Why Preferred Care at Home
Family-Owned Since 1984.
Built for Owners Who Care.
Preferred Care at Home has been family-owned and operated since 1984. We've never sold to private equity. We've never chased rapid expansion at the expense of the people inside our system. What we have done is build a franchise model where the financial structure, the training, and the support are all designed around one idea: your margins should improve the harder you work.
What Makes Us Different
40 Years of Care
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 partner like one of our own. You aren't just joining a franchise. You're joining a 40-year legacy of care.
Intentionally Independent
Dedicated One-on-One Support
While many competitors have pivoted to private equity for rapid growth, we've intentionally stayed independent. Our priority isn't mass expansion. It's the health of our system. We provide the 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.
Grow at Your Pace
A Proven Path to Scalability
Our franchise model is built to evolve with you. We guide every owner through three distinct phases of growth. Each stage requires a different skill set, and our system is built to provide the exact tools you need for each transition.
Baby Phase
Building the foundation
Business Phase
Establishing operations
Company Phase
Self-sustaining enterprise
Your Business, Your Way
Unrivaled Owner Freedom
We believe that as your business grows, your autonomy should too. We offer 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 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.
What Owners Are Earning
These figures reflect actual gross revenue reported by 85 franchise locations that were fully operational throughout 2024.
Systemwide
$108,598.52
85 units
Top 20%
$307,561.92
25 units
Middle 60%
$98,949.47
45 units
Bottom 20%
$17,183.98
15 units
Revenue by Owner Tenure
0 to less than 2 years
6 units
$125,945.88
2 to less than 5 years
22 units
$116,923.38
5+ years
57 units
$137,590.18
Startup Costs
$88,350 – $111,500
Industry avg: $115,000 – $150,000
Financial Models Lab, 2026
We do not guarantee that you will achieve the same results. Your individual financial performance may vary. The actual performance of any franchise will depend on a number of factors, including location, market conditions, management skill, effort, competition, and adherence to system standards. These figures represent gross revenue only and do not reflect expenses or costs of sales.
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.
“Our first promise to you is that if you are not a good fit for our organization, we will let you know and direct you to other opportunities that may be a better fit for you. We'd rather lose a prospect than gain an owner who isn't aligned with the work.”
9 Steps to Franchise Ownership
Initial Phone Call
Frank Guerrieri
Franchise Introduction, Thousand-Foot Overview
Ethan Guerrieri
Understanding the Numbers, Breakeven & Profitability
Frank Guerrieri
Homecare Essentials, Tools, Support, Processes, and Training
Ethan Guerrieri
Territory Development, Senior Saturation, Median Household Income
Matt Adkins
Legal Landscape, Traveling Companions & Trail Rules
Ashly Lucose
Exclusive Territory Finalization
Matt Adkins
A Day in the Life of an Owner, 5 Hats in Action
Frank Guerrieri
Franchise Invitation, Welcome to the PCAH Family
Corporate Team
Why This Industry, Why Now
Every day, roughly 11,200 Americans turn 65. The demand for non-medical, in-home senior care is growing faster than the supply of providers. This is a needs-based, recession-resistant service category that doesn't depend on consumer discretionary spending.
You don't need a healthcare background to do this well. Most of our top-performing owners came from outside the industry. What you bring is leadership, community relationships, and a willingness to follow a proven process. The system covers operations, caregiver recruiting, marketing, and compliance.
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.