​​Starting a home health care business in Missouri can be a fulfilling and rewarding venture that allows you to provide crucial care and support to those in need, all while being your own boss and running a profitable business. However, it’s important to note that opening any home health care business requires careful planning and consideration of several factors, including state regulations and licensing requirements.

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To start your home health care business in Missouri, you’ll need to navigate the state’s licensing requirements and regulations to ensure compliance. In addition to regulatory considerations, you’ll also need to factor in the costs associated with starting the business, such as insurance, staffing, and marketing. It’s essential to develop comprehensive policies and procedures for your own home care license business, including hiring qualified caregivers and support staff and developing a marketing plan to promote your services and reach potential clients.

With careful planning and dedicated effort, your home health care business in Missouri can be a profitable and fulfilling venture that makes a positive impact in your community.

The Burning Question: Is Owning a Home Health Care Business in Missouri Profitable?

According to industry reports, the home health care industry is one of the fastest-growing industries in the United States. The home health care is projected to reach a market value of $173 billion by 2026.

Senior Aging Statistics


While in Missouri, the demand for home health care services is expected to rise as the state’s population continues to age. As a result, owning a home health care business in Missouri can be a profitable venture with plenty of room for growth.

As a business owner, you have the potential to earn significant profits through your home health care business. According to Home Health Care News, the average revenue for a home health care business is approximately $2.5 million annually.

Of course, your profitability will depend on several factors, such as the size of your own health services business, the services you offer, and your pricing strategy. But with the right approach, owning a home health care business in Missouri can be a lucrative and fulfilling career choice.

Steps to Owning a Home Health Care Agency in Missouri

Starting a home care business in Missouri involves several steps. Here are the general steps to follow:

1) Develop a Business Plan

Developing a business plan is the first step to starting a home care business in Missouri. A business plan is a written document that outlines your business goals, services, target market, and financial projections. It should include an executive summary, business hours, company description, market analysis, service line description, marketing strategy, and financial projections.

The executive summary is a brief overview of your business plan. It should include your business goals, services you plan to offer, target market, and financial projections. The company description should provide detailed information about your business, including your business structure, ownership, and management team. The market analysis should provide information about the home care industry in Missouri, including trends, competition, and potential customers.

The service line description should outline the services you plan to offer, such as personal care, companion care, or other either skilled nursing services or nursing care. Your marketing strategy should include a plan for how you will promote your business and reach potential clients. Your financial projections should include revenue and expense projections, as well as a cash flow statement.

2) Choose a Business Structure

The next step to starting a home care business in Missouri is to choose a legal structure for your business. The most common legal structures for a small business are LLC, corporation, or sole proprietorship. Each structure has its own advantages and disadvantages. An LLC provides personal liability protection for its owners, while a corporation offers tax benefits and limited liability protection. A sole proprietorship is the easiest and least expensive legal structure to set up, but it offers no personal liability protection.

It is important to consult with a lawyer or accountant when choosing a legal structure for your home care business. They can help you determine which structure is best suited for your home care business.

3) Register Your Business

Registering your business with the Missouri Secretary of State is a requirement for starting a home care agency or business in Missouri. You will also need to obtain any necessary licenses and permits. The Missouri Department of Health and Senior Services is responsible for licensing and regulating home care agencies in the state.

You will need to submit an application, undergo an inspection process, and meet certain requirements, such as background checks for employees and liability insurance.

4) Obtain Insurance

Obtaining liability insurance is an important step to protect your business and your clients. Liability insurance provides coverage in case of accidents or injuries that occur while providing care to clients. It can also protect your business in case of lawsuits or claims.

5) Hire Staff

Hiring qualified caregivers and support staff is crucial to the success of your home care business. You will need to conduct background checks and verify the credentials and experience of potential employees. You may also need to provide training to ensure that your home care consultant or staff is knowledgeable and competent in providing care to clients.

home care franchise owners

6) Develop Policies and Procedures

Developing policies and procedures is important for ensuring that your home care business operates smoothly and efficiently. You will need to establish policies and procedures for hiring practices, client care, employee training, and other aspects of your own business operations. These policies and procedures should be in compliance with federal, state, and local regulations governing home care businesses.

