home care business plans

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Home Care Business Plan Template & PDF Example

• September 4, 2024
• Business Plan

Creating a comprehensive business plan is crucial for launching and running a successful home care business. This plan serves as your roadmap, detailing your vision, operational strategies, and financial plan. It helps establish your home care business’s identity, navigate the competitive market, and secure funding for growth.

This article not only breaks down the critical components of a home care business business plan, but also provides an example of a business plan to help you craft your own.

Whether you’re an experienced entrepreneur or new to the healthcare industry, this guide, complete with a business plan example, lays the groundwork for turning your home care business concept into reality. Let’s dive in!

Our Home Care business plan is designed to address all vital elements necessary for a detailed and effective operational strategy. This plan encompasses the scope of our home care services, marketing approaches, the environment in which we operate, an analysis of our competitors, the structure of our management team, and financial projections. 

• Executive Summary : Offers a succinct overview of the Home Care business’s unique proposition, highlighting personalized and professional in-home care services tailored for seniors, market analysis showcasing the sector’s growth and demand, management’s expertise in senior care, and a financial strategy that outlines investment opportunities and revenue expectations.
• Services & Area Coverage: Describes the array of in-home care services, including personal care, medication management, specialized care for dementia, and emergency response, all delivered within a specified service radius to meet the unique needs of each senior.
• Pricing: Details the pricing strategy , designed to be transparent and competitive, offering flexible options to cater to various financial situations of clients, including hourly and flat-rate packages tailored to different care needs.
• Key Stats: Presents data underscoring the market size , growth trends, and demographics that illustrate the potential and necessity of home care services.
• Key Trends: Highlights significant trends such as the increasing preference for aging in place, the integration of technology in care, and a shift towards personalized care.
• Key Competitors: Analyzes the main competitors within the service area, their offerings, and how the business’s unique approach and technology set it apart.
• SWOT Analysis : Conducts a comprehensive analysis of Strengths, Weaknesses, Opportunities, and Threats to strategically position the business.
• Marketing Plan : Outlines marketing strategies aimed at building brand awareness, attracting new clients, and retaining them through superior service, patient satisfaction programs, and targeted marketing efforts.
• Timeline : Sets forth key milestones and objectives from the business setup to its launch and key growth phases.
• Management: Highlights the experienced team leading the business, from caregiving professionals to administrative management, emphasizing their roles in ensuring high-quality care and operational success.
• Financial Plan: Projects the financial outlook for the business over the next five years, detailing revenue models from various services, cost management strategies, profit margins, and expected return on investment, ensuring a clear route to financial sustainability and growth.

Home Care Business Plan

Fully editable 30+ slides Powerpoint presentation business plan template.

Download an expert-built 30+ slides Powerpoint business plan template

Executive Summary

The Executive Summary introduces your home care business plan, offering a concise overview of your agency and its services. It should detail your market positioning, the range of home care services you offer, including personal care, nursing care, and companion services, its service area, and an outline of day-to-day operations. 

This section should also explore how your home care agency will integrate into the local community, including the number of direct competitors within the area, identifying who they are, along with your agency’s unique selling points that differentiate it from these competitors. 

Furthermore, you should include information about the management and co-founding team, detailing their roles and contributions to the agency’s success. Additionally, a summary of your financial projections, including revenue and profits over the next five years, should be presented here to provide a clear picture of your agency’s financial plan.

Home Care Business Plan Executive Summary Example

Business Overview

The  business overview  should succinctly define the unique aspects of your home care service, including specialized care offerings and the qualifications of your care team. Emphasizing what sets your business apart in the senior care market is key for drawing interest and investment.

Example: “Compassionate Home Care,” covering a 30-mile radius in Springfield, offers personalized services such as medication management, specialized dementia care, and emergency response. The initial team of 40 skilled caregivers, including CNAs, LPNs, and RNs, are all trained in geriatric care, ensuring a high standard of service for seniors wishing to age comfortably in their homes.

Market Overview

This section should analyze the home care market’s size, growth trends, and  competitive landscape . It positions your business within the industry and highlights its potential to meet the needs of an aging population.

Example: Compassionate Home Care enters a market valued at $102 billion, growing at a 7.1% CAGR. Despite competition from four other local providers, the clinic stands out with its comprehensive, technology-integrated, and holistic approach to home care, meeting the rising preference for aging in place.

Management Team

Detailing the management team’s background and roles is vital. This part of the summary should emphasize their experience in healthcare and senior care, underscoring their ability to lead the business successfully.

Example: The CEO, with extensive experience in healthcare management, leads the business strategy and operations, while the COO, a registered nurse with specialized training in geriatric and palliative care, heads the care services. Their combined expertise ensures a strong foundation for the business and high-quality care for clients.

Financial Plan

Clearly outlining financial goals and projections is key. This section should include revenue targets and profit margins, offering insight into the business’s financial health and growth potential.

Example: Compassionate Home Care aims to achieve $3.4 million in annual revenue with a 15% profit margin by 2028. Supported by a robust business model and strategic marketing efforts, the company is positioned for significant growth in the expanding senior home care market.

For a Home Care Business, the Business Overview section can be effectively divided into 2 main slides:

Services & Area Coverage

Briefly describe the range of home care services your agency offers, emphasizing the personalized and compassionate care provided to clients in the comfort of their own homes. This can include personal care services like bathing and dressing, skilled nursing care, physical therapy, and companion services such as meal preparation and light housekeeping.

Then, mention the geographic area your agency covers, highlighting the convenience and accessibility of your services to clients within this area. Explain why your service area is strategically chosen to meet the needs of your target clientele, considering factors like population demographics and the presence of community resources.

Pricing & Payment Options

Detail your pricing structure for the various home care services offered, ensuring it reflects the quality of care provided and is competitive within the market you’re targeting. Your pricing strategy should be transparent, making it easy for clients and their families to understand the cost of care.

Also,highlight any flexible payment options, insurance partnerships, or programs that can help offset the cost for clients, such as Medicaid, Medicare, or private insurance coverage. Emphasize any packages or special programs that provide added value to your clients, such as customized care plans or discounted rates for long-term services, encouraging long-term relationships and client loyalty.

Industry size & growth

In the Market Overview of your home care business plan, start by examining the size of the home care industry and its growth potential.

This analysis is crucial for understanding the market’s scope and identifying expansion opportunities, particularly in the context of an aging population and increasing preference for aging in place.

Key market trends

Proceed to discuss recent market trends , such as the growing consumer interest in personalized home care services, the use of technology to improve service delivery, and the emphasis on holistic care that encompasses physical, emotional, and social well-being.

For example, highlight the demand for services tailored to specific health conditions or preferences, alongside the rising popularity of integrated care models that coordinate across different healthcare providers.

Competitive Landscape

A  competitive analysis  is not just a tool for gauging the position of your home care business in the market and its key competitors; it’s also a fundamental component of your business plan.

This analysis helps in identifying your home care’s unique selling points, essential for differentiating your business in a  competitive  market.

In addition, competitive analysis is integral in laying a solid foundation for your business plan. By examining various operational aspects of your competitors, you gain valuable information that ensures your business plan is robust, informed, and tailored to succeed in the current market environment.

Identifying Competitors in the Home Care Sector

Begin by mapping out local home care service providers, including agencies specializing in elderly care, disability assistance, and in-home nursing care. Don’t limit your assessment to direct competitors alone; consider indirect competitors like assisted living facilities or telehealth services that may offer alternative solutions to potential clients.

Leverage online resources such as industry directories, healthcare platforms, and review sites like Healthgrades or Care.com to identify competitors and assess their service offerings, customer reviews, and ratings. For instance, positive feedback highlighting the compassionate care at “Caring Hands Home Health” signifies a strength you might want to factor into your analysis.

Home Care Competitors’ Strategies

Delve into multiple facets when analyzing competitors in the homecare industry:

• Service Offerings:  Scrutinize the spectrum of services provided by competitors. If “Nurturing Hearts Senior Care” is gaining traction by offering specialized memory care services for seniors with dementia, this reflects an emerging trend or niche within the market.
• Care Approaches:  Consider different caregiving approaches. A home care agency like “Comfort at Home Nursing” that emphasizes holistic care might cater to a different clientele compared to “Rapid Recovery Home Services,” known for its post-surgery rehabilitation programs.
• Pricing and Payment Models:  Compare the pricing structures of competitors. Are they positioning themselves as budget-friendly, like “Economical Care Services,” or do they offer premium services like “Elite Home Health” with concierge-level care?
• Marketing Channels :  Examine competitors’  marketing strategies . Are they leveraging digital platforms effectively, emphasizing community engagement, or relying on partnerships with healthcare providers to expand their reach?
• Client Experience:  Evaluate the overall client experience. For instance, “Warm Embrace Home Care” might be recognized for its compassionate caregivers and personalized attention, fostering a positive client experience.
• Operational Innovations:  Look for technological advancements or operational efficiencies adopted by competitors, such as “TechCare Solutions” utilizing telemedicine or streamlined scheduling systems for enhanced service delivery.

What’s Your Home Care Business’s Value Proposition

Define your home care agency’s  unique value proposition . Perhaps your agency specializes in personalized Alzheimer’s care or provides bilingual caregivers, catering to a specific demographic overlooked by competitors.

Identify untapped market needs through client feedback and industry trends. For instance, the increasing demand for tech-integrated remote monitoring might present an opportunity if competitors haven’t embraced such solutions.

Tailor your services to suit the demographics and preferences of your target area. A home care agency in an urban setting might emphasize on-demand services and tech-enabled communication, while one in a suburban locale may focus on building community connections and personalized care plans.

First, conduct a SWOT analysis for the home care business, highlighting Strengths (such as compassionate and well-trained caregivers, a comprehensive range of services), Weaknesses (including potential regulatory challenges or staffing issues), Opportunities (for example, an aging population and increasing preference for home-based care), and Threats (such as changes in healthcare policies that may affect funding or reimbursement).

Marketing Plan

Next, develop a marketing strategy that outlines how to attract and retain clients through targeted outreach, informative and empathetic communication, engaging online presence, and community partnerships. Emphasize the importance of building trust with clients and their families, showcasing testimonials, and highlighting the qualifications and dedication of your caregiving team.

Marketing Channels

Deploying various marketing channels is pivotal to reaching and engaging with potential clients effectively.

Digital Marketing

• Website and SEO:  Develop a user-friendly website with informative content about services offered, testimonials, and a blog providing caregiving tips. Optimize it for local SEO to enhance visibility in online searches.
• Social Media:  Utilize platforms like Facebook and LinkedIn to share engaging content, client testimonials, and educational resources on home care. Use Instagram to showcase the compassionate side of your caregivers and their impact.

Local Advertising

• Community Engagement : Engage with local communities through sponsorships of senior events, health fairs, or support groups. Host informational sessions or workshops on home care topics at community centers or retirement communities.

Partnerships and Referral Programs

• Healthcare Partnerships:  Forge alliances with hospitals, rehabilitation centers, or medical professionals for referrals. Establish yourself as a trusted partner in providing post-hospitalization or long-term care.
• Referral Programs:  Create incentives for existing clients or healthcare providers who refer new clients to your home care services.

Promotional Activities

• Free Consultations : Offer complimentary consultations to potential clients, allowing them to experience the quality of your services firsthand.
• Special Offers:  Introduce introductory packages or discounts for new clients or seasonal promotions like ‘Holiday Care Packages’ to attract new business.

Sales Channels

Efficient  sales channels  are imperative for maximizing revenue while ensuring customer satisfaction in the home care sector.

Consultative Selling

• Tailored Care Plans:  Customize care plans based on the client’s needs and preferences during initial consultations. Emphasize the personalization and flexibility of your services.
• Transparent Pricing : Clearly outline pricing structures for different care plans, ensuring transparency and clarity for potential clients.

Client Retention Strategies

• Quality Service : Ensuring consistent and high-quality service delivery through ongoing caregiver training, quality checks, and client feedback mechanisms to guarantee satisfaction.
• Feedback Mechanisms:  Use membership programs as an avenue to gather feedback from clients. Offer surveys or feedback forms to understand their preferences better and continuously improve services.
• Continued Engagement:  Maintaining regular communication through newsletters, informative resources, health updates, and follow-up calls or visits to strengthen relationships and foster trust and loyalty.

Membership and Loyalty Programs

Incentivizing repeat business through membership and loyalty programs is a powerful strategy to foster long-term client relationships and encourage ongoing engagement.

Membership Options

• Exclusive Service Bundles:  Offer membership programs providing clients with a set number of hours of care or specific services at a discounted rate. For instance, a monthly membership could include a predetermined number of hours for companion care, personal care, or specialized medical assistance.
• Customizable Plans:  Create tiered membership levels with varying benefits to accommodate different client needs. These could range from basic caregiving services to more comprehensive care plans, providing flexibility and value to clients.

Loyalty Rewards

• Point-Based System:  Develop a digital loyalty program where clients earn points for every dollar spent on home care services. These points can be accumulated and redeemed for discounts on future services or additional perks, such as priority scheduling or complimentary consultations.
• Referral Incentives:  Reward clients for referrals by offering bonus points or discounts when they refer friends or family members to the home care services. This not only encourages loyalty but also helps expand the client base through word-of-mouth referrals.

Exclusive Benefits

• Member-Only Offers:  Provide exclusive offers or special benefits to members, such as priority access to caregivers, discounted rates on additional services, or access to educational resources and workshops related to caregiving.
• Anniversary Rewards:  Celebrate client  milestones , such as membership anniversaries, with bonus points, complimentary service upgrades, or personalized gifts to showcase appreciation and reinforce client loyalty.

Strategy Timeline

Finally, create a detailed timeline that outlines critical milestones for the home care agency’s launch, client acquisition efforts, service expansion, and strategic objectives, ensuring the business advances with clear direction and purpose. Include key benchmarks for assessing the quality of care, client satisfaction, and operational efficiency to continually improve and grow your agency.

The Management section focuses on the home care business’s management and their direct roles in daily operations and strategic direction. This part is crucial for understanding who is responsible for making key decisions and driving the home care business towards its financial and operational goals.

For your home care business plan, list the core team members, their specific responsibilities, and how their expertise supports the business.

The Financial Plan section is a comprehensive analysis of your financial projections for revenue, expenses, and profitability. It lays out your home care business’s approach to securing funding, managing cash flow, and achieving breakeven.

This section typically includes detailed forecasts for the first 5 years of operation, highlighting expected revenue, operating costs and capital expenditures.

For your home care business plan, provide a snapshot of your financial statement (profit and loss, balance sheet, cash flow statement), as well as your key assumptions (e.g. number of customers and prices, expenses, etc.).

Make sure to cover here _ Profit and Loss _ Cash Flow Statement _ Balance Sheet _ Use of Funds

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Privacy overview.

Home Health Care Business Plan Template

Written by Dave Lavinsky

Home Health Care Business Plan

You’ve come to the right place to create your home health care business plan.

We have helped over 10,000 entrepreneurs and business owners create business plans and many have used them to start or grow their home health care businesses.

Home Care Business Plan Example

Below is a template to help you create each section of your home health care agency business plan.

Executive Summary

Business overview.

St. Helen’s Home Care is a new home healthcare business that serves the aging population of Austin, Texas. As individuals age, they are more susceptible to diseases and other conditions and need extra help to receive health care. However, many individuals wish to receive care in the comfort of their homes instead of going to a nursing home or hospital. St. Helen’s will provide this population with the care they need without them needing to travel. Our nursing services include physical therapy, skilled nursing care and other healthcare services that can be conducted in the home. We also provide warmth, compassion, and companionship to create lasting relationships with our clients.

St. Helen’s Home Care is run by Helen Parker, who has been a nurse for twenty years. She has specialized in working with aging populations and has extensive knowledge of the common conditions and needs of this age group. Her experience and connections have helped her find other medical professionals who want to join our company. Furthermore, she was able to establish an initial client base from the list of patients she has been helping for years.

Services Offered

St. Helen’s Home Care offers a variety of home health care services that serve the aging population of Austin, Texas. These services include but are not limited to:

• Physical therapy
• Occupational therapy
• Speech-language therapy
• Skilled Nursing Services
• Personal care and housekeeping

Customer Focus

St. Helen’s Home Care will serve the aging population of Austin, Texas, primarily residents over the age of 65. This population is susceptible to many conditions that make daily living difficult such as Alzheimer’s, dementia, arthritis, and diabetes. This population needs more health care than other age groups, but not all services require a visit to the hospital or doctor’s office. St. Helen’s will provide any medical service that can easily be conducted in a home setting.

Management Team

St. Helen’s Home Care is owned and operated by Helen Parker, a local nurse who has worked at local hospitals for over the past twenty years. She has worked with hundreds of elderly patients and their families and has helped them find adequate and affordable home health care upon being released from the hospital. Helen Parker has realized there is a lack of quality and affordable home healthcare agencies in Austin. She aims to provide in-home services while also being affordable for the patient and their families.

Aside from the medical professionals she will have on staff, Helen has also employed an Administrative Assistant, Accountant, and Marketing Specialist to help her operate the company.

Success Factors

St. Helen’s Home Care will be able to achieve success by offering the following competitive advantages:

• Compassionate Staff: Helen’s will employ a compassionate and friendly staff of nurses, therapists, home health care aides, and social workers who are highly knowledgeable and experienced in their field.
• Quality Care: Helen’s will provide expert nursing services so that the patients are at the highest comfort level.
• Pricing: Helen’s pricing will be more affordable than other home health care agencies. They will also work on payment arrangements with the patient and their family so that the patient won’t have to sacrifice any type of care because the cost is too high. The company is also working to partner with local and national insurance companies so that our patients can have their care partially or fully covered by their insurance plans.

Financial Highlights

St. Helen’s Home Care is seeking $340,000 in funding to launch the home healthcare business. The capital will be used for funding equipment and supplies, staffing, marketing expenses, and working capital.

The breakdown of the funding may be seen below:

• Equipment and supplies (such as computers and medical equipment): $150,000
• Marketing costs: $50,000
• Staffing costs: $60,000
• Working capital (to include three months of overhead expenditures): $80,000

The following graph outlines the pro forma financial projections for St. Helens’ Home Care over the next five years:

Company Overview

Who is st. helen’s home care.

St. Helen’s Home Care is a new home healthcare business that serves the aging population of Austin, Texas. As individuals age, they are more susceptible to diseases and other conditions and need extra help to receive health care. However, many individuals wish to receive care in the comfort of their homes instead of going to a nursing home or hospital. St. Helen’s will provide this population with the care they need without them needing to travel. Our services include physical therapy, nursing, and other healthcare services that can be conducted in the home. We also provide warmth, compassion, and companionship to create lasting relationships with our clients.

St. Helen’s Home Care History

Helen Parker has worked with thousands of elderly patients during her career as a nurse. She often found that many people did not need to travel to a doctor’s office or hospital for their care. Instead, these patients often enjoyed a higher quality of life when they received care from their homes. This revelation inspired her to start a business where she and other professionals could provide care to local elderly patients in the comfort of their homes. After conducting the market research needed to establish the company, Helen incorporated St. Helen’s Home Care as an S-corporation on May 15th, 2022.

Since incorporation, St. Helen’s has achieved the following milestones:

• Found an office location and signed a Letter of Intent to lease it
• Developed the logo and website for the company
• Finalized list of services the company will be able to provide
• Determined the office equipment and inventory requirements
• Created an initial client base from Helen’s pre-existing patient list
• Started creating partnerships with local and national medical insurance companies
• Began recruiting key employees, including medical and administrative staff

St. Helen’s Home Care Services

Industry analysis.

According to Grand View Research, the global home health care industry was valued at $336 billion USD in 2021. It is also expected to grow at a compound annual growth rate of 7.93% from 2022 to 2030 and reach a value of $666.9 billion USD by 2030. This shows that these services will be in great demand, which means it is a great time to start a home healthcare business.

This growth is primarily driven by a growing geriatric population. People are living longer than ever before, and therefore, they will need comfortable healthcare services for much longer. Furthermore, baby boomers comprise a large population and are now entering their retirement years. It is expected that this enormous population will have a significant need for healthcare (whether in the home or doctor’s office) and may create a strain on the current industry. However, this also means there is an enormous opportunity for healthcare businesses to be extremely profitable in the near future.

This is especially true for home healthcare services, which are increasing in demand. Most aging people would rather receive medical care at home than go to a nursing home or hospital. Therefore, there is an incredible demand for these particular services.

The only challenge affecting the industry is a lack of properly trained staff who can take on a healthcare career. However, this will only mean that home healthcare services will be even more valued. These industry trends will only help boost the popularity and success of St. Helen’s Home Care.

Customer Analysis

Demographic profile of target market.

St. Helen’s Home Care will primarily target the aging population of Austin, Texas. This includes anyone over the age of 65, especially those who live with diabetes, Alzheimer’s, arthritis, or other conditions that affect their quality of life.

The precise demographics of Austin, Texas, are:

Customer Segmentation

St. Helen’s will primarily target the following customer profiles:

• Aging individuals over the age of 65
• Individuals living with Alzheimer’s and dementia
• Elderly individuals with other health conditions

Competitive Analysis

Direct and indirect competitors.

St. Helen’s Home Care will face competition from other home health care agencies with similar business profiles. A description of each competitor company is below.

Travis County Home Health

Travis County Memorial Hospital’s Home Health & Hospice has provided home health services for over a decade. Their staff is composed of dedicated professionals who are committed to providing quality care in the comfort and convenience of their patients’ homes. Their home health aides can assist the patient with grooming and light chores around their home. Home health care will verify if home health aide services are covered by their insurance policy. They accept Medicare, Insurance/HMO/PPO, Medicaid, and Private Pay. The home health care team works closely with the physician to plan the care and monitor the patients’ progress. The nurse will contact the physician with any laboratory results, medication changes, or alterations in their health status.

Elara Caring

Elara Caring is one of the nation’s largest providers of home-based care, with a footprint in most regions of the United States. Elara Caring brings together three award-winning organizations – Great Lakes Caring, National Home Health Care, and Jordan Health Services, into one transformational company. They provide the highest-quality comprehensive care continuum of personal care, skilled home health, hospice care, and behavioral health. Their intimate understanding of their patients’ needs allows them to apply proprietary platforms to deliver proactive, customized care that improves quality of life and keeps patients in their homes.

