business plan home health agency

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.

Download the Ultimate Business Plan Template

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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How To Write a Winning Non-Medical Home Care Business Plan + Template

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Home Health Agency

Back to All Business Ideas

13 Steps to Start a Successful Home Healthcare Agency

Written by: Carolyn Young

Carolyn Young is a business writer who focuses on entrepreneurial concepts and the business formation. She has over 25 years of experience in business roles, and has authored several entrepreneurship textbooks.

Edited by: David Lepeska

David has been writing and learning about business, finance and globalization for a quarter-century, starting with a small New York consulting firm in the 1990s.

Published on November 18, 2021

Investment range

$2,250 - $11,500

Revenue potential

$52,000 - $260,000 p.a.

Time to build

0 – 3 Months

Profit potential

$47,000 - $78,000 p.a.

Industry trend

Consider these crucial factors when launching your home health agency:

• Licenses and certifications — Get the necessary licenses to operate a home health agency in your state. Requirements vary by state, so check with your state’s health department or regulatory agency. Also, get a certification to provide services reimbursable by Medicare and Medicaid . Consider obtaining accreditation from organizations such as The Joint Commission or the Community Health Accreditation Partner (CHAP) to enhance credibility and demonstrate high standards of care.
• Grants — Choose a grant to get started such as the HRSA Health Center Program New Access Points (NAP) Grant , Administration for Community Living (ACL) Grants , or Community Development Block Grant (CDBG) Program .
• Hire staff — Hire licensed and experienced healthcare professionals, including nurses, therapists, and aides. Conduct thorough background checks and verify credentials.
• Specialization — By focusing on areas such as post-operative care, chronic disease management, pediatric care, or geriatric care, you can differentiate your services and become known as an expert in those fields.
• Register your business — A limited liability company (LLC) is the best legal structure for new businesses because it is fast and simple. Form your business immediately using ZenBusiness LLC formation service or hire one of the best LLC services on the market.
• Legal business aspects — Register for taxes, open a business bank account, and get an EIN .
• Technology — Implement an EHR system such as Cerner , NextGen or Kareo to manage patient records, streamline documentation, and improve coordination of care.
• Network — Build relationships with local hospitals, clinics, physicians, and community organizations to generate referrals.

Interactive Checklist at your fingertips—begin your home healthcare agency today!

You May Also Wonder:

How profitable is a home health care agency?

As a one-person agency, you can expect to charge $25 and make around $45,000 each of the first few years. If you add care workers, your business has the potential to grow into a highly profitable company.

Do I need a special license to have a non-medical home health care agency?

Most states require a license even if you don’t offer medical services. You may also be required to have your facilities inspected periodically to keep your license active. Certification of the home health care workers is not required but would add to your agency’s credibility.

How do home health care agencies get paid?

If you are a medical home health care agency, in some cases you may be paid by insurance companies. Otherwise, you will be paid directly by the client. You can charge an hourly, daily, or even weekly rate and bill clients weekly, bi-weekly, or monthly.

How will I get clients if I start a home health care agency?

Market yourself online on leading social media platforms like Facebook and LinkedIn, and visit nearby hospitals, nursing homes, and doctors’ offices to let them know about your services and encourage referrals.

What types of clients can benefit from home health services?

Home health services benefit a variety of clients, including seniors, individuals with chronic illnesses, those recovering from surgeries or injuries, individuals with disabilities, individuals with terminal illnesses, and individuals with mental health conditions.

How do I develop care plans and ensure quality care for my clients?

Start by conducting thorough assessments of your clients’ medical history, abilities, living environment, and support network. Work with healthcare professionals to create coordinated and personalized care plans that meet individual needs and goals. Regularly review and adjust these plans based on changes in the client’s condition. Educate caregivers on care protocols and supervise them to ensure they follow the care plans and maintain high standards. Maintain open communication with clients, their families, and caregivers, and stay updated on the latest best practices in home health care.

Step 1: Decide if the Business Is Right for You

Pros and cons.

Starting a home health agency, just like starting any business, has its pros and cons. You’ll need to evaluate these to decide if a home health agency is the right path for you.

• Fulfilling work – Few jobs are more rewarding than helping people feel better
• Flexibility – Choose your clients and set your own schedule
• Steady work – Aging Boomer generation means sustained demand
• Travel time – Visiting multiple clients daily can mean a lot of driving
• Fatigue – Caregiving is often demanding, high-stress work
• Isolation – Solitary work, mostly one-on-one with clients

Home health care industry trends

The home health care industry refers to both medical care provided in the patient’s home, and the more simple home care of helping people with daily tasks, like washing and getting dressed. The latter is the most common type of home health care.

Industry size and growth

• Industry size and past growth – In 2021, the home health care industry was worth $126 billion in the US and $320 billion globally.(( https://www.grandviewresearch.com/industry-analysis/home-healthcare-industry )) Data firm IBISWorld says the US home care providers industry has expanded at least 3% per year since 2017.(( https://www.ibisworld.com/industry-statistics/market-size/home-care-providers-united-states/ ))
• Growth forecast – The global market is predicted to grow around 8% annually through 2030.
• Number of businesses – The US is home to more than 450,000 home care providers.(( https://www.ibisworld.com/industry-statistics/number-of-businesses/home-care-providers-united-states/ ))
• Number of people employed – The industry employs more than 2 million people in the US.(( https://www.ibisworld.com/industry-statistics/employment/home-care-providers-united-states/ ))

Trends and challenges

Trends in the home health care industry include:

• An aging population and rising cases of chronic diseases in the US are driving demand for home health care services
• Growing preference for telehealth services also boosts demand 
• High cost of health care makes home care a less expensive alternative

Challenges in the home health care industry include:

• High level of competition due to low barriers to entry
• Lack of qualified workers

What kind of people work in home health care?

• Gender – 85% of home health providers in the US are female, while 15% are male.(( https://www.zippia.com/home-health-provider-jobs/demographics/#gender-statistics ))
• Average level of education – 29% of home health providers have a high school diploma and 24% have an associate degree.(( https://www.zippia.com/home-health-provider-jobs/demographics/#degree-level-types ))
• Average age – The average age of a home health provider is 48 years old.(( https://www.zippia.com/home-health-provider-jobs/demographics/#age-statistics ))

How much does it cost to start a home health care agency?

Startup costs can range from just $2,000 to more than $11,000, with the average cost around $7,000. The high end is for a Medicare-licensed health care agency, due to the expensive licensing process.

You’ll need a handful of different items to successfully launch your home health care agency. Here’s a list to help you get started:

• Medical equipment: blood pressure monitor, thermometer, latex gloves
• First aid kit
• Cleaning supplies

How much can you earn from a home health care agency?

If you’re a registered nurse or licensed caregiver, you could start your agency on your own and potentially have a profit margin as high as 90%.

Home health care services cost about $25 per hour. Thus, if you’re able to work 8 daily hours 260 workdays per year, you’ll bring in $52,000 in revenue and around $47,000 in profit, assuming a 90% margin. As you grow and hire more workers, sales could climb to 40 billable hours per day, but due to increased costs your margin might drop to 30%. This would give you annual revenue of $260,000 and a nifty $78,000 in profit.

What barriers to entry are there?

There are a few barriers to entry for a home health care agency. Your biggest challenges will be:

• Licensing – Your agency may need licenses depending on state and services
• Client acquisition – It takes time to build a track record and client base

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Step 2: hone your idea.

Now that you know what’s involved in starting a home health agency, it’s a good idea to hone your idea in preparation to enter a competitive market.

Market research will give you the upper hand, even if you’re already positive that you have a perfect product or service. Conducting market research is important, because it can help you understand your customers better, who your competitors are, and your business landscape.

Why? Identify an opportunity

First, you should look at the home health care agencies in your area to see what they are offering and what areas they cover. Is there an area that is not being serviced or are there particular services that are missing? Look for market gaps that you can fill.

What? Determine your services

Determine what services you may be able to offer your clients, particularly ones that may differentiate you from the competition. In addition to medical services (if you will be a medical agency) and daily tasks, you could offer:

• Prepared meals
• Grocery delivery
• Companionship
• Cleaning and laundry

How much should you charge for home health care services?

The average rate for home health care services is around $25 per hour. If you are a nurse offering medical services, you could charge several times that. Your agency might offer different levels of care at different rates. For example, you could offer a package of full-day services and charge a daily rate.

Once you know your costs, you can use our profit margin calculator to determine your mark-up and final price points. Remember, the prices you use at launch should be subject to change if warranted by the market.

Who? Identify your target market

Your target market will generally be an older population, but it may be their children or other younger relatives who engage you for services.

It’s a good idea to ask yourself, based on your service offerings, who is most likely to be the relevant decision-maker?

If your clients are over 70, the decision-maker will likely be the client’s child, so you should target your marketing accordingly. For example, when choosing a social media site for marketing, Facebook might be a good bet for the 30-50 demographic.

Where? Choose your business premises

In the early stages, you may want to operate your business from home to keep expenses low. But as your business grows and operations intensify, you will likely need to hire workers and may need to rent out an office. You can find commercial space to rent in your area on Craigslist , Crexi , and Commercial Cafe .

When choosing a commercial space, you may want to follow these rules of thumb:

• Central location accessible via public transport
• Ventilated and spacious, with good natural light
• Flexible lease that can be extended as your business grows
• Ready-to-use space with no major renovations or repairs needed

Step 3: Brainstorm a Business Name

Here are some ideas for brainstorming your business name:

• Short, unique, and catchy names tend to stand out
• Names that are easy to say and spell tend to do better
• The name should be relevant to your product or service offerings
• Ask around — family, friends, colleagues, social media — for suggestions
• Including keywords, such as “home health” or “home care”, boosts SEO
• Choose a name that allows for expansion: “Continuum Care” or “Serenity Home Health” over “Rehab at Home”
• A location-based name can help establish a strong connection with your local community and help with the SEO but might hinder future expansion

Discover over 230 unique home health agency name ideas here. If you want your business name to include specific keywords, you can also use our business name generator. Just type in a few keywords and hit “generate” and you’ll have dozens of suggestions at your fingertips.

Once you’ve got a list of potential names, visit the website of the US Patent and Trademark Office to make sure they are available for registration and check the availability of related domain names using our Domain Name Search tool. Using “.com” or “.org” sharply increases credibility, so it’s best to focus on these. 

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Finally, make your choice among the names that pass this screening and go ahead with domain registration and social media account creation. Your business name is one of the key differentiators that sets your business apart. Once you pick your company name, and start with the branding, it is hard to change the business name. Therefore, it’s important to carefully consider your choice before you start a business entity.

Step 4: Create a Business Plan

Here are the key components of a home health care business plan:

• Executive Summary: A brief summary outlining the core elements of the home health agency business plan, including its mission, key objectives, and potential for success.
• Business Overview: A concise description of the home health agency, detailing its mission, vision, values, and the problem it aims to solve in the healthcare sector.
• Product and Services: Clearly defined offerings provided by the home health agency, such as in-home nursing care, rehabilitation services, and assistance with daily activities for patients.
• Market Analysis: An examination of the home health market, including demographic trends, target customer profiles, and an assessment of the demand for home health services in the specified region.
• Competitive Analysis: A thorough evaluation of other home health agencies operating in the same market, identifying strengths, weaknesses, opportunities, and threats to the business.
• Sales and Marketing: Strategies and tactics for promoting the home health agency’s services, reaching potential clients, and establishing a competitive presence in the market.
• Management Team: An overview of the key individuals responsible for running the home health agency, including their qualifications, roles, and relevant experience.
• Operations Plan: Detailed information on the day-to-day operations of the home health agency, covering staffing, scheduling, quality control, and other operational processes.
• Financial Plan: Projections of the home health agency’s financial performance, including revenue forecasts, expense estimates, and a break-even analysis.
• Appendix: Supplementary materials, such as additional financial data, legal documents, or supporting research, providing further detail and context to support the business plan.

If you’ve never created a business plan, it can be an intimidating task. You might consider hiring a business plan specialist to create a top-notch business plan for you.

Step 5: Register Your Business

Registering your business is an absolutely crucial step — it’s the prerequisite to paying taxes, raising capital, opening a bank account, and other guideposts on the road to getting a business up and running.

Plus, registration is exciting because it makes the entire process official. Once it’s complete, you’ll have your own business!

Choose where to register your company

Your business location is important because it can affect taxes, legal requirements, and revenue. Most people will register their business in the state where they live, but if you are planning to expand, you might consider looking elsewhere, as some states could offer real advantages when it comes to home health care services. 

If you’re willing to move, you could really maximize your business! Keep in mind, it’s relatively easy to transfer your business to another state.

Choose your business structure

Business entities come in several varieties, each with its pros and cons. The legal structure you choose for your home health care agency will shape your taxes, personal liability, and business registration requirements, so choose wisely.

Here are the main options:

• Sole Proprietorship – The most common structure for small businesses makes no legal distinction between company and owner. All income goes to the owner, who’s also liable for any debts, losses, or liabilities incurred by the business. The owner pays taxes on business income on his or her personal tax return.
• General Partnership – Similar to a sole proprietorship, but for two or more people. Again, owners keep the profits and are liable for losses. The partners pay taxes on their share of business income on their personal tax returns.
• Limited Liability Company (LLC) – Combines the characteristics of corporations with those of sole proprietorships or partnerships. Again, the owners are not personally liable for debts.
• C Corp – Under this structure, the business is a distinct legal entity and the owner or owners are not personally liable for its debts. Owners take profits through shareholder dividends, rather than directly. The corporation pays taxes, and owners pay taxes on their dividends, which is sometimes referred to as double taxation.
• S Corp – An S-Corporation refers to the tax classification of the business but is not a business entity. An S-Corp can be either a corporation or an LLC , which just needs to elect to be an S-Corp for tax status. In an S-Corp, income is passed through directly to shareholders, who pay taxes on their share of business income on their personal tax returns.

We recommend that new business owners choose LLC as it offers liability protection and pass-through taxation while being simpler to form than a corporation. You can form an LLC in as little as five minutes using an online LLC formation service. They will check that your business name is available before filing, submit your articles of organization , and answer any questions you might have.

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Step 6: Register for Taxes

The final step before you’re able to pay taxes is getting an Employer Identification Number , or EIN. You can file for your EIN online or by mail or fax: visit the IRS website to learn more. Keep in mind, if you’ve chosen to be a sole proprietorship you can simply use your social security number as your EIN.

Once you have your EIN, you’ll need to choose your tax year. Financially speaking, your business will operate in a calendar year (January–December) or a fiscal year, a 12-month period that can start in any month. This will determine your tax cycle, while your business structure will determine which taxes you’ll pay.

The IRS website also offers a tax-payers checklist , and taxes can be filed online.

It is important to consult an accountant or other professional to help you with your taxes to ensure you are completing them correctly.

