Saturation ranking
Where home health & home care services is most and least saturated in California
Every California market with sourced Home Health data, ranked on how much provision it already has. Counties are measured per 10,000 residents. Cities are measured as a share of the businesses in the same ZIP codes, because a city’s establishment counts cover its ZIP codes rather than its city limits and cannot be divided by its municipal population. Neither measure says anything about revenue or profitability, and a crowded market is not automatically a bad one: it is also where the most businesses come up for sale.
- Statewide establishments
- 5,577
- 2023 County Business Patterns
- State median density
- 0.8
- Per 10,000 residents, counties
- Counties ranked
- 39
- of 43 with data
- Cities ranked
- 168
- of 220 with data
Most saturated counties for home health
39 of 43 counties with sourced data qualify for this ranking. Markets with fewer than 5 establishments are excluded at both levels, because a single opening or closing would move them enough to dominate the list. Counties under 2,000 residents are also excluded, where a per-capita figure is arithmetically true and analytically useless.
| # | County | Establishments | Per 10k | Vs state median | Reading |
|---|---|---|---|---|---|
| 1 | Los Angeles County9,694,934 residents | 2,632 | 2.7 | +231% | Densely served |
| 2 | Ventura County830,851 residents | 158 | 1.9 | +132% | Densely served |
| 3 | San Bernardino County2,224,091 residents | 354 | 1.6 | +94% | Densely served |
| 4 | Amador County41,876 residents | 6 | 1.4 | +75% | Densely served |
| 5 | Orange County3,149,507 residents | 441 | 1.4 | +71% | Densely served |
| 6 | Alameda County1,636,630 residents | 196 | 1.2 | +46% | Above average |
| 7 | San Mateo County743,568 residents | 85 | 1.1 | +39% | Above average |
| 8 | Sutter County98,787 residents | 11 | 1.1 | +36% | Above average |
| 9 | Contra Costa County1,170,070 residents | 128 | 1.1 | +33% | Above average |
| 10 | Sacramento County1,618,460 residents | 170 | 1.1 | +28% | Above average |
| 11 | Placer County442,081 residents | 42 | 1.0 | +16% | Above average |
| 12 | Marin County253,694 residents | 24 | 0.9 | +15% | Above average |
| 13 | Solano County455,376 residents | 43 | 0.9 | +15% | Above average |
| 14 | Fresno County1,035,456 residents | 97 | 0.9 | +14% | Typical |
| 15 | Riverside County2,544,916 residents | 236 | 0.9 | +13% | Typical |
State median for this industry: 0.8 establishments per 10,000 residents. A high figure means more provision per resident, not more demand.
Least saturated counties for home health
The same 39 counties, read from the bottom of the ordering upward. Thin provision is worth checking against the neighbouring counties before treating it as an opening.
| # | County | Establishments | Per 10k | Vs state median | Reading |
|---|---|---|---|---|---|
| 1 | Tulare County485,146 residents | 11 | 0.2 | -72% | Thinly served |
| 2 | Madera County167,927 residents | 5 | 0.3 | -64% | Thinly served |
| 3 | Merced County297,260 residents | 9 | 0.3 | -63% | Thinly served |
| 4 | Yolo County224,410 residents | 7 | 0.3 | -62% | Thinly served |
| 5 | Kings County154,327 residents | 5 | 0.3 | -60% | Thinly served |
| 6 | Nevada County101,911 residents | 5 | 0.5 | -40% | Thinly served |
| 7 | Imperial County181,411 residents | 9 | 0.5 | -40% | Below average |
| 8 | Santa Barbara County442,065 residents | 23 | 0.5 | -37% | Below average |
| 9 | San Francisco County826,079 residents | 45 | 0.5 | -34% | Below average |
| 10 | Mendocino County88,122 residents | 5 | 0.6 | -31% | Below average |
| 11 | El Dorado County192,323 residents | 11 | 0.6 | -30% | Below average |
| 12 | Santa Cruz County258,852 residents | 15 | 0.6 | -29% | Below average |
| 13 | Butte County209,211 residents | 14 | 0.7 | -18% | Below average |
| 14 | Kern County927,068 residents | 66 | 0.7 | -13% | Typical |
| 15 | San Benito County70,082 residents | 5 | 0.7 | -13% | Typical |
State median for this industry: 0.8 establishments per 10,000 residents. A low figure can mean a genuine gap, or a market served from the next county over.
