How to Start a Home Care Business

Starting a home care business is an admirable career choice. These services provide comfort for those who are experiencing difficult and vulnerable times in their lives.

But how do you go about starting a home healthcare business? 

This article outlines the fundamental steps you need to take to launch your own home care business.

With the right preparation and planning, you can create a successful home care business that provides essential services to those in need in your community.

Read on to learn more about how to start a home care business. 

What Is a Home Care Business?

A home care business provides medical and non-medical services to individuals who require assistance with daily activities due to age, illness, or disability. 

Home care businesses may also offer companion care, where caregivers provide emotional support and companionship to clients. 

Typically provided in the client’s home — home care allows people to maintain their independence and remain connected to their community. 

Services a Home Care Business Provides

Now that you know what a home care business is, let’s go over what this industry offers and the different types of care. 

The services offered by a home care business include personal care, such as bathing and grooming, meal preparation, medication reminders, transportation, and light housekeeping. 

In addition, home care providers also offer medical attention for those who have more serious issues with their health or physical injury. 

Medical Home Care

Medical home care is a specialized service that caters to individuals who require specific medical attention for their ailments.

Those who visit the home are licensed healthcare professionals or registered nurses. 

This type of care is ideal for those who have chronic illnesses, or injuries or prefer to seek treatment in the comfort of their home. 

A drawback to consider is the quality of caretakers based on their qualifications and experience. 

Although they may be licensed professionals, their practice may not fulfill the type of medical attention one needs. 

Also, even though one may enjoy the benefit of getting treatment from home, some medical conditions need closer monitoring on an hourly basis — not just occasional day-to-day visits.  

Non-Medical Home Care

Non-medical home care is a service to help individuals who have physical disabilities or are recovering from an injury or illness. 

Typically, home caretakers provide a service of helping with daily activities, such as bathing, dressing, meal preparation, and emotional support. 

This is great for people who want a more tailored and personalized treatment for their issues — developing a sense of companionship and human connection.

That said, there can be some disadvantages to choosing home care services. 

For example, one’s insurance may not cover home care expenses and can be costly. 

Also, the turnover rate for caretakers can be high, disrupting the emotional bond people establish with their long-term caretakers. (especially with elderly patients)

10 Steps to Starting a Home Care Business

Let’s get into the details of starting your home care business and what it takes to make it successful. 

Below you will find 10 steps as a guideline to help you start your business venture. 

1. Research the Home Care Business Market

First, you will need to do in-depth research on the home care marketplace. 

This will help determine your client’s needs and how you can produce a high-quality service to fulfill those needs. 

Here are some key ways you can do effective research in the home care market:

  • Analyzing demographics and target audience
  • Conducting surveys to gather information on the specific needs of patients
  • Researching your competition to see what they offer and how you can compete
  • Get informed about any necessary licenses and permits needed for your business
  • Look into the different types of funding that are available to your circumstances

Although these are essential steps you can take for your research, it is best to pair your research with consulting with professionals in marketing, finance, and legal experts to help ensure your research is viable and copacetic. 

2. Develop a Business Plan

Next, you need to write a thorough and concise business plan. 

A traditional business plan typically includes the following:

  • Executive Summary: An overview of your mission goals and expectations
  • Business Description: A detailed proposition of services offered, target audience, and selling points
  • Market Analysis: Research on demographics, potential demand, and market size
  • Competition Analysis: Learning the strengths and weakness of your competition and how you can deliver your unique footprint
  • Operations Plan: An outline of how your business will be operating and organized
  • Marketing Strategy: Determining how to reach potential clients and sustain a loyal client base
  • Financial Plan: Securing funding, financial goals, payroll, and bookkeeping 

3. Choose Your Business Structure

The third step in starting your home care business is crucial. This will determine how your business will be taxed and deal with any legal issues that may occur. 

Here are the main business structures you can choose from, along with their advantages and disadvantages.

Sole Proprietorship

A sole proprietorship is the easiest business structure to start and operate. It is run by one individual, requires little documentation, and has low maintenance requirements.