Step 7: Fund your Business

Securing financing is your next step and there are plenty of ways to raise capital:

• Bank loans : This is the most common method, but getting approved requires a rock-solid business plan and strong credit history.
• SBA-guaranteed loans : The Small Business Administration can act as guarantor, helping gain that elusive bank approval via an SBA-guaranteed loan .
• Government grants : A handful of financial assistance programs help fund entrepreneurs. Visit Grants.gov to learn which might work for you.
• Venture capital : Offer potential investors an ownership stake in exchange for funds, keeping in mind that you would be sacrificing some control over your business.
• Friends and Family : Reach out to friends and family to provide a business loan or investment in your concept. It’s a good idea to have legal advice when doing so because SEC regulations apply.
• Crowdfunding : Websites like Kickstarter and Indiegogo offer an increasingly popular low-risk option, in which donors fund your vision. Entrepreneurial crowdfunding sites like Fundable and WeFunder enable multiple investors to fund your business.
• Personal : Self-fund your business via your savings or the sale of property or other assets.

Bank and SBA loans are probably the best options, other than friends and family, for funding a home health care business. You might also try crowdfunding if you have an innovative concept.

Step 8: Apply for Licenses/Permits

Starting a home health care agency requires obtaining a number of licenses and permits from local, state, and federal governments.

Federal regulations, licenses, and permits associated with starting your business include doing business as (DBA), health licenses and permits from the Occupational Safety and Health Administration ( OSHA ), trademarks, copyrights, patents, and other intellectual properties, as well as industry-specific licenses and permits. 

You may also need state-level and local county or city-based licenses and permits. The license requirements and how to obtain them vary, so check the websites of your state, city, and county governments or contact the appropriate person to learn more. 

You could also check this SBA guide for your state’s requirements, but we recommend using MyCorporation’s Business License Compliance Package . They will research the exact forms you need for your business and state and provide them to ensure you’re fully compliant.

This is not a step to be taken lightly, as failing to comply with legal requirements can result in hefty penalties.

If you feel overwhelmed by this step or don’t know how to begin, it might be a good idea to hire a professional to help you check all the legal boxes.

Step 9: Open a Business Bank Account

Before you start making money, you will need a place to keep it, and that requires opening a bank account .

Keeping your business finances separate from your personal account makes it easy to file taxes and track your company’s income, so it’s worth doing even if you’re running your home health care agency as a sole proprietorship. Opening a business bank account is quite simple, and similar to opening a personal one. Most major banks offer accounts tailored for businesses — just inquire at your preferred bank to learn about their rates and features.

Banks vary in terms of offerings, so it’s a good idea to examine your options and select the best plan for you. Once you choose your bank, bring in your EIN (or Social Security Number if you decide on a sole proprietorship), articles of incorporation, and other legal documents and open your new account.

Step 10: Get Business Insurance

Business insurance is an area that often gets overlooked yet is vital to your success as an entrepreneur. Insurance protects you from unexpected events that can have a devastating impact on your business.

Here are some types of insurance to consider:

• General liability: The most comprehensive type of insurance, acting as a catch-all for many business elements that require coverage. If you get just one kind of insurance, this is it. It even protects against bodily injury and property damage.
• Business Property: Provides coverage for your equipment and supplies.
• Equipment Breakdown Insurance: Covers the cost of replacing or repairing equipment that has broken due to mechanical issues.
• Worker’s compensation: Provides compensation to employees injured on the job.
• Property: Covers your physical space, whether it is a cart, storefront, or office.
• Commercial auto : Protection for your company-owned vehicle.
• Professional liability: Protects against claims from a client who says they suffered a loss due to an error or omission in your work.
• Business owner’s policy (BOP): This is an insurance plan that acts as an all-in-one insurance policy, a combination of any of the above insurance types.

Step 11: Prepare to Launch

As opening day nears, prepare for launch by reviewing and improving some key elements of your business.

Essential software and tools

Being an entrepreneur often means wearing many hats, from marketing to sales to accounting, which can be overwhelming. Fortunately, many websites and digital tools are available to help simplify many business tasks. We examine several of them below.

You may want to use industry-specific software, such as Alora , WellSky , and AxisCare , to manage schedules, billing, regulations, and more.

• Popular web-based accounting programs for smaller businesses include Quickbooks , Freshbooks , and Xero .
• If you’re unfamiliar with basic accounting, you may want to hire a professional, especially as you begin. The consequences for filing incorrect tax documents can be harsh, so accuracy is crucial.

Develop your website

Website development is crucial because your site is your online presence and needs to convince prospective clients of your expertise and professionalism.

You can create your own website using website builders . This route is very affordable, but figuring out how to build a website can be time-consuming. If you lack tech-savvy, you can hire a web designer or developer to create a custom website for your business.

They are unlikely to find your website, however, unless you follow Search Engine Optimization ( SEO ) practices. These are steps that help pages rank higher in the results of top search engines like Google. 

Here are some powerful marketing strategies for your future business:

• Professional Branding — Emphasize trustworthiness, care, and professionalism through your logo, staff uniforms, brochures, and website design, ensuring consistency across all platforms.
• Website SEO — Develop a comprehensive website that outlines your services, staff qualifications, testimonials, and contact information. Optimize for local SEO to target searches related to home health services, elder care, and in-home medical care.
• Social Media Engagement — Utilize platforms like Facebook and LinkedIn to share patient success stories (with consent), health care tips, and detailed information about your services. This helps build community trust and extends your reach.
• Content Marketing — Maintain a healthcare blog with articles on home health care, elder care tips, and managing chronic illnesses at home, positioning your agency as an authority in the field. Host webinars or Q&A sessions to address common healthcare concerns and showcase your staff’s expertise.
• Direct Outreach and Networking — Establish connections with local healthcare providers, clinics, hospitals, and senior centers to generate referrals. Offer informational sessions or workshops in community centers to educate about home health services.
• Email Marketing — Send regular newsletters to keep clients and their families updated on healthcare regulations, new services, and general health tips.
• Experiential Marketing — Participate in local health fairs and community events to promote your services. Offer free health screenings or consultations to introduce your services and provide immediate value.
• Community Engagement and Partnerships — Forge partnerships with local healthcare providers and facilities to create a robust referral network. Engage actively in community activities and sponsor local events to demonstrate your commitment to community well-being.
• Customer Relationship and Loyalty Programs — Develop educational programs for families of clients to help them understand and manage care requirements. Implement feedback initiatives to continuously improve your services based on client and family input.
• Targeted Local Advertising — Employ local advertising through newspapers, radio, and community bulletin boards. Use online platforms like Google Ads to reach a targeted local audience effectively.
• Collaborations with Senior-focused Organizations — Partner with organizations focused on senior care to expand your reach and reinforce your presence within this key demographic.
• Seasonal Health Campaigns — Capitalize on seasonal health trends and awareness months to promote relevant services and engage with the community through focused health campaigns.

Focus on USPs

Unique selling propositions, or USPs, are the unique characteristics of a product or service that sets it apart from the competition. Customers today are inundated with buying options, so you’ll have a real advantage if they are able to quickly grasp how your home health care meets their needs or wishes. It’s wise to do all you can to ensure your USPs stand out on your website and in your marketing and promotional materials, stimulating buyer desire.

Global pizza chain Domino’s is renowned for its USP: “Hot pizza in 30 minutes or less, guaranteed.” Signature USPs for your home health care business could be:

• Caring for clients like they’re family
• The most experienced professionals
• 24-hour on call availability

You may not like to network or use personal connections for business gain. But your personal and professional networks likely offer considerable untapped business potential. Maybe that Facebook friend you met in college is now running a home health care business, or a LinkedIn contact of yours is connected to dozens of potential clients. Maybe your cousin or neighbor has been working in home care for years and can offer invaluable insight and industry connections. 

The possibilities are endless, so it’s a good idea to review your personal and professional networks and reach out to those with possible links to or interest in home health care. You’ll probably generate new customers or find companies with which you could establish a partnership. Online businesses might also consider affiliate marketing as a way to build relationships with potential partners and boost business.

Step 12: Build Your Team

If you’re starting out small from a home-based office, you may not need any employees. But as your business grows, you will likely need workers to fill various roles. Potential positions for a home health care agency would include:

• Home Health Care Workers – Basic home health tasks
• Nurses – Provide home medical care
• Office Manager – Scheduling, billing, staff management
• Marketing Lead – SEO strategies, social media

At some point, you may need to hire all of these positions or simply a few, depending on the size and needs of your business. You might also hire multiple workers for a single role or a single worker for multiple roles, again depending on need.

Free-of-charge methods to recruit employees include posting ads on popular platforms such as LinkedIn or Facebook. You can also use free classified sites like Jobs and AngelList. You might also consider a premium recruitment option, such as advertising on Indeed , Glassdoor , or ZipRecruiter . Further, if you have the resources, you could consider hiring a recruitment agency to help you find talent.

Step 13: Run a Home Health Agency – Start Making Money!

Caring for others is one of the most rewarding jobs, and home health care is a service most people will need at some point. Today it’s a growing industry due to the aging US population, high cost of hospital care, and increasing chronic illnesses, such as dementia, diabetes, and cardiovascular disease. 

You could create a niche market for yourself by specializing in certain services to jumpstart your word-of-mouth marketing. Now that you have the knowledge to start a business, you can start your agency for a relatively small investment and be on your way to helping others and making a good living! 

• Decide if the Business Is Right for You
• Hone Your Idea
• Brainstorm a Business Name
• Create a Business Plan
• Register Your Business
• Register for Taxes
• Fund your Business
• Apply for Licenses/Permits
• Open a Business Bank Account
• Get Business Insurance
• Prepare to Launch
• Build Your Team
• Run a Home Health Agency - Start Making Money!

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• Sample Business Plans
• Medical & Health Care

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 Care Business Plan Template & PDF Example

• September 4, 2024

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 Template (Download)

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 [2024]

Home Health Care Business Plan Template

If you want to start a Home Health Care business or expand your current Home Health Care business, you need a business plan.

The following Home Health Care business plan template gives you the key elements to include in a winning Home Health Care Agency business plan.

Below is a sample home health care plan, outlining each of the key sections of a successful home care business plan. Once you create your plan, download it to PDF to show banks and investors.

I. Executive Summary

Business overview.

[Company Name] was founded by [Founder’s Name]. [Founder’s Name] is a nurse that has worked in local hospitals for over a decade. Her years of experience has taught her how to care for aging adults in a safe and supportive manner. [Founder’s Name] realizes the need for a quality and affordable home health care company as she has a difficult time placing her patients that are being discharged from the hospital with an agency that is reliable and within the patient’s budget. [Company Name] is a high-quality home health care agency that treats elderly patients with a wide array of illnesses and issues with a friendly and supportive staff that is also affordable and works within the patients budget.

Services Offered

[Company Name] will provide nursing, physical therapy, occupational therapy, home health aides, and social work services to its patient clients. In addition, their team of healthcare specialists will also be able to provide specialized services for Alzheimer’s, dementia, arthritis, and diabetic patients.

Customer Focus

[Company Name] will serve the aging community of [company location]. Many of the aging community has diabetes, arthritis, Alzheimer’s, dementia, etc. and would prefer to receive their care in the comfort of their own home rather than the hospital or assisted living facility. The demographics of the target customer profile is as follows:

• 106,727 residents
• Average income of $65,000
• 63.4% married
• 43.2% retired and/or over the age of 55
• Median age: 42 years

You can download our Business Plan Template (including a full, customizable financial model) to your computer here.

Management Team

[Company Name] is owned and operated by [Founder’s Name], a local nurse who has worked at local hospitals for over the past ten years. She has dealt with hundreds of elderly patients and their families finding adequate and affordable home health care upon being released from the hospital. [Founder’s Name] has realized there is a lack of quality and affordable home health care agencies in [company location]. She aims to provide the best in-home health care services while also being affordable for the patient and their families.

Aside from the nurses, therapists, aides, and social worker she will have on staff, [Founder’s Name] will also employ a receptionist and Office Manager to help with the administration and operation of the home health care agency.

Success Factors

[Company Name] has several advantages over its competition. Those advantages include:

• Compassionate Staff: Knowledgeable and friendly staff of nurses, therapists, aides, and social workers who are highly knowledgeable and experienced in their field.
• Location: [Company Name] will be able to service the entire metropolitan area of [company location] and its surrounding areas.
• Quality Care: [Company Name] will provide expert services so that the patients are at the highest comfort level.
• Pricing: [Company Name]’s pricing will be more affordable than its competition. 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 they might require because the cost is too high.

Financial Highlights

[Company Name] is seeking $150,000 in funding to launch its home health care business. The capital will be used for funding capital expenditures, staffing, marketing and advertising expenses, and working capital.

The breakout of the funding may be seen below:

• Capital expenditures (computers, equipment, etc.): $20,000
• Marketing and advertising: $10,000
• Staffing costs: $60,000
• Working capital: $10,000

The following graph outlines the pro forma financial projections for [Company Name] over the next five years:

II. Company Overview

Who is [company name].

[Company Name], is located at [insert location here] is a new home health care agency that provides skilled nursing services and occupational therapy to aging adults.

[Company Name] was founded by [Founder’s Name]. [Founder’s Name] is a nurse that has worked in the local hospital for over a decade. Her years of experience has taught her how to care for aging adults in a safe and supportive manner. [Founder’s Name] realizes the need for a quality and affordable home health care company as she has a difficult time placing her patients that are being discharged from the hospital with an agency that is reliable and within the patient’s budget. Many of her patients frequently use family members or friends that are inadequately trained or knowledgeable about what it takes to care for an elderly person. They have to rely on whomever is available because they can not afford a home health care agency. Most times, the caretaker’s schedule is inconsistent and the elderly person ends up back in the hospital because they are not receiving adequate nursing or therapy care.

A large segment of [Company Location]’s population is retired and/or elderly adults. There are not enough home health care agencies to support the aging population of this community.

[Company Name]’s History

[Founder’s Name] has been consulting with an attorney and CPA over the last few months to understand the business and financial obligations that go with owning their own business. Her lawyer has advised [Founder’s Name] that [Company Name] should be incorporated as an S-Corporation on [date of incorporation].

[Company Name] has identified the home health care office it will use as its headquarters. [Founder’s Name] has begun lease negotiations and began pricing out construction build-out for the facility.

Since incorporation, the company has achieved the following milestones:

• Found office location and signed Letter of Intent to lease it
• Decided on the company name, and developed the logo and website located at www…
• Finalized list of services the company will be able to provide
• Determined the office equipment and inventory requirements
• Began recruiting key employees for the home health care operation

[Company Name]’s Services

Below is [Company Name]’s list of services. All services will be provided by a trained and licensed staff.

• Skilled Nursing Services
• Therapy and Rehabilitation
• Alzheimer’s & Dementia Care
• Diabetes Care
• Arthritis Care
• Home Health Aide
• Medical Social Worker

[Company Name] will be able to provide daily services as well as accommodate on-call services and emergency response.

