Home Health Agency Video Statistics

Key takeaways

1. Home health and home care agencies posted 13.6% of YouTube’s 478 most-viewed home health care, home health aide and caregiver training videos and drew 2.6% of their views; one gadget seller held 68.1% of all views, and without it agencies drew 8.1% (our read, Nov 2026). (Mark Studios) See details
2. CMS’s Provider of Services file lists 12,589 active Medicare-certified home health agencies in Q3 2026; Florida’s 1,234 are 9.8% of them, and Palm Beach, Broward and Martin counties hold 23.4% of Florida’s (our calculation). (CMS, Mark Studios) See details
3. Florida agencies score higher than the U.S. on CMS’s quality stars (43.4% of rated agencies at 4 stars or more, against 34.7%) but lower on patient-survey stars (42.5% with 4 or 5 stars, against 61.4%) (our calculation from CMS data). (CMS, Mark Studios) See details
4. Home health care services employed 1,079,060 home health and personal care aides in May 2025, 60.3% of the industry’s payroll jobs, at a median wage of $36,230, 71.1% of the median for all jobs (BLS OEWS, our calculation). (BLS, Mark Studios) See details
5. Under section 1895(e) of the Social Security Act, telehealth is outside the Medicare home health benefit, and MedPAC found that 2.2% of 30-day periods in 2024 included a telehealth visit or remote monitoring; about 12% of agencies provided at least one telehealth visit. (CMS, MedPAC) See details
6. CMS’s CY 2027 final rule raises Medicare home health payments by $415 million and sets the national 30-day period payment at $2,092.69. (CMS) See details
7. The ‘90% of seniors want to age in place’ figure traces to AARP’s 2000 survey, in which more than 9 in 10 people 65 and over wanted to stay where they were; AARP’s 2018 survey of adults 50 and older put the share preferring their current residence at 76%. (AARP) See details

Who makes the most-viewed home health videos on YouTube?

Home health and home care agencies posted 13.6% of the most-viewed home health care, home health aide and caregiver training videos on YouTube on November 6, 2026, and drew only 2.6% of their lifetime views (our count). We read YouTube's own view-sorted search results for 'home health care', 'home health aide' and 'caregiver training', the first four pages of results for each, through the YouTube Data API, with no country filter. The three lists held 478 unique videos from 317 channels, with 563.8 million lifetime views in all; 79 videos appeared in two or more lists. The median video had 92,735.5 views and the median agency video 103,369.

One channel carries most of the views. MaviGadget, a gadget-discovery channel that sells products, held 68.1% of all the views with four shorts about elderly-care products, and its 17-second short about an anti-pressure roller pillow was the most-viewed video in the sample, with 294,239,788 views. Sellers of products, software and services as a group drew 70.2% of the views, and the five biggest channels 77.1%. Leaving MaviGadget out, agencies drew 8.1% of the remaining views, and hospitals, health systems and other care providers 22.0%, the most of any kind of channel (our calculation).

The source is our hand classification of all 317 channels from their own titles, descriptions and video text (YouTube Data API, November 6, 2026). 45 of the channels were agencies or home care providers speaking as an organisation, from Medicare-certified home health agencies to home nursing bureaus in India; their median channel had 1,080 subscribers. The largest, the franchisor Senior Helpers National, held 14.0% of the views agency channels drew. Hospitals and health systems (5.2% of all views) posted mostly caregiver training series, such as UCLA Health's dementia videos.

How many U.S. and Florida agencies appear, and how many from Palm Beach, Broward or Martin?

U.S.-placed agencies posted 35 of the 478 videos on November 6, 2026 and drew 1.4% of the views (our count). We counted an agency as U.S.-placed when its own text named a U.S. state or city or its channel's country setting was the United States; 18 of the 45 agency channels qualified. They include BAYADA, Care Advantage in Virginia, 24 Hour Home Care in California and New York City aide agencies such as Special Touch and Edison.