Most saturated cities for home health
168 of 220 cities with sourced data qualify for this ranking. Markets with fewer than 5 establishments are excluded at both levels, because a single opening or closing would move them enough to dominate the list. Cities with fewer than 500 businesses in total are also excluded, because on a base that small the industry’s share moves on rounding.
| # | City | Establishments | Share of local | Vs state share | Reading |
|---|---|---|---|---|---|
| 1 | GlendaleLos Angeles, 7,130 businesses in total | 278 | 3.90% | +693% | Densely served |
| 2 | MontclairSan Bernardino, 1,011 businesses in total | 37 | 3.66% | +644% | Densely served |
| 3 | BurbankLos Angeles, 5,899 businesses in total | 179 | 3.03% | +517% | Densely served |
| 4 | ArtesiaLos Angeles, 703 businesses in total | 14 | 1.99% | +305% | Densely served |
| 5 | CerritosLos Angeles, 1,970 businesses in total | 37 | 1.88% | +282% | Densely served |
| 6 | UplandSan Bernardino, 2,607 businesses in total | 47 | 1.80% | +267% | Densely served |
| 7 | Simi ValleyVentura, 3,329 businesses in total | 58 | 1.74% | +254% | Densely served |
| 8 | West CovinaLos Angeles, 2,345 businesses in total | 40 | 1.71% | +247% | Densely served |
| 9 | CovinaLos Angeles, 2,014 businesses in total | 30 | 1.49% | +203% | Densely served |
| 10 | ColtonSan Bernardino, 874 businesses in total | 13 | 1.49% | +202% | Densely served |
| 11 | GlendoraLos Angeles, 1,497 businesses in total | 21 | 1.40% | +185% | Densely served |
| 12 | CarsonLos Angeles, 1,696 businesses in total | 23 | 1.36% | +176% | Densely served |
| 13 | NorwalkLos Angeles, 1,312 businesses in total | 15 | 1.14% | +132% | Densely served |
| 14 | Rancho CucamongaSan Bernardino, 5,340 businesses in total | 60 | 1.12% | +128% | Densely served |
| 15 | AntiochContra Costa, 1,538 businesses in total | 17 | 1.11% | +125% | Densely served |
| 16 | ArcadiaLos Angeles, 3,093 businesses in total | 34 | 1.10% | +124% | Densely served |
| 17 | LancasterLos Angeles, 2,565 businesses in total | 28 | 1.09% | +122% | Densely served |
| 18 | HawthorneLos Angeles, 1,403 businesses in total | 15 | 1.07% | +117% | Densely served |
| 19 | San FernandoLos Angeles, 848 businesses in total | 9 | 1.06% | +116% | Densely served |
| 20 | BrentwoodContra Costa, 1,414 businesses in total | 15 | 1.06% | +116% | Densely served |
| 21 | DuarteLos Angeles, 573 businesses in total | 6 | 1.05% | +113% | Densely served |
| 22 | Garden GroveOrange, 3,714 businesses in total | 37 | 1.00% | +103% | Densely served |
| 23 | HemetRiverside, 1,514 businesses in total | 15 | 0.99% | +101% | Densely served |
| 24 | Pleasant HillContra Costa, 1,135 businesses in total | 11 | 0.97% | +97% | Densely served |
| 25 | San BernardinoSan Bernardino, 3,569 businesses in total | 34 | 0.95% | +94% | Densely served |
Statewide, 0.49% of California businesses are in this industry. A higher local share means the industry takes up more of the local business base than it does statewide.
City figures are aggregated over the ZIP codes the Postal Service assigns to each place, which do not follow municipal boundaries. That is why the comparison here is a share of the businesses in those same ZIP codes rather than a figure per resident: both sides then cover the same ground, so a city that loses establishments to a separately named ZIP loses its denominator with them.