  • Easy to operate with little to no legal requirements 
  • Full autonomy over the business and its management 
  • Potentially low tax rates


  • Personal liable for business debts and legal actions
  • Limited potential for growth and expansion
  • Difficulty obtaining financial support

General Partnership

A general partnership is a type of business entity in which two or more individuals own and operate a business together. Similar to a sole proprietorship, partners have full control over their business and are personally liable for their assets.


  • Simple to set up and operate, with minimal legal requirements 
  • Shared control and decision-making among partners
  • Ability to pool resources and raise capital


  • Personal liable for any debt or legal issues 
  • Conflicts between partners and decision-making
  • May lead to bankruptcy if one partner leaves or passes away

Limited Partnership

A limited partnership consists of at least two or more partners. One of which is a general partner and the other is a limited partner. The general partner is personally liable for the business’s debts and obligations while the limited partner’s liability is limited to their amount of investment. 


  • Flexibility in the distribution of profits and losses in the partnership agreement
  • Liability protection for limited partners 
  • Ability to raise capital while functioning as a general partnership


  • Personal liability for the general partner
  • Less autonomy over business operations as a limited partner
  • Potential for conflict between limited and general partners over business control

Limited Liability Company

A Limited Liability Company (LLC) is a hybrid of a general partnership/sole proprietorship and a corporation. LLCs can have one or more owners, called members, and are protected from any legal liabilities. 


  • Members are taxed at the level of an individual tax return as pass-through taxation
  • The flexibility of distribution of profits and losses constituted in the operating agreement
  • An Unlimited number of members making it easier for expansion and growth


  • Can have high overhead costs
  • More legal documentation and maintenance than a partnership
  • More difficult to transfer ownership than a corporation


A corporation is owned by shareholders who elect a board of directors to manage the company’s operations. The corporation is considered a separate legal entity from its shareholders, meaning that the shareholders are not personally liable for the corporation’s debts and obligations.


  • Personal liability protection for shareholders 
  • Ability to raise capital through selling stocks to investors
  • Establishes a solid foundation of credibility


  • Subject to double taxation for shareholders on dividend profits
  • Strict regulations with reporting obligations and shareholder meetings
  • More complex and expensive than other business structures

It is highly recommended that you consult a financial advisor or legal expert to effectively choose the business structure for your company. 

Learn more about business formation and tax implications here.

4. Select a Location

Next, you should choose the best location for your business.

Some things to consider are; the local population, public transportation, parking availability, and overall accessibility for yourself, your patients, and employees. 

Your choice of location is a strong indicator of how you build your business because your patients rely on you to be readily available when they need your services. 

In addition, some states will require zoning permits for your business depending on location and how you run your business. So make sure you’re legally compliant with local regulations.

5. Register Your Business 

The process of registering a home care business can vary depending on the state or local government where the business will be located. 

However, here are some general steps that may be involved in the registration process:

  1. Choose a Business Name: Select a unique name for your business that is not already used by another company.
  2. Register Your Business: File the necessary paperwork with the state or local government to formally register your business. This may include obtaining a business license or registering with the Secretary of State.
  3. Obtain Necessary Permits and Certifications: Depending on the type of home care services you plan to offer, you may need to obtain additional permits or certifications. For example, some states require home health agencies to obtain a state license or certification.
  4. Obtain Insurance: Obtain the necessary insurance coverage to protect your business and employees, such as liability insurance and workers’ compensation insurance.
  5. Register for Taxes: Register your business with the state and federal government for tax purposes, and obtain any necessary tax identification numbers such as an EIN (Employer Identification Number).

6. Obtain Licenses and Permits

Obtaining the necessary licenses and permits is critical when starting a home care business. The types of licenses and permits required may vary depending on the location and type of home care services you plan to offer. 

Here are some examples of licenses and permits that may be required for your home care business:

  1. Business License: A license that permits you to operate a business within a specific jurisdiction
  2. Home Care License: A license required in some states or localities for businesses providing home care services
  3. Health Care Provider License: Required for businesses that provide medical services, such as nursing or physical therapy
  4. Medicaid Provider License: Required to provide services to patients who are eligible for Medicaid
  5. Workers’ Compensation Insurance: Required by most states for businesses that have employees
  6. Liability Insurance: Protects the business and its employees from legal claims and damages

It’s important to research the specific licensing and permit requirements for your location and type of home care business. Failure to obtain the necessary licenses and permits can result in fines, legal liability, and potential closure of your business.