Only 2 agency channels placed themselves in Florida in their own text, and only one in Palm Beach, Broward or Martin county: the Visiting Nurse Association of Florida, a nonprofit Medicare-certified home health agency headquartered in Stuart (Martin County) whose own site lists Broward, Martin and Palm Beach among the Florida counties it is licensed to serve. Its one video in the sample, a 2023 short, had 134,993 views. Its channel had 11 subscribers and has not posted since June 2023. The most active Florida channel in the sample was not an agency but Florida Training Academy, a CNA and nursing-assistant school founded by an RN educator, with 12 videos.

Do home health nurses and aides post their own videos?

Yes, but their channels draw little of the reach. Nurses, aides and professional caregivers posting as themselves ran 37 channels and posted 10.0% of the videos on November 6, 2026 (our count). Only 10 of those channels stated a credential such as RN, LPN, licensed or certified; the rest gave only a job title, and we did not check any licence. 9 were run by aides or caregivers rather than nurses, four of them caregivers working in Israel. Many of their videos are 'day in the life' and pay videos: 22 titles in the whole sample were 'day in the life' videos, half of them from nurses' and aides' own channels.

What are the most-viewed home health videos about?

Training dominates the titles. Titles about training, certification or exams (CNA and HHA skills, courses, practice tests) made up 29.7% of the 478 videos on November 6, 2026, and drew 24.0% of the views once MaviGadget is left out (our count, regex on titles). Counting 'day in the life', pay, jobs and interview titles too, videos about the job itself were 42.3% of the sample; 46 titles named pay, jobs, hiring or interview questions. Caregiver-training providers, schools and course sellers ran 21 U.S.-placed channels. In the 'caregiver training' list alone, they posted 25.5% of the videos.

Hands-on patient care is the other big theme: 19.0% of titles were about transfers and lifts, bathing, toileting and briefs, bed making, or wound and catheter care, and without MaviGadget those titles drew 33.7% of the views. 48 titles were about transfers, lifts, repositioning or mobility and 27 about bathing, hygiene or toileting. Titles about dementia or Alzheimer's were 6.7% of the videos and drew 14.6% of the views without MaviGadget. On agencies' own channels, 21 of their videos had training, certification or exams in the title.

The rest is mostly outside the trade. 20 videos came from news channels, and 18 titles were crime or fraud stories about aides and agencies. A comedian's channel, Entertainer Floss The Mack, posted 31 home-health-aide skits, more than any other channel. 13 videos were about starting or growing a home care business, many of them from business coaches and consultants.

How long are the most-viewed home health videos, and how new?

Videos of 60 seconds or less were 31.6% of the 478 videos on November 6, 2026 and drew 81.7% of the views (our count); without MaviGadget's shorts they drew 42.5%. The median video of 60 seconds or less had 144,251 views, against 60,484 for longer videos. 43.1% of agency videos ran 60 seconds or less. Videos over 20 minutes, mostly full skills reviews and lectures, were 10.7% of the sample.

Most of the sample is old: 26.2% of the videos were published before 2020, 33.1% in 2024 or later and only 41 in the year before our read. YouTube's made-for-kids flag was set on 6 videos (our read of videos.list part=status), and YouTube's altered or synthetic content field was absent from all of them. Channels whose country setting was the United States posted 54.2% of the videos; without MaviGadget, a U.S.-set channel, they drew 40.1% of the views.

The three searches differ. In the 'home health care' list, agencies posted 19.2% of the videos. In the 'home health aide' list, MaviGadget alone drew 87.9% of the views.

How much do the big home care franchisors and home health companies post on YouTube?

Ten home care and home health organisations' official channels posted 385 videos to YouTube in the year to November 6, 2026, with a median of 486 views each (our read of the YouTube Data API): six home care franchisors (Home Instead, Visiting Angels, Right at Home, Comfort Keepers, BrightStar Care and Senior Helpers), the listed home health companies Amedisys and Enhabit, the nonprofit BAYADA and the Visiting Nurse Association of Florida. Only 4 of the ten had any video in the search sample.

