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Free guide

Non-Medical Home Care Business

A licensed agency that sends trained caregivers into older adults' homes for companionship, meals, bathing and errands; in California there is no legal one-person version, because the agency needs a state license, workers' comp and caregivers on its own payroll.

Figures last verified October 31, 2026

$25,165 – $70,165*

Startup cost

Coming soon

Time to first revenue

High

Difficulty

Moderate

Physical demand

No

Can run solo

Year-round; steady demand

Seasonality

* Startup cost excludes budget lines we haven't sourced yet.

Risk Meter

Eight factors from this guide's own data, each scored 1 (lowest risk) to 5 (highest). Every score shows why.

Overall risk

Moderate

2.7 out of 5

Average of 6 of 8 factors, weighted equally. 1 is the lowest risk and 5 the highest. It measures risk, not how much you'll earn, and it isn't a prediction. How we score risk.

Franchise vs. Independent

Same type of business. Two very different paths.

5-year totals assume $212,070–$484,824 in yearly revenue (our forecast presets at full volume), the same sourced operating costs (insurance, software, fees) on both paths, and both the lean and professional independent plans. Franchise investment figures come from each brand's disclosure (FDD Item 7) and already include the franchise fee. * Excludes independent startup lines we haven't sourced yet. Adjust the assumptions.

What franchisees report taking in

From each brand's own disclosure (FDD Item 19), copied exactly. These are gross sales before royalties and costs, not profit, and not a promise of what you will earn.

  • Right at Home

    Item 19 reports 2025 net billings (revenue, not profit) for 390 offices, split by how long each office has been open; this is the only brand here that shows offices in their second year separately, so we lead with those.

    • Median 2025 net billings, offices open 13–24 months (19 offices; revenue, not profit)$448,134 a year
    • Average 2025 net billings, offices open 13–24 months (19 offices; revenue, not profit)$491,975 a year
    • Median 2025 net billings, offices open 25–36 months (14 offices; revenue, not profit)$718,951 a year
    • Median 2025 net billings, all 390 offices open a year or more — mature system: 332 of them open over five years (revenue, not profit)$1,334,579 a year
  • Griswold Home Care

    Item 19 reports 2025 gross receipts by territory count, quartile and years in the system, plus a year-by-year ramp for newer franchisees; we lead with the first-year and one-to-three-year figures.

    • Average first-year gross receipts, new franchisees open at least one year (23 owners; revenue, not profit)$236,326 a year
    • Median 2025 gross receipts, franchisees 1–3 years in the system (revenue, not profit)$264,405 a year
    • Median 2025 gross receipts, single-territory franchisees open all of 2025 (23 owners; revenue, not profit)$707,699 a year
    • Median 2025 gross receipts, all 59 franchised locations open all of 2025 — mostly mature, multi-territory owners (revenue, not profit)$1,492,691 a year
  • Always Best Care Senior Services

    Item 19 reports systemwide sales, 2025 gross sales for franchisees open two years or more, and gross sales and owner discretionary profit margin by years in operation; only 3 single-unit owners fall in the 1–5 year group, so treat those figures with care.

    • Median 2025 gross sales, single-unit franchisees 1–5 years in operation (3 franchisees; revenue, not profit)$672,721 a year
    • Average owner discretionary profit margin, single-unit franchisees 1–5 years in operation (3 franchisees; the FDD's own figure)16.3%
    • Median 2025 gross sales, all single-unit franchisees open a year or more (13 franchisees; revenue, not profit)$1,020,454 a year
    • Median 2025 gross sales, franchisees operating two years or more — mature, mostly multi-territory owners (91 franchisees; revenue, not profit)$2,427,318 a year
  • Home Instead

    Item 19 reports 2025 gross sales for 611 U.S. franchises, mostly open more than 15 years, plus a count of franchises in each sales band by tenure; the young-franchise rows are counts, not averages.

