Private Duty Nursing
Private duty nursing agencies providing skilled registered nurses for complex, continuous care in home settings.
- 3
- Verticals
Overview
Private Duty Nursing covers agencies providing skilled registered nurses for complex, continuous care in home settings — including pediatric and medically fragile patients who need extended-hours nursing. Leaders include Aveanna Healthcare and BAYADA, serving a largely Medicaid-funded population.
Demand is driven by the care of medically complex patients at home, and the model depends heavily on Medicaid reimbursement rates and nurse availability. It is consolidating around scaled operators, though rate and workforce constraints shape the economics.
Market snapshot
Within home health (NAICS 621610); the Census Bureau does not separate private-duty nursing, so it is not separately sized.
Business model & economics
Revenue model
Medicaid and private-pay extended-hours nursing
Key economics
- Recurring revenue
- High
- EBITDA margin
- 10–18%
- Capex intensity
- Low
continuous ongoing care
rate- and labor-constrained
Characteristics
- Skilled continuous care for medically complex patients.
- Largely Medicaid-funded, especially pediatric.
- Rate and nurse-availability constraints shape economics.
M&A deal context
Who’s acquiring
- Private-duty nursing platforms
- Home-care consolidators
- PE-backed operators
What’s driving deals
- Consolidation around scaled operators.
- Medicaid-funded complex-care demand.
- Reimbursement and workforce dynamics.
Verticals in this segment
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