The franchisors post the most: 326 videos in the year, 60.7% of them 60 seconds or less. Visiting Angels posted 109 and had the largest channel, with 190,000 subscribers. Comfort Keepers' median video had 1,557.5 views, but one 49-second upload of August 2026 had 64,733,948, almost all the views of its year's uploads. Home Instead's median was 327.5 views and its best video in the search sample sat at rank 119. Right at Home posted 38 videos, the last in August 2026; BrightStar Care posted 5. Senior Helpers posted 6, though its 2013 video 'What is Dementia?' placed at rank 12 in the search sample.

The home health companies post less. Enhabit posted 39 videos with a median of 67 views. Amedisys' channel, linked from its homepage, has not posted since January 2024 and holds 34 videos. BAYADA posted 20, and 5 of its videos from 2013 to 2023 were in the search sample (our count). View counts include views from paid ads.

Do family caregivers learn home care tasks from online video?

A few do, but clinicians teach far more of them. In Caregiving in the US 2025, the AARP and National Alliance for Caregiving survey of 6,858 U.S. family caregivers (AARP and NAC), fielded August to October 2024, only 11% had received medical training to help with daily living tasks (AARP and NAC). Among the 913 who were trained for medical or nursing tasks, 4% named online videos as a source of that training, against 37% who named a nurse (Caregiving in the US 2025, Figure 22). The question offered YouTube as the example of online video.

The same survey found 25 percent of caregivers had checked on the person they care for using an app, video, a wearable or other remote monitoring, up from 13% in 2020 (Caregiving in the US 2025). And 14% said they needed more help or information on choosing a home care agency, assisted living facility or nursing home (Caregiving in the US 2025, Figure 41), a question an agency introduction video can answer.

How often does Medicare pay clinicians to train family caregivers?

Rarely so far. Between the first quarter of 2024 and the second quarter of 2025, Medicare paid 26,173 Caregiver Training Services claims, covering up to 9,622 beneficiaries, according to an AARP Public Policy Institute and ATI Advisory analysis of Medicare claims (AARP PPI and ATI Advisory, April 2026). The codes, new in the 2024 Physician Fee Schedule, pay clinicians such as therapists and nurses to train a patient's family caregiver, and the report notes they can be billed by telehealth. These are Medicare claim counts, not home health agency visits; home health telehealth rules are covered in the Medicare section.

How many older adults and caregivers watch online video?

Most of them. In Pew Research Center's survey of 5,511 U.S. adults, run from January 30 to June 18, 2026, 65% of adults aged 65 and older said they ever use YouTube, more than the 59% who use Facebook (Pew Research Center). Across all adults the YouTube figure was 84% (Pew Research Center), the highest of any platform Pew asked about.

AARP's online survey of 3,838 U.S. adults, run from September 9 to October 6, 2025, found 8 in 10 adults aged 50 and older stream video every week (AARP Research), and 55% of family caregivers aged 50 and older use one or more kinds of technology to coordinate care (AARP Research). Online-only samples like AARP's tend to show higher technology use than Pew's mixed web, mail and phone surveys.

Can nurses and agencies get YouTube's health source labels?

Licensed professionals can apply. YouTube opened applications on October 27, 2022 for U.S. licensed healthcare professionals, nurses included, to have their channels carry health source information panels and appear in health content shelves in search (YouTube Blog). Before that date only organisations such as hospitals, public health departments and educational institutions qualified. Applicants must prove their license and follow health-information principles set by the Council of Medical Specialty Societies, the National Academy of Medicine and the World Health Organization. YouTube has not published how many channels have been approved.

How hard are agencies recruiting aides and caregivers?

Less than a year ago, but well above 2020. Indeed's Hiring Lab, which studies postings on Indeed's own job site, counted postings in its personal care and home health category down 1.8% in the year to July 17, 2026 (Indeed Hiring Lab), yet still 44.3% above their February 1, 2020 level (Indeed Hiring Lab). Posted wages in those ads rose 3.1% year over year in May 2026, a three-month average, against 0.9% for nursing (Indeed Hiring Lab). Indeed sells job advertising to home care agencies.

Many of the people agencies hire need training in more than one language. PHI, an advocacy and research nonprofit, found that 39% of U.S. home care workers were multilingual in 2024, including 22% who reported limited or no English (PHI Key Facts 2026). Subtitled or translated training video is one way agencies reach them.