Encompass Health

Encompass Health is one of the nation’s leading providers of home health services. They continually set the standard of homecare through their people, their approach, and their outcomes.

The patient experience is at the core of everything they do. That’s why they work collaboratively with the patient’s team of experts to craft a plan of care that meets their specific needs. Their skilled nurses, physical therapists, occupational therapists, speech-language pathologists, medical social workers, and home health aides use a coordinated, interprofessional approach to deliver compassionate, specialized care in the comfort of home. Whether recovering from a surgery, a recent hospital stay, or managing a disease or injury, Encompass Health’s services are designed to meet patients where they are.

Competitive Advantage

• Compassionate Staff: Helen’s will employ a compassionate and friendly staff of nurses, therapists, aides, and social workers who are highly knowledgeable and experienced in their field.
• Quality Care: Helen’s will provide expert services so that the patients are at the highest comfort level.
• Pricing: Helen’s will provide affordable home health care. They will also work on payment arrangements with the patient and their family so that the patient won’t have to sacrifice any type of care because the cost is too high. The company is also working to partner with local and national insurance companies so that our patients can have their care partially or fully covered by their insurance plans.

Marketing Plan

Brand & value proposition.

The St. Helen’s brand will focus on the company’s unique value proposition:

• Knowledgeable, friendly, compassionate staff of healthcare professionals.
• Quality level of service and care.
• Offering the best nursing, therapy, social worker, and home aide services at competitive prices.

Promotions Strategy

St Helen’s Home Care will target elderly residents living in the Austin, Texas area. The company’s promotions strategy to reach the most clientele include:

Local Hospitals

Helen Parker already has great relationships with the local hospitals. She will work to make sure the hospitals send referrals and highly recommend the company to its patients and their families upon releasing them from the hospital.

Website/SEO Marketing

St. Helen’s has a website that is well-organized and informative and lists all our available services. The website also lists the company’s contact information and information about the medical professionals who provide our services.  We will utilize SEO marketing tactics so that anytime someone types in the Google or Bing search engine “Austin home health care” or “Austin health care,” St. Helen’s will be listed at the top of the search results.

St. Helen’s Home Care will have a billboard at a busy intersection where thousands of cars and pedestrians pass daily. The location of the billboard will be in an area of town where there are a lot of doctors’ offices, rehab facilities, and a hospital nearby.

Insurance Partnerships

St. Helens will partner with local and national insurance companies so that our patients can be partially or fully covered for the services we provide. We will ask the insurance companies to recommend our services to their customers and have our business listed on their websites.

St Helen’s pricing will be moderate so customers feel they receive great value when purchasing its services. Services will either be charged directly to the patient or to their insurance plan.

Operations Plan

The following will be the operations plan for St. Helen’s Home Care.

Operation Functions:

• Helen Parker will be the Chief Executive Officer of the company. She will be in charge of the business operations side of the business and provide home healthcare services until we have a full staff of medical professionals.
• Helen is assisted by her longtime colleague Mary Green. Mary will be the Administrative Assistant and help with all general administration tasks, including taking phone calls and scheduling appointments.
• Keith O’Reilly will serve as the Staff Accountant. He will provide all accounting, tax payments, and monthly financial reporting.
• Betty Lopez will work as the Marketing Specialist. She will run the website, social media, and other marketing efforts.
• Helen will hire a large team of medical professionals to serve our growing client base. So far, some of her former colleagues have agreed to work for her business.

Milestones:

St. Helen’s Home Care will have the following milestones completed in the next six months.

8/1/202X – Finalize lease for the office space.

8/15/202X – Finalize personnel and staff employment contracts.

9/1/202X – Begin refurbishment and furnishing of the office space.

9/15/202X – Begin networking at medical industry events.

9/22/202X – Begin marketing campaign to attract the first clients.

11/1/202X – St. Helen’s Home Care opens for business.

St. Helen’s Home Care is owned and operated by Helen Parker, a local nurse who has worked at local hospitals for over the past twenty years. She has worked with hundreds of elderly patients and their families and has helped them find adequate and affordable home health care upon being released from the hospital. Helen Parker has realized there is a lack of quality and affordable home healthcare agencies in Austin. She aims to provide the best in-home health care services while also being affordable for the patient and their families.

Financial Plan

Key revenue & costs.

The revenues for St. Helen’s Home Care will come from the fees it will charge the patients and their insurance for the provided health care services.

The major cost drivers for the company will be the staff payroll, marketing expenses, lease, and office equipment.

Funding Requirements and Use of Funds

Key assumptions.

The following outlines the key assumptions required in order to achieve the revenue and cost numbers in the financials as well as pay off the startup business loan.

• Number of clients per month: 100
• Annual lease: $50,000
• Overhead costs per year: $100,000

Financial Projections

Income statement.

Balance Sheet

Cash Flow Statement

Home Health Care Business Plan FAQs

What is a home health care business plan.

A home health care business plan is a plan to start and/or grow your home health care business. Among other things, it outlines your business concept, identifies your target customers, presents your marketing plan and details your financial projections.

You can easily complete your Home Health Care business plan using our Home Health Care Business Plan Template here .

What are the Steps To Start a Home Health Care Business?

Starting a home health care business can be an exciting endeavor. Having a clear roadmap of the steps to start a business will help you stay focused on your goals and get started faster.

1. Develop A Home Health Care Business Plan – The first step in starting a business is to create a detailed home health care business plan that outlines all aspects of the venture. This should include market research on the home health care industry and potential target market size, information on the home health care services you will offer, marketing strategies, pricing detailed and your financial forecast.  

2. Choose Your Legal Structure – It’s important to select an appropriate legal entity for your home health care business. This could be a limited liability company (LLC), corporation, partnership, or sole proprietorship. Each type has its own benefits and drawbacks so it’s important to do research and choose wisely so that your home health care business is in compliance with local laws.

3. Register Your Home Health Care Business – Once you have chosen a legal structure, the next step is to register your home health care business with the government or state where you’re operating from. This includes obtaining licenses and permits as required by federal, state, and local laws. 

4. Identify Financing Options – It’s likely that you’ll need some capital to start your home health care business, so take some time to identify what financing options are available such as bank loans, investor funding, grants, or crowdfunding platforms. 

5. Choose a Location – Whether you plan on operating out of a physical location or not, you should always have an idea of where you’ll be based should it become necessary in the future as well as what kind of space would be suitable for your operations. 

6. Hire Employees – There are several ways to find qualified employees including job boards like LinkedIn or Indeed as well as hiring agencies if needed – depending on what type of employees you need it might also be more effective to reach out directly through networking events. 

7. Acquire Necessary Home Health Care Equipment & Supplies – In order to start your home health care business, you’ll need to purchase all of the necessary equipment and supplies to run a successful operation. 

8. Market & Promote Your Business – Once you have all the necessary pieces in place, it’s time to start promoting and marketing your home health care business. This includes creating a website, utilizing social media platforms like Facebook or Twitter, and having an effective Search Engine Optimization (SEO) strategy. You should also consider traditional marketing techniques such as radio or print advertising. 

Learn more about how to start a successful home health care business:

How to Start a Home Health Care Business

How To Write a Winning Home Health Care Agency Business Plan + Template

Creating a business plan is essential for any business, but it can be especially helpful for home health care agency businesses who want to improve their strategy and/or raise funding.

A well-crafted business plan not only outlines the vision for your company, but also documents a step-by-step roadmap of how you are going to accomplish it. In order to create an effective business plan, you must first understand the components that are essential to its success.

This article provides an overview of the key elements that every home health care agency business owner should include in their business plan.

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What is a Home Health Care Agency Business Plan?

A home health care agency business plan is a formal written document that describes your company’s business strategy and its feasibility. It documents the reasons you will be successful, your areas of competitive advantage, and it includes information about your team members. Your business plan is a key document that will convince investors and lenders (if needed) that you are positioned to become a successful venture.

Why Write a Home Health Care Agency Business Plan?

A home health care agency business plan is required for banks and investors. The document is a clear and concise guide of your business idea and the steps you will take to make it profitable.

Entrepreneurs can also use this as a roadmap when starting their new company or venture, especially if they are inexperienced in starting a business.

Writing an Effective Home Health Care Agency Business Plan

The following are the key components of a successful home health care agency business plan:

Executive Summary

The executive summary of a home health care agency business plan is a one to two page overview of your entire business plan. It should summarize the main points, which will be presented in full in the rest of your business plan.

• Start with a one-line description of your home health care agency  
• Provide a short summary of the key points in each section of your business plan, which includes information about your company’s management team, industry analysis, competitive analysis, and financial forecast among others.

Company Description

This section should include a brief history of your company. Include a short description of how your company started, and provide a timeline of milestones your company has achieved.

If you are just starting your home health care agency business, you may not have a long company history. Instead, you can include information about your professional experience in this industry and how and why you conceived your new venture. If you have worked for a similar company before or have been involved in an entrepreneurial venture before starting your home health care agency firm, mention this.

You will also include information about your chosen home health care agency business model and how, if applicable, it is different from other companies in your industry.

Industry Analysis

The industry or market analysis is an important component of a home health care agency business plan. Conduct thorough market research to determine industry trends and document the size of your market. 

Questions to answer include:

• What part of the home health care agency industry are you targeting?
• How big is the market?
• What trends are happening in the industry right now (and if applicable, how do these trends support the success of your company)?

You should also include sources for the information you provide, such as published research reports and expert opinions.

Customer Analysis

This section should include a list of your target audience(s) with demographic and psychographic profiles (e.g., age, gender, income level, profession, job titles, interests). You will need to provide a profile of each customer segment separately, including their needs and wants.

For example, the customers of a home health care agency may include:

• The elderly
• People with disabilities
• New mothers
• Patients recovering from surgery or illness

Develop a strategy for targeting those customers who are most likely to buy from you, as well as those that might be influenced to buy your products or home health care agency services with the right marketing.

Competitive Analysis

The competitive analysis helps you determine how your product or service will be different from competitors, and what your unique selling proposition (USP) might be that will set you apart in this industry.

For each competitor, list their strengths and weaknesses. Next, determine your areas of competitive differentiation and/or advantage; that is, in what ways are you different from and ideally better than your competitors.

Marketing Plan

This part of the business plan is where you determine and document your marketing plan. . Your plan should be clearly laid out, including the following 4 Ps.

• Product/Service : Detail your product/service offerings here. Document their features and benefits.
• Price : Document your pricing strategy here. In addition to stating the prices for your products/services, mention how your pricing compares to your competition.
• Place : Where will your customers find you? What channels of distribution (e.g., partnerships) will you use to reach them if applicable?
• Promotion : How will you reach your target customers? For example, you may use social media, write blog posts, create an email marketing campaign, use pay-per-click advertising, launch a direct mail campaign. Or, you may promote your home health care agency business via public relations or partner with another organization to sponsor an event.  

Operations Plan

This part of your home health care agency business plan should include the following information:

• How will you deliver your service to customers? For example, will you do it in person or over the phone only?
• What infrastructure, equipment, and resources are needed to operate successfully? How can you meet those requirements within budget constraints?

The operations plan is where you also need to include your company’s business policies. You will want to establish policies related to everything from customer service to pricing, to the overall brand image you are trying to present.

Finally, and most importantly, in your Operations Plan, you will lay out the milestones your company hopes to achieve within the next five years. Create a chart that shows the key milestone(s) you hope to achieve each quarter for the next four quarters, and then each year for the following four years. Examples of milestones for a home health care agency business include reaching $X in sales. Other examples include hiring a certain number of employees, signing on a certain number of clients, and so on.

Management Team

List your team members here including their names and titles, as well as their expertise and experience relevant to your specific home health care agency industry. Include brief biography sketches for each team member.

Particularly, if you are seeking funding, the goal of this section is to convince investors and lenders that your team has the expertise and experience to execute on your plan. If you are missing key team members, document the roles and responsibilities you plan to hire for in the future.

Financial Plan

Here you will include a summary of your complete and detailed financial plan (your full financial projections go in the Appendix). 

This includes the following three financial statements:

Income Statement

Your income statement should include:

• Revenue : how much revenue you generate.
• Cost of Goods Sold : These are your direct costs associated with generating revenue. This includes labor costs, as well as the cost of any equipment and supplies used to deliver the product/service offering.
• Net Income (or loss) : Once expenses and revenue are totaled and deducted from each other, this is the net income or loss.

Sample Income Statement for a Startup Home Health Care Agency  

Balance Sheet

Include a balance sheet that shows your assets, liabilities, and equity. Your balance sheet should include:

• Assets : All of the things you own (including cash).
• Liabilities : This is what you owe against your company’s assets, such as accounts payable or loans.
• Equity : The worth of your business after all liabilities and assets are totaled and deducted from each other.

Sample Balance Sheet for a Startup Home Health Care Agency  

Cash Flow Statement

Include a cash flow statement showing how much cash comes in, how much cash goes out and a net cash flow for each year. The cash flow statement should include:

• Cash Flow From Operations
• Cash Flow From Investments
• Cash Flow From Financing

Below is a sample of a projected cash flow statement for a startup home health care agency business.

Sample Cash Flow Statement for a Startup Home Health Care Agency  

You will also want to include an appendix section which will include:

• Your complete financial projections
• A complete list of your company’s business policies and procedures related to the rest of the business plan (marketing, operations, etc.)
• Any other documentation which supports what you included in the body of your business plan.

Writing a good business plan gives you the advantage of being fully prepared to launch and/or grow your home health care agency . It not only outlines your business vision but also provides a step-by-step process of how you are going to accomplish it.

A well-written business plan is an essential tool for any home health care agency. The tips we’ve provided in this article should help you write a winning business plan for your home health care agency.  

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Home Health Care Business Plan

The demand for quality home healthcare continues to grow with an aging population and a rising preference for in-home care.

As a result, the global home healthcare industry is booming—valued at $390.24 billion in 2023 and projected to expand further.

This shows a great opportunity for entrepreneurs looking to start a home healthcare business that makes a meaningful impact and has a strong growth potential.

However, it’s crucial to create an actionable business plan to attract investors and build a solid foundation for long-term success.

Need help drafting your plan? Not to worry!

This home healthcare business plan template will help you get started as well as understand how to write a successful business plan. But before that…

Importance of a home care business plan

Whether you’re an experienced home health care services provider or a beginner, you need a solid business plan . It serves as a strategic roadmap to successfully navigate the competitive home health care industry.

Check out these primary reasons why it’s essential:

• Clarifies the vision and mission of the home healthcare business as well as outlines strategic priorities, aligning everyone towards common goals.
• Provides comprehensive financial forecasts and budgeting that further helps in securing funding and managing cash flow.
• Gives valuable insights into the healthcare industry, target market, and competitive environment while allowing you to identify opportunities and differentiate services.
• Helps you identify the potential risks and challenges your healthcare business might face so you can develop mitigation strategies.
• Acts as an operational framework that helps you define the business structure, key roles, and processes required for efficient daily operations and quality patient care.

Now that you know the importance of a home healthcare business plan, it’s time to understand how to draft one.

How to write a business plan for home healthcare

Creating a home health care business plan involves several key sections to cover all your business aspects and strategies. Here’s a guide on how to write each component in detail:

1. Executive summary

An executive summary is a high-level introduction to your home health care agency as well as its concept and services.

Though it’s the first section of a home healthcare business plan, it’s written in the end once all the other sections are ready. Why? Because it summarizes the most essential elements mentioned in your plan.

Typically, your executive summary must include the following details:

• Business name, location, & its legal entity
• Mission and vision of your agency
• Market opportunities and your target audience
• Healthcare services you’ll offer (skilled nursing care, physical therapy, personal care, etc.)
• Promotional strategies
• Financial projections along with funding needs

In short, this section presents a quick, concise overview of your entire home healthcare business plan.

So, try to make it simple yet effective, capturing readers’ attention and persuading them to learn more about your business.  Also, aim for a summary that is 1 or 2 pages in length.

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2. Business overview

The business overview section provides a detailed explanation of your home healthcare company and its nature.

So, it’s a good opportunity to explain your business idea in detail and give readers an in-depth understanding of your home healthcare services.

Here’s a list of components that you should enclose in this section:

• Legal structure of your business (s-corp, LLC, or sole proprietorship)
• Business owners or partners
• Core values and vision statement
• Location & reason behind deciding that place
• Background history and milestones achieved (if any)
• Future goals along with the growth plans

In addition to that, discuss how your healthcare agency will comply with federal, state, and local regulations. Further, ensure you have licenses or certifications as well as discuss how you follow health and safety standards.

In simple terms, this section highlights all your business’s foundational facts and structural aspects that every potential investor or lender wants to know.

3. Market research

The market research section offers a clear snapshot of the external environment or sector in which your home health care company intends to operate.

This will help you get valuable insights into the market size and its growth potential, target audience, client needs and preferences, opportunities, challenges, healthcare industry trends , and competitors.

So, first, conduct thorough market research or analytical work to start and grow your home health care services successfully.

For instance, consider answering the following questions while planning this section:

• What’s the revenue of the global or national home health care market?
• How big is the home health care industry in the USA? Is it growing or declining?
• What’s the growth forecast for the next 5-10 years?
• Which are the top home healthcare agencies in the industry?
• What are the recent health care services trends in the market?
• Who are your potential clients in terms of their psychographic and demographic profiles?

If required, illustrate a detailed breakdown of your customer persona to specify the ideal client needs and preferences. Here’s an example:

By integrating such buyer persona segments, you show potential investors or stakeholders that you understand your target market better and satisfy their needs. Also, it helps you develop more focused strategies for growth and expansion.

4. Competitive analysis

The competitive analysis section emphasizes the competition (both direct and indirect) in your chosen marketplace.

Your direct competitors can be other home health care agencies. Besides, businesses that offer alternative services (such as assisted living facilities, nursing homes, occupational therapy, or non medical services) can be your indirect competitors.

But focus more on the direct competitors as they offer similar services as your. Analyze each competitor’s strengths and weaknesses, considering a few factors like their service offerings, client base, pricing models, as well as quality of home health aides and care.

This will help you determine where each competitor stands in the health care industry and identify the potential opportunities to differentiate your home health care service.

Overall, it’s an important aspect of market analysis that helps you explain your unique competitive advantage and develop strategies to position your home health care company effectively.

5. Marketing plan

Your home healthcare marketing plan summarizes the strategies you’ve planned to attract new customers and retain existing clients or patients.

A well-developed marketing plan allows you to create an effective promotional campaign and streamline your marketing efforts while maximizing brand awareness.

To plan this section, consider highlighting how you’ll promote your home healthcare services:

• Build a strong online presence through a professional website.
• Utilize social media platforms (Instagram, Facebook, LinkedIn) to share engaging content and client testimonials.
• Work with online press release distribution firms to develop your brand identity.
• Partner with hospitals, rehabilitation homes, senior centers, or medical professionals for referrals.
• Engage in direct email marketing campaigns to target local healthcare facilities and professionals.
• Participate in local community events, health fairs, or senior events.

Moreover, outline your client retention strategies and sales approach, such as free assessments, in-home consultations, loyalty programs, bundled service packages, discounts for new clients, or seasonal promotions.

6. Service offerings

This section is a comprehensive list of the home health care services that your agency will offer to its clients. It also represents your pricing strategy, including hourly rates, service packages, or subscription plans.

So, consider drafting the specific services you offer, such as:

• Skilled nursing services
• Physical therapy
• Occupational therapy
• Home health care aides
• Speech therapy
• Personal care
• On-call quality medical professionals
• Behavioral health

Additionally, mention specialized services that you plan to include, like employing occupational therapists or skilled nurses for unique service offerings.

After that, jot down how your home care business will fulfill the diverse needs of the aging population. Then clarify how your home health care services will differ from those provided by other home health care businesses.

7. Management team

The management team section highlights your home healthcare agency’s organizational structure as well as the key individuals responsible for daily operations and strategic planning.

It helps you weigh authority and show potential investors or stakeholders that your home health care business is led by a capable team.

So, briefly introduce the founders, managers, administrative staff, and healthcare professionals, including skilled nurses, caregivers, medical social workers, or other medical professionals. Also, include their roles & responsibilities, qualifications, and industry experience.

Furthermore, describe how each member will contribute to the success of your home health care business and the requirement of high-quality care for your clientele.

If applicable, create an organization chart that illustrates your company’s hierarchical structure and the relationships between key roles. For example:

8. Operations plan

The operations plan provides a detailed description of the day-to-day business processes and activities to run your home healthcare smoothly.

It means you need to explain how you’ll manage the operational intricacies and what it takes to run a home healthcare service on a daily basis.

Here’s a list of elements that your business operations plan section must include:

• Staffing requirements and training
• Operational processes, like client intake, scheduling, record-keeping, billing, etc.
• Customer service policies
• Technology and equipment used
• Office space and facilities

By detailing these operations aspects, you give readers a clear picture of the quality of your services and the necessary resources to ensure the success of your home health care business.

9. Financial plan

The financial plan is the most crucial aspect of your home health care business plan as it helps you showcase the financial viability and sustainability of your business.

So, in your home healthcare financial plan , consider providing a detailed analysis of your financial projections for the first 3-5 years of operation.

Also, outline your business’s revenue forecasts, pricing structure, and expected expenses (including salaries and medical equipment costs). Further, provide detailed financial statements and reports, such as:

Projected income statement

Cash flow statement

Balance sheet

Moreover, don’t forget to mention funding needs and use of funds as well as enclose sensitivity analyses for different scenarios.

In short, a comprehensive and realistic financial plan lays out your home care business’s approach to securing funding, managing cash flow, and achieving break-even.

10. Appendix

In the home health care business plan appendix, you can attach any supporting documents that don’t fit into specific sections but support your plan. Such as:

• Resumes of key management team
• Market research data and surveys
• Copies of relevant licenses and certifications
• Samples of your marketing materials
• Letters of support or testimonial
• Names and makes of expensive medical equipment that will require large funding
• Details on affordable home health care policies you will provide

Simply put, this will add credibility and depth to your home healthcare agency plan. It also helps readers get the further understanding or validation of your business operations.

Download home health care business plan template

Ready to write your home health care business plan from scratch? But need more assistance with that? Look no further; download our free home health care business plan template pdf to start.

