Meadowlark Home Health Care

Executive summary

Meadowlark treated 796 Medicare patients in 2022, 571 in 2023 and 485 in 2024. That is a fall of 15% in the last year and 39% over two years. Patient count is the base for everything below, because payment, cost and staffing all scale with how many patients an agency treats.

In 2024 Meadowlark makes 1.8 nursing visits per period of care, against a median of 3.0 in Lakeshire County, and it is 2nd lowest of 38 on this measure. Each nursing visit lasts 27 minutes, against a median of 44. Its low-visit rate is 8.4%, above the median of 7.3%. Taken together, the data shows an agency that delivers less nursing time per patient than most of its peers, and more periods that end below the low-visit threshold.

Meadowlark’s patients look like the county’s on chronic conditions, but more of its periods start for heart and circulation problems and far fewer for injuries or aftercare following a hospital stay. 70% of its periods are follow-on periods for patients already at home.

A 47% Medicare margin in 2024, high next to its peers

Logicly estimates Meadowlark’s Medicare margin at 47% in 2024. Medicare paid it $2,481,577, which is about $1,670 per 30-day period, and Logicly estimates about $885 of that goes to the cost of the visits and about $785 stays as margin. Traditional Medicare is 23% of its visits and other payers are 77%, against a county median Medicare share of 36%. Hospital-based agencies have no cost report and are left out of the margin comparison.

* Logicly estimate. It is worked out by Logicly and is not a Medicare number.

Meadowlark pays about $86 per physical therapist visit (2024, Logicly estimate), 8th lowest of 31 in its group and against a median of $98. The area median wage for physical therapists is $49.89 an hour (May 2025, all settings). The converter below turns a per-visit rate into an hourly figure once visit length, drive time and charting are counted.

* Pay per visit in 2024, Logicly estimates. Bars show the difference from the median of 38 agencies in Lakeshire County.

Meadowlark is therapy-heavy: two therapists for every nurse, and almost no contract staff on its report. It is the sixth-largest employer of home health clinicians among the 33 agencies here that file a cost report.

Who owns it

A non-profit health system owns Meadowlark

Meadowlark is owned through Northgate Home Health Holdings, which belongs to The Valley Health Associations, a non-profit health system. Medicare has had both on its records since August 2020. That date is when the owners were put on file, not necessarily when the agency was bought.

Where it works

Serves 13 ZIPs, the most crowded with 19 agencies

Meadowlark serves 13 ZIPs in Lakeshire County. The most crowded of them has 19 agencies serving it, so referrals there are shared. Medicare Advantage covers 58% of seniors in the county (2024), which means many referrals depend on which plan networks an agency belongs to.

The county is balanced, but the traditional Medicare pool shrinks every year. Three insurers hold 84% of Advantage members, so network contracts decide most new referrals.

131Medicare home health users per agency, 2025

Lakeshire County: 131

One in three seniors here lives alone and one in eight senior households has no car. Patients like these need more visits, more social work and more help getting to appointments, and they are more likely to need home health in the first place.

Sources: Census survey 2019–2023 (seniors); CDC estimates 2023 (all adults).

Seniors are growing about 24 times faster than the county as a whole. The 85-and-over group is flat today, but 41,539 people now aged 75 to 84 reach the highest-use ages over the next decade.

No federal source forecasts county populations. These are trends, not a forecast.

Therapists are easier to find here than in most of Westmark: about three times the state’s county median per senior. Nurses are the harder hire, and 325 local businesses compete for them.

More about the area

Peer table

Meadowlark is 13th highest of 38 on Medicare patients

Meadowlark is 13th highest of 38 on Medicare patients among 38 agencies in Lakeshire County. The table lists every agency on the same measures as the charts above, with Meadowlark and your agency pinned at the top, so a competitor’s size, payment and margin can be read next to Meadowlark’s.