🚀 The Path to a Profitable Home Care Business: What Every Aspiring CEO Should Know

If you're a healthcare professional, tired corporate executive, or an entrepreneur seeking a purpose-driven and profitable business model, launching a home care agency could be your perfect next move.

But before you dive in, let’s break down some myths, money talk, and what really matters when building a sustainable, scalable home care business — from someone who's been there.

Know the Landscape: Two Types of In-Home Care

There are two main categories of in-home care:

• Homemaker Services — Helping with daily tasks like cleaning, cooking, errands, and providing companionship.

• Home Health Aides — Assisting with personal care (bathing, grooming) and minor medical tasks (medications, vitals, wound care).

Both are in high demand. But understanding the difference is critical when choosing your agency type — and building your revenue model.

Revenue Starts With Rates — And State Matters

The hourly rate for home care varies significantly by state. Here are just a few examples (based on Genworth data):

State	Avg Hourly Rate
California	$37.08
Georgia	$25.75
Florida	$30.90
Texas	$23.69
Illinois	$30.90
Montana	$51.50 🚀
Mississippi	$15.45 🐢

💰 At $30/hour for 6 hours a day, 5 days a week = $3,600/month per client.
Just 5 clients = $18,000/month in gross revenue.

This is why understanding your state's care rates is step one in planning a high-performing business.

"Which Agency Type Makes the Most Money?"

Here’s one of the most common questions I get asked:

“Should I open a skilled home health agency or a non-skilled home care agency?”

Most people assume skilled care is more profitable because of the higher billing rates — $125 to $175/hour for nursing and therapy.

But here’s what most don’t see:

💡 Skilled care can cost you more than it earns.

You're not just billing high — you’re also paying high for:

• RNs, LPNs, PTs, OTs

• Clinical supervisors

• EMR systems, audits, and compliance

• Liability & malpractice insurance

I speak from experience.
My very first agency was a skilled pediatric home health agency, and we saw great revenue growth — from $2.3 million to $8.9 million in our first 13 years.

But it was hard work. Managing compliance, physician orders, and clinical staff oversight was constant. The business was rewarding, but the margins and complexity were intense.

🔥 Why Non-Skilled Home Care Is the Smart Play (Especially Now)

Non-skilled home care is the quiet giant in this space — and it’s about to blow up. With the first wave of Baby Boomers turning 85 in 2030, demand for basic daily care is skyrocketing.

But don’t wait. The first bonfire is already burning.

Many of my clients — especially those who exited corporate — are now running non-skilled agencies with over 400 clients, earning 8-figure revenues annually.

Whether they’re:

• 💼 Private-pay only

• 🩺 Medicaid-only

• 💡 Running a payor mix

…they’re winning because this model is simple and scalable.

And with hourly rates between $28–$45, paired with:
✅ Lower operating costs
✅ Fewer regulatory headaches
✅ Easier staffing
✅ Simplified systems

…it’s easy to see why non-skilled is the smart play, especially when you’re just getting started.

Let me ask you:

Which agency type do you see the most of in your city?

If non-skilled agencies are everywhere — expanding, franchising, advertising — that's no coincidence. That’s proof of profitability and staying power.

Ready to Build Your Own Profitable Agency?

If you're serious about launching a home care business and want a step-by-step path to profit, you need more than a checklist — you need a system.

That’s why I created the Home Care Kickstarter Program — a complete mentorship and training experience designed for aspiring home care CEOs just like you.

You’ll get:

• ✅ Licensing + compliance guidance (including state-specific support)

• ✅ Administrator training (a must-have in many states!)

• ✅ Operational systems and SOPs to run like a pro

• ✅ Client acquisition strategies to fill your caseload fast

🗓️ Next Class Starts: January 12, 2026

🎯 Enroll now to get early access for licensing submission prep, and start the journey the right way.

👉 Click here to reserve your spot

Ready to make your move from employee to CEO?
Let’s build something that serves — and scales.