III. Industry Analysis

Strong and steady revenue growth is expected for the Home Care Providers industry over the five years to 2026 as a result of an aging population, increasing interest in home healthcare and expanded access to Medicare and Medicaid under the Patient Protection and Affordable Care Act (PPACA). The aging population will likely continue to foster revenue growth because this demographic not only requires more healthcare services compared with other age groups, but it also increasingly prefers home care. Payers will progressively shift to home care because it is more affordable than inpatient hospital and nursing home care.

Large companies will grow even larger through mergers and acquisitions. Moreover, home healthcare will evolve to include more chronic disease-management services, and consolidation will help the industry unite to influence policy change and benefit from larger-scale operations. Considering these projections, revenue is forecast to increase to $138 billion in the next five years.

IV. Customer Analysis

Demographic profile of target market.

[Company Name] will serve the community residents of [company location] and its surrounding areas.

The community of [company location] has thousands of retired, elderly adults who require a greater need of attention. Many of the aging community has diabetes, arthritis, Alzheimer’s, dementia, etc. and would prefer to receive their care in the comfort of their own home rather than the hospital or assisted living facility.

Below is a demographic breakdown of this area:

Customer Segmentation

We will primarily target the following four customer segments:

• Elderly patients who are being released from the hospital and their doctors highly recommended daily nursing services and/or therapy.
• Elderly patients who had a recent fall and require physical and/or occupational therapy to heal from their injury.
• Elderly patients who are suffering from Alzheimers or dementia and would prefer to remain in their home rather than an assisted living facility.
• Elderly patients who are diabetic and/or suffer from severe arthritis and need daily assistance with medication, etc.

V. Competitive Analysis

Direct & indirect competitors.

Comanche County Home Health Comanche County Memorial Hospital’s Home Health & Hospice has provided home health services for over a decade. Their staff is comprised of dedicated professionals who are committed to providing quality care in the comfort and convenience of the patients’ home. 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, 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.

Registered nurses, licensed practical nurses, nutritionists, speech therapists, physical therapists, occupational therapists, home health aides, and medical social workers all work with the patient and their family to develop an individual plan of treatment.

Elara Caring Elara Caring is one of the nation’s largest providers of home-based care, with a footprint in the Northeast, Midwest, and South. 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 the patients’ needs allows them to apply proprietary platforms to deliver proactive, customized care that improves quality of life and keeps patients in their homes.

Elara Caring leads patients through the post-acute care journey by providing the appropriate level of care, delivered wherever our patients call home. The company’s intimate understanding of its patients’ needs allows it to apply proprietary platforms to deliver proactive, customized care that improves quality of life and keeps patients in their homes.

Encompass Health Serving the Lawton, Oklahoma area, they are one of the nation’s leading providers of home health services and 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, recent hospital stay, or managing a disease or injury, Encompass Health’s services are designed to meet patient’s where they are. They offer cutting-edge specialty programs that focus on patient education, self-management and reducing hospital readmission, resulting in better care and better outcomes for their patients.

Competitive Advantage

• Compassionate Staff: Knowledgeable and friendly staff of nurses, therapists, aides, and social workers who are not only knowledgeable in their field, but place a special emphasis on compassion.
• Quality Care: [Company Name] will provide expert services and their patients will receive quality treatment and care so that the patient is as comfortable as they can be.

VI. Marketing Plan

The [company name] brand.

The [Company Name] brand will focus on the Company’s unique value proposition:

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

Promotions Strategy

[Company Name] will target all residents of [company location] within a 20-30 mile radius. The Company’s promotions strategy to reach the most clientele include:

Local Hospitals [Company Name] already has great relationships with the local hospitals. She will work to make sure the hospitals send referrals and highly recommend [company name] to its patients and their families upon releasing them from the hospital.

Nursing Homes and Assisted Living Facilities Oftentimes, an elderly patient will be placed in a nursing home or assisted living facility right away. Sometimes they are not happy and would rather go back home. [Company Name] will work with these facilities so that they recommend their agency for when a patient highly desires to receive the care in the comfort of their own home.

Website [Company Name] will have an informative and attractive website that will feature all of its services and referrals from other satisfied patients. The website will be highly informative and be designed in a way that is friendly and eye-catching.

SEO [Company Name] will invest in a high SEO presence so that the agency is listed at the top of the Google or Bing search engine when a family member is researching home health care agencies in [company location].

Billboard [Company Name] will have a billboard in an area of town 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.

Advertising [Company Name] will invest in advertisements in featured local publications, such as community newspapers and newsletters that focus on the retired and aging population.

Pricing Strategy

[Company Name]’s pricing will be moderate so customers feel they receive great value when purchasing its services.

VII. Operations Plan

Functional roles.

[Company Name] will need to fulfill the following functional roles in order to execute their business plan and ensure the company’s success:

Administrative Functions

• General & administrative functions including legal, marketing, bookkeeping, tax, etc.
• Staff management and scheduling
• Hiring and training staff

Health Care Functions

• Physical Therapist
• Occupational Therapist
• Home Health Aides
• Social Worker

[Company Name] will achieve the following milestones in the following [] months:

• Secure 2,000 square foot office space
• Develop website, logo, and company website
• Secure small business loan bank financing
• Develop and finalize list of home health care services
• Hire and train staff
• Begin advertising campaign with hospitals, nursing homes, billboard, and print publications
• Grand Opening of [Company Name]

The following are a series of steps that lead to our vision of long-term success. [Company Name] expects to achieve the following milestones in the following [xyz] months:

VIII. Management Team

Management team members.

[Company Name] is owned and operated by [Founder’s Name], a local nurse who has worked at local hospitals for over the past ten years. She has worked in the Occupational department where there are numerous elderly patients being treated daily. She has dealt with hundreds of elderly patients and their families finding adequate and affordable home health care upon being released from the hospital. [Founder’s Name] has realized there is a lack of quality and affordable home health care agencies in [company location]. She aims to provide the best in-home health care services while also being affordable for the patient and their families.

[Founder’s Name] graduated from the University of ABC with a Bachelor’s Degree in Nursing.

Hiring Plan

[Founder’s Name] will serve as the agency Founder and Chief Executive Officer. She will hire the following personnel in order to maintain an effective and profitable home health care business:

• Office Manager will assist [Founder’s Name] run the administrative tasks to operate the agency. This person will handle bookkeeping, tax payments, payroll, and office inventory.
• Receptionist will handle all phone calls and web inquiries. This person will also manage the scheduling of the home health care staff.
• Nurses – 2-3 nurses will be on staff to provide the nursing services.
• Occupational Therapist – 1 OT will be on staff to provide occupational therapy services.
• Physical Therapist – 1 PT will be on staff to provide physical therapy services.
• Home Health Aides – 3-4 aides will be on staff to provide basic care to the patients.
• Social Worker – 1 social worker will be on staff to oversee the welfare and care of each patient.

IX. Financial Plan

Revenue and cost drivers.

The revenues for [Company Name] will come from the fees it will charge the patients and their insurance for the health care services it provides.

The cost drivers for the company will be the payroll of the staff, lease on the office building, office supplies and equipment, and marketing and advertising costs.

Capital Requirements and Use of Funds

Key assumptions.

The following table reflects the key revenue and cost assumptions made in the financial model:

  5 Year Annual Income Statement

  5 Year Annual Balance Sheet

  5 Year Annual Cash Flow Statement

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Home Healthcare Agency Business Plan [Sample Template]

By: Author Tony Martins Ajaero

Home » Business ideas » Healthcare and Medical » Home Healthcare for Seniors

Are you about starting a home healthcare agency ? If YES, here is a complete sample home healthcare agency business plan template & feasibility report you can use for FREE .

Starting a home healthcare business is one of those businesses that require you to first look at the existing laws in the country or State you reside, before going all out to start the business.

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This is so because there is hardly any country that does not pay serious attention on their health sector. The health industry is usually highly regulated so as to guide against the infiltration of quacks.

If you have interest in starting your own home healthcare business, then you would need to pay a visit to the health and medical regulatory body in your country ( the department of healthcare services ) to get all the needed information that is required before you can legally start your own home healthcare business in your city. Here is a sample home healthcare business that is capable of leading you all the way.

A Sample Home Healthcare Agency Business Plan Template

1. industry overview.

No doubt, the healthcare cum medical industry is perhaps one of the fastest growing and largest industries in the world; this is so because the wealth of any nation depends on the health of the nation. Obviously there is hardly any country where the healthcare industry is not handled with all seriousness.

As a matter of fact, the healthcare industry is known to gulp well over 10 percent of gross domestic product (GDP) of most developed countries.

Basically, a healthcare provider is a health professional such as nurse or doctor et al or an establishment such as a hospital or a medical clinic or a healthcare center / facility that provides preventive, curative, promotional, rehabilitative or palliative healthcare / medical services in a systematic way to individuals, families or communities.

While home healthcare services typically refers to a nursing visit or physician visit to a sick person at home for the purpose of assisting them with daily living cum therapy as regards their health or to provide treatment as required. These services are provided by certified home healthcare agencies.

There is indeed a very large market for home healthcare service providers in the united states and of course in most parts of the world.

For instance, the World Health Organization (W.H.O) estimated that there are about 9.2 million physicians, 19.4 million nurses and midwives, 1.9 million dentists and other dentistry personnel, 2.6 million pharmacists and other pharmaceutical personnel, and over 1.3 million community health workers worldwide. This goes to show that the healthcare industry is indeed one of the largest segments of the workforce.

Statistics has it that in 2011, healthcare costs paid to hospitals, physicians, nursing homes, diagnostic laboratories, pharmacies, medical device manufacturers and other players in the healthcare system business value chain, consumed an estimated value of 17.9 percent of the Gross Domestic Product (GDP) of the United States.

This indeed is the largest of any country in the world. As a matter of fact, experts projected that the healthcare share of the GDP of the United States will continue to grow, reaching 19.6 percent of GDP by 2016.

Those who need the services of home healthcare services providers (nurse’s aides, personal assistance services, mental health counselors, chiropractors, home care agencies, medication management counselors, physical therapists, county aging workers, and rehabilitation counselors, home health caregivers or home caregivers) are not restricted to the old and the elderly but also young adults and all those who can afford the services.

Generally, patients usually prefer that their physician or nurse or healthcare giver take care of them in the comfort of their homes when they can afford it especially in cases such a psychiatric cases, spine case and permanent or temporary disability et al.

Over and above, the delivery of healthcare services at all level of the business value chain of the healthcare sector is the most visible part of any country’s healthcare system. When it comes to paying home healthcare service providers, the model that is adopted by the health sector usually hold sway.

For instance, in the United States of America, healthcare service providers are either paid directly by the patient or the insurance company that covers the patient takes responsibility of the payment.

2. Executive Summary

Health Is Wealth™ Home Healthcare Services is a standard and certified healthcare service provider that will be located in will be based in Miami Beach, Florida –United States of America and we will cover other cities such as Green – acres City, Miami, Jacksonville, Clearwater, Tampa, Fort Lauderdale, North Miami, West Palm Beach, Palm Harbor, Deltona, Orlando, Palm Bay and Panama City et al.

We chose to operate in these cities because we know that our services will be in high demand due to the growing numbers of the aging population in these areas. Health Is Wealth™ Home Healthcare Services offer healthcare services such as preventive, curative, promotional, rehabilitative or palliative healthcare / medical services in a systematic way to individuals, families or communities.

We are well trained and equipped to service the market segments that require only home-based services. We are in the home healthcare services business to deliver excellent healthcare services to all those who will patronize our services.

We will also ensure that in the line of carrying out our duty, we comply with the laws and health regulations in Florida and The United States of America. Our employees are well trained and qualified to handle the wide range of home healthcare services.

Health Is Wealth™ Home Healthcare Services will operate a 24 hours 7 days a week healthcare service; our office facility will be opened round the clock to attend to clients. We have a standard medical call center that is manned by trained health workers.

Our workforce is going to be well trained to operate within the framework of our organization’s corporate culture and also to meet the needs of all our customers.

Health Is Wealth™ Home Healthcare Services will ensure that all our patients cum customers are given first class treatment whenever they visit our store.

We have a CRM software that will enable us manage a one on one relationship with our customers no matter how large the numbers of our customers’ base grows. Health Is Wealth™ Home Healthcare Services is a family business that is owned and managed by Dr. Marvin Clarkson and his wife Mercy Clarkson (Nurse).

Dr. Marvin Clarkson is going to be the Chief Executive Officer of the business; He is a qualified and well trained Medical Doctor with well over 15 years of experience working as a medical doctor and medical researcher with the United States’ government.

He will be ably supported by his wife Mercy Clarkson who has grown in her career to become one of the most respected senior nurses in Miami, Florida.

3. Our Products and Services

Health Is Wealth™ Home Healthcare Services is in the business of ensuring that our patient / clients are well treated and taken care of and our services will be carried out by highly trained:

Professional physicians, nurses, nurse’s aides, mental health counselors, chiropractors, medication management counselors, physical therapists, county aging workers, and rehabilitation counselors, home health caregivers and home caregivers who know what it takes to give our highly esteemed customers value for their money.

These are the home healthcare services that Health Is Wealth™ Home Healthcare Services will be offering;

• Skilled Nursing
• Nursing Aide
• Social Work
• Occupational, Physical, and Speech Therapy
• Personal Injury Case Management
• Home Medication Management
• Personal Assistance Services

4. Our Mission and Vision Statement

• Our vision is to become the number one choice when it comes to home healthcare service delivery in the whole of Florida and also to be amongst the top 20home healthcare service provider in the United States of America within the next 10 years.
• Health Is Wealth™ Home Healthcare Services is in business is to establish a first class home healthcare service company that will take care of both highly placed clients and lowly placed clients as long as they can afford our services.
• We want to become one of the leaders in the home healthcare services industry in Florida, and in The United States of America.

Our Business Structure

Health Is Wealth™ Home Healthcare Services is a business that will be built on a solid foundation. From the outset, we have decided to recruit only qualified professionals (physicians, nurses, nurse’s aides, mental health counselors, chiropractors, medication management counselors, physical therapists, county aging workers, and rehabilitation counselors, home health caregivers and home caregivers) to man various job positions in our organization.

We are quite aware of the rules and regulations governing the healthcare industry which is why we decided to recruit only well experienced and qualified employees as foundational staff of the organization. We hope to leverage on their expertise to build our business brand to be well accepted in Florida and the whole of the United States.

When hiring, we will look out for applicants that are not just qualified and experienced, but honest, customer centric and are ready to work to help us build a prosperous business that will benefit all the stakeholders (the owners, workforce, and customers).

As a matter of fact, profit-sharing arrangement will be made available to all our management staff and it will be based on their performance for a period of five years or more. These are the positions that will be available at Health Is Wealth™ Home Healthcare Services;

• Chief Medical Director/Chief Executive Officer

Physicians/Chiropractors/Medication Management Counselors/Physical Therapists

• Nurses/Nurse’s Aides/Mental Health counselors
• Information Technologist (Contract)
• Home Health Caregivers/Home Caregivers/County Aging Workers/Rehabilitation Counselors
• Sales Agent
• Cashier (Counter Agent).

