Franchise owners in training session at Preferred Care at Home headquarters
Since 1984

Build a Meaningful Business Helping Seniors Stay Home

These Stats Make Choosing PCAH, in the Words
of Justin Bieber, a No-brainer

Preferred Care at Home
Industry Average
Success rate
0%
55%
Revenue chart
$0 .24
$300k – $500k
Top revenue
$0 .18
$600k – $900k
Capital required
$0 – $0
$115,000 – $150,000
Preferred Care at Home team

Become an Owner

Fill out the form below to start a conversation. This isn't a commitment. It's the first step toward understanding whether Preferred Care at Home is the right fit for you.

What Happens Next?

After you submit, our team will reach out to schedule a brief introductory call. This is a relaxed conversation to learn about your goals, answer your questions, and see if there's a mutual fit. No pressure, no obligations.

Request a Conversation

Our Difference

What Makes Our Senior Care Franchise Different

A Legacy
of Family Values

We aren't just family-owned; we are family-driven. Founded by a husband-and-wife team and now powered by third-generation leadership, Preferred Care at Home treats every corporate member and franchise owner like one of our own. You aren't just joining a franchise; you're joining a 40-year legacy of care.

Preferred Care at Home team family photo

Dedicated
One-on-One Support

While many competitors have pivoted to Private Equity (PE) for rapid growth, we've intentionally stayed independent. Our priority isn't mass expansion—it's the health of our system. We provide the personalized, one-on-one support you need to scale your business, ensuring you have a direct line to experts who are invested in your specific location.

Team working together at Preferred Care at Home

A Proven Path
to Scalability

Our business model is meticulously designed to evolve with you. We guide every owner through three distinct phases of growth:

  • The Baby Phase: Building the foundation.
  • The Business Phase: Establishing operations.
  • The Company Phase: Achieving the ultimate goal of a self-sustaining enterprise. Each stage requires a different skill set, and our system is built to provide the exact tools you need for each transition.
Franchisee speaking at event

Unrivaled
Franchisee Freedom

We believe that as your business grows, your autonomy should too. We offer unique financial advantages that are virtually unheard of in this industry:

  • Tiered-Down Royalties: You pay 5% on entry-level revenue, stepping down to 3% on revenue earned within higher tiers as you grow.
  • Flat Ad Fees: Instead of an industry-standard percentage, we charge a low, flat fee of $180.
  • Minimal Vendor Requirements: While we offer a strong network of partners, we never accept revenue shares or force unnecessary vendor participation. This eliminates any conflict of interest, giving you the freedom to make the best financial decisions for your business.
Franchisee celebrating success

Our People, Our Passion:

Preferred Care at Home

Conference

New Franchise
Partners
Approval Path

Mutual alignment is the foundation of our success. Because we prioritize the health of our franchise system, Preferred Care at Home reserves the right to ensure every partnership is the right fit.

Meeting the financial requirements is only the first step; we look for owners who share our heart for service. Here is how we help you explore our vision and ensure our goals for the future of care are perfectly synced.

Schedule Your Discovery Call
9 Steps to Franchise Ownership

These Steps are Required to be Completed Before Any Franchise is Invited to Join the PCAH Family

Step 1

Initial Phone Call

Step 2

Franchise IntroductionThousand-foot Overview

Step 3

Understanding the NumbersBreakeven & Profitability

Step 4

Homecare EssentialsTools, Support, Processes, and Training

Step 5

Territory DevelopmentSenior Saturation, Median Household Income

Step 6

Legal LandscapeTraveling Companions & Trail Rules

Step 7

Exclusive Territory Finalization

Step 8

A Day in the Life of an Owner5 Hats in Action

Step 9

Franchise InvitationWelcome to the PCAH Family

Territory
Availability Map

Available Area

Currently, we are not accepting applications in

AK
CT
DC
DE
HI
MA
MD
ME
MI
NJ
NY
RI
VT

Territories Are Filling Fast

Our franchise network is growing fast, and prime territories are limited. Start the vetting process today to see if this business is the right fit—and secure a location that matches your goals and maximizes your potential. Don't wait, the best markets won't stay open for long!

Available Territories
Unavailable Territories
AKALARAZCACOFLGAHIIAIDILINKSKYLAMEMIMNMOMSMTNCNDNENHNMNVNYOHOKORPASCSDTNTXUTVAVTWAWIWVWY
Caregiver assisting elderly woman
Growth

Approximately 11,200 people turn 65 every single day.

Alliance for Lifetime Income (ALI). (2024–2026). The Peak 65 Zone Report.

For the first time, more individuals are turning 65 each day than babies are being born in America.

U.S. Census Bureau. (2025). Vintage 2024 Population Estimates & 2025 Demographic Outlook.

By 2030, all 73 million Baby Boomers will be 65 or older, representing 21% of the U.S. population.

U.S. Census Bureau. (2025). Vintage 2024 Population Estimates & 2025 Demographic Outlook.

The senior home care market is projected to grow at 7.8% CAGR through 2030, driven by aging-in-place preferences.

Grand View Research. (2025). Home Health Care Market Size Report.

Preferred Care at Home

What Our Franchise Partners Say

Our Team

Meet the Team
Behind It

Podcast

InsideVoice

The Preferred Care at Home Podcast

Candid conversations with franchise owners, industry leaders, and the PCAH family about what it really takes to build a meaningful senior care business. New episodes monthly.

Episodes

Inside Voice on Spotify
PCAH team group photo at conference
Our Value

PCAH Direct
Value Statement

Preferred Care at Home helps purpose-driven entrepreneurs build profitable home care businesses backed by a proven system, real people support, and clear messaging — all rooted in family-caring-for-family values.

We don't just sell franchises; we walk alongside our owners every step of the way.

“Preferred Care at Home is a mission-driven, scalable home care franchise built on family values and long-term demand.”
Frank Guerrieri
Frank GuerrieriOwner of PCAH

What makes PCAH meaningfully different from other senior care franchises?

Preferred Care at Home empowers its franchise partners to deliver relationship-based senior care while building a scalable business.