Investment & Economics
Know the Numbers
Before You Commit
Building a home care business shouldn't require gambling your savings on an unproven model. Preferred Care at Home keeps startup costs below the industry average, structures royalties so your margins improve as you grow, and puts real revenue data on the table so you can make your decision with your eyes open.
The Market Behind the Numbers
The demand for in-home senior care isn't a trend. It's a demographic shift that's already underway.
11,200
Americans turn 65 every single day
Alliance for Lifetime Income, 2024–2026
7 in 10
chance of needing long-term care for someone turning 65 today
U.S. Department of Health and Human Services
93%
of adults 65+ have at least one chronic condition
National Council on Aging, 2025
$175B
projected home care industry size within six years
U.S. Home Healthcare Market Report, 2025–2033
This is a needs-based, recession-resistant service category. People don't stop aging when the economy slows down.
Historic Milestone
For the first time, more individuals are turning 65 each day than babies are being born in America.
U.S. Census Bureau, 2025
How PCAH Compares
Side-by-side performance against the industry average for independent home care businesses.
| Performance Metric | Preferred Care at Home | Industry Average | Source |
|---|---|---|---|
| Success Rate (5-Year) | 92% | 55% | U.S. Bureau of Labor Statistics (2026) |
| System Median Revenue | $1,465,692 | $300K – $500K | Activated Insights (2025/26 Benchmark) |
| Top 20% Revenue | $3,957,229 | $600K – $900K (7+ yrs) | Home Care Pulse Historical Data |
| Initial Capital Required | $88,350 – $111,500 | $115K – $150K | Financial Models Lab (2026) |
Success Rate (5-Year)
PCAH
92%
Industry Avg
55%
U.S. Bureau of Labor Statistics (2026)
System Median Revenue
PCAH
$1,465,692
Industry Avg
$300K – $500K
Activated Insights (2025/26 Benchmark)
Top 20% Revenue
PCAH
$3,957,229
Industry Avg
$600K – $900K (7+ yrs)
Home Care Pulse Historical Data
Initial Capital Required
PCAH
$88,350 – $111,500
Industry Avg
$115K – $150K
Financial Models Lab (2026)
What Owners Are Earning
These figures reflect actual gross revenue reported by 85 franchise locations that were fully operational throughout 2024.
Systemwide Average Monthly Gross Revenue
$108,598
Across all 85 locations
Systemwide Performance
| Performance Tier | Avg Monthly Gross Revenue | Median Monthly Gross Revenue | Units |
|---|---|---|---|
| Top 20% | $307,561.92 | $238,677.27 | 25 |
| Middle 60% | $98,949.47 | $92,153.32 | 45 |
| Bottom 20% | $17,183.98 | $13,784.98 | 15 |
Top 20%
25 units
$307,561.92
Median: $238,677.27
Middle 60%
45 units
$98,949.47
Median: $92,153.32
Bottom 20%
15 units
$17,183.98
Median: $13,784.98
Revenue by Owner Tenure
| Tenure | Avg Monthly Gross Revenue | Median Monthly Gross Revenue | Units |
|---|---|---|---|
| 0 to less than 2 years | $125,945.88 | $125,945.88 | 6 |
| 2 to less than 5 years | $116,923.38 | $108,451.64 | 22 |
| 5+ years | $137,590.18 | $85,384.49 | 57 |
0 to less than 2 years
6 units
$125,945.88
Median: $125,945.88
2 to less than 5 years
22 units
$116,923.38
Median: $108,451.64
5+ years
57 units
$137,590.18
Median: $85,384.49
These figures represent gross revenue only. They do not reflect expenses or costs of sales, such as caregiver wages, administrative expenses, rent, marketing, or other overhead. Prospective franchise partners should conduct an independent investigation of the costs and expenses associated with operating a Preferred Care at Home franchise.
What Your Investment Covers
The total initial capital required ranges from $88,350 to $111,500.
Franchise Fee
Your license to operate under the Preferred Care at Home system in an exclusive territory.
Initial Training
E-learning portal access, one week of hands-on training at a live operating agency in Knoxville, and pre-opening coaching.
Technology Setup
WellSky home care management software — CRM, telephony, caregiver recruiting, client-caregiver matching, and texting.
Marketing Launch
Initial local marketing and brand collateral to open your doors.