7. Get Business Insurance

Home care businesses are responsible for providing care to vulnerable populations, such as senior citizens and those with disabilities — which can expose the business to various risks and liabilities. 

Business insurance can protect your business from a range of risks, including: 

  • Property damage 
  • Professional liability claims 
  • Work-related injuries or illnesses 
  • Unexpected disruptions to business operations 

The right insurance coverage for home care businesses can protect themselves and their clients from potential financial losses resulting from accidents or other unexpected events.

8. Source and Secure Funding

Starting a home care business may require significant funding to cover startup costs, equipment, and overhead costs. 

But you can secure funding in many ways by taking the right steps. 

One way to secure funding is to apply for a business loan or seek out investors to help secure the necessary funding. 

It’s worth noting that having a solid business plan and financial projections to present to potential lenders or investors will be beneficial.

You may also want to consider crowdfunding to jumpstart your business. 

Many people are willing to donate to a meaningful cause, and home care may be one that people feel passionate about investing in.  

9. Hire and Train Your Employees

As a home care business owner, you will need to hire a variety of employees to provide care and support to all of your clients.  

These may include caregivers, therapists, nurses, and administrative staff such as virtual assistants. 

Depending on how much you intend to expand, having a big team may be necessary to keep up with the demand of clients and administrative work. 

It’s important to carefully screen and interview candidates to ensure they have the necessary skills and qualifications for the job. 

Additionally, you will need to develop a comprehensive training program for your employees to ensure they are equipped to provide high-quality care. 

You should also establish a system for evaluating employee performance and addressing any issues that may arise to maintain a high level of service quality.

10. Market Your Business Online

Lastly, marketing your home care business online is another beneficial step to reach potential clients and establish your brand. 

Here are some key strategies for marketing your business online:

  • Create a Website: Your website should be informative, professional, and easy to navigate. It should include information about your services, pricing, and contact information. You may also consider including testimonials from satisfied clients, as well as information about your team and their qualifications.
  • Social Media: Social media platforms like Instagram and LinkedIn can be effective tools for reaching potential clients and building your brand. You can use social media to share updates about your business, promote your services, and engage with your audience.
  • Online Directories: Listing your business in online directories can help potential clients find you more easily. Some popular directories for home care businesses include, HomeAdvisor, and
  • Email Marketing: You can use email marketing to keep your clients and prospects informed about your services, promotions, and other news related to your business.
  • Online Advertising: Consider running online ads to target specific demographics or geographic areas. Platforms like Google Ads and Facebook Ads can help you reach your target audience more effectively.

By leveraging these online marketing plans, you can establish your home care business as a trusted provider of high-quality services, and attract new clients to grow your business.

Home Care Business Startup  

From researching the market to registering your business, obtaining the necessary licenses, and securing funding, there are many steps involved in starting a successful home care business. 

It’s also important to focus on hiring and training employees, marketing your business online, and managing your finances effectively. 

To help with the latter, consider our bookkeeping services to ensure that your finances are managed efficiently and effectively, allowing you to focus on providing high-quality care to your clients. 

With the right strategies and support, you can build a successful home care business that meets the needs of your clients and contributes to the well-being of your community.


Is an in-home care a good business to start?

An in-home care business is a great way to help your local community and potentially make it into a lucrative business venture. 

What qualifications do you need to set up a care agency?

There may be licenses and permits you must attain to legally operate a home care business. Additionally, if you intend to include medical home care, you will need to hire certified healthcare professionals. 

Is there a demand for care homes?

Yes, there is a significant demand for home care services and is becoming an increasingly popular choice.

Can you work in a care home without qualifications?

You may be able to work in a care home as an assistant or some sort of entry-level job that doesn’t require accredited certifications.

Is a home care business profitable?

Yes, a home care business has the potential to become a lucrative venture.

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