How to Start a Senior Care Business: 6 Skills That Transfer

APAH-09-15-26

How to Start a Senior Care Business: 6 Skills That Transfer

If you’re considering leaving the corporate world to become a business owner, you may be wondering whether your experience will translate to a completely different industry. And if you’re researching how to start a senior care business, one question may be top of mind: Do you need healthcare experience?

The answer? Not necessarily. Owning a senior care franchise is different from providing care directly to clients. As a franchise owner, your responsibilities center on leading your team, managing operations, building relationships, and growing your business—meaning many of the skills you’ve developed throughout your career can carry into franchise ownership.

What Matters More Than Healthcare Experience?

You don’t need to be a doctor, nurse, or professional caregiver to own A Place At Home franchise.*

A senior care franchise owner focuses on the business behind the care provided. That may include recruiting and managing employees, developing referral relationships, overseeing finances, marketing the business locally, and ensuring daily operations run effectively.

Of course, entering a new industry still comes with a learning curve. That’s where the franchise model is designed to help. Rather than building an unfamiliar business model from scratch, you start with established systems, training, resources, and ongoing support.

Your previous experience brings the skills. The franchise system provides the training and resources to help you apply them to senior care.

6 Transferable Skills for Senior Care Franchise Ownership

Your current career may look very different from senior care, but the skills you use every day could be more relevant to franchise ownership than you think.

1. Leading and Developing People

If you’ve managed a department, supervised employees, hired team members, or coached people through challenges, you already understand one of the most important parts of business ownership—leadership.

As a senior care franchise owner, you’ll need to recruit, manage, and retain a team capable of providing dependable service to clients and families. That requires setting expectations, developing employees, building a positive culture, and holding people accountable.

2. Understanding Financial Performance

Managing a budget, reviewing financial reports, controlling expenses, or making decisions based on performance data are all skills that transfer to business ownership.

As an owner, you’ll need to understand what’s happening financially within your business. Monitoring sales and expenses, managing payroll and other costs, reviewing key performance indicators (KPIs), and using financial information to guide your decisions will become important parts of managing your business.

You don’t need to know every financial detail of the senior care industry from the jump. But being comfortable with numbers and understanding how financial decisions affect a business can give you a valuable starting point.

3. Building Referral Relationships

If your career has involved sales, business development, account management, or networking, you’re already aware of how important relationships are to business growth.

Senior care franchise owners build connections throughout their communities. Depending on the business, those relationships may include families, healthcare professionals, senior living communities, local organizations, and other referral sources.

Knowing how to introduce your business, earn trust, maintain relationships, and stay connected with your local market can translate directly to business ownership. Those same relationship-building skills can also be valuable for entrepreneurs interested in adjacent areas of healthcare, such as starting a healthcare staffing agency.

4. Following Established Systems

Corporate experience often teaches you how to work within established processes and systems, which is equally relevant to franchising. While you own and operate your own local business, you also must follow the systems and processes developed by the franchisor.

If you’re comfortable using proven procedures, adopting new technology, tracking performance, and working within brand standards, you already have experience that can help you adapt to a franchise system.

Following a playbook doesn’t eliminate the need for your leadership. It simply gives you a framework for applying it.

5. Problem-Solving Under Pressure

Business ownership doesn’t always go according to plan, and that’s OK.

An employee may call out. A client may have a concern. A schedule may need to change. You might be asked to make an important decision with limited time and information.

These things happen. However, if your career has taught you how to evaluate a problem, communicate with the people involved, and determine the next step without losing sight of the bigger picture, that experience can serve you well as a franchise owner.

In senior care, where owners are responsible for managing people and relationships, being able to respond calmly and thoughtfully when challenges arise is incredibly valuable.

6. Communicating with Empathy and Authority

Senior care is a people-centered business. Owners interact with employees, clients, families, referral partners, and members of their community, often in situations where trust matters.

Having strong communication skills means knowing how to listen as well as expressing yourself clearly. You may need to explain expectations to an employee, respond to concerns from a family, work through an issue with a referral partner, or have a difficult conversation with a member of your team.