What technology do home care leaders say they are betting on?

AI, above all for scheduling and shift matching. AxisCare, a home care software company, sponsored a survey of 310 U.S. home care industry leaders run by the consultancy Leading Home Care in the fall of 2025 (AxisCare). In it, 65 percent named artificial intelligence as the leading technology trend, expected to matter most for client and caregiver shift matching and automated scheduling (AxisCare), 61 percent rated client affordability and rising costs as a very big or extreme obstacle to growth, for a third straight year (AxisCare), and 66 percent saw private pay as the payer source with the most room for growth (AxisCare). AxisCare sells software to these agencies, the respondents chose to take part, and no margin of error was published.

How many Medicare-certified home health agencies are there?

CMS's Provider of Services file for the third quarter of 2026 lists 12,589 active Medicare-certified home health agencies (CMS). CMS's Care Compare site, refreshed in October 2026, lists 12,409 of them (CMS Care Compare). Both count certified agencies by CMS certification number, not branch offices, and neither covers private-duty home care agencies that never bill Medicare. MedPAC, the congressional agency that advises Congress on Medicare payment, counted 12,234 agencies participating in Medicare in 2024 (MedPAC).

Growth has come from one state. MedPAC counted 2,914 participating agencies in California in 2024, up from 1,533 in 2019, while the count in all other states and territories fell (MedPAC). In the Q3 2026 Provider of Services file, California has 3,165 agencies (CMS), Texas 1,818 (CMS) and Florida 1,234 (CMS). Those three states hold 49.4% of all U.S. agencies (our calculation). Florida alone holds 9.8% and ranks third (our calculation). Care Compare lists 1,157 Florida agencies (CMS Care Compare).

How many home health agencies are in Palm Beach, Broward and Martin counties?

CMS's Q3 2026 Provider of Services file lists 135 active Medicare-certified home health agencies in Palm Beach County (CMS), 147 in Broward County (CMS) and 7 in Martin County (CMS). Together the three counties hold 289 agencies, 23.4% of Florida's total (our calculation). Miami-Dade County has 307 (CMS), so the Miami-Fort Lauderdale-West Palm Beach metro (Miami-Dade, Broward and Palm Beach) holds 47.7% of the state's agencies (our calculation).

Measured against older residents, the supply of agencies is uneven. The Census Bureau estimates 410,721 residents aged 65 and older in Palm Beach County on July 1, 2025 (Census Bureau), 393,083 in Broward (Census Bureau), 55,871 in Martin (Census Bureau) and 513,808 in Miami-Dade (Census Bureau). Summing the 67 county estimates gives Florida 5.3 million residents aged 65 and older (5,346,788) (our calculation), or 2.31 agencies per 10,000 of them (our calculation). Agency counts are a rough measure of supply: an agency can serve several counties, and MedPAC notes that certification does not mean an agency serves Medicare patients.

How many home health agencies are for-profit?

On CMS's October 2026 Care Compare list, 8,954 of the 12,409 agencies are proprietary (for-profit) (CMS Care Compare). That is 87.4% of the agencies whose ownership type is stated (our calculation). In Florida the share is 93.0% (our calculation). CMS leaves ownership blank for 17.5% of listed agencies, so these shares exclude them (our calculation). MedPAC's analysis of 2024 cost reports finds the same pattern among freestanding agencies: for-profits were 93% of agencies and earned a 23.1% Medicare margin, against 12.2% for nonprofits (MedPAC).

How many home health agencies offer aide, therapy and social work services?

CMS's October 2026 Care Compare list shows 9,008 agencies offering home health aide services (CMS Care Compare), 88.0% of the agencies that answer the question (our calculation). Two-thirds, 67.2%, offer all six services CMS lists: nursing, physical therapy, occupational therapy, speech pathology, medical social services and aide services (our calculation). Florida agencies are less likely to offer all six, at 64.8% (our calculation).

How many Medicare patients use home health, and what does Medicare spend?