7) Market Your Business

Developing a marketing plan is important for promoting your home care business and reaching potential clients. You can use a variety of marketing techniques, such as networking, advertising, and social media, to promote your non-medical home care business.

You may also want to consider joining local business organizations and attending community events to increase your visibility.

8) Build Referral Relationships with Healthcare Providers

In order to build referral relationships with healthcare providers, you will need to make connections within the healthcare industry in your area. This includes hospitals, clinics, and physician offices. Reach out to these organizations and introduce your home care business and the services you provide. You may also consider attending local healthcare conferences and events to network with healthcare professionals.

Another effective way to build referral relationships is to provide excellent service to your clients. When healthcare providers see that you are providing top-quality care to your clients, they are more likely to refer their patients to your business. You can also ask satisfied clients for testimonials and referrals to share with potential clients and healthcare providers.

9) Ensure Compliance with Regulations and Licensing

Starting a home care business in Missouri requires compliance with federal, state, and local regulations. You will need to obtain the necessary licenses and permits to operate your home health agency and operate your business legally. The Missouri Department of Health and Senior Services regulates home health agencies and provides guidance to home health care agencies on licensing requirements.

You will also need to ensure that your business complies with all relevant laws and regulations, such as the Americans with Disabilities Act (ADA) and the Health Insurance Portability and Accountability Act (HIPAA). This includes protecting client privacy and confidentiality, maintaining accurate and complete client records, and providing a safe and healthy work environment for your staff.

It is important to stay up-to-date on any changes to regulations or laws that may affect your home care business. This can be done through continuing education and networking with other home care business owners and industry experts.

By following all regulations and laws, you can ensure that your home care business operates legally and ethically and provide the best possible home care license for your clients.

Franchise or Start Your Own Home Care Business in Missouri?

If you’re interested in starting a home health care business and looking for a franchise opportunity, Nurse Next Door may be a good option for you. Nurse Next Door is a well-known home care franchise with a proven track record of success. They offer a range of certified homecare consulting services, including personal care, companionship, and medical care, and they have a strong focus on providing exceptional customer service.

Nurse Next Door Franchise Graphic.


One of the benefits of owning a Nurse Next Door franchise is the support you’ll receive from the company. They provide extensive training, ongoing support, and a range of tools and resources to help you run your business successfully. Additionally, Nurse Next Door has a strong brand reputation, which can be helpful when attracting new clients.

However, as with any franchise opportunity, there are also some potential drawbacks to consider. For example, you’ll need to pay ongoing fees to Nurse Next Door, which can impact your business loan profitability. Additionally, you’ll have less control over your business compared to starting your own home care business.

Ultimately, the decision of whether to start a franchise or start your own home care business will depend on your personal preferences and goals. Consider your level of experience, your financial situation, and the level of support you need when making your decision.

Are You Ready to Become a Home Care Business Owner in Missouri?

In conclusion, starting a home health care agency or business in Missouri can be a fulfilling and profitable venture for those passionate about providing quality home health care to their community. Whether you choose to start your own home care agency business or invest in a franchise, it’s important to do your research, develop a solid business plan, and comply with all legal and regulatory requirements.

Nurse Next Door Franchise Partners.


If you’re considering starting a home health care business in Missouri, Nurse Next Door can help. As a trusted and established franchise brand in the home health care agency and services industry, we provide ongoing support, training, and guidance to help our franchise partners succeed. Our focus on delivering Happier Aging and providing exceptional care has helped us become a leader in the home health care skilled services industry.

To learn more about starting a home care franchise in Missouri with Nurse Next Door, connect with one of our Franchise Development Managers today. 

We can answer your questions, provide you with more information, and guide you through the entire process of your home care license, creating service plans and becoming a franchise owner. Contact us to schedule a call and take the first step towards realizing your dream of owning a home health care business in Missouri.