NAICS 621610

Home Health & Home Care Services in California

Establishments primarily engaged in providing skilled nursing and personal care services in the patient’s home.

Establishments (2023)
5,577
Statewide, California
Employees
138,278
Mid-March employment
Annual payroll
$6.0B
All establishments
Avg. establishment size
24.8
Employees per establishment

What acquirers look at

Demographics guarantee demand growth. Licensure transfer and payor mix, private pay versus Medicaid, determine whether the business is actually financeable.

Home Health by county

Ranked by establishment count, 2023 County Business Patterns. For the crowded-versus-underserved reading, see the saturation ranking, which ranks by establishments per resident instead.

#CountyEstablishmentsPer 10k residentsShare of state
1Los Angeles County2,6322.747.2%
2Orange County4411.47.9%
3San Bernardino County3541.66.3%
4San Diego County2900.95.2%
5Riverside County2360.94.2%
6Alameda County1961.23.5%
7Sacramento County1701.13.0%
8Ventura County1581.92.8%
9Santa Clara County1570.82.8%
10Contra Costa County1281.12.3%
11Fresno County970.91.7%
12San Mateo County851.11.5%
13Kern County660.71.2%
14San Joaquin County620.81.1%
15San Francisco County450.50.8%
16Stanislaus County450.80.8%
17Solano County430.90.8%
18Sonoma County430.90.8%
19Placer County421.00.8%
20Monterey County320.70.6%
21San Luis Obispo County250.90.4%
22Marin County240.90.4%
23Santa Barbara County230.50.4%
24Santa Cruz County150.60.3%
25Shasta County150.80.3%

Counties in California

Home Health in Los AngelesHome Health in San DiegoHome Health in OrangeHome Health in RiversideHome Health in San BernardinoHome Health in Santa ClaraHome Health in AlamedaHome Health in SacramentoHome Health in Contra CostaHome Health in FresnoHome Health in KernHome Health in VenturaHome Health in San FranciscoHome Health in San JoaquinHome Health in San MateoHome Health in StanislausHome Health in SonomaHome Health in TulareHome Health in SolanoHome Health in PlacerHome Health in Santa BarbaraHome Health in MontereyHome Health in MercedHome Health in San Luis ObispoHome Health in Santa CruzHome Health in MarinHome Health in YoloHome Health in ButteHome Health in El DoradoHome Health in ShastaHome Health in ImperialHome Health in MaderaHome Health in KingsHome Health in NapaHome Health in HumboldtHome Health in NevadaHome Health in SutterHome Health in YubaHome Health in MendocinoHome Health in San BenitoHome Health in LakeTehamaTuolumneCalaverasSiskiyouHome Health in AmadorGlennLassenHome Health in Del NorteColusaPlumasInyoMariposaTrinityMonoModocSierraAlpine

Sources

  1. U.S. Census Bureau, 2023 County Business Patterns. Establishment counts, employment and annual payroll by NAICS. Retrieved 2026-09-08.
  2. U.S. Bureau of Labor Statistics, Quarterly Census of Employment and Wages (2026Q1). Quarterly establishment counts and employment for employers covered by unemployment insurance. Retrieved 2026-09-08.