How To Start A Home Healthcare Business

June 27, 2018 331 views

Image of a nurse helping an elderly woman

A Quick Overview of A Home Healthcare Business

Your typical day will vary greatly, depending on the type of business you start.

If you pursue a medical based, home health care service, then you may sit with elderly or ailing patients and give them their medications.

There may also be light duty cleaning and cooking involved. You may need to help your patients with hygiene needs. Non-medical healthcare professionals perform the similar tasks; however, they do not give patients medications.


There are some decisions that you will need to make before starting. First, decide whether to start a medical or non-medical based business. A medical based business can charge more for their services. However, you must have medical training such as a CNA (certified nursing assistant).

Also, think about whether to start a franchise or open your own independent agency. Franchises, such as Visiting Angels®, give you name recognition and provide a proven business model, but require you to pay franchise fees.


Any employees that you hire, need to have thorough background checks. Also, contact private insurance companies to see how you can start accepting their insurance.

Consider obtaining the additional license and certification needed to accept Medicare and Medicaid clients. To do this, apply through the State Medicare agency and get a surety bond of $50,000 from an approved surety company.

A state representative will inspect your agency to make sure it meets all of the required health and safety standards. You are required to have at least seven clients and three months of operating funds and steady revenue.

See our Page On Licenses and Permits

Employee & Job Consideration During The Start-up Phase Or In the Future:
Skill Set:
  • Previous nursing or nursing assistance is helpful but not required
  • Ability to lift a minimum of 50 pounds easily
  • Patience with people (including elderly and ailing)
  • Warm persona
  • Basic medical background
  • Flexibility in the hours you need to care for your client
  • Basic understanding of emergency medical treatments and CPR
  • Be able to assist with mobility
  • Medications Administration (possibly)
  • Take blood pressure
  • Take care of bodily needs of a person
  • Make meals
  • Help to help the home orderly and hygienic
  • Transport people to shopping, church, etc.
  • List of Common Business Skills
Equipment, Supplies, & Services During Start-up OR In The Future:
Monthly Expenses to Consider:

List of Common Monthly Expenses

Approximate Daily Hours Needed:

General Hours of Operation: As a home health giver, your hours will vary greatly. This is not a 9-5 job. Some care professionals live in with their patients.

Approximate Minimum Startup Cost:

The investment required to start is relatively low. If you are going to be caring for people in their own homes, you eliminate the need for an office and for a lot of equipment. The patients will have the necessary medical equipment in their homes already.

Special Requirements and Considerations:
  • Perform all necessary criminal and background investigations for each professional that is hired. The DataBase Records website performs instant nationwide criminal searches.
  • Accept private medical insurance by making sure your agency meets individual insurer requirements. You can get this information by contacting them directly and obtaining a list of those requirements.
  • Get the necessary certifications.
Pros and Cons:


  • You perform a valuable service to the community
  • There is a good market for your services
  • Minimal startup costs
  • Room for expansion


  • Might have long hours
  • Patients may take out frustration over not being able to care for themselves on you
  • The family might have expectations of you that go beyond your job duties
  • Some work can be physically demanding
Type of Customers You Need to Attract:

Typical customers that need home care, include the elderly, the disabled, and those recuperating from major surgeries and injuries.


According to data from Medicaid, in 2008 Medicaid paid an average of $4938 USD per patient, per month. The average number of visits per patient was 35 per month.


According to the Bureau of Labor Statistics, the average annual wage for managers in this industry, for May 2007 was $83,030.

Home HealthCare News

Home health business news from Modern Healthcare

Home Health Care | Kaiser Health News

Home Care Industry News by HomeCareDaily.com

Home Healthcare Training

Certified Home Health Aide Training Programs and Requirements

How to Get Home Health Aide Training

Health & Home Care Training Center is a training facility for those interested in employment in the medical field.

Home Health Aide Online Training – Ashworth College

Industry Resources

2018 US and Global healthcare industry trends | Deloitte US

Healthcare Industry Forecast: High Demand Due to Aging, Economy

Healthcare industry to create 4 million jobs by 2026 – Modern Healthcare

Home Healthcare Trends

Top Home Care Trends for 2018 | Home Health Care News

5 Home Health Care Industry Trends That Will Shape 2018

Key Issues and Trends – The Future of Home Health Care – NCBI Bookshelf

Equipment and Supplies

Medical Supplies, Medical Equipment and Home Health Care Supplies at Discount Prices

Home Medical Equipment & Supplies | QuickMedical

Marra’s Home Care Equipment & Supplies

Healthcare Equipment, Inc. 

Local durable medical equipment delivery & wheelchair rental

Home Healthcare Forums and Discussion Groups

Home Care Member Listserv – National Association for Home Care & Hospice

Home Care Forums: Ask Questions & Get Answers About Home Health Care – AgingCare.com

Welcome to the Home Health forum!

Business Plans

Want to Start a Home Health Care Business? Here’s How. | Bplans

A Sample Home Healthcare Agency Business Plan Template


Home Healthcare Now

Home Health Care Management & Practice: SAGE Journals

HomeCare Magazine

HealthCare Publications: American Healthcare Capital

Home Healthcare Associations

Home Care Association of America | Home Care Association of America

National Association for Home Care & Hospice

The Council of State Home Care Associations

Connecticut Association for Healthcare at Home

Search For More Healthcare Associations

Home Healthcare Staffing

Improved Staffing Can Help Home Healthcare Industry Manage Rapid Growth

Assured Healthcare Staffing

MGA Healthcare Staffing, Inc.

Healthcare Staffing Incorporated

Home Healthcare Franchises

Best Franchises To Own: Why Home Healthcare Is Hot

Senior Care Franchise Opportunities, Healthcare Franchises For Sale | FranchiseDirect.com

Senior Care Franchises

The 12 Best-Liked Home Care Franchises | Home Health Care News

The Latest About Home Health Care

Google Searches Related To Home Health Care

Latest Searches For Home Health Care

Books About Home Health Care


Books Related To Home Health Care

Social Related To Home Health Care

Facebook Post And Pages About

What’s on Facebook Related To Home Health Care

What’s on Twitter Related To Home Health Care

Tweets Related To Home Health Care

YouTube Videos Related To Home Health Care

Videos Related To Home Health Care