Working Capital
Early operating expenses to carry you through the startup phase before revenue stabilizes.
For Context
The industry average for launching an independent home care business (without a franchise system) is $115,000 to $150,000.
Financial Models Lab, 2026
Ongoing Fee Structure
Most franchise systems take a bigger cut the more you earn. We do the opposite.
Royalties
5%, stepping down to 3%
Tiered-down: you pay 5% on entry-level revenue, stepping to 3% on revenue earned within higher tiers.
Advertising Fee
Flat $180
Not a percentage. Stays the same regardless of your revenue.
Vendor Requirements
None mandatory
No revenue shares, no forced vendor participation.
Technology
Included
WellSky platform access is part of the system.
Royalties
5%, stepping down to 3%
Tiered-down: you pay 5% on entry-level revenue, stepping to 3% on revenue earned within higher tiers.
Advertising Fee
Flat $180
Not a percentage. Stays the same regardless of your revenue.
Vendor Requirements
None mandatory
No revenue shares, no forced vendor participation.
Technology
Included
WellSky platform access is part of the system.
Your royalty rate decreases as your revenue grows, and the flat ad fee means your marketing costs don't scale up with your success.
Understanding the Revenue Data
Gross revenue is the total amount billed for services before any expenses. It is not take-home pay. Your actual earnings will depend on how you manage caregiver wages, office costs, insurance, marketing spend, and other operating expenses.
We encourage every prospect to build a realistic financial model during the discovery process. Our team walks you through breakeven analysis in Step 3 (Understanding the Numbers) with Frank Guerrieri, so you're working with real projections before you make any commitment.
Structural Advantages of the Home Care Model
No brick-and-mortar retail space required
No large inventory
No commercial kitchen
Lower overhead relative to revenue
Senior care consistently ranks among the most profitable franchise sectors because of these structural cost advantages.
Building Equity, Not Just Income
A home care franchise isn't only a source of monthly revenue. It's an asset you own. As your client base, caregiver team, and referral relationships grow, so does the value of the business itself.
Established home care franchises with consistent revenue and strong operations can sell for multiples of their annual earnings.
Three-Phase Growth Model
Baby Phase
Building the foundation
Business Phase
Establishing operations
Company Phase
Self-sustaining enterprise
Our model is designed to move you toward a self-sustaining operation — a business that runs with systems and a trained team, not one that depends on you every hour of every day.
Multi-Territory Economics
Owners operating under a multi-territory franchise agreement who maintain an average of at least $40,000 in monthly gross sales in their primary territory pay only the standard renewal fee (10% of the then-current franchise fee) for that primary territory.
Meet $40K/mo Threshold
No additional renewal fees for any extra territories under the same agreement.
Below Threshold
Pay renewal fee for each additional territory or relinquish territories you choose not to renew.
Talk to Owners Who've Done It
The strongest due diligence you can do isn't reading a website. It's talking to people who have already made this investment.
During our discovery process, you'll interview current franchise partners before receiving an invitation. Ask them about revenue timelines, daily operations, corporate support, and anything else that matters to your decision.
We also provide a list of current and former franchise partners in Item 20 of our Franchise Disclosure Document so you can reach out directly.
Common Questions About the Investment
Total initial capital ranges from $88,350 to $111,500. This covers the franchise fee, training, technology, marketing launch, and early working capital.
No. Most of our top-performing owners came from outside healthcare. The system covers operations, caregiver recruiting, marketing, and compliance. You bring leadership and community relationships.
Royalties start at 5% and step down to 3% as your revenue reaches higher tiers. This is the permanent structure, not a promotional rate.
A flat $180, regardless of your revenue. Not a percentage.
This varies based on your market, your effort, and how closely you follow the system. During Step 3 of the discovery process, we walk through breakeven and profitability analysis using real numbers specific to your situation.
Discuss financing options directly with our team during the discovery process.
Yes. Multi-territory agreements are available. To avoid additional renewal fees on extra territories, you'll need to maintain an average of $40,000 in monthly gross sales in your primary territory.
Unlimited phone, email, and video support. Weekly one-on-one sessions with founders and department heads. Weekly live web-based training conferences. Monthly peer-to-peer group sessions. Annual conventions. Lifetime business growth support through all three phases.
Your Next Step
Schedule a one-on-one call with our team. We'll walk through the numbers, the training, and whether your market is available.