4.6.5.4Vertical

Technology-Enabled Home Care

Home care companies using apps and platforms to manage care delivery.

Market snapshot

These figures describe Personal Care & Home Aide Services (4.6.5), the segment that Technology-Enabled Home Care sits within — not Technology-Enabled Home Care on its own.

Market size
~$129B
Growth
~9.0%CAGR (2017–22, nominal)
Companies
~77,800
FragmentationConsolidatingEstimate

U.S. Census Bureau 2022 CBP/Economic Census, NAICS 624120 (Services for Elderly & Disabled) + 624190 (Other Individual & Family Services — a broad category).

Business model & economics

Revenue model

Private-pay and Medicaid hourly personal-care fees

Key economics

Recurring revenue
High

recurring ongoing care

EBITDA margin
10–18%

labor-constrained

Capex intensity
Low

Characteristics

  • Largest and one of the fastest-growing home-care categories.
  • Aging-in-place demand against direct-care workforce shortages.
  • Heavy franchise and PE consolidation; tech-enabled entrants.

Geographic concentration

AlabamaAlaskaArizonaColoradoFloridaGeorgiaIndianaMaineMassachusettsMinnesotaNew JerseyNorth CarolinaNorth DakotaOklahomaSouth DakotaTexasWyomingConnecticutWest VirginiaIllinoisNew MexicoArkansasCaliforniaDistrict of ColumbiaHawaiiIowaKentuckyMarylandMichiganMississippiMontanaNew HampshireNew YorkOhioOregonTennesseeUtahVirginiaWashingtonWisconsinNebraskaSouth CarolinaIdahoNevadaVermontLouisianaRhode IslandKansasPennsylvaniaMissouriDelaware

Personal care and home-aide services concentrate in Missouri, Delaware, Kansas, and Pennsylvania, tracking state Medicaid home-care funding and aging populations.

MissouriDelawareKansasPennsylvania

U.S. Census Bureau — 2022 County Business Patterns (establishments by state), NAICS 624120. Concentration shown by location quotient.

M&A deal context

Deal activityHigh

Who’s acquiring

  • Home-care franchise networks
  • PE-backed personal-care platforms
  • Tech-enabled home-care entrants

What’s driving deals

  • Franchise and PE roll-up of local agencies.
  • Aging-in-place demand.
  • Workforce shortages shaping economics.

Find Technology-Enabled Home Care acquisition targets

Search Acquisera’s index for companies classified under Technology-Enabled Home Care (4.6.5.4) and build a targeted deal pipeline.

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