If you’ve learned how to communicate clearly while remaining empathetic and professional, you’re bringing an important skill into senior care business ownership.

6 Skills That Transfer to Senior Care Franchise Ownership

How many are part of your professional toolkit?

  1. Leadership — You know how to manage, coach, and develop people.
  2. Financial Management — You’re comfortable using numbers to make business decisions.
  3. Relationship Building — You know how to develop and maintain professional connections.
  4. Following Systems — You can work within established processes while leading effectively.
  5. Problem-Solving — You can make thoughtful decisions when challenges arise.
  6. Communication — You know how to listen, set expectations, and lead difficult conversations.

Turn Your Experience Into Senior Care Business Ownership

Transferable skills can give you a foundation for business ownership, even if you’re new to the senior care industry.

With A Place At Home, franchise owners receive training designed to prepare them for the business model, including areas such as operations, recruiting, marketing, financial management, and business development. You also have direct access to established systems, technology, resources, and ongoing support as you operate your local business.

If you’re exploring franchise ownership without prior healthcare experience, A Place At Home offers an opportunity to apply your leadership and business experience within a growing senior care industry while serving seniors and families in your community.

Ready to see how your business experience could translate to senior care franchise ownership? Fill out our franchise inquiry form to learn more about senior care franchise opportunities with A Place At Home and connect with our franchise development team.

*A Place At Home does not require franchise owners to be clinicians. State requirements may vary.

A Place At Home’s Inc. 5000 Debut Reflects a Franchise System Built for Growth

A Place At Home’s Inc. 5000 Debut Reflects a Franchise System Built for Growth 

Growth in franchising can be measured in a lot of ways. New locations. New markets. Systemwide revenue. Brand awareness. 

But some milestones tell a bigger story. 

A Place At Home’s debut on the 2026 Inc. 5000 list of America’s fastest-growing private companies is one of them. 

The senior care franchise ranked No. 3085 nationally after achieving 98% total growth from 2022 through 2025, equal to a 25.7% annualized growth rate. The company also ranked No. 310 among healthcare and medical companies, No. 10 among Omaha companies and No. 14 among Nebraska companies. 

Those rankings are meaningful. But the more important story is what has made that growth possible. 

From One Local Senior Care Company to More Than 50 Locations 

A Place At Home started in Omaha with childhood friends Dustin Distefano and Jerod Evanich and a simple belief: senior care could be more personal, responsive and supportive for families. 

That belief eventually became a business. 

Then it became a franchise. 

Today, A Place At Home has grown to more than 50 locations across 22 states, with franchise owners serving seniors and families in communities across the country. 

The scale has changed considerably. The purpose behind the brand has not. 

A Place At Home remains focused on helping seniors stay safe, supported and as independent as possible, while giving local franchise owners the opportunity to build meaningful businesses in their communities. 

That connection between mission and business opportunity has been central to the brand’s growth. 

Growth Starts With a Need That Is Not Going Away 

Home-based senior care serves a deeply personal need. 

Families want the people they love to receive support in familiar surroundings whenever possible. Seniors often want to maintain their independence. And as care needs change, families increasingly need trusted local providers who can help them navigate those changes. 

A Place At Home was built around that reality. 

Its services can include companion care, assistance with daily activities, medication reminders, meal preparation, transportation, respite care, care coordination, live-in care options and help identifying senior living options when needed. 

That broad service model gives franchise owners the ability to become a more complete resource for families rather than simply offering one narrow type of care. 

It also reflects the way senior care actually works. 

Needs change. Families need guidance. The right level of support today may look different six months or two years from now. 

A franchise model capable of meeting families at different points in that journey has the potential to create deeper relationships, stronger local businesses and more lasting value in the communities it serves. 

National Growth Is Built One Local Business at a Time 

A Place At Home’s Inc. 5000 ranking may be national recognition, but the growth behind it has happened at the local level. 

Every new market represents a franchise owner building a team, developing relationships and earning trust within a community. 