5. Job Roles and Responsibilities

Chief Medical Director/Chief Executive Officer:

• Responsible for providing direction for the business
• Creating, communicating, and implementing the organization’s vision, mission, and overall direction – i.e. leading the development and implementation of the overall organization’s strategy.
• Attend to high profile clients and severe medical cases
• Responsible for fixing prices and signing business deals
• Responsible for recruitment
• Responsible for payment of salaries
• Responsible for signing checks and documents on behalf of the company
• Evaluates the success of the organization
• Responsible for providing professional medical services to our patients
• Responsible for offering occupational, physical, and speech therapy
• Responsible for handling medical emergencies

Pharmacist:

• Responsible for managing the daily activities in the company (dispensary store)
• providing advice about health issues, symptoms and medications in response to customer enquiries
• Responsible for recruiting, training and managing staff
• Responsible for processing prescriptions and dispensing medication
• Responsible for ordering, selling and controlling medicines and other stock
• Responsible for meeting medical representatives
• Responsible for managing the organizations’ budgets
• Responsible for keeping statistical and financial records
• Responsible for preparing publicity materials and displays
• Handle marketing services
• Interfaces with third – party providers (vendors)
• Handle any other duty as assigned by the CEO

Nurses/Nurse’s Aides/Mental Health Counselors

• Responsible for managing our patients in their various houses
• Handles personal injury case management
• Responsible for offering home medication management services

Sales Agents

• Manage external research and coordinate all the internal sources of information to retain the organizations’ best customers and attract new ones
• Model demographic information as it relates to those who need our services
• Source for clients for the company
• Responsible for promoting the company’s image
• Responsible for creating marketing and sales strategies, etc.
• Represents the organization in some strategic business meetings
• Handle any other duty as assigned by the floor manager (Pharmacist)

Information Technologist

• Manage the organization website
• Handles ecommerce aspect of the business
• Responsible for installing and maintenance of computer software and hardware for the organization
• Manage logistics and supply chain software , Web servers, e-commerce software and POS (point of sale) systems
• Manage the organization’s CRM software application
• Handles any other technological and IT related duties.

Cashier (Counter Agent):

• Receives payments on behalf of the organization
• Issues receipt to customers
• Prepare financial report at the end of every working week
• Handles financial transaction on behalf of the company
• Interfaces with our bankers
• Responsible for payment of tax, levies and utility bills
• Handles any other duty as assigned by the office
• Responsible for cleaning the store facility at all times
• Ensure that toiletries and supplies don’t run out of stock
• Cleans both the interior and exterior of the office facility
• Handle any other duty as assigned by the office manager

6. SWOT Analysis

Health Is Wealth™ Home Healthcare Services is set to become one of the leading home healthcare service providers in Florida which is why we are willing to take our time to cross every ‘Ts’ and dot every ‘Is’ as it relates to our business.

We want our home healthcare services company to be the number one choice of all residence of Miami and other cities in Florida. We know that if we are going to achieve the goals that we have set for our business, then we must ensure that we build our business on a solid foundation. We must ensure that we follow due process in setting up the business.

Even though our Chief Medical Director (owner) has a robust experience in health management services, public health and medical research, we still went ahead to hire the services of business consultants that are specialized in setting up new businesses to help our organization conduct detailed SWOT analysis and to also provide professional support in helping us structure our business to indeed become a leader in the healthcare industry.

This is the summary of the SWOT analysis that was conducted for Health Is Wealth™ Home Healthcare Services;

Our strength lies in the fact that we have a team of well qualified professionals manning various job positions in our organization.

As a matter of fact, they are some of the best hands in the whole of Miami Florida. Our location, the Business model we will be operating on, opening 24 hours daily and 7 days in a week, multiple payment options, well equipped medical call center and our excellent customer service culture will definitely count as a strong strength for us.

Our perceived weakness lies in the point that we are just starting out and we may not have the required finance to sustain the kind of publicity that we intend giving the business and also the finance needed for the acquiring helicopter to facilitate rapid response in cases of medical emergencies.

• Opportunities:

The opportunities that are available to home healthcare services providers are unlimited considering the fact that we have growing aging population in the United States and we are going to position our business to make the best out of the opportunities that will be available to us in Florida.

Just like any other business, one of the major threats that we are likely going to face is economic downturn and unfavorable government policies (healthcare reform). It is a fact that economic downturn affects purchasing power. Another threat that may likely confront us is the arrival of a new and bigger/well established home healthcare brand in same location where our outlet is located.

7. MARKET ANALYSIS

• Market Trends

The health industry is indeed a thriving and dynamic industry; with the aid of technology, it is becoming easier to treat, manage and cure some ailments that before now are not easy to handle. No doubt there are many ways of providing healthcare services in this changing era since the place of delivery may be in the patient home, the community, the workplace, or in health facilities.

Before now is the practice for home healthcare service providers to restrict their services only to face-to-face delivery; a practice where a home healthcare provider and patient see each other physically most especially in the home of the patient.

But in recent time, the trend has changed especially with the advent of improvised/modern telecommunications technology.

It is now easier for home healthcare service providers to leverage on technology to take care of their patients/clients. The achieve this by communicating with their patient over the phone, video conferencing, the internet, email, text messages, and all other medium through which non-face-to-face communication can be achieved.

No doubt the home healthcare industry will continue to grow and become more profitable because the aging baby-boomer generation in United States is expected to drive increasing demand for this specialized service.

8. Our Target Market

Health Is Wealth™ Home Healthcare Services is in business to service a wide range of customers in Miami Beach, Florida – United States of America and other cities such as Green – Acres City, Miami, Jacksonville, Clearwater, Tampa, Fort Lauderdale, North Miami, West Palm Beach, Palm Harbor, Deltona, Orlando, Palm Bay and Panama City et al.

We will ensure that we target but self – pay customers (who do not have health insurance cover), and those who have health insurance cover.

Generally, those who need home healthcare services ranges from those with the elderly people, to those who are bedridden to those who have mental/psychiatric challenges and any other ailment that the physician deems that the use of therapy, regular medical counseling and health management .

The fact that we are going to open our doors to a wide range of customers does not in any way stop us from abiding by the rules and regulations governing the home healthcare industry in the United States. Our staff is well – trained to effectively service our customers and give them value for their monies. Our customers can be categorized into the following;

• Elderly people
• Expectant Mothers
• Injured Sports Men and Women
• Disable/Physically Challenged People
• People why mental/psychiatric challenges
• The aged who might suffer from severe joint pains and every other age categories who falls under the conditions listed by the physician.

Our competitive advantage

Aside from the competitions that exist amongst various home healthcare service providers, they also compete against other healthcare services providers such as hospitals, health centers and community clinics et al. To be highly competitive in the home healthcare industry means that you should be able to deliver consistent quality patient service and should be able to meet the expectations of the physicians that referred patients to you.

Health Is Wealth™ Home Healthcare Services is coming into the market well prepared to favorably compete in the industry. Our office facility is well positioned (centrally positioned) and visible, we have enough parking space with good security.

Our staff is well groomed in all aspect of home healthcare service delivery and all our employees are trained to provide customized customer service to all our clients. our services will be carried out by highly trained professional physicians, nurses, nurse’s aides, mental health counselors, chiropractors, medication management counselors, physical therapists, county aging workers, and rehabilitation counselors, home health caregivers and home caregivers who know what it takes to give our highly esteemed customers value for their money.

We are going to be one of the few home healthcare service providers in the whole of Florida that will run a standard medical call center for 24 hours a day and 7 days a week. We have enough trained health workers that are ready to run a shift system.

Health Is Wealth™ Home Healthcare Services we will ensure that we offer a wide range of home healthcare services such as Skilled Nursing, Nursing Aide, Social Work, Occupational, Physical, and Speech Therapy, Personal Injury Case Management, Home Medication Management, and Personal Assistance Services. We will also ensuring that all our patient/clients are well treated and taken care of.

9. SALES AND MARKETING STRATEGY

• Sources of Income

Health Is Wealth™ Home Healthcare Services will ensure that we do all we can to maximize the business by generating income from every legal means within the scope of our industry. Below are the sources we intend exploring to generate income for Health Is Wealth™ Home Healthcare Services;

• Skilled Nursing Home Services
• Nursing Aide Home Services
• Occupational, Physical, and Speech Therapy Home Services
• Personal Injury Case Management Home Services

10. Sales Forecast

It is important to state that our sales forecast is based on the data gathered during our feasibility studies, market survey and also some of the assumptions readily available on the field. Below are the sales projections that we were able to come up with for the first three years of operations;

• First Year-: $100,000 ( From Self – Pay Clients / Patients ): $250,000 ( From Health Insurance Companies )
• Second Year-: $250,000 ( From Self – Pay Clients / Patients ): $500,000 ( From Health Insurance Companies )
• Third Year-: $500,000 ( From Self – Pay Clients / Patients ): $1,500,000 ( From Health Insurance Companies )

N.B: This projection is done based on what is obtainable in the industry and with the assumption that there won’t be any major economic meltdown and natural disasters within the period stated above. Please note that the above projection might be lower and at the same time it might be higher.

• Marketing Strategy and Sales Strategy

The marketing and sales strategy of Health Is Wealth™ Home Healthcare Services Store will be based on generating long-term personalized relationships with customers. In order to achieve that, we will ensure that we offer top notch all – round home healthcare services at affordable prices compare to what is obtainable in Florida.

All our employees will be well trained and equipped to provide excellent and knowledgeable home healthcare services and customer service.

We know that if we are consistent with offering high quality home healthcare service delivery and excellent customer service, we will increase the number of our customers by more than 25 percent for the first year and then more than 40 percent subsequently.

Before choosing a location for our home healthcare services, we conducted a thorough market survey and feasibility studies in order for us to be able to be able to penetrate the available market and become the preferred choice for residence of Miami Beach, Florida – United States of America and other cities such as Green – acres City, Miami, Jacksonville, Clearwater, Tampa, Fort Lauderdale, North Miami, West Palm Beach, Palm Harbor, Deltona, Orlando, Palm Bay and Panama City et al where our services will be available.

We have detailed information and data that we were able to utilize to structure our business to attract the numbers of customers we want to attract per time.

We hired experts who have good understanding of the home healthcare industry to help us develop marketing strategies that will help us achieve our business goal of winning a larger percentage of the available market in Florida.

In summary, Health Is Wealth™ Home Healthcare Services will adopt the following sales and marketing approach to win customers over;

• Introduce our business by sending introductory letters to residence, business owners and corporate organizations
• Advertise our business in community based newspapers, local TV and local radio stations
• List our business on yellow pages ads (local directories)
• Leverage on the internet to promote our business
• Engage in direct marketing
• Leverage on word of mouth marketing (referrals)
• Enter into business partnership with hospitals, government agencies and health insurance companies.
• Attend healthcare related exhibitions/expos.

11. Publicity and Advertising Strategy

We in the home healthcare services business -to become one of the market leaders and also to maximize profits hence we are going to explore all available conventional and non – conventional means to promote our home healthcare services business.

Health Is Wealth™ Home Healthcare Services has a long term plan of offering home healthcare services in various locations all around Florida which is why we will deliberately build our brand to be well accepted in Miami Beach before venturing out.

As a matter of fact, our publicity and advertising strategy is not solely for winning customers over but to effectively communicate our brand to the general public. Here are the platforms we intend leveraging on to promote and advertise Health Is Wealth™ Home Healthcare Services;

• Place adverts on both print (community based newspapers and magazines) and electronic media platforms
• Sponsor relevant community health programs
• Leverage on the internet and social media platforms like; Instagram, Facebook , twitter, YouTube, Google + et al to promote our brand
• Install our Bill Boards on strategic locations all around Miami Beach Florida.
• Engage in road show from time to time
• Distribute our fliers and handbills in target areas
• Ensure that all our workers wear our branded shirts and all our vehicles and ambulances are well branded with our company’s logo et al.

12. Our Pricing Strategy

Health Is Wealth™ Home Healthcare Services will work towards ensuring that all our services are offered at highly competitive prices compare to what is obtainable in The United States of America.

On the average, home healthcare service providers usually leverage on the fact that a good number of their clients do not pay the service charge from their pockets; private insurance companies, Medicare and Medicaid are responsible for the payment. In view of that, it is easier for home healthcare service providers to bill their clients based on their discretion.

However, in some cases home healthcare service providers also adopt the hourly billing cum per visit billing method. For example, it is easier and preferable for home healthcare services providers to bill personal injury case management services by the hour as against a fixed price.

• Payment Options

At Health Is Wealth™ Home Healthcare Services, our payment policy is all inclusive because we are quite aware that different people prefer different payment options as it suits them. Here are the payment options that will be available in every of our outlets;

• Payment by cash
• Payment via Point of Sale (POS) Machine
• Payment via online bank transfer (online payment portal)
• Payment via Mobile money
• Check (only from loyal customers)

In view of the above, we have chosen banking platforms that will help us achieve our payment plans without any itches.

13. Startup Expenditure (Budget)

If you are looking towards starting a home healthcare services company, then you should be ready to go all out to ensure that you raise enough capital to cover some of the basic expenditure that you are going to incur. The truth is that starting this type of business does not come cheap.

You would need money to secure a standard office facility, you could need money to acquire medical equipment and supply and you would need money to pay your workforce and pay bills for a while until the revenue you generate from the business becomes enough to pay them. Besides it is expensive to acquire a standard well – equipped ambulance.

Detailed Cost Analysis for Starting a Home Health Care Service Business

The items listed below are the basics that we would need when starting our home healthcare services business in the United States, although costs might vary slightly;

• The Total Fee for Registering the Business in Maryland – $750.
• Legal expenses for obtaining licenses and permits – $1,500.
• Marketing promotion expenses for the grand opening of People’s Choice Retail Store in the amount of $3,500 and as well as flyer printing (2,000 flyers at $0.04 per copy) for the total amount of $3,580.
• Cost for hiring Consultant – $2,500.
• Cost for Computer Software (Accounting Software, Payroll Software, CRM Software, Microsoft Office, QuickBooks Pro, drug interaction software, Physician Desk Reference software) – $7,000
• Insurance (general liability, workers’ compensation and property casualty) coverage at a total premium – $3,400.
• Cost for payment of rent for 12 month at $1.76 per square feet in the total amount of $105,600.
• Cost for office remodeling (construction of racks and shelves) – $20,000.
• Other start-up expenses including stationery ($500) and phone and utility deposits ($2,500).
• Operational cost for the first 3 months (salaries of employees, payments of bills et al) – $100,000
• The cost for Start-up inventory (stocking with a wide range of products) – $150,000
• Storage hardware (bins, rack, shelves,) – $3,720
• Cost for Nurse and Drugs Supplies (Injections, Bandages, Scissors, et al)- $3,000
• Cost for medical equipment – $50,750
• Cost of purchase of ambulance and other vehicles : $100,000
• The cost for the purchase of furniture and gadgets (Computers, Printers, Telephone, TVs, tables and chairs et al): $4,000.
• The cost of Launching a Website: $700
• The cost for our opening party: $7,000
• Miscellaneous: $10,000

We would need an estimate of $750,000 to successfully set up our home healthcare services company in Miami Beach – Florida. Please note that this amount includes the salaries of all the staff for the first month of operation.