    • Franchises 1–2 years old with 2025 gross sales under $500,000 (7 of 14 franchises in that tenure group)7
    • Franchises 3–4 years old with 2025 gross sales under $1,000,000 (8 of 17 franchises in that tenure group)8
    • Median 2025 gross sales, all 611 U.S. franchises — mature system: 411 of them have 21+ years' tenure (revenue, not profit)$2,352,450.95 a year
    • Average 2025 gross sales, all 611 U.S. franchises — mature system (revenue, not profit)$2,750,875.94 a year

What a franchise does give you

Franchises cost more, but the fees buy real things. Weigh them honestly.

  • A national home care brand with about 390 offices reporting
  • RightStart training for the owner and two others, plus about two days of on-site help after opening
  • A required personal care policy and procedure manual matched to your state's license rules
  • Designated home care software and licensing support included in the setup fee
  • No minimum royalty in the first 12 months after opening
  • HomeCare Academy initial training at no fee (you pay travel)
  • A required local marketing program for the first six months
  • One of the lower monthly software fees among these brands
  • Item 19 includes a year-by-year ramp for newer owners, so you can see the early years
  • Headquartered in California, so the franchisor knows the state's licensing process
  • Initial training for two people included in the franchise fee
  • Item 19 discloses an owner discretionary profit margin, not just sales
  • A path to add skilled nursing services later if you choose
  • The largest brand here, with 611 U.S. franchises reporting in 2025
  • Training, materials and lodging for two people included in the franchise fee
  • A start-up kit with branded materials and basic equipment
  • A refundable-in-part deposit option to reserve a market before signing

Going independent means

  • You keep 100% of what you earn after costs — no royalties.
  • You build your own brand, systems, and customer base.
  • You need more self-reliance, especially in the first year.

Startup Budget

One-time costs to launch, from cited sources. Totals are added up from the lines below.

Non-Medical Home Care startup budget, lean start
ItemLowMidHigh
California LLC filing (Articles of Organization and Statement of Information)$90$90$90
California LLC annual tax (first year)$800$800$800
Home Care Organization license (California Department of Social Services)$5,603$5,603$5,603
Home Care Aide Registry fee (per caregiver)$35$35$35
Live Scan fingerprinting (owner and each caregiver)Data coming soon
Workers' compensation insurance, first year (required)$1,637$1,637$1,637
Computer, phone and printerData coming soon
Policies and procedures, job descriptions and caregiver training planData coming soon
Marketing launch (cards, brochures, website, visits to referral sources)Data coming soon
Working capital for the first three months (caregiver payroll before clients pay)$17,000$23,500$30,000
Total (sourced lines only)$25,165$31,665$38,165

Share of mid estimate

  • California LLC filing (Articles of Organization and Statement of Information)0%
  • California LLC annual tax (first year)3%
  • Home Care Organization license (California Department of Social Services)18%
  • Home Care Aide Registry fee (per caregiver)0%
  • Workers' compensation insurance, first year (required)5%
  • Working capital for the first three months (caregiver payroll before clients pay)74%

Budget spreadsheet

Every line with its sources, included in the complete kit.

Mid is the halfway point between low and high where a source gives only a range.

The total leaves out 4 lines we haven't sourced yet. We don't guess.

24-Month Forecast

An example to plan with. Every assumption is yours to change.

This is an estimate, not a prediction

Each 'job' is one billed caregiver hour. The rate is CareScout's 2025 national median ($35), below California's $40. Billed hours per week, the two-year ramp, flat seasonality and the 60% variable cost (caregiver wages, payroll taxes and workers' comp) are our assumptions; 60% is set higher than the direct-care cost implied by Right at Home's reported 44.60% average gross margin. Change any assumption to match your market. Your results will differ.

