The demand for home health care services in Florida is becoming increasingly in high demand due to several factors influencing the state.

The two main factors are the rising population of seniors in Florida and the shift toward value-based care. Seniors and others in need of care have a greater incentive to utilize home health care services instead of overflowing assisted-living facilities, leading to more revenue for in-home health care agencies.

But before you jump right in, starting a home health care agency in Florida can also be a highly regulated and competitive industry. It’s essential to research the regulations, licensing, and certifications required to operate in Florida and create a detailed business plan, marketing strategy, and budget to ensure your success as a home care business owner.

To simplify this process, we’ve included the following topics in this article:

  1. Understanding the Home Health Care Industry in Florida
  2. Florida Home Care License (Legal and Compliance Requirements)
  3. Setting Up Your Own Home Care Business
  4. Home Health Care Business Staffing and Training
  5. Marketing and Growth for a Care Business in Florida

Understanding the Home Health Care Industry in Florida

Target Market for a Home Health Care Agency in Florida

The potential target market for a home health care agency in Florida is primarily the senior population, as well as people of all ages who require care and support at home due to a chronic illness or disability.

Florida Senior Population

The rapidly growing senior population in Florida and the preference for receiving care in the comfort of one’s own home make this an attractive market for a home health care agency. Additionally, many people living in Florida are retirees, which may increase demand for home health care services.

Due to this, it is an exciting time to become a business owner of a home health agency. This type of business can be a highly profitable and purpose-driven business opportunity in Florida—especially if you partner with the right business!

Profit and Purpose


Home health care agencies in Florida are regulated by the Florida Agency for Health Care Administration (AHCA). To operate a home health care agency in Florida, an organization must be licensed by the AHCA and adhere to state regulations.

Home Care Services

Homecare agencies in Florida offer a wide range of services to help patients manage their health at home. These services can include:

Some agencies may also offer specialized services such as wound care, IV therapy, and hospice care.

Florida Home Care License (Legal and Compliance Requirements)

Starting a home health care agency in Florida can be a profitable business opportunity. Still, it is important to understand the legal and compliance requirements that must be met in order to operate and be compliant with the laws in Florida and federally.

Gavel and American Flag

What Licenses Do I Need to Start a Home Health Care Business in Florida?

The first step in starting a home health care agency in Florida is to obtain a license from the Florida Agency for Health Care Administration (AHCA). The licensing process involves:

  1. submitting an application,
  2. passing a background check,
  3. and meeting certain staffing and other requirements set by the state.

The agency must also be Medicare-certified to provide services to Medicare beneficiaries.

Compliance With State and Federal Regulations

In addition to obtaining a license, home health care agencies in Florida must also comply with a wide range of state and federal regulations.

While as a business owner for a home care agency, you don’t need formal medical training, but you do need to meet the standards set by the AHCA, as well as regulations set by the Centers for Medicare & Medicaid Services (CMS) and the Department of Health and Human Services (HHS).

Compliance with these regulations is essential to ensure the safety and well-being of patients, as well as to avoid penalties or legal action.

Insurance and Bonding Requirements

Home health care businesses in Florida must also meet specific insurance and bonding requirements. This includes maintaining liability insurance to protect against claims related to patient care and obtaining a surety bond to protect against financial losses related to fraud or mismanagement.

These requirements are in place to protect clients and ensure the agency’s financial stability.

To learn more about becoming compliant or getting your license in Florida, call a Nurse Next Door and speak to a Franchise Development Manager at 1-855-737-6803.

Setting Up Your Own Home Care Business

Now, let’s cover the key steps involved in setting up your own home care business, including choosing an ownership structure, registering your business and obtaining necessary permits in Florida, developing a business plan and budget, and securing home care franchise funding and financing options.

By following these guidelines, you can ensure that your business is legally compliant and financially sound, setting yourself up for long-term success.

1) Choose a Business Structure

When starting a home care business, one of the first important decisions to make is choosing the right business structure.

Decide which business model is right for you, whether a sole proprietorship, partnership, LLC, or corporation—OR if you want to partner with a franchise company. Whichever the case, it is critical to consider the legal and financial implications of each option.

Franchise Owners

A business attorney or a Franchise Development Manager can help you understand the pros and cons of each structure and choose the one that best suits your needs.

2) Register Your Business and Obtaining Necessary Permits in Florida

After choosing a business structure, the next step is registering your business and obtaining the necessary permits in Florida. This includes registering with the Florida Department of State, obtaining an employer identification number (EIN) from the IRS, and applying for any local or state licenses and permits required to operate a home care business.

3) Develop a Business Plan, Marketing Plan, and Budget

A comprehensive business plan, marketing plan, and budget are essential to the success of your home care business. This includes researching the market, identifying your target audience, and outlining your marketing strategy.