It’s a modern business plan template designed specifically for your home healthcare businesses. This sample business plan involves practical insights and examples that you may use as a guide for writing your own plan.

Now that you’ve a good idea of how to draft a home health care business plan and what to include in it, you can easily draft your very own business plan.

But if you’re still confused or looking for an easy way to develop your plan, consider using advanced business planning software . It helps you build an actionable business plan quickly and more effectively.

So, why wait? Start planning for your healthcare venture!

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Frequently Asked Questions

What are funding sources for a home healthcare business.

Explore various funding sources for a home healthcare business, such as:

• Friends and family members
• Traditional bank or Small Business Administration (SBA) loans
• Angel investors or venture capitalists
• Government grants (visit: grants.gov , hhs.gov (the U.S. Department of Health and Human Services))
• Lines of credit or equipment financing
• Crowdfunding platforms ( Kickstarter or GoFundMe )

How to make a home health agency business plan?

Follow these steps to make your home healthcare agency business plan:

• Outline your business idea, mission, vision, goals, and strategies to achieve them.
• Highlight your home healthcare industry analysis, target customers as well as top competitors.
• Summarize your company’s promotions strategy and marketing efforts.
• Describe your service offerings and explain how they meet every client’s needs & preferences.
• Introduce your home health care team and advisory board members along with their resume-styled summary.
• Discuss day-to-day business operations, staffing needs, and regulatory compliance.
• Formulate initial startup costs, revenue projections, and operating expenses, as well as illustrate a clear path to profitability.

How long should my homecare business plan be?

Your homecare business plan should be typically 15 to 35 pages, comprehensive yet concise. Ensure it covers all the important sections like business description, industry analysis, target audience, marketing and recruitment strategies, home health services, and financial forecasts.

How often should I update my home health business plan?

Your home healthcare business plan is a living document that you should review and update regularly, at least once a year, or whenever significant changes occur in the business environment or market conditions. Regular updates will keep your plan relevant and aligned with your goals.

About the Author

Vinay Kevadiya

Vinay Kevadiya is the founder and CEO of Upmetrics, the #1 business planning software. His ultimate goal with Upmetrics is to revolutionize how entrepreneurs create, manage, and execute their business plans. He enjoys sharing his insights on business planning and other relevant topics through his articles and blog posts. Read more

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Home Health Care Business Plan Template

Written by Dave Lavinsky

Over the past 20+ years, we have helped over 10,000 entrepreneurs and business owners create business plans to start and grow their home health care businesses. On this page, we will first give you some background information with regards to the importance of business planning. We will then go through a home health care business plan template step-by-step so you can create your plan today.

Download our Ultimate Business Plan Template here >

What is a Home Health Care Business Plan?

A business plan provides a snapshot of your home health care business as it stands today, and lays out your growth plan for the next five years. It explains your business goals and your strategy for reaching them. It also includes market research to support your plans.

Why You Need a Business Plan for a Home Health Care Agency

If you’re looking to start a home health care business, or grow your existing home health care business, you need a business plan. A business plan will help you raise funding, if needed, and plan out the growth of your home health care business in order to improve your chances of success. Your home health care business plan is a living document that should be updated annually as your company grows and changes.

Sources of Funding for Home Health Care Businesses

With regards to funding, the main sources of funding for a home health care business are personal savings, credit cards, bank loans and angel investors. With regards to bank loans, banks will want to review your business plan and gain confidence that you will be able to repay your loan and interest. To acquire this confidence, the loan officer will not only want to confirm that your financials are reasonable, but they will also want to see a professional plan. Such a plan will give them the confidence that you can successfully and professionally operate a business.

The second most common form of funding for a home health care business is angel investors. Angel investors are wealthy individuals who will write you a check. They will either take equity in return for their funding, or, like a bank, they will give you a loan. Venture capitalists will not fund a home health care business. They might consider funding a home health care business with a national presence, but never an individual location. This is because most venture capitalists are looking for millions of dollars in return when they make an investment, and an individual location could never achieve such results.

Finish Your Business Plan Today!

Home health care business plan template.

If you want to start a home health care business or expand your current one, you need a business plan. Below are links to each section of your home health care business plan template:

Executive Summary

Your executive summary provides an introduction to your business plan, but it is normally the last section you write because it provides a summary of each key section of your plan.

The goal of your Executive Summary is to quickly engage the reader. Explain to them the type of home health care business you are operating and the status. For example, are you a startup, do you have a home health care business that you would like to grow, or are you operating a chain of home health care businesses.

Next, provide an overview of each of the subsequent sections of your plan. For example, give a brief overview of the home health care industry. Discuss the type of home health care business you are operating. Detail your direct competitors. Give an overview of your target customers. Provide a snapshot of your marketing plan. Identify the key members of your team. And offer an overview of your financial plan.  

Company Analysis

In your company analysis, you will detail the type of home health care business you are operating.

For example, you might operate one of the following types of home health care businesses:

• Nursing care business : this type of home health care business is the most common, where the patient is given a doctor-approved plan of care specific to the patient’s clinical needs and delivered within the comfort of their home.  
• Physical home health care business : this type of home health care business provides physical therapy to patients who need help regaining their muscle and joint strength. 
• Home health care aides : this type of home health care business provides patients with home health care aides who assist them with basic daily tasks, such as bathing, cooking, and dressing.  

In addition to explaining the type of home health care business you will operate, the Company Analysis section of your business plan needs to provide background on the business.

Include answers to question such as:

• When and why did you start the business?
• What milestones have you achieved to date? Milestones could include the number of home health care patients, growth year over year, etc.
• Your legal structure. Are you incorporated as an S-Corp? An LLC? A sole proprietorship? Explain your legal structure here.

Industry Analysis

In your industry analysis, you need to provide an overview of the home health care business.

While this may seem unnecessary, it serves multiple purposes.

First, researching the home health care industry educates you. It helps you understand the market in which you are operating. 

Secondly, market research can improve your strategy, particularly if your research identifies market trends.

The third reason for market research is to prove to readers that you are an expert in your industry. By conducting the research and presenting it in your plan, you achieve just that.

The following questions should be answered in the industry analysis section of your home health care business plan:

• How big is the home health care industry (in dollars)?
• Is the market declining or increasing?
• Who are the key competitors in the market?
• Who are the key suppliers in the market?
• What trends are affecting the industry?
• What is the industry’s growth forecast over the next 5 – 10 years?
• What is the relevant market size? That is, how big is the potential market for your home health care business? You can extrapolate such a figure by assessing the size of the market in the entire country and then applying that figure to your local population.

Customer Analysis

The customer analysis section of your home care agency business plan must detail the customers you serve and/or expect to serve.

The following are examples of customer segments: parents of elderly individuals, retired seniors, senior community program managers, etc.  

As you can imagine, the customer segment(s) you choose will have a great impact on the type of home health care business you operate. Clearly, parents of elderly individuals would want different service options and would respond to different marketing promotions than senior community program managers, for example.

Try to break out your target customers in terms of their demographic and psychographic profiles. With regards to demographics, include a discussion of the ages, genders, locations and income levels of the customers you seek to serve. Because most home health care businesses primarily serve customers living in their same city or town, such demographic information is easy to find on government websites.

Psychographic profiles explain the wants and needs of your target customers. The more you can understand and define these needs, the better you will do in attracting and retaining your customers.

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Competitive Analysis

Your competitive analysis should identify the indirect and direct competitors your business faces and then focus on the latter.

Direct competitors are other home health care businesses. 

Indirect competitors are other care options that people have that aren’t direct competitors. This includes hospitals, nursing homes, and people who help relatives with home health care needs. You need to mention such competition to show you understand that not everyone who needs healthcare assistance will utilize a home health care company.

With regards to direct competition, you want to describe the other home health care businesses with which you compete. Most likely, your direct competitors will be home health care businesses located very close to your location.

For each such competitor, provide an overview of their businesses and document their strengths and weaknesses. Unless you once worked at your competitors’ businesses, it will be impossible to know everything about them. But you should be able to find out key things about them such as:

• What types of patients do they help?
• What types of services do they offer?
• What is their pricing (premium, low, etc.)?
• What are they good at?
• What are their weaknesses?

With regards to the last two questions, think about your answers from the customers’ perspective. And don’t be afraid to ask your competitors’ customers what they like most and least about them.

The final part of your competitive analysis section is to document your areas of competitive advantage. For example:

• Will you provide superior services?
• Will you provide services that your competitors don’t offer?
• Will you make it easier or faster for customers to use your services?
• Will you provide better customer service?
• Will you offer better pricing?

Think about ways you will outperform your competition and document them in this section of your plan.  

Marketing Plan

Traditionally, a marketing plan includes the four P’s: Product, Price, Place, and Promotion. For a home health care business plan, your marketing plan should include the following:

Product : In the product section, you should reiterate the type of home health care business that you documented in your Company Analysis. Then, detail the specific products you will be offering. For example, in addition to home health care, will you provide superior customer service, 24/7 call centers, or emergency services?

Price : Document the prices you will offer and how they compare to your competitors. Essentially in the product and price sub-sections of your marketing plan, you are presenting the services you offer and their prices.

Place : Place refers to the location of your home health care business office. Document your location and mention how the location will impact your success. For example, is your home health care business office operated remotely, located near a main highway, near public transportation, etc. Discuss how your location might provide a steady stream of customers. 

Promotions : The final part of your home health care marketing plan is the promotions section. Here you will document how you will drive customers to your location(s). The following are some promotional methods you might consider:

• Advertising in local papers and magazines
• Reaching out to local websites 
• Social media marketing
• Local radio advertising

Operations Plan

While the earlier sections of your home health agency business plan explained your goals, your operations plan describes how you will meet them. Your operations plan should have two distinct sections as follows.

Everyday short-term processes include all of the tasks involved in running your home health care business, including hiring quality home care professionals, training employees, and administrative tasks.

Long-term goals are the milestones you hope to achieve. These could include the dates when you expect to serve your 100th patient, or when you hope to reach $X in revenue. It could also be when you expect to expand your facility or launch in a new location.  

Management Team

To demonstrate your home health care business’ ability to succeed, a strong management team is essential. Highlight your key players’ backgrounds, emphasizing those skills and experiences that prove their ability to grow a company. 

Ideally you and/or your team members have direct experience in managing home health care businesses. If so, highlight this experience and expertise. But also highlight any experience that you think will help your business succeed.

If your team is lacking, consider assembling an advisory board. An advisory board would include 2 to 8 individuals who would act like mentors to your business. They would help answer questions and provide strategic guidance. If needed, look for advisory board members with experience in managing home health care companies or successfully running small businesses.  

Financial Plan

Your financial plan should include your 5-year financial statement broken out both monthly or quarterly for the first year and then annually. Your financial statements include your income statement, balance sheet and cash flow statements.

Income Statement : an income statement is more commonly called a Profit and Loss statement or P&L. It shows your revenues and then subtracts your costs to show whether you turned a profit or not.

In developing your income statement, you need to devise assumptions. For example, will you assist 50 patients per month or 100? And will sales grow by 2% or 10% per year? As you can imagine, your choice of assumptions will greatly impact the financial forecasts for your business. As much as possible, conduct research to try to root your assumptions in reality.

Balance Sheets : Balance sheets show your assets and liabilities. While balance sheets can include much information, try to simplify them to the key items you need to know about. For instance, if you spend $100,000 on building out your home health care business, this will not give you immediate profits. Rather it is an asset that will hopefully help you generate profits for years to come. Likewise, if a bank writes you a check for $100,000, you don’t need to pay it back immediately. Rather, that is a liability you will pay back over time.

Cash Flow Statement : Your cash flow statement will help determine how much money you need to start or grow your business, and make sure you never run out of money. What most entrepreneurs and business owners don’t realize is that you can turn a profit but run out of money and go bankrupt. For example, let’s say a local senior living community approached you with a $50,000 partnership contract to provide home health care services for their occupants. Let’s further assume the contract would cost you $50,000 to fulfill in terms of increased staffing costs. Well, in most cases, you would have to pay that $50,000 now for employee salaries, utilities, etc. But let’s say the company didn’t pay you for 180 days. During that 180-day period, you could run out of money.

In developing your Income Statement and Balance Sheets be sure to include several of the key costs needed in starting or growing a home health care business:

• Cost of equipment like standard nursing supplies, sanitary products, and emergency medications
• Payroll or salaries paid to staff
• Business insurance
• Taxes and permits
• Legal expenses

Attach your full financial projections in the appendix of your plan along with any supporting documents that make your plan more compelling. For example, you might include your Medicaid and Medicare certifications.  

Putting together a business plan for your home health care business is a worthwhile endeavor. If you follow the example template above, by the time you are done, you will have an expert home health care business plan; download it to PDF to show banks and investors. You will really understand the home health care industry, your competition, and your customers. You will have developed a marketing plan and will really understand what it takes to launch and grow a successful home health care business.

Don’t you wish there was a faster, easier way to finish your Home Health Care business plan?

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How To Start A Home Care Business: A Comprehensive Guide

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Entering the home health market is equal parts challenging and rewarding. Like investing in Apple in the 70s, pivoting to a home care business startup may be the best idea since sliced bread. Here’s everything you need to know about how to start a home care business!

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• Steps To Follow

Best Practices

Steps to start a home care business.

Starting a home care business is like creating a sourdough starter. It takes plenty of patience, the right ingredients and a tried-and-true formula. Here’s a basic roadmap to help you embark on your home care business journey.

Create a Plan

Planning is essential to the success of any new venture. First, you’ll need some clarity. Start by answering the following questions:

• What is our business focus area?
• What services do we want to provide?
• What is our budget?
• Where will we operate?
• Who is our target market?
• How much do we want to charge our clients?

Selecting the right business structure is also crucial.

• Sole proprietorship
• Partnership
• Corporation
• Limited liability company (LLC)

Keep in mind that the type of business will determine your tax amounts and organizational structure.

Once you understand your scope of operations — and whether it’s viable — you can formulate a blueprint for your business.

Work Out Your Finances

Money makes the world go round. You can have a brilliant plan, but you need greenbacks to implement it. Turning a profit in the first year of operations is extremely uncommon, so you’ll need to draft a budget and figure out whether you’ll need a loan to stay afloat at the start.

Form a Legal Business Entity

Starting a business is a lot like getting married – you gotta get the government involved. You’ll need to set up as a legal business entity, so you’re not personally liable if you get sued. Next, you need to apply for an Employer Identification Number (EIN) to pay taxes.

You must also apply for a national provider identifier (NPI) number. Note that the requirements for home care business licenses vary from state to state. Check with your state’s Department of Health for assistance. Most states require you to register your business with the Secretary of State. You need to file your business name and check if it’s available.

Secure Licenses and Certifications

Before operations commence, you need to maintain compliance with federal and state regulations by applying for the right licenses and certifications. You may need additional approved training, Medicare or Medicaid certification, Home Health Aide Licensing and specific state permits.

Medicare is especially important, as it opens the door for a large clientele base. Medicare Part A and Medicare Part B are primary patient insurance that cover several home health services.

Medicare license accreditation exams can take up to a year in the U.S. The federal government agency will perform a complete audit of your home care business and patient records during the process. In some states, you might need to take a state jurisprudence exam to obtain the license.

Get the Right Insurance

Like in baseball, stay on the ball by keeping your bases covered. Protect your business and employees from unforeseen circumstances with general and professional liability insurance.

Hire and Train Staff

Teamwork really does make the dream work. Hire qualified staff who align with your company’s vision and prioritize client care. Check for up-to-date licenses and contact past employers for references.

Set Policies and Procedures

Home care is extremely people-centric. You need to set proper policies and procedures to provide the best care possible. Define and enforce the following areas of operation:

• Client intake
• Care planning
• Hiring and HR
• Payroll and billing
• Caregiver training
• Client rights and responsibilities

Develop a Marketing Strategy

Now, you have to get people in the door. You need to develop marketing strategies to reach your target audience and get referrals. Some ways to do this are by building an online presence, investing in marketing and CRM software , and working on your branding.

Invest in Equipment

To run a homecare business startup successfully, you’ll need to invest in the tools of the trade. The equipment you need depends on the type of care you provide. Basic equipment includes personal care tools, moving, handling and lifting equipment and medical devices.

Prepare for Operations

Before you open your doors, setting up operations and processes is essential. Ensure day-to-day duties flow smoothly by implementing workflows for scheduling, time-keeping, EVV, time and mileage tracking.

If you’ve made it this far, congratulations! You now have a bare-bones idea of how to start a home care business. However, there are some tricks of the trade you’ll want to use.

Conduct Compliance Checks

Stay ahead of compliance by conducting regular compliance checks and test run audits. Record due dates for employee licenses and set reminders when they need to be updated.

Create an Online Presence

We’ve all been guilty of googling businesses we come across (and judging their credibility based on their website). Creating a website, setting up a Google Business profile and managing your social media play a large role in increasing brand awareness and customer trust.

Invest in Home Health Software

Imagine you could transfer past patient records, set up caregiver schedules, create care plans, manage claims and monitor EVV using one platform. Home health software uses automation, real-time information and workflow management to streamline operations.

It also integrates with other software like EHR, accounting and CRM software to facilitate quick data transfers and minimize unnecessary code-switching.

Empower Your Caregivers

Happy caregivers equals happy patients. Give your caregivers tools to succeed by creating training manuals, setting up clear processes and giving them access to educational workshops and seminars.

Set up HIPAA-compliant secure messaging to make communicating with backend staff and patients easy.

Build Partnerships

Quid pro quo goes a long way to building a loyal customer base. Partnering with local hospitals, nursing homes and healthcare providers will help boost your referrals and build your reputation in the community.

Primary Benefits

Like training for an Ironman, figuring out how to open a home health agency takes planning, preparation and commitment. It’s not a decision you make on the fly. However, the rewards for investing in a successful home care business will make it worth your while.

Boost Your Income

Investing in the homecare industry can land you a pretty penny. Increased demand from COVID and an aging population led to a revenue boom of $136.2 billion in the last five years, with no sign of slowing down. Since home care isn’t routinely short-term, you can rely on a steady income stream.

Improve Your Clients’ Quality of Life

Helping your patients recover the comfort of their home can play a large role in boosting morale, increasing independence and maintaining a positive atmosphere. It also improves health outcomes and cuts down on hospital bills. Patients who receive home health care have lower rates of readmission .

Invest in a Growing Industry

McKinsey predicts the home health industry will grow from $654 billion in 2021 to $790 billion in 2026. Getting in on the ground floor means you can build your business to meet rising demand and navigate changes in government policy.

Control Your Workload

Flexibility isn’t a perk for just your patients. As a business owner, you can choose your clients, pick your operating hours, hire staff to help with your workload and manage your involvement. You can scale your operations up or down based on your clients’ needs and demands.

Every business comes with its own unique challenges. Home care is no exception.

Increased Liability

Prime candidates for home health aren’t usually at their peak. They may be vulnerable to comorbidities and are at high risk for injury or illness. If an incident occurs under your care or due to caregiver error, you may be liable.

Emotionally Taxing Workload

Running any business is stressful. But, any business that deals directly with a client’s health and quality of life is especially taxing. You must prepare to navigate distressing scenes, difficult clients and unhappy caregivers.

Stringent Laws and Regulations

Home care is highly regulated. Businesses have to juggle PDGM models, OASIS assessments, HIPAA compliance and changing CMS regulations. Penalties for failing to meet compliance requirements can lead to hefty fines and lawsuits.

What is a home care business?

A home care business is a professional support service providing assisted care to home patients. The support offered can range from nursing services to physical therapy and hygiene needs. Typically, home care businesses can be medical or non-medical.

Medical home health requires trained medical professionals to run tests, monitor symptoms, administer medicine and dress wounds. Usually, reporting and compliance are stricter. Non-medical home care primarily improves clients’ quality of life and involves companionship care, medication reminders, cooking and cleaning.

How much does it cost to start a home care business?

Breaking into the home care business without knowing how much it will cost you is like going on a road trip without GPS. It’s essential to understand typical costs and potential money pits. Here’s a basic rundown of costs you can expect:

Equipment: You’ll need to factor in medical equipment like gloves, tools to monitor symptoms, medicine dispensers and accessibility aids. You may have additional insurance or transportation costs if you prefer to source your equipment through a vendor.

Licenses and Permits: Depending on the state you’re in, license fees differ. You must pay a one-time registration fee and purchase certifications pertinent to your state.

Insurance: Account for the unaccountable with general and professional liability insurance coverage. You may need to spring for additional premiums if you are a medical home care business with a larger number of caregivers.

Deciding to start a new business is a gargantuan step. It isn’t as simple as choosing a restaurant for lunch. We hope this article serves as a detailed blueprint on how to start a home care business. If you need an extra cheat code, use our free requirements template to determine what home health software may be a good fit for you.

How do you think software can help kickstart your home care business? Let us know in the comments below!

Babucarr Jeng - April 3, 2024 reply

I am interested in opening a home care business, thank you for the insight.

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How to craft a successful home care business plan

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As a home care provider, you run your business with compassion and knowledge of the job and the local community you work with. After you’ve learned more about how to become a caregiver and how to start a home care business , you’re ready to formalize your ideas with a business plan.

How to create a home care business plan

Your business plan is an essential part of the portfolio you’ll present to banks, investors, and partners before launching your company. Every entrepreneur can benefit from a business plan that helps you turn your vision into action and strategize for success. For home care professionals, there are unique additions and considerations for your business plan. From determining your core local clients to developing the marketing plan to reach them, this guide will walk you through nine sections for your home care business plan.

1. The executive summary

The executive summary kicks off your business plan and hooks whoever’s reading it to learn more about your company and your proposal. Think of it a little like a sales pitch for your business and a preview of everything you lay out in your business plan.

A home care business summary should include:

• Your mission and the populations your business will serve 
• A list of your primary services 
• The demand for these services in your community
• What sets your home care business apart from competitors
• Your vision 
• A summary of funding needs

2. The company description

As a home care business working with clients in need, your professional background should be front and center. Your company description offers a snapshot of you and your business, and should include:

• The registered (or intended registered) name of your business
• The location of your company headquarters, and the neighborhoods, area, or city your business will reach
• Management, primary personnel, and their professional backgrounds
• Any licenses or certifications your staff has

Different types of home care services will need different certifications, like medical home care companies compared with senior transportation providers, for example. Make sure to research and include the requirements in your county, city, and state. 