That is an important distinction. 

Strong franchise systems are not built simply by adding dots to a map. They are built by helping local owners create healthy, sustainable businesses. 

A Place At Home’s expansion has been driven by both rising demand for home-based senior care and a franchise model designed to support owners as they serve families in their markets. 

The company has also remained focused on growing thoughtfully — strengthening franchise owner support, developing caregivers, improving operations and maintaining the quality of care that ultimately defines the brand. 

The Inc. 5000 recognition gives that strategy a measurable result. 

Nearly doubling in size over a three-year period shows that the model is gaining momentum. 

A New Chapter With More Resources Behind the Brand 

The recognition also comes at an important point in A Place At Home’s evolution. 

The company is now part of Dovida, a global home care provider with 21 years of experience delivering person-centered care across seven countries. 

For the franchise system, that creates a new combination of strengths. 

A Place At Home brings the entrepreneurial foundation, local-market experience and franchise infrastructure that helped the company grow from a single Omaha business into a national brand. 

Dovida brings broader home care experience and additional resources to support the next stage of growth. 

Together, that creates an opportunity to build on the momentum A Place At Home has already established while continuing to invest in franchise owner support, caregiver development, operational strength and high-quality care. 

The Inc. 5000 Ranking Is Validation — Not a Finish Line 

Being named to the Inc. 5000 is worth celebrating. 

But the most important part of the recognition may be what it validates. 

It validates the work of the franchise owners building businesses in communities across the country. 

It validates the demand for senior care delivered close to home. 

It validates the foundation created by A Place At Home’s founders and the team that helped turn a local Omaha company into a growing national franchise system. 

And it shows that purpose and growth do not have to exist separately. 

A Place At Home has grown to more than 50 locations in 22 states and nearly doubled in size from 2022 through 2025. 

Now, with additional resources behind the brand and continued demand for senior care in communities across the country, the focus is on what comes next. 

For entrepreneurs exploring the senior care industry, that may be the most compelling part of the story. 

The Inc. 5000 recognizes where A Place At Home has been. 

The franchise opportunity is about where the brand is going. 

How to Start a Healthcare Staffing Agency: A Step-by-Step Guide

How to Start a Healthcare Staffing Agency: A Step-by-Step Guide

If you’re interested in entrepreneurship within the healthcare industry, starting a healthcare staffing agency may be one business opportunity worth exploring. Healthcare staffing agencies connect qualified professionals with organizations that need additional support, creating an important link between healthcare employers and the people they need to serve their patients and clients.

But there’s more to starting an agency than just recruiting healthcare professionals and finding organizations that need them. As a potential owner, you’ll need to establish your business, understand applicable regulations, develop recruiting and credentialing processes, build client relationships, and put systems in place to manage daily operations.

If you’re researching how to start a healthcare staffing agency, understanding these responsibilities—and the different paths you can take to business ownership—can help you determine whether the opportunity is right for you.

How to Start a Healthcare Staffing Agency in 7 Steps

Healthcare staffing is a substantial and growing industry. The global healthcare staffing market was valued at approximately $48.1 billion in 2026 and is projected to reach $87.6 billion by 2035, growing at a compound annual growth rate (CAGR) of 6.9%.

However, even with strong growth on the horizon, starting a healthcare staffing agency requires careful planning. Although the exact process will depend on factors such as where you operate, the professionals you place, and the organizations you serve, these seven steps can provide a general framework.

1. Define Your Local Market and Staffing Focus

Before starting your staffing agency, determine who you plan to serve.

Consider the types of healthcare professionals you want to recruit, the organizations you want to work with, and the geographic area your agency will cover. You may decide to focus on a particular type of healthcare professional or serve several types of organizations in your market.

Researching local demand and existing competitors can also give you a clearer picture of where your agency may fit within the market.

2. Develop a Business Plan

Once you’ve established your target market, you’ll need to draft a business plan that outlines how your agency will operate.

