Sothcare vs Homecare Homebase (HCHB)

The honest version

Homecare Homebase is enterprise software, and it is good at being enterprise software. It runs some of the largest home health organizations in the country, its operational depth is real, and the agencies on it are not making a mistake.

This is not a close comparison, and pretending otherwise would be dishonest. HCHB and Sothcare are in different weight classes and sold to different buyers. If you are evaluating both, one of them is almost certainly wrong for you, and this page is an attempt to work out which.

Where the per-user model bites hardest

Enterprise pricing assumes an enterprise. Per-user rates plus per-episode fees plus module selection make sense when you have a procurement team to negotiate them and a volume that amortises the implementation. At six clinicians they do not.

There is also a quieter cost. When a login has a price attached, small agencies ration them, and shared accounts appear. At that point the audit trail stops being attributable to an individual — which is the entire reason a surveyor wants an electronic record in the first place.

A flat fee removes both. Every clinician gets their own login because it costs nothing extra, and your invoice in a hiring month matches your invoice in a quiet one.

Where Homecare Homebase is genuinely the better choice

Scale. If you run hundreds of clinicians across multiple states, HCHB is built for exactly that and we are not. This is not a hedge; we would lose that evaluation and we should.

Operational depth. Workforce optimization, territory management, revenue cycle at volume — HCHB has tooling here that we have no plans to build.

A dedicated implementation team. If you have the people and the runway for a months-long rollout, you get a system configured precisely to your operation. That is a real thing to want.

If any of those describe you, stop reading. We are not the right answer. See who Sothcare is built for →

Where we think we win for an independent agency

Cost at small scale. $519 flat for skilled home health at any headcount, with no per-episode fee and no module unlock. Run it against your own invoice rather than our estimate.

Time to live. Thirty days to a first parallel episode and 60 to 90 days to full cutover for skilled home health, running alongside whatever you use now — not an implementation project.

PDGM at the point of care. The HIPPS code is visible in the home rather than after a back-office pass.

Who answers support. A founder, at our current size. That stops being true above some scale, and we would rather say so than pretend otherwise.