If you’re in the preliminary stages of creating your home care business and haven’t secured the required licenses yet, mention any certifications you’re pursuing in this description.

3. Your business mission and goals

The mission and goals section of a business plan outlines the primary objectives of your company and how you plan to achieve them.

As more Americans advance into the senior age bracket, demand for credible home care businesses is rising. This need can help position your business for success and give you more opportunities to refine your mission and select specific populations to focus on. 

The need for home care help for senior relatives in particular has grown. As home care professional Christine Friedberg reflects, “I used to get on the phone and talk with clients about home care being an option for them or for their loved one, but it was like a new concept…For a long time, we were trying to educate the community about what home care was. Demand is greater than ever now.”

Medicare’s Triple Aim program may provide general inspiration for your own company goals. Their three pillars are :

• Centering and improving patients’ experience of care
• Improving health outcomes of patients served
• Mitigating the cost of care for individuals

From a business perspective, working with specific demographics may give you a leg up on funding. Based in Alexandria, VA, Griswold Home Care works with the area’s large population of aging veterans. To reach more of them, Griswold joined the cross-regional VA Community Care Network to provide in-home services to veterans needing extra support at home.

Not only was Griswold able to reach a specific community in need, but the program also helped this local home care business secure funding directly from the Department of Veterans Affairs . “We’ll see anywhere from 5 to 20 hours a week that the VA is covering, in terms of actually contracting with us directly. They pay us directly…so it’s very easy for the veteran to get in, take advantage of this program and take advantage of this care.”

In the home care industry, other demographics include:

• LGBTQ senior citizens
• People with Alzheimer’s
• People living with disabilities
• Non-seniors living with disabilities
• Adults whose first language isn’t English

Keep your demographic in mind as you refine your company’s identity and plan for growth. It will determine the steps you’ll take to fund your business and reach the neighbors who need you most.

4. Your services

The services section of your home care business plan sets the vision for what your business will specifically do. There are two main types of home care companies and services:

• Non-medical home care services – This type of home care business is not licensed to administer medical services or healthcare to its clients. Instead, they provide support, companionship, and home assistance. Services may include driving clients to doctor’s appointments, taking them to the park, or preparing meals.
• Medical home care services – Medical home care providers are staffed by nurses or other medical professionals licensed to administer medical care to their clients.

With the growing need for at-home healthcare businesses, some of the most common home care services include:

• Assistance with dressing, bathing, and using the toilet
• Companionship and diversion
• House cleaning and support with daily chores
• Transportation
• Hospice care
• Continued education for older adults
• Physical therapy and rehabilitation
• Prescription fulfillment services
• Administering medication
• Tracking vital physical or psychological health 
• Senior citizen relocation assistance
• Specialty nursing for a long-term illness or disability
• 24-hour emergency services

Get specific about what caregiver duties you’ll provide your clients, narrowing down your list with the most needed services in your local community. With 1 in 3 U.S. households on Nextdoor , you’ll be able to connect with neighbors, and your most important clients, with a free business page.

5. Your management structure

This section of your business plan establishes the legal status of your company, which affects other details, from the extent of your liability as the owner to how you’ll file taxes.

The most common business structures for home care providers are:

• Limited liability company (LLC)
• Sole proprietorship
• Partnership
• Corporation

To choose the right business structure for you, consider:

• Liability – Every business is financially and legally liable to compensate for injuries committed on their watch. Consult with an accountant to take stock of your personal assets to choose a framework that gives you adequate protection.
• Taxes – Your home healthcare business structure will determine how the profits you earn are taxed, whether through your business, on your individual tax returns, or a hybrid of both. As a general rule, the larger your company is, or the more shareholders it has, the more complex the tax process will be.
• Growth expectations – Whether your home care company will focus on your neighborhood or expand nationwide, your business structure should reflect your desired administrative capacity and set the stage for investors who want to scale alongside you. 

While S corporations and C corporations are often better suited for larger-scale companies, it’s possible to change the legal structure of your organization as it grows. Consider hiring experts, like a lawyer and an accountant, to help you with this stage of the process, especially if they have advised other local businesses in your area.

6. Your marketing plan

Show potential funding partners you know the modern home care market and set your local business up for success with marketing goals that cover the following bases:

• Digital marketing - In a job as intimate as home care, any new caregiver business begins on the local level. Sign up for a free business page with Nextdoor to instantly unlock a network of verified neighbors near you. Keep your business page updated with your story, photos, and contact information so local clients can find you and easily get in touch. Introduce yourself, share job listings, and keep neighbors updated on your business with free posts or hyperlocal advertising tools to reach more clients in specific ZIP codes you want to grow your business in.
• Partnerships – Qualified home care providers may be eligible to partner with care networks already plugged into local consumer demand. If properly licensed, apply to enroll as a Medicaid or Medicare partner. 
• Word-of-mouth marketing – Since home care professionals are a part of their clients’ and families’ lives, your local reputation will be important. Build trust in you and your services with testimonials on your website and recommendations on Nextdoor. 72% of neighbors there have been influenced by a business recommendation and 71% have shared one. Consider sharing your website and Nextdoor page with former clients to ask them for a recommendation.

Anything that makes your home care business unique, include in this section of your business plan. With a growing population of aging Americans, entrepreneurs are getting creative about the types of care they offer to suit different lifestyles.

Take Dr. Bill Thomas . He thought there should be a senior care option in place of the traditional nursing home so he created Minka, a company that builds small dwellings tailormade for seniors who want extra assistance, community, and autonomy in their advanced years. Says Thomas, “I think there will continue to be congregate housing, but the more choices people find in front of them, the more they’ll find something that suits them best.”

7. Your core financials

The next two sections cover your financial history with projections for your home care business’s future. This will be important for your business strategy, as well as for potential lenders, investors, or partners. 

The finance section of your home care business plan should include:

• Income statement
• Balance sheet
• Expected revenue
• A list of your assets and debts
• A summary of company expenses
• Desired loans

If you plan to enroll as a provider through a network like Medicare, mention in this section of your business plan.

8. Financial projections

This section of your home care business plan is important if you’re asking for an investment of any kind as it covers the funding you’re requesting, what you’ll use it for, and your plan to pay it back.

Financial projections should cover at least three years. Fortunately, the home care industry is slated for financial growth in the coming years. In the U.S. alone, the compound annual growth rate for home health care is projected to be 14.2% between 2021 and 2027.

However you plan to grow your company, speak with your local bank to discuss the full spectrum of financial options before finalizing your business plan. 

You can also connect with fellow home care professionals through Nextdoor for more information on the local home care industry in and around your neighborhood. This will help you get a realistic sense of your financial plan and the next few years operating your business.

9. Appendix

Your business plan’s appendix is where you’ll include any supporting or miscellaneous information for your business goals that didn’t have a place in the earlier sections.

Consider including:

• The resumes or educational and professional backgrounds of you, the owner, and your core staff
• Medical or non-medical licensing, or the licenses you plan to secure
• Any legal permits your business needs or the ones you plan to secure
• Bank statements, loans, and personal or professional credit history
• Real estate information about your business’ headquarters, if applicable

Make local connections through Nextdoor

As more Americans age, local caregivers are increasingly integral to the health of their communities. An effective home care business plan should tell this compelling narrative, sharing why there’s a need for your services and what you’ll do to fulfill them in your area. 

If you’re just building your local home care business, start close to home with a Nextdoor Business Page. Signing up is free, takes just a few minutes, and will help you spread the word, turning your neighbors into your first clients. 

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Start A Home Care Business

The medical and non-medical home care business industry is on the rise. With life expectancy longer than even a generation ago, the number of people in the US aged 65 or older is expected to be 71 million by 2030 – more than twice what is was in 2000. Now is the perfect time to capitalize on this trend and start a medical or non-medical home care business.

As the Baby Boomer generation ages, the need for home care services increase. If you are interested in starting a home health care business to provide service to the baby boomers, you will definitely have a large and growing market. Starting a home health care business seems to be one of the biggest trends in helping fill the current home health care shortage.

If you are an existing home health care business owner, an entrepreneur that wants to start a home care business, or simply want to become an Independent Nurse,  Personal Care Worker, or Caregiver Contractor you will likely be asking: “Where do I start?”, "How do I create a home care business plan?", “What tools do I need?”, “What guides, documents, procedures, forms, and templates are available to help me start or improve my home health care business?”

One of the most challenging parts of starting a home health care business is knowing how to start a home care business quickly and cost effectively, creating a home health care business plan and developing all the required home health care documents, forms, templates, and manuals that allow you to operate your business professionally and efficiently. If you're ready to start your home health care business, you want to start with a business plan. The easiest way to do this correctly is to follow a professional business plan guide while utilizing a comprehensive home health care business plan sample that has already been used in the industry.

If you want to get your medical or non-medical home care business started quickly and easily while eliminating as many mistakes as possible you will benefit from our Home Care Business Start up Package . It includes over 100 comprehensive, professionally formatted home health care forms, documents and templates in WORD and EXCEL formats. Our home health care business plan sample and all our forms, documents and templates are FULLY CUSTOMISABLE so you can add your business logo, customize footers, and make changes to meet your start up and growing home health care business needs.

Starting a non-medical or medical home health care business could be the right business opportunity for you. If you are uncertain a home care business is for you and want to know how to start a home care business, our home care business start up guide and business plan tools will help you make that decision. And, if you decide to go ahead, then it will be a tremendous asset and save you a lot of trial and error headaches. Whether you're just starting out, need funding or want to monitor the health of your home care business, creating a home health care business plan is your first step on the path to success. Our start up form and template package is diligently researched and backed by over 20 years of home health care management experience. Our Home Care Business Start up Package will guide you and put you on the fast track in starting a home health care business. Learn more about our package here

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• "The best home care business plan sample I've found on the market. Your business guides, templates and forms are awesome! Thank you for helping my growing business have a professional image in the view of my clients and employees." Steve D.
• "The business plan guides are a wonderful guidance through all the issues in the process of preparing a home care business marketing and business plan. I love this business start up package because it included everything I needed to start my business and all the forms and templates are so convenient and easy to use." Heather A.
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Start » business ideas, how to start a home care business.

Starting a home care business can be a lucrative opportunity for anyone with health care experience. Learn the seven steps you’ll need to take to get started.

Home care businesses provide a valuable service to the community, which is why the industry is expected to double in size over the next 15 years. But the job is demanding, and it’s essential to perform your due diligence before getting started.

What is a home care business?

Home care businesses offer home health and medical services to aging or sick individuals. It’s an umbrella term used to refer to multiple types of services.

A home care business could provide the following services:

• Companionship to seniors.
• Assisting clients with daily activities like housekeeping and cooking.
• Home therapy services, like physical and occupational therapy.
• Hospice care.

7 tips to starting a home care business

Find out what certifications you need.

Before starting a home care business, you must certify your business through the state and obtain a license. It’s also a good idea to check your local health department to find out if you need any additional licenses. This is not an overnight process and could take as long as a year to complete.

Decide what services you’ll offer

Home care businesses can cover a wide variety of services. You want to decide which type of services you will provide based on your experience and your staff.

If you’re not sure what service you want to offer, spend some time researching the top growing trends in the health care field. This can be an excellent way to match your skills with the current market demand.

As a home care worker, you cannot discuss health records with family or friends.

Identify your target market

Next, you’ll want to spend some time thinking about your target market. This is not necessarily the clients you’ll be serving, but the individuals who will be hiring you. For instance, if you offer hospice services, your target market is the adult children who will hire you to care for their parents.

Create a business plan

The best way to set yourself up for success is by coming up with a detailed business plan. A business plan will outline your target market, your financial plan and how you plan to market your business.

Having a business plan can make it easier to qualify for a small business loan. A loan can help you get your business off the ground faster and let you avoid having to dip into your savings.

[ Read more: How to Write a One-Page Business Plan in a Hurry ]

Make sure you understand HIPAA laws

HIPAA compliance can be one of the most challenging aspects of starting a home care business. HIPAA laws protect the patient's privacy and ensure that third parties can’t access their records without their consent.

As a home care worker, you cannot discuss health records with family or friends. This could frustrate some family members and friends and make it harder for you to do your job. Make sure you have a thorough understanding of HIPAA laws before starting your business.

Come up with a marketing plan

Once you have your business set up and have applied for the appropriate licenses, you should begin marketing your business. You can promote your business on social media and invest in local advertising.

And don’t forget to ask current clients for referrals. Referrals are an excellent―and free―way to grow your business.

[ Read more: The Difference Between Sales and Marketing ]

Hire your staff

If you want to grow your home care business, then at some point you’ll have to bring on staff. You should choose your employees carefully since they directly represent the quality care you will provide.

Conduct a thorough interview process and run background checks on all employees. You can find potential employees through a staffing agency or through personal recommendations.

[ Read more: The Best Interview Questions to Ask, According to Franchise Owners ]

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Crafting Your Home Care Business Plan: 8 Essential Steps for Success

The demand for quality home care services is skyrocketing as the global population ages. The worldwide home healthcare market, valued at an astounding $299 billion in 2020 , shows no signs of slowing down. For visionary entrepreneurs, this presents a golden opportunity to make a positive impact in the lives of many while building a thriving business. Whether you are considering starting a home health care service from scratch or partnering with an established franchise, one essential element you cannot overlook is a meticulously crafted home care business plan.

A home care business plan is not just a document; it is the blueprint that guides your business decisions, impresses potential investors, and lays the foundation for your agency’s success. Securing financing, in particular, hinges on your ability to demonstrate a well-thought-out plan that promises profitability and sustainability.

In this guide, we’re here to walk you through the eight critical steps for creating a successful home care business plan. With these insights, you’ll be equipped to navigate the complexities of the home care industry and launch a business that promotes both profit and purpose .

Understanding the Importance of a Home Care Business Plan

Defining a home care business plan.

A home care business plan is a vital document that guides the establishment and management of a home health care business. It lays down the objectives, strategies, financial projections, and market analysis that are essential for the smooth operation of your business.

This roadmap is essential for ensuring that your business is well-positioned to offer a range of home care services, such as post-operative care , Alzheimer’s care , and skilled-nursing services .

The Critical Role it Plays

Why is a home care business plan so indispensable? Firstly, it forms the foundation for your business operations. Your business plan acts as a blueprint for managing cash flow and resources, essential for providing top-notch services. It also outlines the legal structure of your home health care agency, ensuring compliance and seamless operations.

Secondly, a solid business plan helps in securing bank loans and attracting investors. By demonstrating your commitment to providing affordable home health care and showcasing your business’s financial health, you present yourself as a viable investment .

Laying the Groundwork: The Pre-Planning Stage

Setting clear goals.

Before you dive into the specifics of your home care business plan, it’s super important to know what you really want to achieve with your home health care business. Think about it like a roadmap – you need to know where you’re going! Here’s what you should consider:

Helping the Community: A lot of people want to start a home health care business because they care. With more senior citizens in the neighborhoods, there’s a huge need for services that help them lead a happy and healthy life.

Offering Different Services: Maybe you want to provide a range of services. Like, not just basic care, but also physical therapy, skilled-nursing care, or end-of-life care . This way, you can help all sorts of people with different health needs.

Making Connections: It’s a great idea to team up with hospitals and doctors. By building strong relationships with other medical professionals, you can make your services even better. Plus, it’s always good to have friends in the business.

Making Money While Doing Good: Yes, you want to help people, but you also need to make a living. So, part of your goal might be to create a business that makes money. That way, you can keep the doors open and continue to provide awesome care for a long time.

Franchising: Some people don’t want to start from scratch—and that’s OK! You can get in on a franchise and use a name that people already know and trust. This can be a kick-start for your business.

Personal Touch: For some, the heart of the home health care business is in giving clients that personal touch. It’s not just about healthcare; it’s about making someone’s day better.

Don’t forget; it’s smart to make sure your goals are SMART – which means Specific, Measurable, Achievable, Relevant, and Time-bound. It’s like a checklist to make sure your goals aren’t just dreams, but something you can really achieve!

Knowing your audience.

Another essential pre-planning step is knowing who will read your business plan. Will it be potential investors, banking officials, or medical professionals looking for collaboration? Tailoring your home care business plan to suit the interests and concerns of the audience reading your business plan is vital for effective communication.

Staying Informed About the Industry

Staying informed about the home health care industry is fundamental to your business’s success. Engaging in market research will equip you with insights into the demands, challenges, and opportunities in the industry. Here are three reputable sources to get you started:

• Home Health Care News for the latest updates, data, and trends, covering policy changes to innovations.
• National Association for Home Care & Hospice (NAHC) for educational materials, research, and networking opportunities.
• The Joint Commission for resources on quality and safety standards.

Use this information to identify market strengths, weaknesses, and gaps that your business can address, ensuring that your home care business plan remains adaptable and responsive to the evolving industry landscape.

Crafting Your Home Care Business Plan: Key Components

1. executive summary: capturing attention from the get-go.

Your executive summary is the opening act of your home care business plan and should be designed to capture attention immediately. Within this section, succinctly outline your business mission, the home care services you’ll be offering, and how your business will fill a specific need in the market.

For instance, you might focus on providing skilled home health services to seniors or specialize in Alzheimer’s and dementia care. Remember that with an aging population, the home care industry is competitive. A compelling executive summary will set your business apart and entice readers to dive deeper into your business plan.

2. Company Description: Defining Your Home Care Business Identity

In this section of your home care business plan, provide a detailed description of your home health care company. Discuss the types of home health care services you aim to provide, be it personal care, nursing services, or occupational therapy. Be sure to mention how your services cater to the demands of the aging population.

Outline your goals, target market, and how your home care agency will stand out from others. If you have a unique approach, highlight that as part of your competitive advantage.

3. Industry Analysis: Navigating the Home Care Market

An in-depth industry analysis is vital for understanding the landscape of the home health care market. This section should include market research, trends in the health care industry, and an analysis of competitors. Identify the needs of your target customers and the gaps in the services provided by existing home health care agencies.

Are there unmet needs in terms of physical therapy or end-of-life care services? Knowing the industry inside out will enable you to position your home care business strategically within the market.

4. Management and Organization: Building a Strong Team

A successful home health care business relies on a strong team. In this section, describe the structure of your home health care agency. Detail the roles of the healthcare professionals, including skilled nurses, caregivers, medical social workers, and any other medical professionals involved in providing in-home services.

Define the qualifications and experience needed for each role. Explain how your home health care team will contribute to the success of your business and the provision of high-quality care to your clientele. It’s essential to portray the strength and competence of your team in fulfilling the growing needs of the aging population.

5. Service Offerings: Detailing Your Home Health Care Services

In this part of your home care business plan, provide a comprehensive list of the home health care services that your business will offer. These might include skilled nursing care, physical therapy, speech therapy, and personal care, among others. Describe how your home care business will meet the diverse needs of the aging population, and specify how your services will differ from those provided by other home health care businesses.

For instance, if you plan on including specialized skilled-nursing services or employing occupational therapists, make it a point to highlight these as part of your unique service offerings.

6. Marketing Plan: Reaching Your Target Audience

Your marketing plan is crucial for the success of your home care business. Begin by identifying your target market – is it seniors, clients recovering from surgery, or individuals requiring companionship? Next, outline your marketing and recruitment strategies.

How will you reach your target customers? What channels will you use? Consider both traditional avenues and digital platforms. Mention any partnerships with medical professionals or hospitals that could drive referrals. Additionally, discuss how you plan to brand your business and communicate the value of your home health care services effectively.

Take us, for example. Here at Nurse Next Door, we wear our hearts on our sleeves. Our mantra, “Happier Aging™,” is the heartbeat of our branding . We’re all about connecting with families and sprinkling some joy in the mix. Our popping pink? That’s the color of positivity, love, and care. But we know it’s not just about looking pretty – it’s about action.

Our dedication is to create tailor-made experiences that fill our clients’ lives with happiness. By marrying our vibrant spirit with a deep commitment to care, we like to think we’ve made Nurse Next Door a little piece of home in the home care industry.

7. Financial Projections: Mapping Out Your Financial Future

Financial projections are a critical aspect of your home care business plan, as they give potential investors or lenders insight into the financial viability of your home health care agency. In this section, outline your revenue model, pricing structure, and expected expenses, including salaries for medical professionals and costs for any expensive medical equipment.

Provide detailed financial statements, including projected income statements, balance sheets, and cash flow statements. By giving a clear picture of your expected cash flow, you will demonstrate that your home care business is a sound investment.

8. Appendix: Supporting Documents and Additional Resources

The appendix of your home care business plan should contain all the supporting documents that provide additional details not included in the main sections. This might include resumes of your home health care team, details of your legal structure, licenses, and permits, contracts with medical professionals, or hospital insurance information.

Also, if you have any endorsements from industry associations, certificates, or awards, include them here. This section adds credibility to your home health care business and acts as a repository for information that interested parties may seek for further understanding or validation of your business operations.

Implementing Your Home Care Business Plan for Long-Term Success

Implementing your home care business plan is an ongoing process that doesn’t end once the plan is written. It’s crucial to monitor, evaluate, and adapt your business plan according to the changing market conditions in the home health care industry.

Monitoring and Adapting Your Business Plan

Regularly review your home health care business plan to ensure that your business operations are aligned with your goals. Keep an eye on the cash flow and make necessary adjustments to stay financially healthy. Monitor your marketing plan’s effectiveness and adapt strategies as needed. Stay informed about changes in the home care industry, and be ready to pivot your services or approach to meet new demands or regulatory requirements. This adaptive approach is essential to ensure the sustainability of your home health care business.

Seeking Professional Advice and Mentorship

Embarking on this fulfilling journey as a business owner in the home health care business is an exciting step, and it’s always wise to have some expert advice along the way. Tap into the wealth of knowledge that industry veterans possess by engaging with them, and consider joining local groups or enlisting the guidance of a qualified clinical supervisor. These interactions are like having a knowledgeable GPS guiding you through the twists and turns of running a thriving home health care agency.

Additionally, let’s not forget the magic that happens when professionals collaborate. Building connections with other medical professionals is like adding extra horsepower to your business engine. It provides you with invaluable insights and helps establish a robust network for your home health care company. And if you’re looking for an extra boost, considering a partnership with a franchise could be just the ticket.