A budget should also be developed to identify potential revenue streams and expenses.

4) Secure Home Care Franchise Funding and Financing Options

Starting a home care business on your own can be costly, so it’s important to consider funding and financing options. This can include small business loans, crowdfunding, or even franchising opportunities. For a full list of financing options, visit our blog “How to Finance a Home Care Franchise!

It’s important to research the different options available and choose the one that best fits your needs based on the structure of your home care business.

How much does it cost to start a home care agency in Florida?

A Private Pay Home Care agency can cost anywhere between $40,000 to $80,000, whereas a Licensed Home Health non-Medicare agency costs $60,000 to $100,000, and a Medicare Certified agency can cost between $150,000 to $350,000.

For a complete list of fees and costs, visit our recent article that breaks down the costs of starting a home care business with Nurse Next Door.

Partnering with an award-winning Franchise System like Nurse Next Door will give you access to marketing assistance, specialized training, and low franchise fees. However, you can start your business with as little as $30,000!

Home Health Care Business Staffing and Training

Starting a home health care business requires a dedicated and skilled staff to provide high-quality care to patients.

We will explore the important considerations regarding staffing and training employees:

  • guidelines for hiring and training employees,
  • compliance with state and federal labor laws,
  • and strategies for finding and retaining qualified staff.

By understanding these key elements, you can ensure that your business has the resources and personnel necessary to provide exceptional care to clients and build a successful home health care business.

Guidelines for Hiring and Training Employees

When hiring employees for your home health care business, it’s important to establish guidelines for recruiting, screening, and training.

This includes creating job descriptions, conducting background checks, and providing training on industry regulations, patient care protocols, and safety procedures. Additionally, it’s important to establish a system for employee evaluations and ongoing training to ensure that your staff is providing high-quality care.

Fortunately, when joining a franchise company, you gain instant access to these systems and processes.

Compliance with State and Federal Labor Laws

It’s crucial that your home health care business is compliant with Florida state and federal labor laws. This includes laws related to minimum wage, overtime pay, employee benefits, and laws that prohibit discrimination and protect employee rights.

It’s important to understand and comply with all regulations to avoid potential legal issues.

Finding and Retaining Qualified Staff

Attracting and retaining qualified staff is essential to the success of your home health care business. This includes developing a recruitment strategy, such as advertising job openings, networking with industry medical professionals, and offering competitive compensation and benefits.

Additionally, it’s important to create a positive work environment and establish open lines of communication to retain qualified staff.

At Nurse Next Door, we have a proven recruitment model that helps you gather a talented Care Team comprised of Professional Caregivers and Care Designers.

Marketing and Growth for a Care Business in Florida

Marketing and growth strategies are essential for any business, including a home care business in Florida. This includes developing a strong brand, creating a website and social media presence, ad campaigns, and identifying target markets. Here are just a few of the many successful marketing initiatives for growing a home care business.

Increasing Referral Business to Increase Your Client Base

Building a client base is essential for any home care business in Florida or elsewhere. You’ll want to develop a strong reputation, offering excellent customer service and building relationships with clients, their families, and friends.

Nurse Next Door Franchise Owner

Establishing referral programs and incentivizing current clients to refer others to your business is a great first step.

Building Relationships with Healthcare Providers 

Building relationships with healthcare providers and other related services is key for a home care business in Florida. This includes developing partnerships with hospitals, nursing homes, senior centers, and other healthcare professionals.

It is also important to network with other related services, such as physical therapists, family doctors, and home health equipment providers.

Staying Competitive and Adapting to Changes in the Market

The home care industry is constantly evolving, and home care business in Florida needs to stay competitive and adapt to changes in the market. This includes staying informed about industry trends and regulations and continuously improving services and offerings.

It’s essential to conduct regular market research to understand your target market’s needs and preferences and how to best meet those needs. Fortunately, when you join a home care franchise like Nurse Next Door, you are not alone in having to do the work of conducting research or creating a marketing plan!

We are right there with you, ensuring you and your business are running efficiently and effectively so that you can deliver premium services while growing your business.

To Wrap Up!

Starting a home health care agency in Florida can be a profitable yet also a purpose-driven business opportunity.

It’s important to remember that starting a home health care agency in Florida may require a significant investment of time, money, and effort. But, with the right strategies and resources, you can set yourself up for success.

Many resources are available to assist you in your journey, such as the Florida Agency for Health Care Administration, Small Business Administration, and the National Association for Home Care and Hospice—or the support of Nurse Next Door!

By partnering with an award-winning Franchise System like Nurse Next Door, you’ll gain access to more financing options and resources, such as on-hand business mentorship.

Begin with our free discovery process and resources to help you get started!