Within your plan, you should address:

  • The healthcare organizations and professionals you intend to serve
  • Your staffing and placement model
  • Startup and ongoing business expenses
  • Pricing and revenue structure
  • Recruiting and marketing strategies
  • Technology and operational needs
  • Short- and long-term business goals

A thoughtful business plan gives you a framework for making decisions as you move from the idea stage toward opening your agency.

3. Establish Your Business and Research Applicable Requirements

You’ll need to take the necessary steps to legally establish your business. Depending on your location and business structure, you may need to select a business entity, register your business, obtain tax identification numbers, and complete other state or local requirements.

Healthcare staffing can also involve additional licensing, employment, credentialing, and regulatory considerations. Requirements vary by state and can depend on the type of staffing services you provide.

Before operating, research the rules that apply in your market and consider consulting legal, financial, or regulatory professionals.

4. Secure Appropriate Business Insurance

Insurance is an important factor for any business, but especially when starting a healthcare staffing agency. The coverage your agency needs will depend on factors such as your business structure, staffing model, state requirements, and the types of professionals you place.

Coverage may include general liability, professional liability, workers’ compensation, and other business insurance.

An insurance professional familiar with healthcare staffing can help you understand the coverage that may apply to your specific operation.

5. Develop Recruiting and Credentialing Processes

Healthcare staffing agencies depend on their ability to consistently identify qualified professionals and match them with appropriate assignments.

As a potential owner, you’ll need to create a recruiting strategy that identifies where you’ll find candidates, how you’ll evaluate applicants, and how you’ll maintain relationships with healthcare professionals within your network.

You’ll also need procedures for verifying applicable licenses, certifications, qualifications, background information, and other credentials. Depending on your staffing model and requirements, credentialing may continue throughout a professional’s relationship with your agency rather than occurring only during initial recruitment.

6. Build Relationships With Healthcare Organizations

Recruiting healthcare professionals is only one part of the business. You’ll also need to partner with organizations that need your services.

Create a strategy for reaching healthcare organizations within your target market. Learn about their staffing needs, establish relationships with decision-makers, and determine how your agency can provide value when staffing needs arise.

Building strong relationships on both sides of the business can contribute to a reliable network of clients and healthcare professionals.

7. Put Your Operational Systems in Place

Before accepting assignments, consider how you’ll manage the moving parts of your agency.

Depending on your business model, you may need systems for:

  • Applicant tracking and recruiting
  • Credential management
  • Scheduling
  • Payroll and billing
  • Client and employee communication
  • Documentation and recordkeeping
  • Compliance processes
  • Business performance tracking

Implementing these systems before your agency starts making placements gives you a stronger operational foundation.

What Are the Challenges of Starting a Healthcare Staffing Agency?

Like any business, starting a healthcare staffing agency can create opportunities—but it also comes with significant responsibilities. Understanding the challenges before investing can give you a more realistic idea of what ownership requires.

A major responsibility is recruitment. Your ability to serve organizations directly depends on having qualified professionals available when staffing needs arise.

Recruiting qualified healthcare professionals continues to be a persistent challenge across the industry, which is why many healthcare organizations turn to staffing partners. According to NSI Nursing Solutions’ 2026 National Health Care Retention & RN Staffing Report, the hospital turnover rate stands at 18.5%, with registered nurse turnover at 17.6% and the national RN vacancy rate at 8.6%.

Other potential challenges include:

  • Building relationships with healthcare organizations and establishing a client base
  • Verifying credentials and maintaining appropriate documentation
  • Managing scheduling and changing staffing needs
  • Keeping up with applicable regulations and requirements
  • Managing payroll, billing, and cash flow
  • Competing with other staffing providers
  • Hiring or delegating as your business grows

Is a Healthcare Staffing Agency Right for You?

You don’t necessarily need a healthcare background to own a healthcare staffing agency. Depending on the business model, your role may center more on leadership, recruiting, relationship building, operations, and business development than providing healthcare services directly.