Partnering with an established franchise such as Nurse Next Door offers you a supportive backbone enriched with resources and expertise to help you make a real difference in your community through exceptional home health care services. Let’s make lives better, together!

Key Takeaways

In a nutshell, starting and running a successful home health care business requires careful planning, continuous monitoring, and adaptability to industry changes. Your home care business plan serves as the compass guiding your journey. Ensure it includes a concise executive summary, a comprehensive company description, a thorough industry analysis, clearly defined service offerings, an effective marketing plan, and realistic financial projections.

Remember the value of networking and seeking guidance from experienced professionals in the home health care services field. Stay focused on your goals, embrace innovation, and be passionate about delivering high-quality care. By doing so, you can make a meaningful difference in the lives of seniors and establish a thriving home health care business.

Are you ready to embark on a mission of providing exceptional care to seniors or those in need of care in your community? Don’t wait any longer! Take the first step today by exploring the Nurse Next Door franchising opportunities.

As a Nurse Next Door franchisee, you’ll have the support and resources of a trusted brand behind you, empowering you to make a positive impact on the lives of seniors while building a successful business. Join us in creating a healthier and happier community where you live.

Together, let’s make a difference!

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Start an Elderly Home Care Business: Requirements & More

By: Amber Dixon

Last Updated: June 4, 2024

The demand for medical and personal care is growing year after year. Learn how to start an elderly home care business to cater to that growth today!

There’s an increasing need for medical and personal care every year.

This is because of aging baby boomers (and other older adults) as well as a long life expectancy.

These factors present an excellent opportunity for anyone looking to enter the healthcare industry — particularly the home health care sector.

If this is something that appeals to you, we’ll tell you all about how to start your own home health care business.

What Is a Home Health Care Business?

A home health care business, also known as a home health care agency, hires home care providers to give in-home care to the elderly. 

These providers can range from medical professionals to non-skilled providers.

This kind of business can offer simple day-to-day assistance .

It can also be a medical service, which is especially great for seniors recently discharged from the hospital. But it’s also good if their health simply needs closer monitoring.

Overall, this kind of business helps senior citizens age in peace .

The Services Home Health Care Businesses Can Offer to Senior Citizens

You can offer many different kinds of home health care services for fair pricing like:

• Personal care – This involves helping the elderly with daily living activities . Professional caregivers can help prepare meals, bathe, or dress their clients. It can also be limited assistance, such as giving medication reminders.
• Health care – Trained professionals (like certified nursing assistants and occupational therapists) will provide at-home services like therapy or other checkups.
• Transportation – The elderly might have trouble driving themselves, or they have difficulty with public transit. You can offer them transportation services , such as going back and forth to doctors’ appointments.
• Household maintenance – You can help seniors stay on top of household chores — like gardening, doing laundry, and grocery shopping. Household maintenance can also involve financial and health care management.
• Home modifications – Mobility tends to become harder the older we get. As such, you can offer home modification services to help the elderly move around their house safer. For instance, you can suggest adding grab bars or anti-slip mats in the shower.
• Day programs – Day programs are mostly social in nature. This keeps seniors cognitively engaged by letting them interact with other senior citizens or caregivers. You can also add activities like playing cards and board games to these day programs.
• 24-hour home health care – Two caregivers will work 12-hour shifts to ensure that a senior is safe and has all their basic needs met around the clock.

Home Care Business Requirements

A home healthcare agency license certification is the first thing you’ll need before you can run your business.

However, the processes and additional requirements differ per state . But in general, you’ll need to:

• Take a specific training course
• Get certified for CPR/AED

For some states, like Alabama and Arkansas, you don’t need anything else. But some states require more caregiver training hours and licensing.

In Connecticut, for instance, you’ll also need personal care licensing and an 8-hour course recommended by the Professional Association of Caregivers.

You can check the exact licensing and training requirements of your state here .

How to Start a Home Care Business for the Elderly in 9 Steps

Here are the steps that will lead to building a successful home healthcare agency:

Step 1: Start Drafting a Formal Business Plan

You don’t need to write down your whole business plan in one sitting.

But the most important things you need to figure out first at this point are:

• Business name – The name will be the first thing people see (and should remember) about your company. So try to make it catchy while making it obviously connected to your business.
• Company description – This part sums up what your home healthcare agency does. It also shows what makes your company unique . Some things to include are the company’s goals, target customers, and mission & vision statement.
• Business ownership structure – This will determine many things — from how much tax you pay to any personal obligations you might assume.

Step 2: Get Your Employer ID Number

As the name suggests, the employer identification number (EIN) is used to identify business entities operating in the U.S.

You can get this nine-digit number from the Internal Revenue Service (IRS).

The EIN is also known as:

• Federal Employer Identification Number (FEIN)
• Federal Tax Identification Number

Step 3: Register With Your State

To formalize your business entity , you should register with the Secretary of State.

Your location and business structure determine how you should register your business.

Normally, this can be as quick as filing your company name with the local and state governments. This is especially the case with a small business or sole proprietorship.

But for an LLC, corporation, or partnership, you’ll need other things:

• Registered agent – This person will hold official papers and other legal documents sent to your company. Agency owners can choose to be their own agent .
• Certificate of Authority – If your home health care agency expands to other states, you’ll need to file for this certificate in that state. Some states may also require a Certificate of Good Standing from where your business originated.
• State documents and fees – The total cost for registering a business is usually less than $300. But it still depends on the state and structure of your company.

Once you’ve registered your agency, you can now open a business checking account and credit card account.

Step 4: Make a Solid Financial Plan

This is another crucial part of your business plan. After all, it’s what will keep your business operations going .

Things to include here are:

• Cash flow forecast
• Balance sheet snapshot
• Break-even point analysis

A balance sheet snapshot is especially important here since it shows the company’s financial position at a certain point in time.

You can quickly determine if your assets are equal to your liabilities and any shareholders’ equities.

Related to having a financial plan is getting good funding . Opening a business bank account makes it easier to track and manage your finances.

There are many ways you can fund your business:

• Traditional bank loans
• Angel investors
• Venture capital firms
• Government grants and subsidies

Failing to secure funding means your working capital can be in danger . That can make it difficult for your now-small business to take off and expand.

Step 5: Have Adequate Business Insurance

Business insurance will cover any costs connected to property damage and liability claims.

Not having insurance means a business owner will pay out-of-pocket for any damages or legal claims against their company.

The kinds of insurance you should consider are:

• Professional liability insurance – This is also known as the “errors and omissions” insurance. It will protect your agency from claims of incompetence and malpractice. This would make professional liability insurance the most important insurance to have.
• General liability insurance – This will protect you against claims that involve bodily and property damage (concerning third parties) due to your service. General liability insurance can also cover medical payments for injuries that a non-employee sustains on your premises.
• Cybersecurity insurance – A first-party coverage will answer for your company’s financial losses following a data breach or cyber event. Meanwhile, third-party coverage will protect you against claims made by others affected by the event. For instance, that can cover lawsuit expenses or HIPAA penalties due to a client’s accidentally-exposed Personal Identifiable Information (PII).

Step 6: Create a Sales and Marketing Plan

This is another essential part of your business plan. If you’re not sure you can make (and execute) a good marketing plan alone, you can enlist the help of a marketing agency.

The market segments or target audience of your marketing plan should include:

• The baby boomers and other older adults themselves
• Their adult children
• Relatives of the seniors

Build a Website

Having a website is a quick way to be visible online.

You can build just a basic website at first to tell the world that your company exists. Make sure it’s easy to read and fits any device screen.

Put your agency’s name and basic information out there. This can include your company description, mission, and vision to give potential clients a good idea of your home health care agency.

You can always come back later on to improve how your website looks.

Try to create a blog on your site too.

You can also eventually publish reviews to give others social proof that you’re running a trustworthy agency.

Be on Social Media

Social media is another great way to establish your online presence.

You can share the articles on your blog or create bite-sized content that your target audience can interact with.

One way to run ads is through Google Ads . You’ll need to bid on keywords, but if you win, you get immediate visibility for that keyword.

For instance, your business can show at the top of the page if someone searches “home health care agency in [your location].”

You can also run ads in local newspapers, TV, and radio stations.

You can get clients through a referral system — and this is especially helpful if you’re just starting out.

Connect with healthcare facilities and professionals such as:

• Long-term care facilities
• Hospital discharge social workers
• Rehab outpatient centers
• Senior centers
• Local physicians

Ask them if they can refer patients to your home health care business.

You can also ask if you can leave leaflets or other advertising materials in their offices.

If your first wave of clients is pleased , they can refer other people who need your service.

Step 7: Write Your Company’s Policies and Procedures

Policies and procedures will ensure smooth office operations . They also help you assess risk and perform compliance-related work.

Some things to cover in your policies and procedures are:

• Hiring practices
• Orientation and training
• Employee and payroll records
• New client admissions
• Client billing
• Client rights and responsibilities

Step 8: Hire Great Founding Staff

The home healthcare business is all about creating personalized care services. As such, you should find staff that perfectly represents your company’s vision.

The most commonly-employed healthcare professionals are certified nursing assistants and home health aides .

You can also enlist the help of other medical professionals like doctors, therapists, and medical social workers.

Together with hiring, you should also develop a good retention plan to keep your employees motivated to stay with you.

Step 9: Meet Compliance Requirements

When your new business eventually gets up and running, you should still continuously meet compliance requirements.

Part of this means your employees should undergo annual education in topics such as cultural diversity and emergency/disaster training.

For an idea of what to audit in your home health care agency, take a look at this checklist .

But remember that the checklist will NOT guarantee that you’ll get a successful accreditation decision. It’s only to give you a gist of some laws and regulations you should follow.

To ensure your healthcare agency is on the right path, check what your local laws require.

Why Should You Start a Home Healthcare Business?

Home health care agencies are big in the healthcare market. In fact, they actually make up the fastest-growing healthcare industries.

In 2019 alone, around 1.4 million people worked in the home healthcare industry.

This demand is pushed by aging baby boomers — which comprise around 25% of the U.S. population.

A longer life expectancy and record low birth rates also contribute to an aging population.

In-home care service is also a more attractive option to people compared to assisted living facilities. After all, it allows them to maintain some independence or age in place.

Already, 12 million people have been receiving in-home care compared to living in other care facilities like nursing homes since the COVID-19 pandemic hit.

How Profitable Is a Home Care Business?

A home health care agency is very profitable.

How much you earn in a year will depend on:

• How much you charge for your services 
• What services you offer
• How many clients you have 

But the national average hourly cost for at-home non- medical care is $27 per client.

Your expenses might go up if you expand the business, but that also means more profit — for you and all your employees.

Frequently Asked Questions

We’ll cover a few related questions to home health care businesses:

What’s the Difference Between a Caregiver and Home Care?

Home care is the service that caregivers give.

Home care services are all about making sure the elderly are safe and comfortable in their own homes.

Professional caregivers can prepare meals, help seniors stay on top of bills, and offer transportation, among other things.

What’s the Difference Between a Medical and Non-Medical Home Care Business?

Medical home care and a home health business are the same. This business is more concerned about the elderly’s health.

Services here are provided by medical professionals and can range from monitoring blood pressure to checking the senior’s mental state.

Meanwhile, non-medical home care can simply be called home care .

Services are provided by non-medical professionals and are centered around day-to-day assistance. These include anything from helping the senior get changed to scheduling doctors’ appointments.

Together, medical and non-medical home care can collectively be called home health care.

How Much Does It Cost to Start a Private Home Care Business?

Starting a home health care agency can cost anywhere from $40,000 to $350,000 , depending on your services and certifications.

When planning your startup costs, you should take into consideration the following:

• Accreditation and certification – Accreditation and certification fees differ per state and ownership structure. Accreditation, in particular, can be tedious because of the criteria you need to hit. These include services, types of patients, and operations.
• Equipment – This can be more expensive for a home health care agency since you’ll need to invest in specialized medical equipment too. Aside from equipment, it would be best if you also have good software to streamline processes. You may need technical support for this part too.
• Commercial office space – You should also find a good place as your base of operations. Other business owners might try to use their homes as an office, but this might not be the wisest decision — especially if you need to store equipment.

If you’re a first-time business owner, you’ll be relieved that non-medical home care agencies are relatively inexpensive to start.

You can expect to spend $40,000 to $80,000 depending on how big your operation is and what services you’re offering.

For a medical home care agency, not being Medicare-certified means you might spend $60,000 to $100,000.

But if you are Medicare-certified (which is more common), you can shell out $150,000 to $350,000.

Do I Need Medicare and Medicaid Certifications?

It’s NOT required, but most agency owners prefer to get these certifications.

Getting certified basically means you can bill Medicare and Medicaid for reimbursements . Having these certifications also assures your clients that your business meets the minimum health and safety standards.

However, the process can take as much as a year .

The Center for Medicare & Medicaid Services has an enrollment guide you can follow. Some states also require the business owner to pass a jurisprudence exam.

The home health care business is a profitable industry that continues to grow as life expectancy increases.

Starting your own agency might sound overwhelming, but having a good business plan helps you solidify your vision and put you on the right path.

Licensing and accreditation might take a long time too. However, when you have them, potential clients can see your company as a trustworthy one that passes standards.

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Non-Medical Home care Business Plan Guide + Example

July 6, 2023

Adam Hoeksema

The in-home healthcare industry has been experiencing remarkable growth over the past few years, propelled by an aging population, increased life expectancy, and a growing preference for care within the comfort of one's own home. The Global In-Home Health Care market size was valued at around USD 305.9 billion in 2021 and is expected to reach approximately USD 629.3 billion by 2028, according to data from Fortune Business Insights. Key driving factors include the prevalence of chronic diseases, increased need for cost-effective healthcare delivery systems, technological advancements, and government initiatives promoting home healthcare. Moreover, the recent COVID-19 pandemic has put a spotlight on the importance and feasibility of home healthcare, further catalyzing its growth. The industry's trajectory suggests a promising future for businesses aiming to provide high-quality, personalized care services within a patient's home.

Read more: 9 Home Healthcare Industry Financial Stats

Based on the industry growth, there is no surprise that many are starting new businesses or considering starting a new home healthcare business.  

There are two basic types of businesses that you could start:

• In Home Healthcare Business
• In Home Non-Medical Care Business

In this blog post I am going to guide you through the process of creating a business plan for a non medical home care business.  You can also download our free non-medical home care business plan template and start creating your custom plan as you follow along.  I plan to cover the following:

• Why Write a Business Plan for a Non-Medical Home Care Business?

What Should be Included in a Non-Medical Home Care Business Plan?

• Non-Medical Home Care Business Plan Outline

How to Analyze the Market Demand for a Non-Medical Home Care Business?

How to find and retain employees for a non-medical home care business, how to find customers for a non-medical home care business.

• How Much Working Capital is Needed for a Non-Medical Home Care Business?
• How to create financial projections for your non-medical home care business
• Non-Medical Home Care Example Business Plan

Non-Medical Home Care Business Plan FAQs

With that as the guide, let’s dive in! 

Why Write a Business Plan for a Non-Medical Home Care Business? 

I could say something like “if you fail to plan you plan to fail” or give you a long list of reasons why the business planning exercise could be beneficial for you, but at the end of the day, most people write a business plan because the people with the money ask for it.  Your potential investors or lenders probably are asking for your business plan, so you just have to roll up your sleeves and get it done. 

A non-medical home care business plan should include a Company Description, Market Analysis, Service Offerings, Marketing and Sales Strategy and Financial Projections.  Our business plan template has the following outline. 

Non-Medical Home Business Plan Outline

I. executive summary.

II. Business Concept

III. Market Analysis

IV. Competition Analysis

V. Marketing Strategy

VI. Menu and Kitchen Operations

VII. Service and Hospitality

VIII. Financial Plan

• Startup Costs:

Projected Financial Summary:

Annual sales, gross profit and net profit:, key financial ratios:, income statement:, balance sheet:, cash flow statement:.

IX. Organizational Structure

X. Conclusion

In order to analyze the market demand for a non-medical home care business, you first need to determine what services you might provide.  

Non-Medical Home Care Services

Non-medical home care services focus on helping individuals with their daily activities and needs, improving their quality of life without necessarily providing healthcare-specific treatments. Here are some examples:

Personal Care: This includes assistance with activities of daily living (ADLs) such as bathing, dressing, grooming, toileting, and feeding.

Companionship: This involves providing social interaction to prevent loneliness and depression. Companions may engage the individual in conversations, read books, play games, or accompany them to social events.

Meal Preparation: Some non-medical care services involve preparing meals for individuals who may have difficulty cooking for themselves. They may also assist with grocery shopping.

Light Housekeeping: This can include help with tasks like doing laundry, dishes, taking out the trash, and general tidying up around the home.

Transportation Services: Non-medical home care providers can offer non-emergency medical transportation to and from appointments, social engagements, shopping trips, or other errands.

Medication Reminders: While non-medical home care providers do not administer medication, they can remind individuals to take their medication at the appropriate times to ensure adherence to their regimen.

Respite Care: These services provide temporary relief to primary caregivers, allowing them time off for rest, personal errands, or vacations.

Mobility Assistance: Helping individuals move around, whether it's transferring from the bed to a chair or assisting with ambulation around the house or outdoors.

Once you decide what services you might want to provide, you can use Google Keyword Planner Tool to search for keyword phrases related to those services in your area and get an estimate of the number of people searching for those services each month.  This can really help analyze which services might be the most popular.  For example, I did a search for home care in Chicago and found that there are roughly 320 monthly searches for that keyword phrase.  There are roughly 90 monthly search for non-emergency medical transportation in Chicago and only 10 searches per month for companionship services in Chicago.   

This should help you get a feel for the most in demand services in your area. 

One of the biggest challenges for most non-medical home care businesses is finding and retaining employees.  You will likely need some unique plans to recruit and retain good employees.  Here are some ideas: 

Recruitment:

Clear Job Descriptions: Ensure that the roles and responsibilities are clearly stated in your job advertisements. This way, potential employees will understand exactly what is expected of them.

Strong Online Presence: A well-designed website and active social media accounts can enhance your business's credibility and reach. Post job vacancies on your website, LinkedIn, job boards, and social media platforms to attract potential employees.

Partnerships with Local Institutions: Build relationships with vocational schools, nursing schools, and community colleges. They can provide a steady stream of potential candidates.

Employee Referral Program: Your current employees might know others who would be a good fit for your business. Offering incentives for successful referrals can be a productive recruitment tool.

Competitive Pay and Benefits: Offering competitive salaries and benefits, such as health insurance, retirement plans, paid time off, can significantly increase employee retention.

Employee Recognition and Rewards: Regularly acknowledge and reward the hard work and dedication of your employees. This could be through an "Employee of the Month" program, performance bonuses, or simply a thank you note.

Professional Development: Offer ongoing training and development opportunities. This will not only improve the quality of your services but will also show your employees that you value their personal and professional growth.

Supportive Work Environment: Create a culture that supports work-life balance. This could include flexible scheduling, mental health resources, and supportive management.

Open Communication: Foster a culture of open communication where employees feel comfortable voicing their ideas and concerns. Regularly ask for feedback and be responsive to it.

Career Advancement Opportunities: Provide clear pathways for career progression within your company. This gives employees something to work towards and helps them see a future with your organization.

By combining these effective recruitment and retention strategies, your non-medical home care business can build and maintain a reliable, motivated, and highly-skilled team.

Finding customers for your non-medical home care business is all about understanding your target audience, building awareness, and establishing trust in your services. Here are several strategies to help attract clients:

Referral Networks: Build strong relationships with healthcare professionals, such as doctors, nurses, physical therapists, social workers, and hospital discharge planners. They can refer patients to your service. Also, consider forming partnerships with senior centers, retirement communities, and organizations that cater to your target demographic.

Online Marketing: Ensure your business has a robust online presence. Create a professional website detailing your services, customer testimonials, pricing, and contact information. Utilize SEO strategies to ensure your site ranks highly in search results related to home care in your area. Also, leverage social media platforms to connect with potential clients and their families.

Community Outreach: Participate in local events and sponsor activities that resonate with your target audience. Giving talks on elder care topics or offering free workshops can help establish your business as an authority in the field.

Content Marketing: Write blogs or create videos on topics that your potential clients might search for online, such as "How to choose a home care provider" or "Benefits of non-medical home care." This helps position your business as a trusted resource.

Direct Mail and Brochures: Despite the digital age, direct mail campaigns can still be effective, particularly as many seniors may not be as internet-savvy. Distribute brochures or flyers in areas frequented by your target demographic.

Customer Testimonials and Reviews: Encourage satisfied customers to share their experiences online. Positive testimonials and reviews can be powerful tools for attracting new clients.

Networking: Attend industry-related events and join professional organizations to meet others in the field who might refer clients to you.

Paid Advertising: Consider paid advertising options like Google Ads or Facebook Ads targeting your local area and specific demographics.

Follow-up Services: If a client discontinues your service (e.g., because of hospitalization), ensure to follow up. They might need your service again when they are discharged.

Remember, trust and reliability are key in this industry. By delivering high-quality service, maintaining professional standards, and putting your clients' needs first, you can build a strong reputation that will attract and retain customers.

How Much Working Capital is Needed for a Non-Medical Home Care Business? 

As we soon move into the financial projections section, one of the key questions for a non-medical home care business is how much working capital will be needed.  I spent over 10 years leading an SBA Microloan Program and we funded many loans for home care services that needed working capital.  The basic challenge was that companies often got paid through Medicare or Medicaid which could potentially have a significant delay between the time the service is provided and when you get paid.  In the meantime you have to pay your employees.  So the more clients you get the more working capital you actually need to float.  I would expect that you should have at least 45 days worth of payroll available as working capital.  So if your employees cost $50,000 per month, you should have access to a line of credit for at least $75,000 and you should be careful about how fast you grow.  

