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5,794 hospitals mapped against HHA coverage in their surrounding geography. 2,831 markets where discharge volume exists but home health supply does not. Know where to build your platform — before the gap closes.
Most HHA acquisition teams build their own hospital-to-agency coverage maps — one market at a time, from scratch, using CMS claims data and manual research. AcuiteIQ has done this work nationally and scored every geography.
The report maps 5,859 US hospitals against existing HHA coverage in each surrounding market, identifying 2,883+ coverage gaps where hospital discharge volume significantly exceeds accessible home health capacity. These are the markets where a new HHA can capture referral relationships before a competitor does.
Delivered as a scored PDF report and a fully ranked Excel dataset ready for deal team integration.
| # | MSA / Market | State | Acq. Score | Fragmentation | Demand | Mkt Quality | HPSA | Solo Ratio |
|---|
The US home health and hospice market exceeds $130 billion annually and is structurally growing as aging Baby Boomers shift care delivery from institutional settings to home — a trend accelerated by post-COVID patient preferences and CMS reimbursement policy favoring home-based care.
Major health systems are actively divesting home health operations — creating a secondary supply of established HHAs with existing payer relationships, Medicare certification, and referral networks. These assets trade at attractive valuations and often come with immediate cash flow.
Home health reimbursement is predominantly Medicare-funded — a stable, federal payer source that is not subject to the commercial negotiation risk of other healthcare verticals. The PDGM payment model rewards efficiency and patient outcomes, benefiting well-run PE-backed platforms over smaller independents.
Based on our hospital-to-HHA gap analysis, top-ranked markets include Memphis TN-MS, Birmingham AL, Jackson MS, Little Rock AR, and Louisville KY — characterized by high hospital discharge volume, concentrated 65+ populations, and thin HHA coverage relative to demand. Full rankings across all US markets are in the complete report.
Standard provider databases show you where HHAs exist. AcuiteIQ shows you where they're missing relative to demand. By mapping every US hospital's discharge volume against HHA capacity in the surrounding geography, we identify markets where patient supply is structurally outpacing provider capacity — the clearest signal for both acquisition targets and de novo entry opportunity.
The primary analysis focuses on skilled nursing and home health agencies (HHAs) operating under Medicare certification. Hospice providers are included in the provider landscape analysis but are scored separately given different reimbursement structures and acquisition dynamics. The full report details the methodology for both segments.
The Patient-Driven Groupings Model (PDGM) shifted HHA reimbursement toward episode-based payments weighted by clinical complexity and patient characteristics. This has advantaged larger, well-capitalized operators who can optimize clinical coding and patient mix — and disadvantaged smaller independents who lack the back-office infrastructure to thrive under the new model. PE-backed platforms can capture significant margin improvement post-acquisition by implementing PDGM optimization across acquired agencies.
The report draws from CMS Medicare cost reports and provider enrollment data, HRSA health workforce shortage designations, US Census aging population demographics, and the NPPES National Provider Registry (February 2026) for named acquisition targets. Hospital discharge data is sourced from CMS Medicare claims, providing a direct measure of the patient referral supply in each market.
5,859 hospitals mapped. 2,883+ coverage gaps identified. Every market scored. One purchase, instant delivery.