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Private	Duty	Home	Care:	The	Challenge	to	Growth
An INSIDER
Webinar
Inside
Scalability
Copyright©	2016
Growth
6-8%
Annually
New
capital
inflows
Increased
competition
Increased
agency failures
Increase in
acquisitions
Inside
Scalability
Copyright©	2016
Non-
Franchise
60%
Franchise
40%
Ownership	Type
Inside
Scalability
Copyright©	2016
Total estimated number of
agencies : 15-17K
Total annual industry revenue estimated: $20-30 billion
Inside
Scalability
Copyright©	2016
~25 agencies have achieved annual revenue greater
than $20 million
Only 1% to 3% of the industry has annual revenue
over $10 million
Average agency has annual revenue between
$1.5 and $3 million
Private Pay Home Care industry estimated at
15,000-17,000 agencies
Fundamental
Reasons for
Fragmentation
Low	Barriers	to	
Entry
Lack	of	
Differentiation
Proliferation	of	
Franchises
Limited	Access	
to	Capital
Price	
Competition
Inside
Scalability
Copyright©	2016
Access to field staff—increased competition
among other home care companies, healthcare
providers and industries that need a low-wage
workforce adds pressure to supply. In 2014
there were 1.8 million personal care aides
employed. By 2024, the industry will require
2.4 million to meet demand.
Multi-sided business model—one of the more
difficult business models to execute. The home
care agency acts as the broker between the family
(buyer) and caregiver (seller). However, the
model is further complicated by a two-phased
sales cycle for clients (referrals sale and family
sale and controlling quality with caregivers.
Inside
Scalability
Copyright©	2016
A	Private	Duty	Home	Care	
Executive	Membership	Group
INSIDESCALABILITY.COM
Inside
Scalability
• What	does	it	take	to	break	through	industry	barriers?
• What	are	the	successful	companies	doing	to	scale?
• Who	is	investing,	buying	and	looking	to	partner?
• What	is	happening	in	other	parts	of	healthcare	that	
represent	opportunities?
• How	to	access	other	executives	to	share	insights,	
collaborate	and	innovate?
*Focus on Total RpCpM
Inside
Scalability
Copyright©	2016
Insidescalability.com
Chip Measells
chip@insidescalability.com
202.618.4713
Inside
Scalability
Copyright©	2016

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