Generating Funding/Startup Capital for Health Is Wealth™ Home Healthcare Services

Health Is Wealth™ Home Healthcare Services is a private business that is solely owned and financed by Dr. Marvin Clarkson and his wife Mercy Clarkson (Nurse). We do not intend to welcome any external business partner which is why we have decided to restrict the sourcing of the start – up capital to 3 major sources.

These are the areas Health Is Wealth™ Home Healthcare Services intends to generate our start – up capital;

• Generate part of the start – up capital from personal savings
• Source for soft loans from family members and friends
• Apply for loan from my Bank

N.B: We have been able to generate about $200,000 ( Personal savings $150,000 and soft loan from family members $50,000 ) and we are at the final stages of obtaining a loan facility of $550,000 from our bank. All the papers and document have been signed and submitted, the loan has been approved and any moment from now our account will be credited with the amount.

14. Sustainability and Expansion Strategy

The future of a business lies in the numbers of loyal customers that they have the capacity and competence of the employees, their investment strategy and the business structure . If all of these factors are missing from a business (company), then it won’t be too long before the business close shop.

One of our major goals of starting Health Is Wealth™ Home Healthcare Services is to build a business that will survive off its own cash flow without the need for injecting finance from external sources once the business is officially running.

We know that one of the ways of gaining approval and winning customers over is to sell our home healthcare services a little bit cheaper than what is obtainable in the market and we are well prepared to survive on lower profit margin for a while.

Health Is Wealth™ Home Healthcare Services will make sure that the right foundation, structures and processes are put in place to ensure that our staff welfare are well taken of. Our company’s corporate culture is designed to drive our business to greater heights and training and re – training of our workforce is at the top burner.

As a matter of fact, profit-sharing arrangement will be made available to all our management staff and it will be based on their performance for a period of three years or more. We know that if that is put in place, we will be able to successfully hire and retain the best hands we can get in the industry; they will be more committed to help us build the business of our dreams.

Check List/Milestone

• Business Name Availability Check:>Completed
• Business Registration: Completed
• Opening of Corporate Bank Accounts: Completed
• Securing Point of Sales (POS) Machines: Completed
• Opening Mobile Money Accounts: Completed
• Opening Online Payment Platforms: Completed
• Application and Obtaining Tax Payer’s ID: In Progress
• Application for business license and permit: Completed
• Purchase of Insurance for the Business: Completed
• Leasing of facility and remodeling the facility: In Progress
• Conducting Feasibility Studies: Completed
• Generating capital from family members: Completed
• Applications for Loan from the bank: In Progress
• Writing of Business Plan: Completed
• Drafting of Employee’s Handbook: Completed
• Drafting of Contract Documents and other relevant Legal Documents: In Progress
• Design of The Company’s Logo: Completed
• Graphic Designs and Printing of Packaging Marketing / Promotional Materials: In Progress
• Recruitment of employees: In Progress
• Purchase of Medical Equipment and Ambulances et al: In Progress
• Purchase of the Needed furniture, racks, shelves, computers, electronic appliances, office appliances and CCTV: In progress
• Creating Official Website for the Company: In Progress
• Creating Awareness for the business both online and around the community: In Progress
• Health and Safety and Fire Safety Arrangement (License): Secured
• Opening party / launching party planning: In Progress
• Compilation of our list of products that will be available in our pharmacy store: Completed
• Establishing business relationship with vendors (wholesale pharmaceutical companies): In Progress

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Home Health Care Business Plan Sample

Published Oct.12, 2016

Updated Sep.14, 2024

By: Jakub Babkins

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Table of Content

Home health care business plan for starting your own agency

Home healthcare is an $84 billion industry in the US alone and it is not going to slow down anytime soon. It covers both non-medical healthcare and skilled home health care, teams. Currently, the US has over 386,000 home health care businesses and employed more than 1.7 million people approx. But this home care agency business plan is not for everyone. It involves high stress and peer pressure in its environment.

If you have a strong desire and passion for helping others, this industry is very rewarding and you can earn a lot with compassion. If you are eager in starting a home health care business and you are raising funds, it is highly recommended to come up with a well-detailed home health care agency business plan .

Executive Summary

In this section, you need to explain all the basics of your homecare business model. Explain how much amount you want to raise for the growth of your home care agency business plan while presenting the expected operations and financials over the upcoming 3 years. For Example,

Wheatland Home Healthcare Agency (Your Company Name) is a Kansas-based home healthcare agency aimed to provide home health care agency business plan services to the targeted market.

The business

If you are wondering how to start a home care agency business plan , you first need to start with arranging for sophisticated medical equipment. Make a detailed list of all the business equipment you will have to arrange.

In addition, your company should also be licensed by your respective state and who will be your partners.

When making a homecare business model, you should also include who will be the owner and main operator of the home care agency business plan . For example, Wheatland Home Health Care Agency will be based in Wilson County (the area) and owned by its operators and investors. The office will be managed in a lavish office space in Kansas.

Your customers are basically the families and individuals looking for social services and/or home health care. If you are asking how to get clients for non-medical home care business, you can generally ask attorneys, physicians, healthcare facilities and insurance companies who can refer those patients to you.

Business Target

Consider this example when writing a business plan for home health care.

“The company is expecting a home care agency business plan loan for five years from its investors. Later on, we will manage the cash flow to finance the growth without requiring additional debt. We are planning to have full sales on credit. Hence, we need proper cash in hand in the beginning to avoid any problems related to the cash flow.“

Company Summary

When setting up a care company, you need to explain how you are going to make a presence in the market. For example, “Our agency will be based on a central location of Kansas and provide different services to clients and patients coming from Wilson, Neodesha, and Labette Counties, within the radius of 90 miles of our corporate offices.”

Here, you need to define your company and goals when you start a home health agency. You may want to promote and market your business and make an online presence by starting a website.

Company Owner

As a limited liability company, Wheatland Home Healthcare Agency is going to be operated and owned by Ethan J. Peter (name of company owner).

Along with years of experience in healthcare industry, explain the specialization and qualification of the owner.

Why the home health care business is being started?

When making a non-medical home care business plan, explain what the inspiration behind starting a home health care business is. Do you have a strong desire to help people in need which drives you to make it your profession? Do you have years of experience working with a healthcare organization and want to start your own home care agency business ?

How the home health care business will be started?

Since your company is being started, you will definitely need to address your funding matters and startup costs. In this sample business plan for home health care agency, we have listed the assets required for start-up, a breakdown of start-up expenses, total cash required, total funding, investment, capital, and other liabilities along with the startup cost diagram to illustrate the expected expenses, investment, assets, bank loans for the business plan , etc.

Services for Customers

The home health care agency’s business plan  should be aimed to help people with special needs as well as elderly in their daily activities and providing all the living help at the home. The company should also retain a skilled team of healthcare professionals, in case any specific treatment is required or in an emergency.

Along with at-home facilities, your company should also provide facilities to take them out if they are not able to drive their car. In this section of a home care business plan , you need to describe the services you have planned to offer.

As a home care agency business plan , you should ensure that all your clients/patients have been treated well. The following services should be provided by specialized health care nurses, physicians, mental health counselors, physical therapists, chiropractors, rehab counselors, and other professionals who are well versed in providing valuable services. Your non-medical home care agency business plan should include the following services –

• Nursing Aide
• Skilled Nursing
• Social Work
• Personal Injury Case Management
• Physical, Occupational, and Speech Therapy
• Personal Assistance Services
• Home Medication Management

When creating a business plan for home health care agency, you may also want to provide resource linkage, assessment, planning, and reporting services for injury case management.

Marketing Analysis of Home Health Care Business

When raising funds, the best thing you can have is a foolproof business plan for home care agency to stand out in the competition and market your home care agency business . It goes without saying that home health care is a growing industry on both the national and international levels. If your community has become an over-saturated market with a lot of home health care services out there, you must have a lot of competition to face.

However, a strong marketing analysis on home care services business plan can save you and drive you to penetrate the market in the short term. You need to figure out the weak point of your competitors and make proper marketing strategies.

For better insight, consider the following home health care business plan example in this segment.

The Wheatland Home Health Care Agency’s customer base would generally consist of patients who are referred by health care facilities, physicians, and other professionals in the industry. Only a small percentage of patients will be covered by any private insurance company because most of them will be insured by Medicare.

For the Personal Injury Case Management part of our business plan for domiciliary care agency , the customer base generally includes the patients who have been injured in any kind of accident or in the job. These patients will usually get referred from lawyers looking for case management services for them or insurance providers seeking help to mitigate the loss of their clients and injuries.

Market Trends

The target customers of personal injury case management, as well as home health care agency business plans , usually don’t do comparison shopping directly. They usually prefer the health care providers who are referred by their physicians.

When it comes to assessing competition in the field of home health care, the most vital aspect here is consulting with other professionals and asking them to refer their clients to your agency. For doing this, your agency should provide the best patient care and showcase professional business management and organization, and pertinent and current qualifications. It will help you to capture most of the personal injury case management and home healthcare market in your respective area.

Marketing Segmentation

The target market for home health care business should be an aging population who prefer to stay in their homes most of the time and go out mostly for seeing doctors instead of being admitted to a nursing home. Your target market should cover especially the patients who are aging and need proper health care services from a well-trained nursing team. They may also call for other home care services like social work, to gather important resources from the community.

Next up, you may want to target the people who need personal injury case management solutions. You can help them in dealing with financial, medical, and work-related issues.

Since you are specialized in community-oriented services and home health care services, your target should be the segments where your services are needed the most. By working for those market segments, which need home care services only, you can save overhead expenses significantly, as you will not have to set up another office space.

Product Pricing

When acquiring home health care services, trust is the major aspect for both referring professionals and customers. They should have faith in your home care service for reliability, professionalism, and quality.

The customer’s choices do not get affected with the pricing of your services. A lot of those services are covered under Medicaid, Medicare, and private insurance providers and the rates are set by them.

Pricing is a very determining factor for personal injury case management. It varies from case to case and is paid on an hourly basis, which is subject to negotiation. When it comes to providing personal injury case management, the pricing would be estimated on the total time required for the client.

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Home Health Care Marketing Strategy

So you have developed a full-fledged domiciliary care agency business plan and go through all the complex processes of Medicare and state certificate. You have also recruited experienced professionals.

The next thing to consider in a free business plan for home health care agency is the way to attract clients. This is where you need proper marketing strategies to ensure success.

Competitive Analysis

In this free home health care agency business plan , we will start with your competitive edge. If you have learned a lot of daily administrative duties and have experience in home care agency business plan , you can make it successful. Your reputation can help you build a solid client base even before starting your home care agency business plan .

Sales Strategy

Here, you need to provide the best patient service and ensure complete satisfaction from referring to healthcare facilities and physicians.

Sales Monthly

This part should contain your projected monthly sales in home  care agency business .

Sales Yearly

Define annual projected sales from your home care agency business  for three years in this section.

Sales Forecast

It reflects the conservative average of your patients during the first year along with modest year-by-year rise. It should be based on the total patients you are seeing currently in your home health care business.

Personnel plan

In this sample business plan for home care agency, the following points should explain your staff requirements, benefits, and costs needed to hire them. You should also consider the cost of living of employees without affecting your administration. Project the growth of the client base without any impact on payroll because of increased working hours.

Company Staff

In this part of home health care agency business plan free, explain the number of employees as well as who will be hired for what services and for how many hours.

Average Salary of Employees

This part should contain the breakdown of an average salary of each employee in your organization for the next three years.

Financial Plan

As discussed, you may want to use your cash flow to finance your growth. It will ensure slow but steady growth. The collection of dues plays a very vital role in non-medical home care business profits. The services will be mainly reimbursed by insurance providers.

Important Assumptions

The assumptions table showcases major annual assumptions based on tax rates, interest rates as well as staff requirements. For example, we assume no major recession and strong economy, as well as no major and unexpected change in federal policy.

Brake-even Analysis

In a home health care agency business plan , the brake-even analysis is based on Average Variable cost (per unit) and fixed monthly costs.

Projected Profit and Loss

You need to project the overall profit and loss, with sales, rise over the next three years and profits should be notable in the beginning. Also, project your expenses and primary costs in providing services on a monthly and annual basis.

Profit Monthly

In this section, you need to show the detailed overview of your monthly profits for the 12 months in the next 3 years.

Profit Yearly

Your investors may also want to know the annual profits your business can make. It will also help you determine the estimate annual profits for the next 3 years

Gross Margin Monthly

You need to show up your gross margin on monthly basis in your home health care agency business plan .

Gross Margin Yearly

For this section, you can mentkon the annual gross margin you are expecting for the next 3 years.

Projected Cash Flow

It should show annual amounts, which are important to your home care agency business plan success. The following table represents cash flow on monthly basis.

Projected Balance Sheet

The projected balance sheet of your home care business should show sufficient net worth growth and healthy financial state.

Business Ratios

The projected business ratios should be based in comparison with home health care standards. Expect to have healthy ratios for risk, profitability, and returns.

Download Home Health Care Business Plan Sample in pdf

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How to Start a Home Health Agency: A Complete Guide

If you’re about to embark on a new business venture and looking for in-depth guides and tips on how to start a home health agency - you’re at the right place. 

Starting something new can be daunting, and a little support can make a big difference.

To give you a helping hand and ease the process of starting a home health agency, we’ve researched for you and gathered all the essential information in one place.

We’ve also included a handy “how to start a home healthcare business checklist” at the end of this article so that you can visualize all the steps to your goal without much hassle.

Track your caregivers’ time, location, and mileage with Timeero.

Stay HIPAA and EVV-compliant while managing your caregivers with ease

First Things First: How Much Does It Cost to Run a Home Health Care Business?

Before digging deeper into starting a home health agency, you must get one crucial thing sorted: the finances. The cost structure consists of the necessary up-front investment, start-up expenses, and project costs in the business’s first three years.

The costs of starting a homecare business can differ depending on the state you’ll operate in and the type of home care agency you want to launch. Generally speaking, the non-medical home care agency will cost you the least, while the Medicare/Medicaid Home Health and Hospice start-ups are the most expensive.

Starting a home healthcare business can range anywhere from $40,000 to $350,000, depending on the type of service and the state where it will be provided.  

Take a look at the estimated costs of different types of start-ups:

• Private Pay Home Care agency : $40,000 - $80,000
• Licensed Home Health non-MediCare agency : $60,000 - $100,000
• Medicare Certified Agency: $100,000 - $350,000

PRO TIP: Developing working capital for the first year should be your priority. Not having a working budget for the start-up costs is one of the main reasons new home care businesses fail.

This Industry Is Growing at a Fast Pace

The demand for private caregiver services is rising, and there are several causes for such a trend. For starters, the aging baby boomers are changing the landscape - they account for around 25% of the U.S. population. And by the year 2030, this demographic group will be 65 or older . 