Break-even
Month 14
Year-1 revenue
$79,130
Year-2 profit
$77,628
Show monthly table
MonthJobsRevenueCostsProfitCumulative cash
1 (Mar)43.3$1,517$1,510$7-$31,658
2 (Apr)69.7$2,440$2,064$376-$31,282
3 (May)96.1$3,363$2,618$745-$30,537
4 (Jun)122.5$4,286$3,172$1,114-$29,423
5 (Jul)148.8$5,209$3,726$1,484-$27,939
6 (Aug)175.2$6,133$4,280$1,853-$26,086
7 (Sep)201.6$7,056$4,833$2,222-$23,864
8 (Oct)228.0$7,979$5,387$2,592-$21,272
9 (Nov)254.3$8,902$5,941$2,961-$18,311
10 (Dec)280.7$9,825$6,495$3,330-$14,981
11 (Jan)307.1$10,749$7,049$3,699-$11,282
12 (Feb)333.5$11,672$7,603$4,069-$7,213
13 (Mar)359.9$12,595$8,157$4,438-$2,775
14 (Apr)386.2$13,518$8,711$4,807$2,032
15 (May)412.6$14,441$9,265$5,177$7,209
16 (Jun)439.0$15,364$9,819$5,546$12,755
17 (Jul)465.4$16,288$10,373$5,915$18,670
18 (Aug)491.7$17,211$10,927$6,284$24,954
19 (Sep)518.1$18,134$11,480$6,654$31,608
20 (Oct)544.5$19,057$12,034$7,023$38,631
21 (Nov)570.9$19,980$12,588$7,392$46,023
22 (Dec)597.2$20,904$13,142$7,761$53,784
23 (Jan)623.6$21,827$13,696$8,131$61,915
24 (Feb)650.0$22,750$14,250$8,500$70,415

Assumptions

Chemicals, fuel, and other per-job costs.

Starts at the insurance we've sourced, divided by 12.

Starts at the lean plan's mid estimate (sourced lines only).

Seasonality by month

1 = an average month. 1.3 = 30% busier.

Pricing

What customers typically pay, from large-sample cost data.

What customers pay

  • Non-medical caregiver, hourly rate families pay (national median, 2025)$35
  • Non-medical caregiver, hourly rate families pay (California median, 2025)$40
  • Non-medical caregiver, monthly cost at 44 hours a week (California median, 2025)$7,627

What similar businesses take in

Context only, not a promise of what you will earn. Government figures cover every business in the industry; guide figures are rougher. Tap the source icon to see which is which. These are revenue, before costs.

Key Risks and How to Manage Them

  • Caregivers leave constantly

    Hiring and keeping caregivers is the hardest part of the business. An industry benchmarking report (Activated Insights, 2026, as cited by HHAeXchange) put caregiver turnover at 75.5% in 2025. Every departure means recruiting, background checks, training and a client who has to meet someone new.

    How to manage it: Pay at or above local rates, give consistent hours, recognize good work, and build referral hiring from your best caregivers. Budget recruiting as a permanent monthly cost, not a start-up task.

  • California wage-and-hour law

    Under the Domestic Worker Bill of Rights, personal attendants earn overtime at 1.5 times their rate after 9 hours in a day or 45 hours in a week. Live-in and 24-hour shifts, travel time between clients, meal and rest breaks, and treating caregivers as independent contractors are common sources of wage claims against home care agencies.

    How to manage it: Treat every caregiver as an employee on payroll, use scheduling software that flags overtime, price 24-hour care to cover overtime, and have an employment attorney review your pay policies before your first hire.

  • Client injury, theft or abuse allegations

    Your caregivers work alone in clients' homes with frail people. A fall during a transfer, a missing piece of jewelry or an abuse accusation can bring a lawsuit, a licensing investigation or both — even when the caregiver did nothing wrong.

    How to manage it: Carry the required $1M/$3M liability insurance and $10,000 dishonesty bond, add abuse coverage, check every caregiver on the state registry, document visits and care plans, and respond to complaints in writing right away.

  • A slow, cash-hungry first two years

    Agencies take years to build hours. Griswold's FDD shows new franchisees averaging $236,326 in their first year, against an average of $2,583,857 for owners 6–15 years in. You pay caregivers every pay period, often before families pay, so cash runs short just as you start to grow.

    How to manage it: Keep several months of payroll in reserve, collect payment up front or weekly, start building referral relationships with hospitals, care managers and senior communities before the license arrives, and set a personal income plan that does not depend on the agency for the first year or two.

