A large and growing market where nurses may own agencies in most states. The barrier is not ownership, it is licensure, survey readiness and the months they take.
Go-Live, $6,500. Every price is on this page. Two builds a month, waitlist beyond.
Home health agency, by the numbers
Typical startup cost
$130,000 median
Typical time to licensure
Six to twelve months
Realistic time to first patient
Six months or more
Typical market ranges, not a promise of earnings. Your state, your market and your pricing decide the real numbers.
Before you can open
This one is a licensure project.
Everything commercial waits on the licence. Plan for months, not weeks, and budget accordingly.
Entity and state agency licence
Ours to coordinate
The gating item. Requirements and timelines vary sharply by state.
Named medical director or physician advisor
Yours to secure
Required on the licence in most states.
Policies, procedures and clinical manual
We do this
Surveyors read these. They are a deliverable, not a formality.
Medicare certification, if you bill it
Yours to pursue
A separate process after state licensure.
Insurance, bonding and workers compensation
You do this
Required before you employ clinical staff.
Referral relationships
You do this
Hospitals, discharge planners and physician practices. We build the outreach material.
Can you own a home health agency in your state?
Most states allow nurse ownership, and most also require a named medical director or physician advisor on the licence. State licensure comes first, Medicare certification after, and both are slow by design.
Your track is decided by what the business actually does, not by your budget. Published scope caps and a written not-included list, every time.
Your track
6 weeks
Go-Live, Practice
$6,500
or 6 payments of $1,083
Everything a clinical business needs to open: the structure and documentation handled first, then the brand, the site and the systems that take bookings and payment.
Full brand system and a complete site for your business type
PHI-capable intake, consent and standing-order scaffolds
Records flow, and scope-of-practice reality for your state
Booking, payments and packages wired and tested
Follow-up, no-show and review automations
A walkthrough library so you can run it yourself
Published scope caps and a written not-included list
Ninety days of Rounds included
We build what your state allows. We are not your lawyer, and regulated builds are reviewed by a healthcare attorney.
Before you commit to a build: one session that walks your whole intended operation and tells you plainly whether a home health agency is the right thing to open.
Licensure and model: whether you can own it, and as what
Offer and pricing, walked properly rather than guessed
The client journey, end to end
The tech stack you actually need, and what to skip
Your launch sequence, in order
One page summary and the recording within 48 hours
Fifty percent to book, fifty before launch, or six monthly payments at the same total. Interest free, never a discount. Every Go-Live includes ninety days of Rounds, then $179 a month if you keep it. All services and add-ons.
Questions nurses ask about a home health agency.
Because licensure, staffing and working capital dominate. The build itself is a small share of the cost, and we would rather say that than pretend otherwise.
Yes. Private pay non-medical home care or concierge nursing has a fraction of the barrier, and many nurses start there and add a licensed agency later.
Only if you want to bill Medicare. Private pay agencies avoid that process entirely, at the cost of a smaller addressable market.
We coordinate it and build the policies and manuals the application needs. The clinical and regulatory sign-offs stay with you and your attorney.
Start with the licensure picture.
Fifteen minutes with a fellow nurse who has built nurse-led businesses, not a coach. The prices are already on this page, so the call is not a pitch.