Most underserved cities for home health
The bottom of the same ordering. These are the California cities carrying the least home health provision per resident among those that clear both floors.
| # | City | Establishments | Share of local | Vs state share | Reading |
|---|---|---|---|---|---|
| 1 | Santa MonicaLos Angeles, 7,320 businesses in total | 7 | 0.10% | -81% | Thinly served |
| 2 | San FranciscoSan Francisco, 33,575 businesses in total | 33 | 0.10% | -80% | Thinly served |
| 3 | Santa BarbaraSanta Barbara, 5,868 businesses in total | 6 | 0.10% | -79% | Thinly served |
| 4 | Santa AnaOrange, 8,181 businesses in total | 12 | 0.15% | -70% | Thinly served |
| 5 | Costa MesaOrange, 5,397 businesses in total | 8 | 0.15% | -70% | Thinly served |
| 6 | WhittierLos Angeles, 3,060 businesses in total | 5 | 0.16% | -67% | Thinly served |
| 7 | Santa ClaraSanta Clara, 4,587 businesses in total | 8 | 0.17% | -65% | Thinly served |
| 8 | Newport BeachOrange, 6,234 businesses in total | 11 | 0.18% | -64% | Thinly served |
| 9 | San ClementeOrange, 2,771 businesses in total | 6 | 0.22% | -56% | Thinly served |
| 10 | CarlsbadSan Diego, 5,494 businesses in total | 12 | 0.22% | -56% | Thinly served |
| 11 | OaklandAlameda, 10,328 businesses in total | 23 | 0.22% | -55% | Thinly served |
| 12 | SalinasMonterey, 3,451 businesses in total | 8 | 0.23% | -53% | Thinly served |
| 13 | IrvineOrange, 14,947 businesses in total | 35 | 0.23% | -52% | Thinly served |
| 14 | San GabrielLos Angeles, 2,119 businesses in total | 5 | 0.24% | -52% | Thinly served |
| 15 | DowneyLos Angeles, 2,532 businesses in total | 6 | 0.24% | -52% | Thinly served |
| 16 | ChicoButte, 3,159 businesses in total | 8 | 0.25% | -49% | Thinly served |
| 17 | Beverly HillsLos Angeles, 6,870 businesses in total | 18 | 0.26% | -47% | Thinly served |
| 18 | El SegundoLos Angeles, 2,288 businesses in total | 6 | 0.26% | -47% | Thinly served |
| 19 | AlamedaAlameda, 1,899 businesses in total | 5 | 0.26% | -46% | Thinly served |
| 20 | Redwood CitySan Mateo, 3,279 businesses in total | 9 | 0.27% | -44% | Thinly served |
| 21 | Chula VistaSan Diego, 4,885 businesses in total | 14 | 0.29% | -42% | Thinly served |
| 22 | EncinitasSan Diego, 2,778 businesses in total | 8 | 0.29% | -41% | Thinly served |
| 23 | Manhattan BeachLos Angeles, 2,055 businesses in total | 6 | 0.29% | -41% | Thinly served |
| 24 | San RamonContra Costa, 2,659 businesses in total | 8 | 0.30% | -39% | Below average |
| 25 | San DiegoSan Diego, 42,106 businesses in total | 128 | 0.30% | -38% | Below average |
Statewide, 0.49% of California businesses are in this industry. A lower local share can mean a genuine gap, or a market served from the next town over.
How to read these rankings
- Both measures are supply measures. They say nothing about how much each business earns, how large it is, or how much demand comes from outside the market.
- The two levels are not directly comparable to each other. A county figure is establishments per resident; a city figure is this industry’s share of the local business base against the statewide share. Compare counties to counties and cities to cities.
- A thinly served market can be a genuine gap or a market already served from a neighbouring town. The individual market pages list the nearest comparable places for exactly this check.
- A densely served market means competition, but it is also where the largest pool of existing businesses sits, and therefore where the most owners reach retirement each year.
- Counties are the more stable measure. City figures rest on ZIP code geography, which the Postal Service redraws as it pleases, so a city can gain or lose a ZIP between years.
Full home health data for California/All industry rankings/Methodology
Sources
- U.S. Census Bureau, 2023 County Business Patterns. Establishment counts, employment and annual payroll by NAICS. Retrieved 2026-09-08.
- 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.
- U.S. Census Bureau, 2023 ZIP Code Business Patterns. Establishment counts by ZIP code and NAICS, aggregated over the ZIP codes assigned to each city, including the all-industry totals used as the local business base. Retrieved 2026-09-10.