A healthcare staffing agency may be worth considering if you’re comfortable:

  • Building relationships
  • Recruiting and leading people
  • Following detailed systems and processes
  • Managing multiple priorities
  • Working within a regulated industry
  • Developing a business over time

You’ll also need to decide how much of the business you want to develop on your own. Some entrepreneurs prefer the flexibility of creating their own brand, selecting their own systems, and developing their own processes. Others may prefer joining the industry through a nursing or senior care franchise with an established business model and support system already in place.

Starting Independently vs. Joining a Franchise

Should you choose to start your staffing agency independently, you are solely responsible for developing the business from the ground up. However, franchising offers a different path. Rather than building every aspect of the business yourself, you operate within an established brand and business model and receive resources and support from the franchisor.

Quickly compare both options below:

Consideration Independent Business Franchise
Brand Develop your own brand and reputation Operate under an established brand
Business model Create your own systems and processes Follow a proven operating model
Training Research or develop resources independently Receive structured training from the franchisor
Technology Research and select platforms Access systems and technology through approved vendors
Marketing Create your own strategy and materials Access brand marketing resources and support
Operations Build processes from scratch Follow existing processes and procedures
Support Develop your own professional network Access franchisor support and a franchisee network

It’s important to note that neither option removes the responsibilities or risks associated with starting a business. The right option depends on your experience, goals, and how much structure and support you want as you grow your business.

If you value an established model and ongoing support, exploring a home care franchise may introduce you to opportunities that extend beyond staffing alone.

Go Beyond Staffing With an A Place At Home Senior Care Business Franchise

If healthcare staffing interests you, you may also want to consider whether a broader senior care business model aligns with your goals.

A Place At Home gives franchise owners the opportunity to serve seniors and families through a continuum of care rather than focusing exclusively on staffing. Our senior care franchise model includes in-home care, care coordination, senior living alternatives, and staffing solutions. This multi-service model gives franchise owners access to multiple revenue streams while allowing them to address a range of senior care needs within their communities.

As an A Place At Home franchise owner, you’ll also receive training, operational resources, marketing support, technology, and ongoing guidance designed to prepare you to operate the business. Instead of creating every process and system independently, you have an established framework to follow as you build your local business.

Ready to learn more? Fill out our franchise inquiry form to receive more information about our senior care franchise opportunities and connect with a member of our franchise development team.

Frequently Asked Questions About How to Start a Healthcare Staffing Agency

Have questions about what it takes to own a healthcare staffing agency? Fortunately, we’ve got answers.

How Does a Healthcare Staffing Agency Make Money?

Generally, healthcare staffing agencies earn revenue by charging client organizations for staffing or placement services. The specific pricing model varies based on factors such as the type of placement, professional being placed, contract terms, and services the agency provides.

What Types of Professionals Can a Healthcare Staffing Agency Place?

Staffing agencies may work with nurses, nursing assistants, allied health professionals, physicians, pharmacy personnel, laboratory staff, and other clinical professionals. Some agencies specialize in particular professions or healthcare settings, while others serve a broader range of staffing needs.

What Is the Difference Between a Healthcare Staffing Agency and a Home Care Agency?

A healthcare staffing agency recruits and places healthcare professionals with organizations that need additional staff. A home care agency provides care and support directly to individuals in their homes. While the business models are different, some senior care companies offer both services. For instance, the A Place At Home business model includes in-home care, care coordination, senior living alternatives, and staffing solutions.

What Is the Employment Outlook for the Healthcare Industry?

Demand for healthcare workers is expected to remain strong. The U.S. Bureau of Labor Statistics projects healthcare occupations will grow much faster than the average for all occupations from 2025 to 2035, with about 1.9 million openings projected each year, on average, due to employment growth and workers leaving their occupations.

What Does It Cost to Franchise With A Place At Home?

Our estimated initial investment ranges from $88,995 to $168,512, including our franchise fee of $49,500. Please refer to the 2026 Franchise Disclosure Document (FDD) for additional details. To qualify for an A Place At Home franchise, interested candidates must have a minimum net worth of $250,000 and at least $50,000 in liquid capital.