CMS's post-acute care utilization file counts 2.6 million Original Medicare beneficiaries (2,635,335) who received home health care in 2024 (CMS), over 8.1 million 30-day periods of care (8,115,791) (CMS). Medicare paid $15.7 billion (15,699,703,345) (CMS), or $5,957 per user (our calculation). MedPAC's own count, from claims files, is about 2.7 million users (MedPAC) and $16.0 billion in 2024 spending (MedPAC). These figures cover Original (fee-for-service) Medicare only; Medicare Advantage, Medicaid and private-pay home care are not in them.

Florida is Original Medicare's second-largest home health state by patients. In 2024, 256,152 Florida beneficiaries used home health (CMS) and Medicare paid $1.4 billion (1,447,166,482) for it (CMS), 9.2% of the national total and $5,650 per user (our calculation). CMS's 2025 state file counts 258,017 Florida patients (CMS), second to California's 390,681 (CMS) and 9.7% of the U.S. total (our calculation). Florida's Medicare reimbursement was $1.5 billion (1,512,382,837) in 2025 (CMS) for 7.5 million visits (7,466,675) (CMS). That is 28.9 visits per patient in Florida against 24.6 nationally (our calculation).

Who makes the visits, and how many are by video?

Nurses make most of them. CMS's 2024 post-acute care file counts 31.6 million nursing visits (31,628,233) to Original Medicare home health patients (CMS) and 3.2 million home health aide visits (3,179,756) (CMS), or 1.21 aide visits per user (our calculation). In Florida, aides made 195,434 visits (CMS), 0.76 per user (our calculation). MedPAC counts 65.4 million in-person visits in 2024, down 34.4% from 2019 (MedPAC), and finds medical social services and aide visits per full 30-day period fell 41.6% over the same years (MedPAC).

Telehealth visits remain rare. MedPAC reports that 2.2% of 30-day periods in 2024 included a telehealth visit or remote patient monitoring (MedPAC), that about 12% of agencies provided at least one telehealth visit to a fee-for-service patient (MedPAC), and that there were about 375,000 telehealth visits, about 80% of them for skilled nursing and less than 1% of all visits (MedPAC). Agencies have had to report these services on claims since July 1, 2023.

How profitable is Medicare home health, and what does MedPAC recommend?

MedPAC estimates the fee-for-service Medicare margin for freestanding home health agencies at 21.2% in 2024 (MedPAC), against an all-payer margin of 5.0% (MedPAC). It recommends that Congress cut the 2026 base payment rate by 7% for 2027, a 17-0 vote (MedPAC). It also finds supply adequate: 97% of fee-for-service beneficiaries lived in a ZIP code served by two or more agencies in 2024 (MedPAC). Agencies in Florida, Illinois, North Carolina, Ohio, Oklahoma and Texas are under CMS's Review Choice Demonstration, which puts their claims through prepayment or postpayment review through 2029 (MedPAC).

How many aides, nurses and therapists work for home health agencies?

About 1.8 million people. BLS's Occupational Employment and Wage Statistics survey counted 1,789,480 wage and salary jobs in U.S. home health care services (NAICS 621600) in May 2025 (BLS OEWS). Home health and personal care aides held 1,079,060 of them (BLS OEWS), or 60.3% of the industry's jobs (our calculation). Registered nurses held 198,180 (BLS OEWS) and licensed practical and vocational nurses 80,990 (BLS OEWS). These counts leave out the self-employed and caregivers paid directly by a family.

Aides are the people most agency recruiting and training video is made for. Across every U.S. employer they held 4,305,810 wage and salary jobs in May 2025 (BLS OEWS). BLS's Occupational Outlook Handbook, which counts the self-employed too, puts the occupation at 4,677,100 jobs in 2025 (BLS OOH). Only about 23% of those jobs were in home health care services; 51% were in individual and family services, the wider industry that holds most non-medical home care (BLS OOH). Just 3.0 percent of aides were self-employed in 2025, per BLS Employment Projections (BLS).

Non-medical home care is counted separately. Services for the elderly and persons with disabilities (NAICS 624120), where most private-duty and personal care agencies are classified, employed 2,274,140 home health and personal care aides in May 2025 (BLS OEWS). That is a different industry from Medicare-certified home health and is shown here as context.