Watch: How growing too fast can lead to bankruptcy even if you are profitable

How to Create Financial Projections for a Home Healthcare Business Plan

Just like in any industry, the in-home healthcare business has its unique factors that influence financial projections, such as client acquisition, reimbursement rates, and regulatory compliance. Utilizing an in-home healthcare financial projection template can simplify the process and increase your confidence. Creating accurate financial projections goes beyond showcasing your ability to provide in-home healthcare services; it's about illustrating the financial path to profitability and the realization of your mission to deliver quality care. To develop precise projections, consider the following key steps:

• Estimate startup costs for your in-home healthcare business, including licensing and certifications, insurance, office space or administrative setup, equipment, and initial marketing efforts.
• Forecast revenue based on projected client volume, reimbursement rates, and potential growth in service offerings or specialty areas.
• Project costs related to employee wages, training and development, supplies and equipment, transportation, and administrative expenses.
• Estimate operating expenses like rent, utilities, insurance premiums, software subscriptions, and marketing costs.
• Calculate the capital needed to launch and sustain your in-home healthcare business, covering initial expenses and providing working capital for continued growth and operations.

While financial projections are a vital component of your in-home healthcare business plan, seek guidance from experienced professionals in the industry. Adapt your projections based on real-world insights, leverage industry resources, and stay informed about regulatory changes, industry standards, and evolving healthcare models to ensure your financial plan aligns with your goals and positions your business for long-term success in providing exceptional in-home care.

Example Non-Medical Care Business Plan

Explore our comprehensive Non-Medical Home Care Business Plan Guide below, complete with an example template to jumpstart your planning process. Download the editable Google Doc version and follow our video walkthrough to tailor the plan to your unique business concept.

Table of Contents

Ii. company description, iv. service offerings, v. marketing and sales strategy, vi. financial projections, use of startup funds:, vii. conclusion.

Our non-medical home care business, named "Compassionate Care", aims to provide high-quality and affordable in-home care services to seniors and people with disabilities in the Dallas-Fort Worth area. Our mission is to help people live with dignity and independence in the comfort of their own homes, by providing compassionate and trustworthy care to meet their physical, emotional, and social needs.

The home care industry has experienced significant growth in recent years, driven by the aging of the population and the increasing demand for alternatives to institutional care. Compassionate Care will differentiate itself from competitors by offering a comprehensive suite of services, including personal care, homemaking, transportation, and companionship, tailored to the individual needs and preferences of each client. Our services will be delivered by a team of experienced and qualified caregivers, who will undergo rigorous background checks and training, and be bonded and insured.

Based on market research and financial projections, we expect Compassionate Care to generate $1 million in revenue in its first year of operations, and to achieve a net profit margin of 22% by the end of year three. To finance the business, we will seek a combination of debt and equity financing, from banks, angel investors, and family and friends.

Compassionate Care was founded by two friends, Jane Doe and John Doe, who have a combined 20 years of experience in the health care and social services industries. Jane has a Bachelor's degree in Nursing and has worked as a registered nurse for 10 years, while John has a Master's degree in Social Work and has been a social worker for 10 years. Both have a passion for helping people and a vision to create a company that provides compassionate and high-quality care to seniors and people with disabilities.

Compassionate Care will be incorporated as a Limited Liability Company (LLC) and will be headquartered in Dallas, Texas. The company will be owned and operated by Jane and John, who will act as the CEO and COO, respectively. The company will employ a team of 15 caregivers, who will be supervised by a director of nursing and a director of operations. The company will also have an office manager and a marketing and sales coordinator, who will handle administrative and marketing tasks.

The home care industry is a growing and dynamic market, with an estimated value of $100 billion in the United States. The demand for home care services is driven by the aging of the population, the increasing prevalence of chronic conditions, and the preference for home-based care over institutional care. According to the U.S. Census Bureau, the number of people aged 65 and older is projected to increase from 56 million in 2020 to 84 million in 2050, representing a 50% increase. Moreover, the number of people with disabilities who require assistance with daily activities is also expected to grow, as a result of improved medical care and increased longevity.

Compassionate Care's target market will be seniors and people with disabilities in the Dallas-Fort Worth area, who need assistance with activities of daily living and desire to maintain their independence and quality of life at home. The target market will include individuals who live alone, as well as those who live with family or friends, who need additional support and companionship. The target market will also include those who are transitioning from hospital to home, who need short-term or intermittent care.

Compassionate Care will face competition from other home care agencies, as well as from informal care providers, such as family members, friends, and neighbors. However, Compassionate Care will differentiate itself from competitors by offering a comprehensive and customized approach to care, by involving clients and their families in the care planning process, and by ensuring that the caregivers are well-trained and compassionate. Our services will also be priced competitively, while maintaining high quality standards.

Compassionate Care will offer a range of in-home care services to meet the diverse needs and preferences of its clients. Our services will include the following:

• Personal Care: Assistance with activities of daily living, such as bathing, dressing, grooming, toileting, and transferring.
• Homemaking: Assistance with household tasks, such as light housekeeping, laundry, meal preparation, and shopping.
• Transportation: Assistance with errands, appointments, and recreational activities, using the client's or the company's vehicle.
• Companionship: Socialization and emotional support, through conversation, games, reading, and other activities of interest.

All of our services will be tailored to the individual needs and preferences of each client, and will be provided in accordance with a care plan that is developed in collaboration with the client and the caregiver. The care plan will be reviewed and updated regularly, based on the client's changing needs and preferences.

Compassionate Care will employ a multi-channel marketing strategy, to reach its target audience and generate leads. Our marketing and sales efforts will include the following:

• Website: A professional and user-friendly website, which will provide information about the company and its services, testimonials, and a contact form.
• Referral Network: Collaboration with hospitals, rehabilitation centers, senior centers, and other organizations that serve seniors and people with disabilities, to promote our services and receive referrals.
• Direct Mail: A targeted direct mail campaign, using mailing lists of seniors and people with disabilities in the Dallas-Fort Worth area, to introduce our services and offer a special promotion.
• Social Media: Active presence on social media platforms, such as Facebook, Twitter, and Instagram, to engage with our target audience and promote our services.
• Referral Program: A referral program, which will offer incentives to clients, caregivers, and referral sources who refer new clients to the company.

Compassionate Care expects to generate $1 million in revenue in its first year of operations, and to grow its revenue by 100% in each subsequent year. The revenue will come from the sale of home care services, which will be priced competitively, based on the number and type of services provided. 

Compassionate Care expects to achieve a profit margin of 10% by the end of year three, and to reinvest a portion of the profits into the business to support its growth and expansion.

All of the unique financial projections you see below were generated using ProjectionHub’s Home Healthcare  financial projection template . Use PH20BP to enjoy a 20% discount on the template. 

Watch how to create financial projections for your very own home care business:

Compassionate Care is poised to capture a significant share of the home care market in the Dallas-Fort Worth area, by providing high-quality and customized care services to seniors and people with disabilities. The company's experienced and dedicated management team, its commitment to excellence, and its focus on client satisfaction, will set it apart from competitors and ensure its success. We look forward to serving the needs of our clients and their families, and to making a positive impact on their lives.

Compassionate Care will also be committed to giving back to the community, by participating in volunteer and fundraising activities, and by supporting organizations that serve seniors and people with disabilities. Our goal is to be not only a trusted and respected provider of home care services, but also a responsible and engaged member of the community.

With this comprehensive business plan, we are confident that Compassionate Care will become a leading provider of non-medical home care services in the Dallas-Fort Worth area. We are eager to launch this business and to make a positive difference in the lives of our clients and the community.

How do I start a non-medical home care business?

To start an non-medical home care business, obtain the necessary licenses and certifications, establish legal and regulatory compliance, develop policies and procedures, hire qualified caregivers or nurses, establish relationships with healthcare providers, and create a marketing strategy to reach potential clients.

What types of non-medical home care services can I offer?

Non-medical home care services can include personal care assistance, medication management, medical monitoring, wound care, physical therapy, occupational therapy, speech therapy, respite care, and end-of-life care, among others.

How can I attract clients to my non-medical home care business?

To attract clients, establish relationships with hospitals, nursing homes, churches, and healthcare professionals for referrals, create a professional website with informative content, participate in local healthcare events or fairs, network with community organizations, and provide exceptional and compassionate care.

What legal and regulatory requirements do I need to comply with in the non-medical home care industry?

Legal and regulatory requirements in the non-medical home care industry can include obtaining proper licensing, complying with privacy regulations (such as HIPAA in the United States), following state and federal guidelines for caregiver qualifications, and adhering to safety and health regulations.

About the Author

Adam is the Co-founder of ProjectionHub which helps entrepreneurs create financial projections for potential investors, lenders and internal business planning. Since 2012, over 50,000 entrepreneurs from around the world have used ProjectionHub to help create financial projections.

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Home Care Business Plan Template Sample Page

Thank you for viewing our Home Care business plan template sample pages. This Home Care business plan was written specifically for the Home Care industry and contains a full table of contents, example text, red instructional text, and references. Use this business plan template as a basis/foundation to create your own business plan upon.

Please scroll down below to view sample pages of the exact Home Care business plan template you will be receiving.

Or Click here to learn more about this business plan template.

•   Home Care Business Plan Template (Microsoft Word)  –  $47.00
•   +Add Excel Worksheet (Recommended)  –  $35.00
•   +Add PowerPoint Template and 4 Funding eBooks  –  $65.00
•   +Add Business Startup, Finance, Marketing Documents 781 Templates  –  $185.00
•   +Add Operational, Employee and Policy and Procedure Templates  –  $35.00

Add these other Do-It-Yourself items as needed: (Financial worksheet in Excel is highly recommended)  

Home Care Business Financial Worksheet in Microsoft Excel an add-on option (highly recommended) to calculate your finances. Investors love numbers and this excel worksheet will allow you to enter financial data specific to your business to produce proforma financial statements for use in your business plan. These Excel worksheets (Set-up, Start-up, Sales, Headcount, Inventory, Operating Expenses, Capital Budget, Equity & Debt, and Amortization Schedule) contain instructions, questions for you to answer, and boxes (cells) for data entry. Cells in which you are to answer questions or enter data are yellow. Purple cells contain formulas that will be calculated automatically.

Business Funding Package an add-on option. (A must have if actively seeking investment) Includes a business Microsoft PowerPoint slideshow template “Pitch Deck” to show lenders and investors your concept at a glance. It includes 12 slides with instructional text for you to insert your specific business images and information into.

This funding package also includes the Funding eBook bundle to educate you on your funding options and how to best present your business concept. These 4 eBooks guide you through individual interventions, second-party arrangements, corporate funding options, government interventions, managing business cash flow, quick start funding overview, exit strategy, common mistakes to avoid when pitching your concept, and much more.

To learn more about this Home Care business plan template click here .

Business Startup and Raising Capital Document Templates to show investors that your business is prepared to launch. 195 Document Templates. Investors want to know you are prepared. Show them you are with these professional business documents. This 4 pack of business document templates covers includes documents such as: Business Plan Guidelines, Strategic Planning Checklist, Trend Analysis Checklist, Executive Summary Template, Market Study Outline, Business Analysis Worksheet, Board of Directors Documents, Confidentiality Agreements, General Administration, Basic Financial Checklist and much more 195 document templates in total.

Business Finance, Employment and Marketing Document Templates to show investors that you are prepared for operations and promotion. Investors want to know that you have a game plan moving forward in regards to finances, employees and marketing. This 4 pack of business document templates includes documents such as: Insurance, Investments, Investors Relations, Invoices and Billing, Loans and Borrowing, Compensation and Benefits, Contractors and Consultants, Employee Records, Employee Reference Letters, Firing and Termination, Addressing Complaints, Customer Relations, Market Analysis, Purchase orders and price quotes, Sales and Marketing Management, Affiliate Program Agreement and much more 586 document templates in total.

Business Operational Plan, Employee Handbook, and Policies and Procedures Templates:

Show your investor that you are ready to launch by completing these vital foundational documents prior to starting. They include:

Operational plan template for you to describe your business’s mission and operations, including information on your strategic content, company objectives, key performance indicators, key assumptions and risks, goals, and more.

Employee handbook template to create for your current or future employees explaining your policies and what you expect from them and what they should expect from you.

Policies and procedures template (an addition to your employee handbook) to communicate the culture of your business, your standards on employment, schedules, compensation, benefits, hiring policies, and other workplace policies to protect not just your business but also your employees.

*These are templates for you to complete as operations and employee requirements vary per business. Please view the sample pages below.

(Delivered in digital Microsoft Word format)

Click here to view more details of this Home Care business plan template.

Thank you once again for viewing our Home Care Business Plan Template Sample Pages. This template should best be used as a basis to create your own professional business plan with.

Unlike other on or offline business plan “software” that just inserts your information into a generic template this Home Care business plan template was written specifically from the ground up for the Home Care industry.

Home Care Business Plan Template

        You will have a clear, concise idea of what the business is about and how the founder and current president, [owner name], intends to start, grow and continue strong and steady growth.

        The purpose of a business plan is to create a plan, a blueprint or roadmap on paper to follow. It’s for you to really think through how your business will operate and about areas of the business you haven’t thought about. You’ll be most successful when you put in the effort and really THINK about it. Your goal is to develop a fairly simple plan first to start your Home Care Agency which often is enough for most small businesses getting started using their own capital. If you’re seeking one or more investors, a different, more comprehensive plan will serve you better with much more consideration in which case.

Executive Summary

        The Executive Summary is a summary of the highlights of your business plan. While it appears first in the layout of your plan, most find it easiest to complete the Executive Summary last. It should be succinct and no more than 2 pages.

Business Description

        The Business Description provides a complete overview about your business idea/concept/ service/ etc. It differs from the Executive Summary in that it goes into detail about the description. Challenge to yourself to truly THINK about what you see your business described as. Your business should be unique, differing from your competition. Describe who, what, why, where and how it’s different. Use the example to help get you started.

Your  Home Care

        provides  [medical / non-medical]  care services to  [elderly, disabled and people of all ages physical conditions and cognitive abilities]  who would like to remain living at home, yet require assistance with certain daily or weekly activities. Working closely with clients and their families we provide personalized assistance in client’s own home, the hospital, long-term assisted living facilities and other places of residence with things like:

Non-Medical Services

•  Warm Companionship
•  Meal Preparation
•  Incidental Transportation
•  Light Housekeeping
•  Errands & Shopping
•  Medication Reminders
•  Laundry & Linen Washing
•  Recreational Activities
•  Personal Hygiene & Dressing Assistance
•  Senior Information Resource
•  Alzheimer’s care / Dementia care
•  Respite Care

Home Health Care Services (Medical)

•  Professional Nursing
•  Personal care
•  Senior care
•  Pediatric nursing
•  IV therapy
•  Physical Therapy
•  Occupational Therapy
•  Speech Therapy

        To be known as the crème-de-la-crème of home care providers in our market, providing the very best, first-rate care to clients in our geographical market by employing only proven, hard-working, professional, honest, compassionate and ethical home care providers in the market who are dedicated provide outstanding home care services and improving the quality of clients’ lives.

        To assist every client with improving their quality of life, encouraging independence and allowing them to be comfortable with excellent care in their own homes by providing first-class, professional care with respect, dignity, compassion, the highest ethical standards and honor

Value Proposition

        What makes your home care agency services/products better than all the others? This shouldn’t be price – it will be difficult to defend and by differentiating yourself solely by price, it sets your business up as a commodity driven service – often suffering with poor service in lieu of charging a fair price for excellent services .

Industry Analysis

        What does the home care industry look like? Are there trends in your geographic area? What do your target clients buy, eat, education, income, habits, health levels, lifestyles, etc. The more detail you have the better your chances of success. This is an opportunity to find a specific niche that may be present in your own backyard. No example is provided in this area because you should know this. If you don’t – you need to do the homework to know and understand your market and the industry if you plan to enter it.

Competition

        Who are your competitors? Specifically, by name, location, age of the agency, what they specialize in and how they are different from you. What market share do they have? Are there any other service companies that could be considered competitors? (i/e: really inexpensive care homes, private caregiver market, etc). Even if there are no “direct” competitors, there will ALWAYS be some that are close

Marketing Strategies

        How will you get your product into the marketplace? Think of non-conventional (viral  Marketing) methods that are cheaper than traditional (TV, radio, print) and have a higher  Impact. Examples:

Networking –meeting people and creating the relationships with the many faces who refer clients to various home care service providers. By attending the opportunities for networking, meeting business leaders and more.

Online Promotions

          Website.   Develop an informative website and will include the website address in all online and offline marketing collateral.

          Press Releases.   Work with online press release distribution firms  to generate awareness of our services by issuing press releases to leading search engines and online news sites.

          Social Media Marketing.  Promote your agency on Facebook, Twitter, LinkedIn and other social media channels that may be frequented by your target market. All social sites will be used to generate a buzz about your services and build your agency’s image. The goal is solely to build connections with the health care industry and consumers and convince them to avail your services.

          E-mail Marketing.   Implement an e-mail marketing campaign to target local health care facilities and professionals that could provide client referrals to agency.

          E-mail Program.  Regularly distribute a newsletter to highlight new services, employees, agency certifications and home care industry news. Include links to lure subscribers to visit your website for further information.

Offline Promotions

• Cold Calls.   Develop a list of local health care facilities, senior organizations and social centers to cold call in an effort to gain client referrals.
• Brochures/Flyers.  Develop informational (postcard) brochures and flyers and distribute via a targeted direct mail campaign.
• Press Releases.   Share press releases highlighting news about our agency to print news outlets in our target area.
• Business Cards.  Distribute business cards in high-profile gatherings and share them indiscriminately to spread word of mouth regarding your services.
• Exhibitions.   Participate in health care industry trade shows and events hosted by senior organizations and other relevant industry events, workshops and seminars to generate buzz about your agency.
• Organization Affiliation  – Joining local and regional organizations like Health Care Industry Orgs, and Insurance company orgs.
• Public Speaking  – By speaking to organizations, senior centers, doctor, nurse and discharge planner meetings, etc. we’ll become seen as experts in our given niche. 

Business & Health Fairs – Attending and showing the presence at these shows brings more

  Barriers to Entry

        What will stop you from entering your market place? Regulations, competition, cost of entry, monopoly, syndication? Also, how will your setup your own barriers to entry for other potential entrants into the marketplace?

        State and county laws can thwart certain services from being provided by increasing the requirements and certification levels. Are there any present in your area? Maybe it’s obtaining the State Survey sign off or Medicare certification. List the obstacles that could keep you from getting started and growing.

Distribution Channel

        How will you get your services/product to your market? For example – if you cover 3 counties – how will you manage logistics? Who will provide the care? Who will do the follow up visits and ensure care quality? Will you team with another company that provides a complimentary business where you can team with one another?

Team Summary

        Often this can be the most important part of your business plan. Who else believes in the idea of you entering the home care industry and the experience of your team in the various areas?  (Technical, business, marketing, operations, HR, etc.)

Personnel Plan

        You will initially hire four staff members to manage the agency’s operations. Each hired staff member will meet the state of Colorado educational and training requirements. Additional recruiting will occur as the agency enters the expansion phase.

Organizational Hierarchy (example):

• CEO/ Administrative Director
• Administrative Assistant
• Home Care Aide  

        The  Administrative Director  will be responsible for planning, implementing, organizing, and developing in-home care services. This work includes, but is not limited to: operations administration, community/client education and staff supervision. This individual also will assume all social work services during the agency’s initial phase.

        The  Administrative Assistant  will perform routine clerical and organizational tasks. This individual will organize files, draft messages, schedule in-home care appointments and support other staff.

          Home Care Aides  will administer in-home client services. These individuals will assist with activities such as bathing and dressing, and will provide services such as light housekeeping, errand services, personal care and companionship.

  Financial Analysis

Insert all the financial projections and forecasts here. Cash flow, income statements,  balance sheet, as well as start-up income required. This is arguably the most important  part of your business plan, spend plenty of time on this and be able to justify any  assumptions.

SWOT Analysis

        S trengths  W eaknesses  O pportunities  T hreats

        Consider the conditions in which your service business will operate. What are your Strengths and Weaknesses? These are internal (team, company, service). Opportunities and threats are external (local, regional and national market place, trends, etc.)

• Comprehensive Home Care and Geriatric Services.   Custom home care and geriatric services aimed at enabling staff to deliver reliable, responsive care.
• Experienced, Well-Trained Staff.  Staff members will undergo initial and continuing education and training programs required by the home care industry.
• Long Operational Hours.   Provide service during normal business hours and also will be available for on-call emergencies 24 hours, seven days a week.
• Lack of Brand Identity and Image.  As a start-up business, currently lack a brand identity and image.  Will need adequate time to create awareness of your agency.
• Low Staffing Numbers.  Professionals hired to manage the agency’s initial operations will be experienced, yet you may not have enough staff to effectively cover the needs of the market. This could cause slow growth of your operation, which management could not afford.
• Small Marketing Budget.  A sizable marketing budget is required to get the most out of the agency’s initial launch. Anticipate needing a larger budget to make a substantial impact on the market.

Opportunities

• Growing Market.  The home care market is rapidly increasing which presents extensive opportunities for new agencies entering the sector.
• Aging Population.  As the U.S. population continues to age, the demand for personal home care and companionship is expected to significantly increase.
• Affordability and Comfort.  Home care services are less expensive than nursing homes and assisted living facilities. Studies show that most people would prefer to receive care in their own homes versus a facility or hospital.
• Expandable Business Model.  Home care agencies have the ability to expand into other markets as consumer needs grow.
• v   Local Competition.  Several local competitors have national, well-recognized and trusted brands.
• v   Professional Staff.  Recruiting, hiring and retaining quality, professional staff pose substantial risks. You will conduct extensive candidate research and background checks to eliminate some of the risks associated with employee recruitment and retention. Because studies predict patients will outnumber caregivers in the near future, you will need to position the agency as an attractive place to work with competitive and fair pay and benefits.
• v   Business Cash Flow and Funding.  While the owner is using personal cash flow to cover start-up expenses, continuing to maintain adequate cash flow and solicit funding from outside sources presents a challenge you must overcome to succeed.
• v   Regulatory Changes.  Federal health care laws like the Affordable Health Care Act and changes to Medicare and Medicaid payments can greatly affect your agency. In addition, state home care aide certification laws also could impact your business.

  Goals and Objectives

        What are your overall business goals? Your financials should include a lot of the income and expense goals. These goals/objectives are about identifying what you plan to accomplish with your business. It could be as simple as create a new career of owning a business or more in depth like using 10% of net profits going to a certain cause you believe in. The possibility of these things

Critical Success Factors

        What needs to be achieved that will enhance chances of your agency’s success? Identify what the possibility of these things happening are.