  • Waiting on the state license

    You cannot serve clients until the Department of Social Services approves your Home Care Organization license, which includes fingerprinting and an orientation. Right at Home's FDD says its franchisees typically take 125–190 days from signing to opening, partly because of state licensing.

    How to manage it: Submit a complete application the first time, finish your policies and training plan while you wait, and line up caregivers and referral partners so you can start the week you are approved.

  • On call around the clock, and filling shifts yourself

    When a caregiver calls in sick at 6 a.m., the owner often covers the shift. That can mean bathing, lifting and transferring clients, which is real physical strain for someone in their mid-50s, on top of evenings and weekends on the phone.

    How to manage it: Build a bench of part-time caregivers early, hire a scheduler or care coordinator as soon as hours allow, and decide in advance which shifts you will and will not cover yourself.

  • Workers' comp and payroll costs that grow with every hour

    Workers' comp is priced on payroll, and California's rates for this work are typically higher than most states', according to Home Instead's FDD. Caregiver wages, payroll taxes and insurance take most of every dollar billed; Right at Home reports an average gross margin of 44.60% after these direct costs.

    How to manage it: Get workers' comp quotes from several carriers before you set prices, train caregivers on safe transfers to keep claims down, and review your hourly rates every year.

Licensing by State

Requirements vary by state and local jurisdiction.

More states are coming.

A general guide only. Rules change and vary by city and county — confirm with your local government before you start.

The Playbook

A step-by-step guide from setup to growth.

  1. Phase 1

    Setup

    • Form your business and open a separate bank account
    • Write job descriptions, personnel policies, a training plan and a program description
    • Get quotes for $1M/$3M liability insurance, workers' comp and a $10,000 dishonesty bond
    • Mail your Home Care Organization application and fee to CDSS
    • Complete fingerprinting and the state's online orientation
    • Register with EDD and set up payroll before your first hire
  2. Phase 2

    Hiring and training caregivers

    Included in the complete kit

  3. Phase 3

    Pricing and client agreements

    Included in the complete kit

  4. Phase 4

    Referral partners

    Included in the complete kit

  5. Phase 5

    Care plans, scheduling and payroll

    Included in the complete kit

  6. Phase 6

    Staying compliant

    Included in the complete kit

  7. Phase 7

    Growth and your first office manager

    Included in the complete kit

Suppliers and Tools

Vendors independent operators use.

No supplier pays to be listed. If we ever earn a referral fee from a link, it will say “Affiliate link” right next to it.

Scheduling and billing software

Caregiver scheduling, visit verification, client billing and payroll exports.

Insurance and bonds

Liability, workers' comp and dishonesty bond quotes for small home care agencies.

The Kit Is Coming

Everything on this page is free. The downloadable kit (playbook, spreadsheets, templates) is in the works.

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Frequently Asked Questions

Is this a franchise?

No. The Open Franchise is not a franchise and does not sell franchises. You start and own your agency yourself, with no franchise fee, royalties, or territory rules. We sell guides and kits; that's all.

Can I do this on my own, without employees?

Not as an agency. In California, a business that sends caregivers into clients' homes needs a Home Care Organization license, and the license requires a workers' comp policy covering your caregivers. The smallest legal version is a home-based agency with you managing a few part-time caregivers. Working alone as a caregiver is a job, not this business; ask the Home Care Services Bureau if you are unsure where the line falls.

Do I need to be a nurse or have healthcare experience?

No. Non-medical home care covers companionship, meals, bathing, dressing, errands and similar help. Your caregivers need the state's registry clearance and training hours. Skilled nursing is a different, separately licensed business.

How much do families pay?

CareScout's 2025 survey puts the national median at $35 an hour and the California median at $40 an hour. Rates vary by city and by how many hours a client buys.

Are these numbers guaranteed?

No. Every cost and price is an estimate from a cited source, shown as a range where possible, with the date we last checked it. Franchise sales figures are revenue, not profit. Your costs and results will depend on your market and choices.

Figures last verified October 31, 2026. Every number links to its source. See all sources for this page.

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