The longevity of life is yet another factor at play here: with modern-day medicine, life expectancy has increased. This also means some U.S. citizens, especially those with chronic illnesses, require longer care. Chronic disease prevalence has also increased, placing more demand on the healthcare market.

But now, it seems we have gone the full circle: more and more seniors nowadays don’t like the idea of nursing homes and care facilities. They would prefer to stay in their own homes as they age - 90% of them, to be exact . This preference greatly impacts the growth of the home health and care industry. 

All of this means that there is a need for more private caregivers and more home health agencies to provide appropriate services to aging citizens. 

Home Health Care Business: What Services Does It Provide?

Home health care is a term used to describe the medical treatment or assisted care provided by trained professionals - either a health care professional or a caregiver/nurse. 

This type of care is tailored for individuals who don’t need hospitalization or facility care but still can’t live safely and independently. 

They need support from medical treatment to assist with daily activities like eating, dressing, or just companionship. Mostly, health care boils down to basic assistance in the comfort of the patient’s home. 

Medical vs Non-Medical Home Health Care Business: The Differences

There are two types of home care agencies, and opting for one is the first step when starting a home health care business. 

Choosing the kind of services you want to offer will impact many things, from the laws and regulations you need to abide by to the qualifications of employees you’ll need. 

Let’s explore what medical and non-medical home care businesses encompass.

Medical Home Health Care Business

As the name implies, medical professionals and home health aides (HHA) provide medical health care services. This type of care goes beyond just supporting normal aging and independence in older adults.

It includes general nursing services (for example, monitoring blood pressure and blood sugar levels), wound care, physical therapy, and palliative care. 

As such, these businesses undergo stricter regulations and may require Medicare certifications. 

Non-Medical Home Health Care Business

Non-medical home care services focus on in-home care: supporting aging and essential daily living. Typically, they include assisting with personal care and hygiene needs, helping in meal preparation, medication reminders, or transportation to and from doctor’s appointments. 

Non-medical home health also encompasses companionship care and keeping elderly individuals sharp and cognitively engaged by playing cards and board games. Professional caregivers, home care aides, or certified nursing assistants provide them. 

How to Start a Home Health Care Business: The Roadmap

Now that we’ve covered the budgeting and the types of services available, it’s time to take an in-depth look into the steps to starting a home health agency.

How to Create a Business Plan for a Home Health Care Agency?

Formulating a business plan is critical for every enterprise. Starting a home health care agency is especially advantageous when improving the strategy or seeking funding. 

Think of it as a blueprint or a roadmap to structuring, running, and growing your business. 

And there’s more to this plan - it can also help you secure funding or get a new business partner on board. A well-thought-out business plan can convince investors to work with you.

In this phase, you’ll need to decide on the type of care you’ll provide and your services. 

Key elements that every home health care agency business owner to incorporate into their plan are:

• Executive Summary. 
• Company Overview. 
• Services Portfolio. 
• Target Audience.
• Leadership Structure. 

Writing a good business plan is the foundation that will guide you when starting your business and later on - when you need to manage it.

Draft a Budget & Secure Funding 

We’ve already emphasized the importance of securing a solid financial plan and a working budget for a year. This is because it takes six months and a year before your business starts making a profit. 

To set yourself and your new enterprise for success, have a budget for your personal and business needs. Overhead costs, hiring staff, and business equipment - to mention a few expenses, tend to add up quickly.  

Also, you’ll need a business checking account and accounting software. 

Create a Business Entity

This term refers to different types of business structures . For example, one can establish a corporation, partnership, sole proprietorship, or LLC - Limited-Liability Company. 

Each of these types will impact your business in the future - the personal obligations you’ll have, the amount of taxes you’ll be required to pay, and the organizational structure of your enterprise.

So, research well and check which of the available business entities ticks the most boxes for you.

Get Your Employee ID Number (EIN)

The Internal Revenue Service (IRS) issues a unique 9-digit number to every business entity operating within the borders of the U.S. The EIN is used for identification, also known as FEIN or, the Federal Employer Identification Number or the Federal Tax Identification Number.

Whatever the name, you need to apply for an EIN . Note that it’s a free service, and you can apply via multiple channels: online, by mail, by fax, or by phone (for international applicants).

Register With the Secretary of State

This step may sound intimidating, but it’s not! In most cases, you must file your business name with state and local governments, and you are good to go to the next step. 

But before you get to the filing part, check whether the name you’ve chosen for your business is available. 

Also, don’t forget to browse the web and check the availability of the domain name for your website, too!

Obtain Required Licenses and Certifications 

Your business needs to be in line with state and federal health departments. You’ll need licensure and certificates required by your state, city, and/or locality. 

For example, in some states, it’s required for home health agencies to undergo a certain number of hours of approved training from local licensing bodies and Medicare/Medicaid certifications. 

Only after they meet these licensing requirements can they provide appropriate services. Different states have different legislation, so it’s best to contact your local and state health departments and learn about the license application procedure. 

Also, something to be aware of is that according to the 21st Century Cures Act , all Medicaid personal care services (PCS) and home health services (HHCS; by January 1, 2023) that require an in-home visit by a provider need to implement EVV system (Electronic Visit Verification) .  

How Long Will It Take to Get a Home Health Care License?

The wait time will depend on your state, but generally speaking, it can range anywhere from less than three months to 12 or even 18 months.

Contact the state regulatory authorities to confirm how long the licensing process takes.

Get Proper Insurance

We can’t stress enough how important it is to obtain the right insurance, as this is a risky industry. After all, you’ll be working with vulnerable individuals. 

Accidents and unpredictable events happen no matter how careful you are, so make sure to get this step right and protect your business and assets. You’ll need the following insurance policies:

• Professional liability insurance (also known as “errors and omissions” insurance) - This policy will cover you if malpractice, negligence, or incompetence claims arise. 

Depending on the services your agency will provide, you may also need:

• General liability insurance protects your business from claims that it caused bodily injuries and property damage.
• Cybersecurity insurance  - In today’s tech world, this type of insurance has become indispensable. If your business happens to be under a malicious online attack and you experience a breach or a hack, this insurance will protect you against some HIPAA penalties related to exposing PII (Personal Identifiable Information)

Aside from that, unemployment insurance, workers’ compensation, and disability insurance are usually required by the law (it varies from state to state, though). 

Hire the Right People & Develop a Plan to Retain Them

Now that you’ve tackled the paperwork and all the legal requirements, your business name, and your entity are approved, it’s time to focus on finding qualified people for your business.

Your employees are the face of your business, so hire people who reflect your company’s values and can provide the best care possible. 

To achieve this, it will help develop a caregiver recruitment plan and a retention one. After all, you want to have competent professionals interacting with the patients, and you’ll want to keep the top talent in your company. You can employ various tactics to reduce nurse turnover , but for the most part, providing training and recognition will keep your clients satisfied with the service. 

Performing background checks before hiring is just one of the safeguards to avoid problems with care from employees.

Get the Clients: Have a Sales & Marketing Plan in Place

This may be the most challenging step in setting up a home health agency until you build a trusted brand. To obtain clients, you’ll need to adopt effective marketing strategies. Here are some of the best ways to do so.

Connect with Reputable Referral Sources In Your Community

Partner with hospitals, rehab centers, and community organizations in your area. Such partnerships can help you expand your reach, gain referrals, and increase your client base.

Build an Online Presence

Growing your business without a website is impossible in today’s business world. To get more exposure, you’ll need a professional-looking site with content catering to older adults and seniors, adult children of seniors, as well as other relatives of older citizens and individuals with disabilities. 

Set up a Google Business Profile (Formerly Known as “Google My Business”)

This is a really important step in boosting your online visibility and acquiring clients. Once you get listed in Google Business, your business address, hours, phone number, and ratings will be available for potential clients and anyone searching for a home health agency within local searches.

Take Advantage of Established Elder Care Websites 

Post your agency listing on prominent elder care websites to get even more online visibility at the right place.

Run Google Ads and Engage in Social Media

You can get immediate exposure for your most relevant searches by using Google ads. It’s a great way to get noticed quickly, especially when you’re still establishing your brand. For instance, you’ll want your website to show at the top of Google when someone types in search terms like “[your location] home health agencies.” 

You can also engage with your target audience on relevant social media channels and provide them with helpful content related to home health services. 

To learn more about strategies you can use, read our guide on How to get private home healthcare clients .

Define Formal Policies and Procedures

You’ll need to have many formal policies and procedures in place. You can either write them yourself (make sure to consult a legal advisor) or purchase them. They should address essential parts of your business operations like: 

• New client admissions
• Hiring Process
• Employee and payroll records
• Client billing
• Client rights and responsibilities 

Prepare for Operations: Scheduling, Accounting, Time & Mileage Tracking

You’ll also need to set up certain office operations to ensure your day-to-day operations run smoothly. 

Most importantly, you will need home health care workforce management software for scheduling, time and mileage tracking on one side, and finance-related tools for accounting, billing, and payroll.

You’ll be glad to know that some of these apps provide multiple solutions and third-party integrations. For instance, Timeero integrates with the accounting software QuickBooks, meaning you can save payroll time by simply exporting your timesheets and mileage to it. 

How to Start a Home Health Care Business: The Checklist

We’ve created a checklist to help you get around and start a home health care business as efficiently as possible. We’ve recapped everything we’ve already explained in this article and listed all the necessary steps you need to take in chronological order.

DOWNLOAD YOUR COPY OF HOW TO START A HOME HEALTH AGENCY CHECKLIST

Starting a home health agency: ‍ chose timeero as your trusted partner .

Timeero app is designed to serve the home health care business and is a reliable partner to many home health agencies.

Here are some of the crucial reasons why you should consider partnering up with Timeero when starting your home healthcare business:

• GPS time and attendance tracking. Timeero app will let your nurses and caregivers track their hours, breaks, and attendance with ease using their mobile apps. As soon as they clock in, their time cards are created automatically, so they don’t need to log their hours manually.

• Mileage tracking. Timeero automatically tracks caregivers’ mileage driving from one in-home visit to another. Again, there is no need for manual data entry, and as mileage records are accurate, so will their reimbursement.

• HIPAA & EVV compliance. Timeero has taken the necessary steps to meet the standards set by the Health Insurance Portability and Accountability Act (HIPAA) for protecting sensitive patient data. And, if some of your services are Medicare-funded, your agency must be compliant and have an electronic visit verification system. Timeero EVV software ensures that compliance, too.
• Who’s Working. Real-time GPS tracking lets you see the locations of all your available field staff on a single dashboard. With such insight, you can easily find the nearest nurse or caregiver to react to a potential emergency.

• Scheduling and PTO tracking. Timeero’s robust scheduling technology lets you easily assign jobs and create caregiver shifts. Not only will your staff be notified immediately, but you can also allow them to accept or deny shifts and prevent possible problems. Timeero also simplifies and centralizes the PTO request and approval process, so you can completely forget the hassle surrounding it.

• Notifications, alerts, reminders. You can set up the app to send notifications and alerts to what you find essential. For example, managers can receive an alert when a caregiver hasn’t logged in for their shift or when they clocked in off-site.
• Easy integrations with payroll and accounting solutions. The accurate and reliable data from Timeero can be easily shared with the most popular payroll solutions using integrations with software such as QuickBooks, ADP, Viventium, etc.

To learn more about how Timeero can help your home business grow, read our comprehensive Timeero review . Or, subscribe for the free trial and see the benefits yourself.

Whether you have a few caregivers or hundreds, Timeero will help you improve your efficiency and quality of care.

Natasa is a writer specializing in the IT and software industry with 6+ years of experience in content writing and online marketing. During that period, she wrote more than 1,000 articles and several ebooks. She majored in English language and literature and loves cats, sneakers, and candy. When she's not working, she's probably binge-watching Netflix.

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Learn about EVV requirements by state to help your organization be compliant.

In this guide, we’ll discuss how Timeero — the best HIPAA-compliant app for home care — enables caregivers to operate within the strict confines of healthcare industry regulations.

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14 Steps to Start a Successful Home Healthcare Agency

Looking to start your own home healthcare business? Read on. 

The home healthcare sector is one of the fastest-growing healthcare industries in the United States.  

In 2019, there were approximately 1.4 million people employed in home health care services in the US.

Home health workers — comprising nurses, therapists, and personal care aides — provide a range of medical and daily living services to nearly 12 million people . Most of whom are elderly and many chronically ill, disabled, bedridden, or struggling with Alzheimer’s disease and other cognitive issues. 

Fueled by over 73 million baby boomers – almost 25% of the U.S. population – there’s never been a better time to start a home healthcare business .

In this guide, we’ll explore what services home healthcare agencies provide and why demand is soaring, and then share 14 steps you need to follow to start a successful home healthcare agency. 

What Services Do Home Health Care Businesses Provide?

The term “ home health care ” refers to medical treatment or assistive care for patients who don’t require hospitalization or facility care but do need additional support to live safely at home. Medical professionals or professional caregivers visit individual’s homes to provide some sort of help or care.

While home care can involve medical treatment from medical professionals, most health care is assisting individuals with daily activities‌ ‌such‌ as‌ ‌bathing,‌ ‌dressing,‌ ‌and‌ ‌eating. 

Medical vs. non-medical home care business

Medical home care is provided by medical professionals and includes wound care and general nursing services, such as monitoring blood pressure and mental state. This type of care is typically needed by senior citizens and those recently discharged from hospital. 

Non-medical home care is provided by professional caregivers or other (licensed or unlicensed) non-medical personnel and is based around essential day-to-day assistance. For example, home care aides will prepare meals, clean the house, help change or dress an individual, or drive them to or from doctors' appointments. They might also play cards or board games to keep seniors cognitively engaged. 

Demand for Private Caregiver Services is Growing

The private caregiver services sector is one of the fastest-growing healthcare industries in the United States. Demand is driven by over 73 million baby boomers , representing around 25% of the U.S. population.

Aging baby boomers are placing more demands on the healthcare market to provide home care. As life expectancy increases, seniors who need long-term care prefer to stay in their homes, which means additional private caregivers will be required.  

However, aging boomers are not the only reason the nation's population is getting older. Longer lives — in part due to better health care — and record low birth rates among young women are also significant factors.

According to a survey of US adults , around 18% indicated that an in-home care service provider would be most likely to provide long-term care if needed.

Here are five more reasons to believe demand for private caregiver services in the U.S. will continue to grow:

• Around 12 million people receive some form of home health care, compared to about 2 million who live in nursing homes or assisted living facilities . (Source: Forbes )
• Most of those receiving home care in the U.S. are over 65 years old , with approximately 97% requiring assistance with bathing and 91% requiring assistance transferring in and out of bed. (Source: Statista )
• 90% of seniors plan to remain in their homes as they age. (Source: AARP )
• More than 10,000 baby boomers turn 65 every day, and by 2030, 61 million baby boomers will be aged 66 to 84. (Source: Census )
• Home health care revenue in the U.S. has grown to $97 billion. (Source: Statista )

14 Steps to Start a Successful Home Health Care Agency

Here are 14 steps you need to follow when launching your successful home healthcare agency :

Step #1. Create a business entity

Various types of business structure are ‌available:‌ Sole Proprietorship,‌ ‌Partnership,‌ ‌ Corporation,‌ ‌and‌ ‌Limited-Liability‌ ‌Company‌ ‌(LLC). The type of business you form will determine how much tax you pay, what kind of organizational structure your business will have, and the personal obligations you assume as a result.