What do home health aides, nurses and therapists earn?

Aides in home health agencies earned a median $36,230 a year in May 2025, per BLS OEWS (BLS OEWS). That is 71.1% of the $50,980 median for all U.S. occupations (BLS OEWS) (our calculation). Across all employers, the aide median was $35,800 (BLS OEWS). Licensed clinicians who make home visits earn far more.

BLS publishes home health aides (SOC 31-1121) and personal care aides (31-1122) as one combined line, 31-1120, so every aide figure here covers both. OEWS estimates are not meant to be compared year to year.

How many home health workers are there in Florida and the Palm Beach, Broward and Martin area, and what are they paid?

Florida had 90,170 home health and personal care aide jobs in May 2025, with a median wage of $33,800 (BLS OEWS). The Miami-Fort Lauderdale-West Palm Beach metro, which covers Palm Beach and Broward counties, had 28,350 aide jobs (BLS OEWS) at a median $32,890 (BLS OEWS), or 91.9% of the national aide median, before any adjustment for local prices (our calculation). The Port St. Lucie metro, which covers Martin and St. Lucie counties, had 2,180 aide jobs (BLS OEWS) at a median $34,140 (BLS OEWS). These are counts across all employers, not only home health agencies.

How fast is home health hiring projected to grow?

By more jobs than any other occupation. BLS projects aide employment to grow 18 percent from 2025 to 2035, much faster than the average for all occupations (BLS OOH). Aides top BLS's list of occupations with the most new jobs, adding a projected 847.3 thousand over the decade, far ahead of the next occupation, stockers and order fillers (BLS). BLS expects about 760,500 aide openings a year, a count that includes replacing workers who leave the job (BLS OOH).

The home healthcare services industry is projected to grow 18.6 percent in employment from 2025 to 2035, well above the rate for all industries (BLS). An industry that has to fill that many aide jobs every year spends a lot on recruiting and onboarding, and that is where job-ad clips and training video get used. BLS's own Occupational Outlook Handbook page for the occupation carries a short career video (BLS OOH).

How often are home health workers hurt on the job?

Less often than the average private-sector worker, on paper. Employers in home health care services (NAICS 6216) recorded 1.6 nonfatal injury and illness cases per 100 full-time workers in 2024, per BLS's Survey of Occupational Injuries and Illnesses (BLS SOII). All private industry recorded 2.3 (BLS SOII). The survey counts what employers log, so injuries that go unreported, and caregivers paid by families, are missing. BLS's occupation profile still warns that moving clients in and out of bed puts aides at risk of back injury (BLS OOH).

How many home health agencies are there in the U.S.?

BLS's Quarterly Census of Employment and Wages counted an annual average of 54,978 private home health care services establishments (NAICS 6216) in 2025, counting locations with paid staff (BLS QCEW). They employed an annual average of 1.8 million people (1,803,516) (BLS QCEW), up 19.0% from 1,515,130 in 2019 (BLS QCEW) (our calculation). Average pay was $41,910 per job in 2025, a figure pulled down by part-time work (BLS QCEW).

The Census Bureau's County Business Patterns, which counts employer locations in March, found 40,762 home health care establishments (NAICS 621610) in 2023 (Census CBP). The two counts differ because QCEW is built from unemployment-insurance filings and CBP from business tax and survey records. An establishment is a location, not a company: an agency with several branches counts once per branch. Medicare-certified agency counts come from CMS and are reported in the agencies section of this page.

Far more home health businesses have no employees at all. Census Nonemployer Statistics counted 441,716 home health care businesses with no paid staff in 2024 (Census NES), up from 412,098 in 2023 (Census NES). Most are self-employed individuals such as independent caregivers. In 2023 there were about 10.1 of them for every establishment with employees (our calculation).

Non-medical home care sits in a different industry. Private services for the elderly and persons with disabilities (NAICS 624120) employed an annual average of 2.7 million people (2,715,774) in 2025 (BLS QCEW). That figure is context, not home health, and QCEW's establishment count for this industry includes many very small employers, so it is not used here as a count of agencies.