Exit Strategies

        How will you (or any investors) exit out of this project (if you want to) and make excellent return or to move onto your next “big idea”?

Future Developments

        What future plans do you have for your services (and products, if any)? As your company grows, what other plans do you have for your services? Do you want to grow into a regional or state-wide provider? Maybe you want to expand into medical and non-medical. The sky is the limit to what you’d like to do.

        Add any additional information here that may not fit into the sections above (quotes,  Recommendations, statistics, etc.). Your completed financials & projections should be included in the Financial Projections, however, you could place them in this section.

Home Care Business Plan 

This home care business plan sample is focused on the growing home care industry in Chicago, Illinois .  We hope this sample provides you with a brief foundation for starting your own home health care company.  Our home care business plan writers crafted this sample for your review.

EXECUTIVE SUMMARY

“3H Homecare Ltd.” (herein also referred to as “3H Homecare”, “3H – Chicago” and “the company”) was federally incorporated on January 21, 2023, in the city of Chicago, by Founders Mr. Justin Humprey  and Mr. Vincent Kent.  3H Homecare is in the process of purchasing a franchise of “3H Franchise Systems, LLC” for the Chicago Metropolitan Area.

This home healthcare business is the result of several years of close observation, as most people who become ill at home require extensive medical attention and care. This is all the more applicable for the elderly and those who cannot afford to commute to a medical facility.  The Founders are both medical graduates and experienced entrepreneurs with expertise working with marketing firms that deal with Fortune 500 companies. 

Personalized home care has become an important part of the American healthcare system, as it improves patients’ quality of life, and lowers overall healthcare costs. Personalized home care can aid in addressing some of the issues with the American healthcare system, such as overcrowded hospitals and lengthy wait times for various treatments. By providing care in the patient’s home, personalized home healthcare services can help free up hospital beds, reduce the overall burden on the healthcare system, and reduce the risk of hospital-acquired infections. All while maintaining the highest possible standard of care. 

To launch 3H – Chicago, the company is seeking a $198,400 loan to purchase the franchise, support leasehold improvements, supplies and for initial working capital. The repayment of the loan is ensured through the steady cash flow, which the business will generate over time, along with increased revenue. 

The company’s success will be driven by the Founders’ combined expertise and a unique blend of education and experience. 3H Homecare will offer personalized home care services across the Chicago Metropolitan Area, thus expanding the 3H brand to North America’s northernmost city. This business plan outlines the strategy for the long-term business development of 3H – Chicago, and the impact on the local community.

BUSINESS OVERVIEW

3H – Chicago will offer in-home care for patients within their private space, be it an independent or assisted living community. Furthermore, 3H Homecare will make a concerted effort to provide targeted care to seniors coping with dementia through evidence-based care. 

DementiaWise is 3H’s exclusive DementiaWise program, which has personal support workers who are specially trained to engage and enhance the lives of those with Alzheimer’s disease and other forms of dementia while providing support and education for friends and family members. 3H Homecare has a wide suite of in-home nurse assessments, customized care plans, and ongoing evaluations covered through this range of services provided by the company:

MISSION STATEMENT

Our mission is to offer seniors with quality and punctual in-home care, enabling them to maintain independent living in the comfort of their own homes. 

VISION STATEMENT

Our vision is to be the most trusted and dependable home care provider, delivering compassionate and personalized care to seniors in their homes. 

CORE VALUES

All business activities and decisions will be guided by the following core values:

Care like family

At 3H, every patient is treated with the same level of care as a family member. The company is dedicated to providing effective and efficient support to all patients, with highly trained staff available to respond to any concerns.

Serve passionately

3H has a highly skilled team that is passionate about providing the best possible care. The company follows a thorough recruitment and screening process to ensure compliance with American employment and labor laws.

Dignity matters

3H believes that every patient deserves to be treated with dignity and respect. The company provides customized care plans that prioritize patient privacy and dignity.

Be present and engaged

3H offers personalized care plans that are designed to meet the specific needs of each client. The experienced staff are equipped to handle medical emergencies and are available to assist families throughout the medical process.

Fun and engaging

3H’s programs are designed to engage patients in meaningful activities while providing medical aid. The company aims to make the medical process enjoyable and positive for both patients and their families. 

MARKET ANALYSIS

To support strategic planning along with the successful initiation of 3H across the Chicago region , this market analysis will provide insights into the current state and trends of the American home healthcare industry, as well as relevant government regulations and its competitive landscape.

Home Healthcare in the US

It is estimated that about 2 million Americans or 8% of the population aged 15 years and older have received some form of home care help to cope with a long‑term health condition, disability, or aging needs. However, a significant segment of the population still requires personalized medical aid and cannot reach a medical facility in time for any emergency.

Services that are provided at the patient’s bedside can often meet their health and support-related care needs. For example, formal care providers can provide services at home such as nursing care, physiotherapy, occupational or speech therapy, nutrition counseling, assistance with medical equipment or supplies, and personal or home support including bathing, housekeeping, and meal preparation. When professional home care services are offered, it can reduce the burden on family caregivers like relatives and friends, all while having a beneficial impact on society and the health care system.

Challenges in the home care Industry

The healthcare services offered in the US are primarily focused on its senior citizens and are intended to cater to their needs with timely medical aid and assistance.  However, home care for seniors in the US is a complex and challenging issue, with a number of factors contributing to its inadequacy. One of the primary challenges facing home care services is insufficient funding. Home care programs are often underfunded, which limits the number of caregivers and services available to seniors. This can result in long waitlists and limited availability for seniors who require assistance, leading to a decline in their quality of life. Besides that, home care services are not available 24/7, which can be problematic for seniors who require round-the-clock assistance. This can lead to seniors being unable to access the care they need when they need it, which can result in further health complications.

Another contributing factor to the inadequacy of home care for seniors is the inconsistent quality of care provided. The quality of home care services varies widely across different regions and providers, which can result in uneven access to care and inconsistent levels of service for seniors. This inconsistency can also lead to confusion and miscommunication, which can result in gaps in care and potentially dangerous situations for seniors. 

MARKET TRENDS   

The home healthcare market in the US is one of the fastest growing and largest segments of the healthcare sector. Current market trends in the American home healthcare sector include some of the following:

Technological developments: America’s home healthcare sector is benefiting from significant technological developments that allow patients to receive more individualized and effective treatments. Patients can receive care in the comfort of their own homes thanks to telehealth, remote monitoring, and other technological advances in home health care. America’s population is aging rapidly, and an increasing number of seniors require home health services. In the coming years, this trend is expected to continue to support the expansion of the home healthcare industry.

Shift to community-based care: There is a growing trend in the US toward community-based care, which places more emphasis on providing care in the home and community rather than in hospitals or other healthcare facilities. As more and more patients require care in their homes as a result, this is fueling the growth of the home healthcare industry.

Greater emphasis on wellness and prevention: America’s healthcare system is placing greater emphasis on wellness and prevention to keep people out of hospitals and in good health. As a result of this trend, which is driving growth in the home healthcare sector, more patients are seeking preventive and wellness care in their homes.

GOVERNMENT REGULATIONS

Home healthcare services are not publicly insured through the US Health Act in the same way as hospital and physician services. In America, most home and community care services are delivered by provincial, territorial, and municipal governments. The federal government provides funding support through transfer payments for health and social services. The federal government also delivers home care services to First Nations on-reserve and Inuit in designated communities, members of the armed forces and the RCMP, federal inmates, and eligible veterans. Health US is engaged in research and policy analysis on home and community care across the US.

FEDERAL REGULATIONS

The federal government of the US supports home healthcare services for seniors and other vulnerable groups through a variety of policies and programs. Among these measures and initiatives are:

US Health Transfer: Via the US Health Transfer, the federal government contributes money to the states and territories to support healthcare services, particularly home healthcare services.

Home care and community care: The federal government funds the states and territories’ provision of home care and community care services. These services could include, among others, nursing care, personal care, and respite care. This grant is intended to assist seniors and other people with chronic illnesses in receiving care in their homes and communities.

Assisted Living: The federal government funds assisted living programs, which are designed to help seniors who need some assistance with activities of daily living, such as getting dressed, bathing, and preparing meals. Seniors who wish to live independently in their own homes or in communal settings can do so with the aid of this support.

Aging in Place: The Aging in Place program offers financial support for house adaptations and modifications, such as wheelchair ramps, grab bars, and stair lifts, that can assist seniors in aging in place and maintaining their independence and safety in their own homes.

Long-Term Care: The federal government funds long-term care services, which may include nursing facility care, assisted living, and home care, among other things. These services are designed to assist seniors and other people with long-term care and support needs who have chronic health issues.

Palliative Care: To assist people with life-limiting illnesses and their families, the federal government funds palliative care programs, including home-based palliative care. Home and community care for Indigenous peoples: The federal government offers money to assist Indigenous communities in creating and implementing home and community care services that are sensitive to their cultural needs.

Mental health and addiction: The federal government offers funds to support home-based services as well as other mental health and addiction programs for those who are struggling with these problems.

The federal government’s policies and programs are generally geared toward assisting with the provision of home healthcare services for senior citizens and other vulnerable groups. In order to enhance independence, wellness, and quality of life, these policies and initiatives are designed to assist people in receiving care in their own homes and communities.

The Occupational Health and Safety Regulations require that in-home care providers ensure a safe working environment for their employees. The Criminal Code of US includes provisions related to abuse and neglect of vulnerable individuals receiving in-home care. It’s important to note that specific requirements may vary depending on where you live in the US and that many of these laws and regulations are also enforced at the provincial and territorial level. 

COMPETITIVE ANALYSIS

The American Home Healthcare Industry already has fairly reputed and well-known in-home care companies operating in and around the Chicago region. In order to establish and capture a share of the market, the company has conducted a competitive analysis to understand its primary local competitors to better differentiate 3H. 

PRODUCTS AND SERVICES

3H is a premier provider of in-home care with locations in the U.S. and US. 3H helps seniors live independently in their own homes. The company provides staff that can serve in any setting the patient calls home, whether a private home, assisted living community, or skilled care facility. 

Apart from personal care, which includes round-the-clock assistance with effective management of the individual’s personal space while providing care, along with transitional and coordinated care, which is to reduce one’s risk of hospital readmission.  At 3H, there are many steps in place to help people who have been in a hospital, a rehabilitation center, or a skilled nursing facility get back to their homes safely. Some of the services offered by 3H include:

Alzheimer’s Disease and Dementia Care 

Alzheimer’s disease and dementia care support is one of the key services that 3H -Chicago provides. The company is aware that people with dementia do well with regular routines and highly structured environments. Structured environments keep their minds active and spirits lifted, adding meaning and dignity to patients’ lives. 

In line with this, the team provides a wide range of services for people with dementia and their families. The experts at 3H construct an individual Structured Program Plan (ISPP) and the ISPP is regularly reassessed and updated. This provides patient’s families with a regular schedule of things to do that are both useful and fun. 

Respite Care Services  

Respite care for seniors provides temporary relief for primary caregivers who are supporting an elderly family member or loved one. Services offered can vary based on the specific needs of the senior and caregiver. At 3H, respite care services meet a broad range of situations including light housekeeping services, personal hygiene care, daily medical attention, personal care, medication management, meal preparation, transportation, company, light housekeeping, and skilled nursing care. Respite care providers develop a customized care plan based on the senior’s individual needs and preferences. It’s important to work with a reputable provider to ensure that the senior receives quality care while the caregiver takes a much-needed break.

Disability Management Services  

Disability management services offered by 3H aim to support individuals with disabilities. These services may include vocational rehabilitation, symptom and condition management, as well as additional wellness programs to help the individual manage their condition and prevent further complications. With the company’s disability management services, 3H Homecare helps patients to  be more independent, improve their quality of life, and make it easier for them to be a part of society.

COMPETITIVE ADVANTAGES 

The following competitive advantages will help differentiate the company from existing competition:

Rise in demand for in-home care: In the US, due to the rising economic growth, people are more interested in long-term health and wellness. Diabetes patients need devices to monitor their sugar level, check pregnancy, increase the demand of pregnancy strips, and monitor their blood pressure, resulting in increased demand for devices such as blood glucose monitors, sphygmomanometers, and others. Home healthcare management service helps manage chronic diseases such as diabetes, heart failure or chronic obstructive pulmonary disease (COPD), and cancer. 3H has a substantial amount of staff and experts within the team to meet the rising demand for in-home care. 

Convenience: In-home healthcare provides patients with the convenience of receiving medical care in the comfort of their own homes. This is especially important for older or disabled people who might have trouble getting to a hospital. With in-home healthcare, patients don’t have to go to hospitals or clinics, which can take time, be uncomfortable, or even be dangerous in some cases. By receiving care at home, patients can also maintain their daily routines and independence, which can improve their overall quality of life. 3H allows the patient to enjoy better convenience with customized care plans to meet the patient’s and their family members needs. 

KEY SUCCESS FACTORS

Though the in-home healthcare market is fairly competitive, the company has an opportunity to infiltrate the local market by investing in the following key success factors:

Quality of Care: Providing high-quality care to patients is essential for any new entrant in the in-home healthcare industry. Patients and their families will expect the same level of care and attention from new providers as they receive from established players. 3H is able to ensure that the care provided to patients will be of the highest standards and not compromised in any way or form. 

Innovative Services: Offering innovative and unique services that address unmet needs in the market is how 3H chooses to stand out from its competition. For example, the company offers specialized care for patients with specific conditions, or using advanced technology to provide remote monitoring and virtual care.

Cost-Effective Solutions: The company’s cost-effective solutions for patients and their families is by far the most significant differentiator in the in-home healthcare industry. This involves finding ways to reduce costs without compromising on the quality of care, or developing innovative financing models that make in-home healthcare more accessible.

Regulatory Compliance: Compliance with relevant regulations and licensing requirements is essential for all new entrants in the in-home healthcare industry. This includes ensuring that all caregivers and staff are properly licensed and trained, and that all services and treatments are provided in accordance with relevant regulations and standards.

Partnerships and Collaborations: By developing partnerships and collaborations with other healthcare providers and organizations, 3H is able to effectively advance ahead in this industry. 

Technology: 3H is aware that technology plays a vital role in the in-home healthcare industry, and it has made it an essential component to invest in for all the latest tools and systems thus ensuring that there is efficient and effective delivery of care. 

SALES AND MARKETING PLAN

The sales and marketing plan outlines 3H’s approach to reaching its target customer base and growing as an in-home healthcare service. This section examines the key channels the company will use to promote its services. Additionally, the plan will identify the strengths and weaknesses of the company, opportunities for growth and expansion, and potential threats that could impact business operations.

TARGET CUSTOMERS AND CHANNELS

3H has identified its target customers as seniors and disabled people who are seeking in-home and personalized care. This section reviews the key customer demographics, channels, and the strategies that will be used to attract and retain customers.

According to the American Institute for Health Information (AIHI), there were 2.2 million seniors (aged 65 and older) in the US in 2019 who reported having at least one chronic health condition that required ongoing support. This represents approximately 54% of the senior population in the US.

While not all seniors who have chronic health conditions require in-home healthcare support, many may benefit from some level of home-based care to manage their conditions and maintain their independence. The need for in-home healthcare support can vary depending on the senior’s health status, functional abilities, and social support network.

It’s important to note that the demand for in-home healthcare support is expected to grow in the coming years as the senior population in the US continues to increase. By 2031, it’s estimated that seniors will make up 23% of the American population, up from 17% in 2019. As such, there will likely be an increasing need for in-home healthcare support to meet the healthcare needs of this growing demographic.

Key Channels:

Reaching senior citizens in the US requires a targeted approach, as this demographic group has different media consumption habits and preferences than younger age groups. The following channels have been identified to effectively reach seniors in the Chicago Metropolitan Area.

Television: Television remains a popular medium among senior citizens in the US, with many seniors watching news, sports, and entertainment programs. Advertisements on local TV channels, particularly during primetime hours, may be an effective way to reach this demographic.

Print Media: Print media, such as newspapers and magazines, are still widely read by seniors in the US. Advertisements in local or national publications that cater to seniors, such as Seniors’ Guide or Zoomer Magazine, can help to reach this demographic.

Radio: Radio is a popular medium for seniors in the US, particularly for news, talk shows, and music programs. Advertisements on local radio stations that cater to seniors or offer relevant programming can be an effective way to reach this demographic.

Direct Mail: Direct mail can be an effective way to reach seniors in the US, as many still prefer physical mail and may not be as active online as younger demographics. Direct mail campaigns targeted at senior housing communities, assisted living facilities, and retirement homes can help to reach this demographic.

Social Media: While not as popular among seniors as among younger demographics, social media is still a growing medium for seniors in the US. Facebook and LinkedIn, in particular, have a large user base of seniors. Targeted social media advertising or organic content that caters to seniors may be effective in reaching this demographic.

Community events: Participating in community events or sponsoring events that cater to seniors can be an effective way to reach this demographic. Examples include senior center activities, health fairs, and caregiver support groups.

Referral marketing: Word-of-mouth referrals are important for seniors in the US when choosing healthcare services. Building relationships with healthcare providers, senior organizations, and community leaders can help to generate referrals and increase brand awareness among this demographic.

DISABLED PEOPLE

Since disabled people frequently have complex healthcare needs that call for continuing support and assistance, they represent a crucial target market for in-home tailored care. Disabled individuals may receive a variety of services including personalized services that are tailored to their specific needs, maintaining their independence, addressing their health problems, and improving their quality of life. Because of their physical restrictions, disabled people are a primary target market for in-home patient assessment. People with disabilities can keep their freedom and quality of life with the support of this service. Disability-specific health needs can be met by the individualized care plans provided by in-home tailored care, ensuring that handicapped people get the care they require to properly manage their diseases.

For disabled people, accessibility is another aspect that emphasizes the value of in-home personalized care. While seeking healthcare outside the house, they could encounter accessibility challenges related to transportation or physical accessibility. Assuring that individuals receive the care they require in a way that suits them, in-home tailored care can offer healthcare services in the privacy of their own homes.

The following channels have been identified to reach people of disabilities in the Chicago Metropolitan Area: 

Referrals from healthcare professionals: Healthcare professionals, such as doctors, nurses, and social workers, can play a critical role in connecting disabled individuals with in-home healthcare services. They can assess the individual’s needs and make referrals to appropriate providers. For example, a doctor may refer a patient who needs skilled nursing care to a home health agency that provides nursing services.

Word of mouth: Word of mouth referrals can be a powerful way to reach disabled individuals with in-home healthcare services. This can include referrals from family members, friends, and other acquaintances who have experience with in-home healthcare services. Providers can encourage satisfied clients and their families to refer others in need of similar services.

Online directories and search engines: In-home healthcare service providers often have websites and can be found through online directories and search engines such as Google. These resources can be used to find providers in a specific geographic location or who specialize in a particular type of care.

Social media: Social media platforms like Facebook, Twitter, and LinkedIn can be used to promote in-home healthcare services to people with disabilities and their caregivers. Providers can share information about their services and post testimonials from satisfied clients. They can also use social media to engage with potential clients and answer questions about their services.

Local community organizations: Local community organizations, such as disability advocacy groups, can be a valuable resource for connecting disabled individuals with in-home healthcare services. These organizations may have information about local providers and can make referrals to appropriate services.

PATIENTS AND FAMILIES OF PATIENTS

One of the primary target markets for 3H includes the patients and their families as they are the ones who will mostly opt for in-home care services. This can be in the form of medicine management and physical therapy. 

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KEY PERFORMANCE INDICATORS

• Average service value per customer
• Customer lifetime value
• Gross margin 
• Net profit margin 
• Maintain positive cash flow throughout the year

Human Resources

• Annual employee satisfaction rate of 90%
• Annual employee retention rate of 95%
• Fill vacancy within 30 days
• Provide at least 50 hours of training and development per employee per year
• Maintain a diverse and inclusive workforce

Marketing and Advertising

• Increase website traffic by 5% monthly
• Maintain a net promoter score of above 70
• Increase social media following by 10% year-on-year on all major platforms
• Secure at least 30 positive media mentions or features per quarter

SWOT ANALYSIS

• Innovative and technologically advanced platform that offers personalized and on-demand home care services
• Multi-channel marketing strategy that targets various stakeholders involved in the care process
• Diversified revenue streams with B2C, B2B, and B2G approaches
• Attractive compensation model for PSWs, with the lowest commission rate in the market
• Limited brand recognition and market presence compared to established competitors
• Dependence on the availability of qualified and reliable PSWs
• Limited financial resources, which may impact the company’s ability to invest in growth initiatives and compete with larger players
• Difficulty in scaling and maintaining quality control as the company grows.

Opportunities

• Growing demand for home care services due to the aging population and preference for in-home care.
• Expansion opportunities into other American states and potentially other countries
• Increasing acceptance and utilization of technology-based healthcare services
• Partnership and collaboration opportunities with hospitals, clinics, and insurance providers
• Intense competition from established home care agencies
• Economic downturns or financial instability that could lead to a decrease in demand for home care services
• Changes in regulations and licensing requirements that may impact operations or increase costs
• Cybersecurity threats and risks associated with storing sensitive patient information

OPERATIONAL PLAN

Illinois has a robust health and safety system that is overseen by the Illinois Occupational Health and Safety (OHS) department. The department’s mandate is to ensure the health and safety of workers by setting and enforcing workplace safety standards and providing training and education on occupational health and safety.

Illinois also has a public healthcare system that provides medical services to all its residents, regardless of their ability to pay. The Illinois Health Services is responsible for the delivery of healthcare services across the state. The AHS provides a range of healthcare services, including hospitals, clinics, and specialized healthcare services.

It’s important to note that the COVID-19 pandemic has had a significant impact on the health and safety conditions in Illinois, as it has in many other regions around the world. The Illinois government has implemented various measures to help curb the spread of the virus, including mask mandates, social distancing requirements, and vaccination campaigns.

