, antibiotic therapy, health teaching, and comprehensive body assessment for homebound patients.
• Therapy Services Comprehensive therapy services including Physical Therapy (rehabilitation, muscle strengthening, fall prevention), Occupational Therapy (self-care and independence), and Speech Therapy (speech/language, cognition, swallowing) delivered to homebound patients.
• Medical Social Worker Medical social work services assisting patients and families with healthcare needs including community resources, discharge planning, in-home care arrangements, and financial, emotional, and social support.
• Certified Home Health Aide Personal care services including meal preparation, laundry, housekeeping, ambulation, exercises, and maintaining a safe environment for patients and families, delivered by certified home health aides.
• Referral Services Referral program enabling patients, families, and community members to refer other individuals who may need home health care services to the agency.
• Needs Assessment Initial assessment service to evaluate a prospective client's clinical and personal needs and tailor an individualized home care service plan accordingly.

Segments2 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Partnerships

One partnership is on record.

• Language Line ServicesminorOthersInterpreter service partnership providing translation services for deaf, hearing or speech impaired patients, and Limited English Proficiency (LEP) patients through the Language Line Services.

Scale indicators1 record

Recent moves4 records

Expansion highlights4 records

Broad incumbents

• CenterWell Home Health (formerly Kindred at Home): Humana-owned national home health operator providing skilled nursing, therapy, and home-based primary care. CenterWell is a scaled, vertically integrated competitor serving Medicare Advantage populations in markets that overlap Horizon's referral base.
• Enhabit: Public home health and hospice operator spun off from Encompass Health in 2022. Enhabit operates skilled home health agencies across multiple states and competes for the same Medicare-reimbursed skilled nursing and therapy referrals as Horizon.
• Encompass Health: National post-acute care provider with home health and hospice segment (formerly Encompass Home Health). Comparable as a large, multi-state skilled home health agency competing for hospital referrals in similar payer mixes to Horizon.
• BrightSpring Health Services: Public provider of home and community-based health services including home health, hospice, and pharmacy. Comparable as a multi-service home health competitor with overlapping payer mix and service lines.
• Amedisys: One of the largest publicly traded home health and hospice operators in the U.S. Amedisys is a broad incumbent providing skilled nursing, therapy, and hospice services nationwide, directly comparable to Horizon's core skilled home health offerings though at much greater scale.
• Compassus: National home health, hospice, and palliative care provider. Compassus is a comparable scaled operator with a similar payer mix and skilled nursing/therapy service portfolio serving referral-driven patients.
• Aveanna Healthcare: Public home health, hospice, and medical solutions provider with a national footprint. Aveanna's adult home health segment is directly comparable to Horizon's skilled nursing and therapy services offering.

Direct peers

• The Pennant Group: Public home health, hospice, and senior living operator with a decentralized model of locally-led agencies. Pennant's home health segment closely mirrors Horizon's regional skilled home health model and operates in similar markets across the western U.S.
• Brookdale Home Health: Home health division of Brookdale Senior Living, providing skilled home health services often co-located with senior living communities. Directly comparable to Horizon in serving elderly patients with post-acute skilled nursing and therapy needs.

Regional players

• 24 Hour Home Care: California-based home care provider offering both skilled and non-skilled in-home services across multiple CA counties. Closest direct geographic peer to Horizon, serving overlapping Central and Southern California markets with similar service lines.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat4 records

Key risks6 records

Key highlights6 records

Customer concentration

• Facebookfacebook.com/horizonhomecarellc

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 record

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 Horizon Home Care