How many home health agencies and jobs are in Florida and in Palm Beach, Broward and Martin counties?

Florida had an annual average of 4,769 private home health care services establishments in 2025 (BLS QCEW), employing 90,630 people (BLS QCEW). That is 5.0% of the industry's U.S. jobs (our calculation). Employment rose 13.9% from 79,541 in 2019 (BLS QCEW) (our calculation), slower than the national rise. Average pay in Florida was $52,042 per job (BLS QCEW). County Business Patterns counted 3,476 Florida home health establishments with employees in 2023 (Census CBP).

The three counties together had 18,674 private home health jobs in 2025, about a fifth of Florida's total (our calculation). Broward had more home health businesses with no employees than Palm Beach, though fewer agency jobs. Nonemployer counts come from tax returns, so one person who files as a caregiver counts as one business.

How big is the home health industry, and who pays for it?

Home health agencies with employees took in $132.5 billion in 2024, per the Census Bureau's Annual Integrated Economic Survey (Census AIES). That is 35.8% more than the $97.5 billion of 2019, before inflation (Census) (our calculation). The 2022 Economic Census, the Bureau's periodic full count of businesses, put the industry's revenue at $114.2 billion (Census), of which Florida accounted for $8.4 billion (Census).

Medicare is the biggest payer. In 2022, fee-for-service Medicare paid home health agencies $53.9 billion, 47.2% of revenue (Census) (our calculation).

The Census table does not say which line carries Medicare Advantage or Medicaid managed-care payments, so the Medicare and Medicaid shares are lower bounds for those programs.

How much do home health agencies spend on advertising?

Very little relative to revenue. U.S. home health agencies with employees spent $485.5 million on purchased advertising and promotional services in 2024, per the Annual Integrated Economic Survey (Census AIES). That is 0.37% of their revenue (our calculation). The line counts money paid to outside parties such as agencies, ad platforms, media and printers; the pay of in-house marketing and recruiting staff is not in it.

Census does not publish the advertising line for individual and family services (NAICS 6241), where most non-medical home care agencies sit. The narrowest published level is all social assistance (NAICS 624), which spent $2.71 billion in 2024 (Census AIES). The survey covers employer firms only, so independent caregivers' own spending on ads is not included.

How do home health agencies score on CMS's star ratings, in the U.S. and in Florida?

The national quality of patient care star rating is 3 out of 5 in CMS's October 2026 Care Compare data (CMS Care Compare); Florida's state rating is 3.5 (CMS Care Compare). The rating is built from OASIS patient assessments and claims, mostly for January to December 2025. Only 65.5% of the 12,409 listed agencies have a rating at all; the rest lack enough data to be rated (our calculation).

CMS's own national percentages use every listed agency as the base, rated or not: 1.34% have 1 star (CMS Care Compare), 11.02% have 3 stars, the most common rating (CMS Care Compare), 9.00% have 4.5 stars (CMS Care Compare) and 3.70% have 5 stars (CMS Care Compare). In Florida, 6.05% of listed agencies have 5 stars (CMS Care Compare). Counting only rated agencies, Florida's agencies score better than the nation's:

What do CMS's home health quality measures show?

In CMS's October 2026 Care Compare data, home health teams began patients' care in a timely manner 96.59% of the time nationally (CMS Care Compare) and 98.03% of the time in Florida (CMS Care Compare). Patients got better at walking or moving around 88.63% of the time (CMS Care Compare). Teams checked whether patients had a flu shot for the current season only 63.29% of the time (CMS Care Compare).

The outcome measures come from claims. The national observed rate of potentially preventable readmissions within 30 days of leaving home health was 4.13% (CMS Care Compare), and 78.03% of patients were still at home 31 days after discharge (CMS Care Compare). On readmissions, few agencies stand out from the national rate: 56 did better and 123 did worse, while 9,565 were no different (CMS Care Compare) (CMS Care Compare) (CMS Care Compare).

What do home health patients say in CMS's HHCAHPS survey?