Step #2. Obtain an Employer ID Number (EIN)

An Employer Identification Number (EIN) , also known as the Federal Employer Identification Number (FEIN) or the Federal Tax Identification Number, is a unique nine-digit number issued by the Internal Revenue Service (IRS) to business entities operating in the United States for identification purposes.

Step #3. Register with the Secretary of State

Your location and business structure determine how you’ll need to register your business. In most cases, registering your business is as simple as filing your business name with state and local governments.

Check the Secretary of State's website in your area for business name availability, and also check if the domain name is available for your website. When your business name and entity are approved, go ahead and get letterhead, business cards, and brochures printed.

Step #4. Draft a formal business plan

Next, you’ll need to draft a business plan that will be the foundation of your healthcare agency. You’ll need to include the following:

• Executive summary – Present a brief overview‌ ‌of‌ ‌your‌ ‌company.
• Company description – Describe your agency's mission and goals.
• Services – Explain what services you will be offering and how you will price them.
• Marketing plan – Decide how people will learn about your business.  
• Management and organization – Provide an overview of your ownership structure.
• Operational plan – Provide information on the facilities and staff, along with the supplies you'll require.
• Financial plan – Write down a cash flow forecast, a balance sheet snapshot, and a break-even point analysis on it.

Step #5. Open a business bank account

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

Step #6. Secure funding

One of the primary reasons new home care businesses fail is the lack of working capital during the start-up phase. Depending on the location of your home healthcare agency, the estimated start-up costs run as follows:

• Private Pay Home Care agency: $40,000 to $80,000. 
• Licensed Home Health non-Medicare agency: $60,000 to $100,000. 
• Medicare Certified agency:   $150,000 to $350,000. 

You’ll want to make sure you have a solid financial plan and robust funding to get your business off the ground.

Step #7. Check state licensing requirements

The non-medical home care business forms and licenses you’ll need vary from state to state, so it’s difficult to provide precise step-by-step instructions on what to do. 

As a minimum, you’ll usually need to attend a specific training course and become certified in‌ ‌CPR/AED. In some states, you don’t require any other special licenses. But in others, you may need to take additional courses for personal care and caregiver training . 

Step #8. Obtain adequate insurance

It’s essential to obtain adequate insurance. As a minimum, you’ll need:

• Professional liability insurance – protects you from claims of negligence, malpractice, or incompetence. (Also known as “errors and omissions” insurance.)

Depending on the services you’re offering, you may also need:

• General liability insurance – covers you against claims involving third-party bodily injury and property damage arising‌ ‌from‌ ‌your‌ ‌product‌ ‌or‌ ‌ operation.
• Cybersecurity insurance – protects you from some HIPAA penalties arising from a breach or hack that exposes‌ ‌a‌ ‌customer’s‌ ‌PII‌ ‌(Personal‌ ‌ Identifiable‌ ‌Information).

Step #9. Develop a sales and marketing plan

Three market segments should be at the center of your marketing plan:

• Older adults and seniors.
• The adult children of seniors.
• Other relatives of seniors or disabled individuals.

Launch a website

You have to be visible online, which starts with creating a website that is easy to read and navigate on any device.

Set up a Google My Business page

Most local searches show a Google Map pack, so it’s essential to get listed in there.

Connect with referral sources

Decide on the best sources for referrals in your area, such as connecting with long-term care facilities and hospital discharge social workers. 

An excellent place to start is contacting local physicians, senior centers, and rehab outpatient centers and asking them for referrals. You can also inquire whether it's possible to place adverts or leaflets about your services in their offices.

Run Google Ads

Bid on keywords to get immediate visibility for your most important searches in Google. For example, you’d want to show at the top of Google for "[location] caregiver agencies". Someone searching for this term is looking for the services you provide, and ads are one of the best ways to get noticed even when you’re starting. 

TV and radio ads

TV and radio ads might be a viable option, but are usually quite expensive, so don’t invest in these until your business is established.

Get active on social media 

Use the social media channels where your target audience is active to start engaging them with helpful content about your services and care packages.

Collect and publish reviews

Showing up on Google is not enough – people want to see social proof that you are a trustworthy company when making such an emotional investment like caring for a loved one.

Step #10. Develop a recruitment and retention plan

The two most popular methods to retain caregivers ‌are‌ ‌recognition‌ ‌and‌ ‌training. You need to understand your caregivers to keep them and then use this knowledge to train new ones.

Step #11. Set up operations - scheduling, billing, and timekeeping - software

You’ll need to set up back office operations, including accounting, billing, payroll, scheduling, and timekeeping software.

Step #12. Draft formal policies and procedures

Your formal policies and procedures need to cover the following:

• New client admissions
• Plans of care
• Employee and payroll records
• Hiring practices
• Orientation
• Client billing
• Client rights and responsibilities

Step #13. Hire founding staff members

Since your home health care business provides personalized care services to patients, you want to hire employees who reflect your vision and provide the best possible care. Your business reputation depends on the quality of care you provide.

Healthcare professionals commonly employed in home care include certified nursing assistants (CNAs) and home health aides (HHAs) . Bond all your employees if you can.

Step #14. Remain compliant with caregiver training

Home healthcare agencies have to meet compliance requirements in different states. 

CareAcademy is an online training platform that is approved in all 50 states . Agency owners can enroll employees and monitor their progress. At the end of the training, caregivers will be compliant and authorized to provide services in their state. 

It’s easy for agency owners and their employees to get started:

• Owners add caregivers.
• Caregivers access training from any device.
• Caregivers review progress and set up reminders to complete training on time.
• Caregivers download training logs and certificates of completion. 

CareAcademy’s online training ensures agency owners and caregivers have a paper trail for compliance purposes.

Get Started Today

With the demand for private caregiver services set to continue rising, now is a perfect time to start your home healthcare agency.

Check out the range of online training at CareAcademy to get your business off to a fast start with fully-qualified and compliant caregivers. Or, book a demo and we’ll discuss your needs, state requirements , and explore how CareAcademy can get your staff trained and compliant as soon as possible. 

See other posts

Meet Tanner Hall, an Account Executive at CareAcademy whose passion for simplifying training for care staff drew […]

Selecting the right nursing candidates is crucial for maintaining high-quality care in both home health and senior […]

As the demand for home health services continues to rise, so does the complexity of regulations that […]

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Attention everyone, The New Order: Last Days of Europe Wiki on Fandom is no longer used, except for TNO Styled GFX Icons . The new wiki is located at https://tno.wiki.gg/ and please claim your old username (with contributions) at https://tno.wiki.gg/wiki/Special:ClaimExternalAccount/ .

Omsk , officially the Siberian Black League , is a warlord state in Western Siberia. Occupying the territory of the former Omsk Oblast, it borders Tomsk to the north, the Kazakh SSR to the south, Tyumen to the east, and Novosibirsk to the west.

• 2.1 National spirits
• 2.2 Cabinet
• 3.1 Generals

Following the dissolution of the Soviet Union , the city of Omsk, initially held by the West Siberian People's Republic , was seized by a league of ultranationalists sharing views of anti-German sentiment and revanchism. Led by Dmitry Karbyshev 's All-Russian Black League, upon the seizing of Omsk, the ultranationalist regime had to industrialize and fortify it. In a way, some could say it's nothing but a fortified city in which the Black League militarizes and prepares for its future conflicts.

The political system of Omsk is governed as a militarist one-party state since its founding, ruled by Karbyshev and his like-minded comrades of the All-Russian Black League, an organization fanatically devoted to revanchism against the Greater Germanic Reich . However, at heart, Karbyshev is a Russian and while he sought to create an ultranationalist military state to take revenge against Germany, he did not account for the despots that wished to claim as much power as possible from him. Karbyshev is represented in-game as a dying man soon to fall, due to him leading a brutal military dictatorship, while being opposed to the radical rhetoric of his officer clique. The Black League has since become an ultranationalist state, even more radical in their hatred of Germany. Due to Karbyshev's declining health, many of the other officers have gained massive influence in the leadership of Omsk. The reality is that Karbyshev started a movement that assumed it was able to change the hearts of the despots with nationalism rather than terror; but it has since been corrupted beyond his visions, and there is little he can do to stop the train of degeneracy. Indeed, once Karbyshev dies and Omsk is still around, actual ultranationalist and General Dmitry Yazov will assume leadership of the Black League and prevent the despotic cliques from growing.

Under the sheer doctrine of anti-German sentiment, the theory of the “Great Trial” in Omsk comes in. This is where the warlord state will prepare for its final assault on the Reich, as revenge for the “First Trial” which brought the dissolution of the Soviet Union and the “Second Trial” being the West Russian War . Their hatred doesn't stop with just Germany, but it includes many who collaborated with them. Some officers of the Black League even go as far as to want to destroy the United States for not helping enough during the Great Patriotic War. In preparation for their war with Germany, they are expectant of nuclear strikes and so have started to construct massive metro tunnels to double as shelter from the warheads and radioactive fallout. The resolve of the Black League cannot be stopped, even with the threat of nuclear war.

Omsk is one of the hardest paths in TNO, due to it being weaker than a lot of the surrounding warlords and being unable to conduct diplomacy at all. To reunite Russia, Omsk will have to fight every single state in its way. Their end goal is the complete extermination of the Reich and the German people, and they will stop at nothing to reach this. They are hard-coded for hostility and are always at war with someone, but an AI Omsk will almost always never be successful. Despite being founded on nothing but hatred, when they unify Western Siberia and start to emerge on the international stage, they actually try to conceal their ideology and ambitions from foreign influences. They stick with a nondescript name of the “West Siberian Provisional Authority” under the guise of a protective military authority and switch their ideology to “Despotism”.

National spirits

After Dmitry Yazov comes to power and purges the Black League's old guard, the cabinet changes to:

Omsk has at least eleven generals.

• Ironically, according to a former developer of West Siberia, Omsk at one point had a National Socialist path as a "sane" option, due to now-former head developer Pink Panzer wanting every region in Western Siberia to have multiple paths. This was changed after the other developers convinced him to have Omsk only have one path.
• Omsk was partially inspired by the Armenian Secret Army for the Liberation of Armenia , a militant group that aspired to carve out an ethnic Armenian homeland in eastern Turkey.
• 1 SS State of Burgundy
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How to Start a Home Healthcare Business

Tony Sekulich

14 min. read

Updated April 12, 2024

Free Download:  Sample Home Health Care Business Plan Template

Do you find yourself driven by both entrepreneurial and humanitarian interests? Is it important to you to build a business you can be proud of, knowing you are making a positive difference in people’s lives?

If any of this speaks to you, you could be an excellent candidate to start a home health care business. There’s never been a better time to do so— home health care is one of the largest growing industries , not just in North America, but around the globe.

What do we mean by “home health care”?

Home health care is a very broad industry which can mean different things to different people. For some, the term covers both skilled home health care as well as non-medical home health care.

Non-medical home health care  involves assistance with daily living activities most commonly for senior citizens who wish to remain in their homes. These services can include meal preparation, housekeeping, and transportation.

Skilled home health care,  on the other hand, involves nursing or therapeutic services delivered in the patient’s own home which would ordinarily be provided in a hospital or medical clinic.

This article is intended to serve as a step-by-step guide for anyone considering starting a skilled home health care business. For the purposes of this article, the focus will be limited to a business providing skilled home health care services, the most common of which are:

• Skilled nursing
• Nursing aide
• Social work
• Occupational, physical, and speech therapy

To supplement this guide, I interviewed an expert in the home health care field: Carol Byrne is the National Sales Director for  21st Century Health Care Consultants,  a consulting firm which serves home health care agencies throughout the United States.

The state of the home health care industry around the world: 

In the United States alone, the home health care industry is a $96 billion behemoth with no signs of slowing down.

The industry is projected to grow over 60 percent between 2023 and 2030, due in large part to an aging U.S. population. The population aged 65 years and older is  expected to nearly double  by 2050.

There are also societal and political factors at play including a growing acceptance among physicians of the practice of home care, as well as pressure to alleviate the demands placed on hospitals and an overall desire to find cost efficiencies in the health care system.

“In the last little while, there’s been a big uptick in the industry because of all the baby boomers flooding into the marketplace. People want to be in their homes, not in a nursing home. In-home care allows them stay in the home and have more independence in their daily lives,” explains Carol Byrne.

At present, there are more than half a million home health care businesses in the U.S., and the industry is projected to add over 700,000 jobs each year through 2031. This fast growth highlights the pros and the cons of wading into these waters. With a low barrier to entry and a growing demand, it is an appealing business for eager entrepreneurs. But because of this, there is often tough regional competition which will need to be planned for if a new venture is going to be successful.

To date, North America has  dominated the home health care global marketplace  due mainly to a more sophisticated health care infrastructure and more resources committed to research and development. In 2023, North America accounted for 42.6 percent of the global home health care revenue.

The trend toward home health care is just as strong across the northern border. The Royal Bank of Canada notes that a quarter-million Canadians are retiring each year, a more than 50 percent increase over the last 20 years.

While North America may be the current hotbed for home health care businesses, the fastest growing region is in Asia-Pacific. This is based on advancements in health care infrastructure in India and China, as well as a rapidly aging Japanese population.

• Things to consider before starting a home health care business:

While there is a tremendous growth opportunity in this industry, it’s not a business that is necessarily for everyone. The nature of the business lends itself to intense pressure and can create a high-stress environment.

Carol Byrne believes there is a specific personality type which is best suited to this type of work.“This industry draws people who are driven by compassion and desire to care for their fellow man. It’s a great industry and there is money to be made but you need that drive to help people. If you don’t have that compassion, this is not the business for you,” she says.

• Challenges in running a home health care business:

If as the business owner you are also going to be one of the key service providers, there are some unique challenges to providing home health care that should be weighed carefully before entering the field.

Long distance travel

The convenience of home health care is for the patient, not the caregiver.

Most home health care providers will see six to eight patients in a day; if the region is geographically large, that could mean lots of travel, which can cause stress and fatigue. If you are the type of person who finds travel stressful, this may be something to consider before launching a home health care business.

Technological upkeep and maintenance

One of the reasons home health care has become so prevalent in the last decade is thanks in large part to technological advances that have allowed high-tech equipment to be used in the home. Previously, this equipment was only accessible in a hospital or clinic.

However, because so much of modern home health care relies on high-tech equipment, keeping up with the latest technology and managing this equipment is something that a business owner will have to be comfortable with.

In other words, this is not the field to go into if you are a serious technophobe.

Working in isolation

A key advantage of providing health care in a hospital or clinic is that you have colleagues with whom to consult or otherwise ask for assistance. Home health care providers almost exclusively work on their own, without that support network around. This type of work environment is something that one would need to be comfortable with in order to do the job successfully.