Some general considerations and key factors that make a particular area a good target for marketing in-home healthcare services, and in this case, the 3H in-home healthcare services include:

• Places with a high rate of disability may also be a good target for in-home healthcare services. Disabilities can range from physical limitations to cognitive and developmental disabilities, and individuals with disabilities may require assistance with daily activities or medical care.
• Those places with high rates of chronic conditions such as diabetes, heart disease, or respiratory illness may be a good target for in-home healthcare services. Individuals with chronic conditions often require ongoing medical management and support, which can be provided in the home setting.
• If a place has a particular growing population it may also be a good target for in-home healthcare services. As the population grows, the demand for healthcare services is likely to increase, including the demand for in-home healthcare services.
• A n area with a supportive healthcare infrastructure may also be a good target for in-home healthcare services. This may include hospitals, clinics, and other healthcare providers that can refer patients to in-home healthcare services and collaborate with in-home healthcare providers to provide coordinated care.

Based on these factors, the Chicago Metropolitan Area in Illinois may be a good target for marketing in-home healthcare services if it has a higher proportion of elderly residents or individuals with disabilities, a high rate of chronic conditions, a growing population, and a supportive healthcare infrastructure. There are 1,010,895 residents in Chicago, with an average age of 38.4. Males make up 49.8% of the population, while females account for 50.2%. Locals under 14 years old represent the largest age group in Chicago (184,115 individuals), followed by those aged 25 to 34 (165,490 people). 

RISK ANALYSIS

Shortage of Qualified staff

Description: 3H ensures that success relies on having a dependable and competent workforce of qualified staff.  Failure to recruit enough care providers could result in service disruptions, decreased customer satisfaction and loss of revenue.

Mitigation Plan: In addition to offering a competitive compensation plan, the company will utilize multiple recruitment channels, such as job posting websites, social media platforms, and referral programs, to reach a wider pool of potential care-givers.

Legal and Regulatory Compliance

Description: 3H  is subject to various regulations and legal requirements, including licensing and certification requirements, as well as compliance with health privacy laws and regulations. Failing to comply with these regulations could result in fines, penalties, legal action, and damage to the company’s reputation.

Mitigation Plan: The company will hire legal consultants to ensure compliance with applicable laws and regulations, and regularly review and update the company’s policies and procedures. 3H will always invest in training and development to ensure that the contractors remain aware of and adhere to legal and ethical standards.

Data Breaches

Description: A data breach could have severe consequences for the company. This can potentially compromise the sensitive personal and medical information of patients and PSWs. This could lead to a loss of trust from customers, legal and financial penalties, and significant reputational damage.

Mitigation Plan: The company will implement robust security measures to protect patient data, including encryption, firewalls, and regular security audits. The company will also provide training to employees on data security best practices and establish an incident response plan in case of a breach. 

MANAGEMENT TEAM

The following organizational structure outlines the companies’ coordination system:

Justin Humprey

As a Bachelor of Physiotherapy with decades of experience working with marketing firms that deal with fortune 500 companies, Justin Humprey brings a unique perspective and skill set to the table. His experience in the health industry, combined with his business acumen, makes him an ideal candidate for this opportunity.

Justin’s leadership and mentoring skills are demonstrated through his prior roles as a Field Support Team Lead, District Team Lead, and Store Manager at OSL Retail Services Inc. He provided comprehensive support to stores, coached teams, performed audit checks, and ensured exceptional customer service. His ability to manage cash, staff, and merchandise is a testament to his strong work ethic and attention to detail.

Moreover, Justin has owned RS All Day Grill since June 2021, demonstrating his franchising experience. He supervised staff, maintained inventory, and ensured a clean, friendly, and hygienic sales environment in his prior roles as an Assistant Manager at Mac’s Convenience Store and Subway US, Brantford. These experiences highlight his proficiency in promotions and advertising skills.

Justin’s diverse skill set and experience make him a valuable asset to any organization. He is proficient in Microsoft Office, Adobe Products, Windows, and Outlook, which enables him to work efficiently and effectively. His positive and professional attitude towards coworkers and customers, combined with his self-motivation and ability to prioritize effectively, makes him a quick learner and a valuable addition to any team.

In summary, Justin’s combination of health professional background, business experience, leadership, and mentoring skills, make him uniquely qualified for this opportunity.

Vincent Kent

Vincent Kent’s combination of education and work experience makes him uniquely qualified for this opportunity in the home health care business. As a Bachelor of Dentist, Vincent possesses a unique perspective and understanding of the healthcare industry, while his experience running a franchise business and currently operating a full-service restaurant with 15+ staff and hundreds of daily satisfied customers showcases his business acumen and leadership abilities.

Vincent is a detail-oriented professional who has demonstrated his competence in managing cash, staff, and merchandise. He is fluent in English, Hindi, and Gujarati, allowing him to interact effectively with a diverse customer base. Vincent is a team player, always willing to take on new challenges and learn new skills, which is evident in his proficiency in Microsoft Office, Adobe Products, and both Windows and Macintosh systems.

Vincent’s prior experience as a General Manager at Bar Burrito and RS All Day Grill highlights his ability to train and educate staff, manage inventory and costs, and implement promotions to attract new customers. He is experienced in ensuring compliance with operational and brand standards while providing excellent customer service and resolving complaints.

Moreover, Vincent’s role as a Customer Service Manager at Walmart demonstrates his ability to resolve issues related to Admatch, pricing errors, and product returns and refunds. He created a friendly work environment for associates, provided training to cashiers, and maintained clean and safe surroundings for customers. Vincent’s effective communication with higher management to resolve issues is also noteworthy.

Vincent completed his education at Loyola University in Chicago, Illinois, where he studied American health care from 2016 to 2018. He also holds a Bachelor of Dental Surgery from Ahmedabad Dental College in Ahmedabad, Gujarat, India, which he completed in 2014. Vincent’s diverse educational background and work experience make him uniquely qualified for this opportunity, and his positive attitude and ability to set effective priorities are assets that will undoubtedly contribute to the success of any organization.

EMPLOYEE RECRUITMENT PLAN

The overall details of the 3H positions required in the next 3 years with their pay per hour as well as their responsibilities are:

FINANCIAL PLAN

The following financial projections have been carefully crafted by the management team of 3H Homecare Ltd. All projections are forward-looking and are dependent on securing the required financing. It is the audience’s responsibility to conduct all necessary due diligence.

Pro Forma Income Statement

Pro Forma Cash Flow Statement

Pro Forma Balance Sheet

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Domiciliary Care Business Plan

Your domiciliary care business plan sets out your business goals and how you will achieve them. It helps you to secure investor funding and guides you through each stage of your business journey. You should update your business plan every year as your goals will change as you progress.  

This article will explain why you need a domiciliary care agency business plan and demonstrate how to create one.  A sample business plan for a home care agency is included for you to use for reference.   

Please note that this article is written with England based providers in mind and therefore references the CQC as the regulatory body. Nevertheless, the principles outlined here will broadly apply to providers in other regions.   

by Clement Lim

Writer on Health and Social Care

Posted 02/09/2024

Why you need a domiciliary care business plan 

These are the key reasons why you need a business plan for your domiciliary care service: 

To assess the feasibility of your business 

Before you go ahead with your care business, you need to research your target market, industry trends, and competition to determine if your business has a realistic chance of long-term success. This will also allow you to identify potential issues early on, to develop strategies to deal with them in advance.  

To document your revenue model 

You need to know how your business will make money. Setting out your revenue model allows you to understand your expenses and how you will generate revenue to cover them. By calculating how you will make a profit, you can assess the viability and scalability of your business.  

To position your brand against your competitors 

Understanding your competition is vital when starting a business. By doing competitor research you can evaluate your competitors’ weak areas and plan what you can do to set yourself apart and stand out as a compelling alternative. This will allow you to articulate your brand positioning in a way that sets you up for success. 

To create your marketing strategy 

Evaluate the prevailing trends in domiciliary care. Work out who your target customers are and whether the market for your services is growing or shrinking. Understand your customers’ precise needs, to allow you to create better services for them. Decide the most cost-effective way to reach your customers. 

To create a roadmap for your business 

One of the most common reasons for business failure is lack of planning. A roadmap allows you to set, track and reach business milestones. Start by outlining your short long-term goals. Next, detail the specific steps needed to meet each goal. This ensures that you can stay on track and measure your progress along the way. 

To comply with the CQC 

The CQC (Care Quality Commission) require all care providers submit a business plan as part of their application to register with the CQC . The CQC needs to verify that you have the practical, material and financial resources to deliver care services that meet their quality standards. 

Business plan for domiciliary care 

Your domiciliary care business plan is an important strategic document that serves as a roadmap for business growth, a vision for success and an instrument for securing investment. Although there is no standard required format, a home care business plan should contain the following sections: 

Executive summary  

The executive summary is an overview of your business. Here you should highlight the key points that will be covered in more detail in your business plan. Be concise and clear to capture and retain the interest of potential investors and partners.  

Make sure you include: 

• What services you plan to offer 
• Who your target market is 
• How you will operate and structure your business 

You should also include: 

• Your business vision: Describe your future goals. This is important to inspire the leadership and employees to strive for excellence by giving a purpose and meaning to your organisation.  
• Your mission statement: Describe what you’re doing in the present. Set out what you want to achieve, who you want to support, and why you want to support them.  

Company description 

State why you want to create the business, the problems you aim to solve, and your unique selling propositions (USPs). Describe your experience and track record in the care sector to lend credibility to your statements and assure potential investors. 

• Give basic details about your business: 
• Business name 
• Legal structure (sole proprietorship, partnership, limited company) 
• Ownership and management team (with experience and qualifications) 
• Business location and areas you intend to serve 

Services provided 

List the services you will be providing, for example: 

• Personal care: e.g. bathing, dressing, eating. 
• Domestic support: e.g. cooking, cleaning, laundry. 
• Companionship and social care: e.g. conversation, social activities, emotional support. 
• Specialist care: e.g. dementia care, stroke care, disability support. 
• Respite care for family carers 

For each service, outline:  

• Booking options: e.g. in person, phone, or online. 
• Scheduling options: e.g. 30-minute appointments, eight-hour shifts, or 24-hour live-in care. 
• Charging options : e.g. payment plans, contracts, or pay-as-you-go hourly billing. 
• Payment options: e.g. cash, direct debit, or credit card. 
• Legal and insurance requirements: e.g. CQC registration, staff qualifications, and insurance policies. 
• Policies and procedures: e.g. grievance policy, confidentiality policy, and harassment policy. 

Market research 

Overview of uk domiciliary care market .

Analyse the current UK domiciliary care market, particularly predictions for growth and industry forecasts. Look at the latest industry reports about market trends and use the data to justify your choice of services. 

Analysis of your local market 

Study your local market by researching online or speaking to your local community. Identify the demand for home care services in your local area, considering the size of the aging population and their specific needs. Highlight gaps in the market that you are equipped to fill.  

Competitor analysis 

There are two types of competitors: direct competitors (other domiciliary care providers) and indirect competitors (residential care homes or nursing homes). You can find your competitors by searching online and looking out for adverts in local media, billboards or branded vehicles. 

Thoroughly research your competition to identify their strengths and weaknesses to identify where you can position yourself to stand out. Consider what services aren’t currently available, what price points aren’t catered for, and what customer needs aren’t being met. 

Target audience 

Clearly define your target audience, including their needs and preferences. Consider their demographics such as age, location, lifestyle, medical conditions, and cultural backgrounds. This information will enable you to customize your services and marketing to attract and retain your target demographic. 

Marketing strategy 

Outline how you will promote your services and engage potential customers, including: 

• Branding : Logo, colours and key messages. 
• Marketing channels: Local newspapers, radio, website, and social media. 
• Networking opportunities: Partnerships with local care associations, healthcare providers, and community groups. 
• Customer acquisition strategies: Referrals, word of mouth, content marketing, and paid ads. 
• Customer retention: Exceptional care quality, regular communication, and relationship building. 

Management structure 

Your management team are the heart of your business. Showing that you have the right team with the right background and skills will establish that you are able to deliver high quality care to your chosen customer base.  

Introduce the key members of your management team, setting out their roles, expertise, achievements and qualifications. Highlight any special qualities they have that will enable you to serve your target audience and cater to their individual needs.  

Financial forecast 

A financial forecast is vital to show that your domiciliary care business is viable and sustainable. It demonstrates your ability to plan and manage your finances. A financial forecast is also needed to attract funding from investors or lenders.  

If you’re starting a business, you won’t have historical data about your finances. Instead, do market research and use publicly available data to guide your forecast. 

Your financial forecast should cover a period of at least two years and should have the following three components: 

• Cash flow statement: The cash inflows and outflows for your business. This measures how well your business generates cash to fund operating expenses and pay your debts. 
• Income statement : Your business’s revenue, expenses, gains and losses. This measures how efficient your operations are and your performance relative to your peers. 
• Balance sheet: Your business’s assets, liabilities and shareholder equity. This measures how effectively you manage your financial resources. 

Sample business plan for domiciliary care agency 

The following domiciliary care agency plan sample for a fictional agency is intended to give you an idea of how a real business plan might look. The main structure is set out in full, although the finer details have been omitted for the sake of brevity. 

Executive Summary 

Objectives 

Homecare Ltd is a new limited company which will provide domiciliary care services in Kings Oak. 

Who we are 

A domiciliary care provider serving the private market and socially funded care market. We will open our first office in Kings Oak, with subsequent offices to open in Walford and Holby.  

What we sell 

Homecare Ltd provides a range of high-quality domiciliary care services including: 

• Food and drink preparation 
• Shopping support 
• Respite services 

Who we sell to 

We sell our services to: 

• Dementia & Alzheimer’s patients 
• Disabled at home 

Company overview 

Homecare Ltd will provide exceptional domiciliary care services to the growth market around Kings Oak. The business will then expand to place offices in Walford and Holby, both areas with growth potential. 

Management team 

Homecare Ltd is run by David Smith and Susan Smith, both highly experienced care professionals. 

The directors previously worked for ABC Care Ltd providing domiciliary care services. This has provided them with both relevant experience and practical knowledge of the sector. 

Products and services 

Domiciliary care is an alternative to residential care or sheltered housing, one that offers more privacy and independence. 

Competitors 

The level of competition in Kings Oak is low, and there is a big opportunity for a well- structured domiciliary care provider. There is demand from local authorities for new providers to cater for an aging population. 

Market overview 

The latest UKHCA report shows there is a growing need for care in Kings Oak. The few independent providers currently operating are small and not professionally operated. There is an opportunity for a well-structured domiciliary care provider run by experienced industry professionals. 

Market needs 

Current projections by the UK government suggest that the population of Kings Oak will rise over the nest 10 years, with the number of people aged 65 and over increasing by 60%. 

The recent report from Alzheimer’s Society highlights the growth of Alzheimer's across the UK, driving the need for care for those afflicted. 

A recent BBC report highlighted the growing need for dementia care, calling it a global epidemic that is fast becoming the social care challenge of this generation.  

Increasing demand 

According to the charity Carers UK, around 16.1 million people have been or are an unpaid carer. Of these 62% said they had no choice, the equivalent to 10 million adult unpaid carers.  

According to the charity Age UK, increasing residential care home fees could result in increased demand for home care services. The typical fee for a residential care home now exceeds the amount many local authorities are willing to pay for care. 

The directors of Homecare Ltd are David Smith and Susan Smith. 

David Smith 

David worked in corporate banking before moving to ABC Care Ltd where oversaw their domiciliary care services. 

As a director of ABC Care Ltd, David had responsibility for: 

• Quality inspection 
• Risk management 
• Regulatory relationship management 
• Incident management 
• Health and safety 

Susan Smith 

Susan Smith worked as an NHS nurse before moving to ABC Care Ltd where she managed domiciliary care services. 

As a director of ABC Care Ltd, Susan has extensive experience of: 

• Day-to-day running of a care business 
• Hitting sales targets while working to budget 
• Operating quality control systems 
• Implementing complaints procedures 
• Overseeing growth and development of the business 

Cash flow statement 

Income statement

Balance sheet

Software solutions for domiciliary care 

Your domiciliary care business plan is the roadmap for your success. As your business grows the right software solution will help you make proactive, data-driven decisions to enhance the quality of your service and achieve your goals. 

At Access we have been creating software solutions for the care industry over the last 30 years. We currently work with over 11,000 registered care locations in the UK. 

Our comprehensive suite of home care management software collects all the domiciliary solutions you need in one place. 

• Care planning and delivery: Electronic management of care planning and delivery with care plans, forms, visit logs, eMAR, call monitoring, and mobile app. 
• Scheduling and employee management: Create and template schedules, match carer skills to client preferences, reconcile payroll with hours worked, and calculate travel expenses with Google Maps. 
• Electronic MAR (eMAR): Provide carers the medical information they need on their mobile app, require carers to record medicines as given or skipped, and reduce medicine-related regulatory risks. 
• Electronic call monitoring: Evidence correct visit time and length and alert care coordinators with late and missed visits, all with online and offline functionality. 
• Audits and mock inspections: Access complete library of service audits, conduct mock CQC inspections, create action plans to address uncovered issues. 
• Comprehensive care training : Interactive courses available online and on mobile, reports on individual and team progress, and comply with regulatory and legal training requirements. 
• Virtual competency assessment: Courses for domiciliary and community care, realistic virtual care scenarios, all designed to meet regulatory requirements.  
• Policies, procedures and compliance documentation: Comprehensive policies and procedures for regulatory compliance, regularly updated to reflect the latest regulatory changes, accessible on browser-based app. 

We also offer a range of software packages for home care start-ups . 

To find out more about the home care management software we offer at Access, contact us here to discuss your needs or book a demo .  

By Clement Lim

Clement is a Writer on Health and Social Care for the Access Group's HSC team. With a background in journalism and law, Clement's expertise is in creating well-researched, informative and engaging content.

Clement's wide-ranging experience as a writer for the tech sector allows him to present complex material in an accessible, easily digestible format.

Bayada Home Health Care Sued Over Fees in Worker 401(k) Plan (1)

By Jacklyn Wille

Two Bayada Home Health Care Inc. employees filed a proposed class action saying their $342 million retirement plan charges high fees while offering poorly performing and pricey investment funds.

Bayada’s retirement plan committee failed to switch out expensive mutual funds with cheaper versions of the same investments, the employees said in a complaint filed Monday in the US District Court for the Western District of North Carolina. The committee also used a revenue sharing arrangement that allowed plan service providers to receive excessive fees that increased over time without a corresponding increase in services, the employees said.

The plaintiffs, Donna ...

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Senate committee to vote to hold steward health care ceo in contempt.

Steve Leblanc

Associated Press

Copyright 2024 The Associated Press. All rights reserved

Sen. Bernie Sanders, I-Vt., speaks during a Senate Health, Education, Labor, and Pensions hearing to examine the bankruptcy of Steward Health Care on Thursday, Sept. 12, 2024 on Capitol Hill in Washington. (AP Photo/Kevin Wolf)

BOSTON – Members of a Senate committee looking into the Steward Health Care bankruptcy said they plan to adopt two resolutions next week to hold Steward CEO Ralph de la Torre in contempt — one for civil enforcement and another for certification to the United States Attorney for criminal contempt — after he refused to attend a U.S. Senate hearing Thursday despite being issued a subpoena.

If approved, both resolutions will go to the full Senate for a vote.

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The first resolution instructs the Senate legal counsel to bring a civil suit requiring de la Torre to testify before the Senate Health, Education, Labor and Pensions Committee. The criminal contempt resolution would refer the matter to the U.S. Attorney for the District of Columbia to criminally prosecute de la Torre for failing to comply with the subpoena.

“We were hopeful that Dr. de la Torre would comply with our bipartisan subpoena and appear before the committee to testify to the harm Steward has caused to patients, health care workers, and the communities in which they live," said Vermont U.S. Sen. Bernie Sanders, the committee's chair.

“Unfortunately, we have no choice but to move forward and pursue both civil enforcement of the subpoena and criminal charges against Dr. de la Torre," he added.

In a written statement, Steward defended de la Torre's decision not to attend the hearing and to again ask that it be rescheduled, saying that not only is it inappropriate for him to testify about Steward’s bankruptcy while those proceedings are ongoing but that he's also banned by a federal court from doing so.

“The Committee continues to ignore the fact that there is an ongoing settlement effort underway with all interested parties that paves the way to keep all of Steward’s remaining hospitals open and preserve jobs,” the statement said. “Dr. de la Torre will not do anything that could jeopardize this effort.”

The announcement of next week's planned vote following a hearing into Steward.

Sanders said de la Torre and his Texas-based Steward, which operated about 30 hospitals nationwide and filed for bankruptcy in May , is a prime example what happens when private equity investors purchase hospitals, strip their assets and saddle them with debt they can never pay back.

“Dr. de la Torre became obscenely wealthy by loading up hospitals from Massachusetts to Arizona with billions of dollars in debt and selling the land underneath these hospitals to real estate executives,” Sanders said.

Steward has been working to sell its more than a half-dozen hospitals in Massachusetts but received inadequate bids for two other hospitals — Carney Hospital in Boston and Nashoba Valley Medical Center in the town of Ayer — both of which have closed as a result.

A federal bankruptcy court last week approved the sale of Steward’s other Massachusetts hospitals.

Steward has also shut down pediatric wards in Massachusetts and Louisiana, closed neonatal units in Florida and Texas, and eliminated maternity services at a hospital in Florida.

At the same time, de la Torre has reaped hundreds of millions of dollars personally and bought a $40 million yacht and a $15 million luxury fishing boat, Sanders said.

Ellen MacInnis, a nurse at St. Elizabeth’s Medical Center in Boston, testified at the hearing that under Steward management, patients were subjected to preventable harm and even death, particularly in understaffed emergency departments.

One 81-year-old man who came in for chemotherapy for his pancreatic cancer died before staff could get to him, according to MacInnis, who said there were 95 patients in the emergency department on that shift but only 11 nurses.

She said there were other nights when emergency room staff didn’t have Similac, Pedialyte or even diapers and were forced to run out to a 24-hour store to get supplies. She also said there was a time when Steward failed to pay a vendor who supplied bereavement boxes for the remains of newborn babies who had died and had to be transported to the morgue.

“Nurses were forced to put babies' remains in cardboard shipping boxes," she said. “These nurses put their own money together and went to Amazon and bought the bereavement boxes.”

MacInnis also pointed to the death of a 39-year-old woman who had a normal childbirth but was bleeding and might have been saved by a device called an embolization coil, but there hadn't been any in the hospital because they had been repossessed by the vendor.

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