Looking for a Franchise? Become a Home Healthcare Entrepreneur


Seniors today are showing a propensity for in-home healthcare compared with other available options, such as living in a nursing home or assisted-living facility.

This inclination for home healthcare has not gone unnoticed by entrepreneurs who are banking on filling this sizable demand, which is expected to grow significantly in the coming years as the massive baby-boomer generation starts moving into retirement.

Today some 4,500 franchised home healthcare entities exist in the U.S., according to Richard Ueberfluss, who runs an Assisting Hands Home Care franchise and also serves as a Chicago-based regional franchise director for the company.



This, he added, makes home healthcare the fastest growing business in the franchise industry.

In 2009, the market reached sales of $72.2 billion. And all signposts indicate market demand for home healthcare overall is still in its early stages.

“We are only at the beginning of the ‘silver tsunami’ of aging baby boomers,” Ueberfluss told Small Business Trends in an exclusive interview.

In fact, the home healthcare business has been growing since 2010, not even counting boomers, who are expected to retire within the next 5 to 10 years, he added.

The Assisting Hands franchise offers a range of in-home healthcare services with an emphasis on non-medical healthcare. Although former healthcare veterans seem to be the ones launching many of these home healthcare outfits, you don’t need any healthcare experience to capitalize on this trend by opening a franchise.

Even though the baby boomers are years away from joining the in-home healthcare market, the business opportunities are sizable. According to the National Institute on Aging, 25 million U.S. residents will reach ages 65 to 74 this year, of which about 70 percent will require some kind of long-term care.

In addition to catering to elderly clients, these businesses are also offering the government and healthcare industry assistance by helping to offset costs, Ueberfluss added.

One example: home healthcare is viewed as a viable alternative to lengthy hospital stays in some cases, especially following new Medicare mandates that levy fines against hospitals when patients are readmitted within 30 days of a previous stay.

To open your own Assisting Hands Home Care franchise, you are required to have a net worth of at least $200,000 as well as experience in business sales or management.

“Our typical candidate is a VP-level sales executive who is disenfranchised with the corporate world and wants to strike out on his own,” Ueberfluss said. “This business is generally non-medical — you are trained for everything.”

So far, Assisting Hands franchises number at around 80 throughout the U.S., with a concentration in Florida, Arizona, Texas, California, New Jersey, and Chicago. One franchise is located in Canada.

Under the Assisting Hands model, owners can benefit from as many as five revenue streams, Ueberfluss said.

The bulk of revenue stems from what’s called private duty healthcare (which is non-medical in-home care). “That is the majority of our business,” he said.

Next is providing skilled home healthcare workers, such as nurses. Some forms of insurance cover some in-home services, Ueberfluss noted.

The third revenue stream is case management, which basically means assisting clients in the managing of their healthcare. For example, caregivers can provide assistance picking up medication or when an elderly person’s family is out of town.

Fourth is medical staffing, such as helping local hospitals in need of extra nurses.

Equipment sales make up a fifth revenue stream.

“A lot of our clients need in-home healthcare products,” Ueberfluss said. These are typically non-medical devices that are not covered by Medicare, such as a raised shower chair.

Ueberfluss has been seeing particularly strong demand for products such as slip-and-fall alerts and video monitors, he said.

Home Health Nurse Photo via Shutterstock

2 Comments ▼

Ed Lieber


Ed Lieber Ed Lieber is a staff writer for Small Business Trends. He is a journalist and marketing copywriter with 20 years of experience writing, editing and managing for print and digital vehicles.

2 Reactions

  1. Aira Bongco

    It is a good option for seniors who doesn’t want to leave their homes. the good thing about it is that there are now more people who are willing to do this job for seniors.

  2. An Experienced Home Health DON

    I am a DON for one of these “Franchises”. I have been a DON before at a home health agency. I had no idea what I was getting into. Totally different. If a nurse has home health experience, STAY AWAY, if the owners are involved, WITH NO HOME HEALTH EXPERIENCE AND TRYING TO RUN THE COMPANY, AND ARE HANDS ON!!!.. They know nothing about staffing, they are in the office and in the way, always bugging the billing person about money/reimbursments and if “checks are in the mail”. Its tiresome. I thought a small agency, oh how nice. The spouse takes calls regarding staffing, and doesn’t know if I have the staff to staff the case, or the severity of the case. It gets pretty hairy, the husband knows, its like I’m in competition with the wife, who needs to be playing tennis, but “its their company”…..sorry for the rant

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