Home Care Entrepreneurship – Purpose, Passion & Profit
When I studied entrepreneurship during my MBA program at Case Western Reserve University from 1996 to 1998, I, like many high achieving corporate managers, had a goal of going out on my own.
Back then, most curriculum and resources were tailored to the “Start-Up Entrepreneur.” And that’s what I became, founding Osborne HomeCare Group at the turn of the century. It took about five years of blood, sweat, and tears before the company broke even. My life savings went into making it work while I ignored the impulse to give up. Through tenacity and perseverance, we prevailed.
Today, most corporate managers seeking to transition to company ownership are focused on Entrepreneurship Through Acquisition (“ETA”). Their investment thesis is this. Why incur the high risk and big headaches starting from scratch when you can acquire from a founder a thriving business ripe to be taken to new heights? There is no shortage of resources tailored to ETA. It is taught at world class universities, online and in acquisition labs across the country.
Many ETA searchers find their way to the high growth home care industry that we define as Personal Home Care for Older & Disabled Adults. The primary attraction is threefold.
One, much of the revenue is generated from elderly clients that outlive their life expectancy and need help at home to stay at home. The oldest of the largest US population segment, baby boomers, reached their average life expectancy in 2025 creating a “Silver Tsunami” of demand for end-of-life care that will accelerate for at least two decades.
Two, like healthcare, home care is widely considered to be recession proof because of the essential nature of the services. The elderly are not as prone to swings in the economy, stock market, or job market. Most pay for services out of pocket or from a long-term care insurance policy purchased many years ago. As such, personal home care providers are not prone to reductions in reimbursement rates from commercial and government insurers. Lastly, tariffs and artificial intelligence are not industry threats as they are in many others.
Three, home care entrepreneurs (a.k.a. Managing Owners) comprised of many former corporate managers, achieve high career fulfillment from the higher Purpose- improving the lives of the elderly while delivering peace of mind to their loved ones. Strong enthusiasm by a mission driven management team results in high Passion. And the main enabler of the elderly aging in place (at home) is the unapologetic pursuit of Profit.
Simply put, our industry offers high fit Acquisition Entrepreneurs career fulfillment and financial prosperity while making major contributions to the greater good.