4.6.6.3Vertical
Shift Nursing & Continuous Care
Agencies providing round-the-clock private duty nursing.
Market snapshot
These figures describe Private Duty Nursing (4.6.6), the segment that Shift Nursing & Continuous Care sits within — not Shift Nursing & Continuous Care on its own.
FragmentationConsolidatingEstimate
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
Deal activityHigh
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.
Find Shift Nursing & Continuous Care acquisition targets
Search Acquisera’s index for companies classified under Shift Nursing & Continuous Care (4.6.6.3) and build a targeted deal pipeline.
Search companies