If you’ve studied the industry at length, analyzed the market opportunity, considered the unique challenges, and are excited to move forward, the following steps can help you navigate this often tricky process.

• Step 1: Formulate your business plan

Home health care is unique in many ways, but the one thing it has in common with every other new business venture is that a lack of adequate planning and forecasting is a sure way to undercut its potential success. You’ll want to make sure you carefully plan out every detail of the logistics in getting the business off the ground and past the troublesome first couple of years.

Carol Byrne stresses the importance of business savvy in achieving long-term success. “It’s important to have clinical knowledge, but it’s just as important to have business sense, because at the end of the day it’s still a business and it must be run like a business to be effective at generating a profit. It requires a balance of skills.”

If you’ve never written a business plan before, you can find out more about the process here on Bplans. Start with  a one-page plan  if you’re eager to get up and running fast or if you’re simply interested in validating your idea. If you’re seeking funding, or would prefer to work through the finer details,  a traditional business plan  should work for you.

What to include in your business plan:

Regardless of the format you choose, there are some things you’ll need to keep in mind as you write. These include:

Equipment and starting expenses

Providing top quality home health care requires sophisticated and expensive medical equipment. You’ll require a detailed list of everything you need to hit the ground running.

That list of key starting expenses will include:

• Business development
• Rental expenses
• Office equipment
• Office supplies
• Nursing supplies

Financing and cash flow

Once you  compile your list of starting expenses,  you need a plan to raise the capital. The most traditional routes are  bank loans,   small business loans,  or  angel investors.  There may be  state level grants  geared toward emerging businesses in the health care field as well.

It is almost a given that your business will operate at a loss for the first three to six months while your client base grows and you get on a regular billing cycle with Medicare and Medicaid. This means a carefully thought out  cash flow management  plan is required to ensure you can get through these key first few months.

Additional resources to help you write the financial section of your plan:

• The Key Elements of the Financial Plan
• How to Fund Your Business: A Comprehensive Guide

Market research and your competitive landscape

The greatest weapon you can have in your arsenal when it comes to raising capital is a  bullet-proof analysis  that yours is a great local market for this type of business, and that you can serve a need currently unmet by competitors.

There is no question this is a growing industry on a national and global level; however, if your community is currently over-saturated with home health care businesses, you will have a hard time making it work.  

Also, a strong competitive analysis will help direct you with marketing and recruitment strategies when you identify where others have fallen short in their attempts to penetrate the market.

• Step 2: State and Medicare/Medicaid certification

In the United States, the first step in navigating the certification process involves completing your state’s home care license application and all of the required home care business license paperwork.

This includes  incorporating your business  and  obtaining a Tax ID  and  NPI  number for your home health care business. The home care license and operation requirements and standards will vary from state to state. The best way to make sure you have your bases covered is by contacting your State Department of Health for assistance.

Medicare Part A  (Hospital Insurance) and/or  Medicare Part B  (Medical Insurance) will cover a patient’s eligible home health services such as skilled nursing care, physical therapy, speech-language pathology services, occupational services, and others.

Unless you have an unorthodox business model, Medicare and Medicaid will be your primary source of revenue. It is critically important that your business obtains all the proper Medicare and Medicaid certifications.

Medicare accreditation:

To complete the process of Medicare accreditation, you must complete a three-day Medicare survey which is an audit of your business’s operations and patient clinical records. Carol Byrne cautions prospective business owners about the length this part of the journey can take.

“In the United States, it can take a year or longer to open a fully licensed and certified business. It can be a long path,” she says.

In order to be eligible for Medicare coverage for home care services, the patient must meet the following criteria:

• They must be under the care of a physician and receive the treatments as part of a treatment plan prescribed and reviewed by the physician
• Continued Occupational Therapy
• Speech-Language Therapy
• Physical Therapy
• Intermittent Skilled Nursing Care (more than drawing blood)
• The home care business responsible for their care must be Medicare-certified
• The physician must determine that the patient is “homebound”
• The patient may not require more than part-time or intermittent nursing care

Some states will require a new home health care business owner to complete a state  jurisprudence exam  before granting a license to operate, so be sure to do additional research for your own state.

• Step 3: Staffing and management structure

Unlike most other businesses where your employees sell or facilitate your product, with a home health care business, your staff is your product.

The best way to retain clients and get referrals for others is to build your reputation of providing top-quality professional medical services in a personable manner. This means finding the absolute best of the best to work for your company and serve as the face of the company at the front line level.

“The most challenging part of this business is staffing,” says Carol Byrne. “Finding the right people is critical, because ultimately the person who walks into the home is your representative and they are the face of your business. Finding good staff is by far the greatest challenge a home care business will face.”

What kind of staff will you need?

If you are not a physician or medical professional yourself, your first hire will be a qualified clinical supervisor. It is a requirement of Medicare (and most states) that a physician or a registered nurse with more than one year of experience be in place as a clinical supervisor. The supervisor must be available as a resource at all times for the front line employees providing home health care services in patient homes. Most states also require a certified administrator be in place, although this position can be doubled by the clinical supervisor if that person is certified for both roles.

When it comes to the front line service providers, there are two routes you can explore. If you have the resources starting off, you can simply hire your staff and keep them in-house. This will require a significant cash infusion from the start as your salary demands will outweigh your revenue in the first months of operation.

The other option is to contract the work out to another agency or association of professional physiotherapists, occupational therapists, or skilled nurses. The most common approach is to specialize with one or two in-house professionals (skilled nurse and physiotherapist) and contract out the other fields on an as-needed basis.

Be sure to conduct a thorough background check for all hires. Your business could be liable for crippling legal action if it is discovered there was a problem with the treatment delivered by someone who had been sanctioned or suspended for similar malpractice issues in a previous job. It should go without saying that this is more important in this field than most.

• Step 4: Developing your marketing strategy

You’ve developed  a bulletproof business plan,  navigated the tricky process of state and Medicare certification, and have a top quality professional staff in place.

Now, the only question remaining is: “How do I get my first clients?”

This is where the home health care business starts to resemble many other businesses—success will depend on  effective marketing strategies  and some good, old-fashioned hustle.

Marketing strategies for home health care businesses:

The following are some of the most effective strategies for recruiting clients for a new home health care business:

• Set up a website:   Your client base may not be as internet-savvy as most; however, their family and loved ones will likely use the internet as the first place to find a qualified business.
• Reach out and network:  Contact local physicians, senior centers, long-term care facilities, hospital discharge social workers, and rehab outpatient centers to reach prospective clients.
• Set yourself apart:  Establish expertise credentials in certain areas of service to differentiate your business from your competition.
• Join local business groups or organizations:  Groups like your Chamber of Commerce or  The National Association for Home Care & Hospice  (NAHC) offer opportunities for agencies to reach home health care decision makers.
• Attend as many trade shows and events as possible:  Events like these give you an opportunity to meet with physicians, nurses, social workers, vendors of home health supplies, and the owners of related businesses who may have their own network of people in need of your services.

Dig deeper: How to write a home health care business plan

Below you’ll find a list of resources that can help you find out more about what goes into getting your home health care business off the ground.

21st Century Health Care Consultants: A consulting firm that specializes in assisting new home health business ventures in the United States. The website offers plenty of resources to help with questions of licensing, certification, staffing issues, and much more.

Home Care Association of America:   The Home Care Association of America (HCAOA) is the nation’s first association for providers of private duty home care, which includes non-medical home care services. The HCAOA is the recognized resource for information and definition of private duty home care practice.

The National Association for Home Care & Hospice (NAHC):   A nonprofit organization that represents the nation’s 33,000 home care and hospice organizations. NAHC also advocates for the more than two million nurses, therapists, aides, and other caregivers employed by such organizations to provide in-home services to some 12 million Americans each year who are infirm, chronically ill, and disabled.

Canadian Home Care Association:   As a national association, the CHCA acts mostly as a professional development and political institution. It boasts an extensive resource library which could be helpful to new or prospective business owners.

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Tony has returned to his early love of journalistic writing by freelancing long form articles and blog posts. He is currently turning his TV series pilot for The New Twenty into his first novel. Tony lives in Toronto where he continues to be tormented by his beloved Maple Leafs.

Table of Contents

• What do we mean by “home health care”?
• The state of the home health care industry around the world: 

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Russia : Omsk Oblast

Contents: Omsk Oblast

1,977,665 Population [2010] – census

1,858,798 Population [2021] – census

139,700km² Area

13.31/km² Density [2021]

The population of Omsk Oblast according to census results and latest official estimates.

Contents: Cities and Settlements

The population of all cities and urban settlements in Omsk Oblast according to census results and latest official estimates.

Source: (2002) (2010) (2021) Federal State Statistics Service Russia (web).

Omsk Fedorovka Airport

• Omsk Oblast
• 475,670,000

Other airports in Omsk

• Omsk Tsentralny Airport

Omsk Fedorovka Airport is a proposed airport serving the city of Omsk, Russia. The airport is located 27km from the Omsk city centre. 

Sep-2024. Omsk Region's Governor Vitaly Khotsenko said construction of Omsk Fedorovka Airport is expected to require a RUB43 billion (EUR427.5 million) investment. RUB16.3 billion (EUR162 million) will be provided by the federal government, RUB6.6 billion (EUR65.6 million) by Omsk Region and RUB19.7 billion (EUR195.8 million) by the concessionaire. The airport will be able to handle at least 700 domestic and 600 international passengers per hour. Construction is scheduled for completion by the end of 2028.

Jun-2024. Airports of Regions and the Omsk Oblast signed a 49 year concession agreement for the construction of Omsk Fedorovka Airport. Construction is scheduled to commence in 2026 and to be completed by the end of 2028. The project is valued at more than RUB43 billion (EUR441.95 million). The project will allow movement of airport activity from the city centre to outside of the city, lifting limitations on airport development. Omsk Fedorovka Airport will feature the following:

• Domestic terminal: 700 passengers per hour;
• International terminal: 600 passengers per hour;
• Runway: 3200m runway with ICAO category II equipment;
• Apron: To accommodate 25 aircraft;
• Cargo complex: 6000 tonnes of cargo p/a.

Construction of Omsk Fedorovka Airport commenced in 1982 and was stopped in the 1990s. Unfinished structures will be demolished.

Apr-2024. Omsk Oblast's Governor Vitaly Khotsenko announced Prime Minister Mikhail Mishustin signed an order allowing to sign a concession agreement with Omskaeroinvest for the construction of Omsk Fedorovka Airport. Mar-2024. Omsk Oblast's Architectural and construction committee shortlisted four design projects for Omsk Fedorovka Airport. The new airport will handle at least three million passengers p/a and feature a 3200m runway. Omsk Oblast's Government and investor Airports of Regions prepared operating and financial models for the project. Federal Air Transport Agency head Dmitry Yadrov said the location of existing Omsk Tsentralny Airport, its shorter runway and lack of a comfortable terminal indicates the new airport construction project must be implemented as quickly as possible. Airports of Regions strategic communications director Evgeny Krasikov said construction of the airport from scratch will allow to apply the most modern technologies and solutions during design and construction Jan-2024. Omsk Oblast's Governor Vitaly Khotsenko stated an investor is interested in Omsk Fedorovka Airport's RUB42 billion (EUR435 million) construction project. Mr Khotsenko said work is in progress on a concession agreement. The investor is expected to recover 40% of invested funds in the form of federal and regional government subsidies within five years. Airport construction is estimated to require five years. Jun-2023. Omsk Oblast's Acting Governor Vitaly Khotsenko said construction of Omsk Fedorovka Airport is to be completed by 2028. Mr Khotsenko expressed hope a concession agreement for the project will be signed by the end on 2023. Oct-2022. 12-Oct-2022. Omsk Oblast's Governor Aleksandr Burkov said Omsk Fedorovka Airport will be constructed under a concession agreement. Mr Burkov added the project requires a RUB36 billion (EUR577.86 million) investment, including RUB17 billion (EUR272.88 million) in government funding.

05-Oct-2022. Russia's Federal Air Transport Agency (Rosaviatsiya) announced Omsk plans to undertake development of new Omsk Fedorovka Airport from 2025 to 2027. Construction of the new airport will expand passenger traffic for the region by 2.4 times to 3.8 million p/a by 2035. Jun-2022. Omsk Oblast's Deputy Governor Dmitry Ushakov announced support for the development of Omsk Fedorovka Airport. Mr Ushakov said the airport could become a significant link within the Siberia logistics corridor.

May-2022. Omsk Oblast's Governor Aleksandr Burkov said an agreement was reached with Russia's Transport Ministry to include the construction of Omsk Fedorovka Airport in the programme for infrastructure development. RUB12.3 billion (EUR193.33 million) could be provided for runway construction in the period from 2025 to 2027. Feb-2022. Russia's Ministry of Transport announced the construction of Omsk Fedorovka Airport and transfer of operations from Omsk Tsentralny Airport to the new airport would allow to accommodate traffic growth, reduce the effect of emissions and noise, and increase cargo handled to 150,000 tonnes p/a. Nov-2019. Omsk Oblast announced the Omsk Fedorovka Airport construction project was added to the waiting list for inclusion in the federal programme for infrastructure modernisation

Oct-2019. Omsk Oblast's Government announced plans to develop Omsk Fedorovka Airport and transfer Omsk Tsentralny Airport operations to the new airport were recognised as feasible. The project is to be conducted under a concession agreement. Omsk Oblast prepared an organisation model, master plan and financial model for the new airport. 

Feb-2019. Omsk Oblast Government announced completion of construction work at Omsk Fedorovka Airport is estimated to require a RUB27.2 billion (EUR365.1 million) investment.

Jul-2018. Omsk Oblast Acting Governor Aleksandr Burkov confirmed Omsk Fedorovka Airport construction work will be completed with funding from the Russian Federation.

Nov-2017. Omsk Oblast Government announced an expert evaluation of Omsk Fedorovka Airport terminal and airfield infrastructure will be completed from 30-Nov-2017.

Jul-2017. Novaport Holding expressed interest in the Omsk Fedorovka Airport construction project. Novaport Holding co-owner Roman Trotsenko announced plans to construct a new Omsk Fedorovka Airport before 2022.

May-2016. Russia’s Omsk Oblast Government plans to issue a tender for Omsk Fedorovka Airport construction in 2H2016. Construction is estimated to cost RUB17.8 billion (EUR241.4 million).

Feb-2015. Russia's Omsk Regional Government announced Vnesheconombank completed the development of detailed project documentation for construction and deployment of Omsk-Fedorovka Airport. The airport is planned as a 30 year public-private partnership, with a private investor to pool funds, develop the project, construct and deploy the airport, as well as transfer operations from existing Omsk Tsenralny Airport to the new airport.  Omsk-Fedorovka Airport is expected to reach traffic capacity of three million passengers and 6600 tons of cargo p/a by 2038. The project is estimated to require a RUB16.2 billion (EUR217.7 million) investment.

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