In CMS's HHCAHPS patient survey for April 2025 to March 2026, 79% of U.S. home health patients said they would definitely recommend their agency to friends and family (CMS HHCAHPS) and 85% rated it 9 or 10 out of 10 (CMS HHCAHPS). The national results rest on 993,300 completed surveys (CMS HHCAHPS) with a 22% response rate (CMS HHCAHPS). Florida's results rest on 89,266 surveys with a 20% response rate (CMS HHCAHPS). The survey covers patients of Medicare-certified agencies, including Medicare Advantage and Medicaid patients.

Talking about medicines, pain and home safety is the lowest-scoring item both nationally and in Florida.

How many agencies have a patient survey star rating, and how do Florida's compare?

In CMS's HHCAHPS file for April 2025 to March 2026, 36.3% of agencies had a patient survey summary star rating; the rest had too few completed surveys or no results (our calculation). Among rated agencies, 61.4% had 4 or 5 stars nationally, against 42.5% in Florida (our calculation). 19.6% of rated agencies nationally had 5 survey stars, against 7.3% in Florida (our calculation). Florida agencies score above the nation on the clinical quality rating and below it on the patient survey rating.

Who qualifies for Medicare home health care?

A patient must be homebound and need at least 1 skilled service: intermittent skilled nursing, physical therapy, speech-language pathology or continuing occupational therapy, under the federal regulation at 42 CFR 409.42 as it stood on November 4, 2026 (eCFR). The patient must also be under a plan of care set by a physician or allowed practitioner and be served by a Medicare-participating agency.

CMS's Medicare Benefit Policy Manual says a patient counts as homebound when 2 criteria are both met: leaving home needs a device, special transport or another person's help (or is medically unwise), and leaving home takes a considerable and taxing effort (CMS manual). Trips for medical care, adult day care or religious services do not end homebound status on their own.

The benefit is part-time. For eligibility, "intermittent" nursing means care needed on fewer than 7 days a week, or less than 8 hours a day, for periods of 21 days or less, per the same manual (CMS manual). Skilled nursing and aide services together are covered at less than 8 hours a day and 28 or fewer hours a week (CMS manual), or up to 35 hours a week after case-by-case review (CMS manual). A physician or allowed practitioner must see the patient face to face no more than 90 days before, or within 30 days after, the start of care (CMS manual).

Does Medicare pay home health agencies for video visits?

No. Under section 1895(e) of the Social Security Act, telehealth is outside the Medicare home health benefit, so a video call or remote-monitoring session cannot replace or be billed as a home health visit, per CMS's Benefit Policy Manual (CMS manual). An agency may list the technology on the plan of care and claim its cost as an administrative expense.

CMS still counts that work. Since 2023 agencies report it on claims with 3 G-codes: G0320 for two-way audio-video, G0321 for audio-only calls and G0322 for remote patient monitoring, per the CY 2027 proposed rule (Federal Register). Reporting was voluntary from January 1, 2023 and required from July 1, 2023 (Federal Register). CMS wrote that the use of these services on CY 2025 claims declined from the year before and was mainly skilled nursing.

Video does appear in the aide supervision rule. A nurse's 14-day check on an aide's work may be done by two-way audio-video only on rare occasions, capped at 1 virtual assessment per patient in a 60-day episode (42 CFR 484.80) (eCFR).

How much does Medicare pay home health agencies in 2026 and 2027?

The base rate is $2,038.22 per 30-day period of care in CY 2026, and $2,092.69 in CY 2027, per CMS's CY 2027 final rule (public inspection copy filed November 4, 2026, for Federal Register publication on November 9, 2026) (Federal Register). Both rates include a 3.0 percent temporary cut, and each period's payment is then adjusted for the patient's case mix and the local wage index. Medicare's PDGM case-mix system sorts each period into one of 432 payment groups, per the CY 2026 final rule (Federal Register).

Short stays are paid per visit instead. The national per-visit rate for a home health aide visit is $81.79 in CY 2027, up from $80.12 in CY 2026 (Federal Register); a skilled nursing visit is $180.66 (Federal Register).

CMS projected total Medicare fee-for-service home health spending of about $17.8 billion for 2027 (Federal Register). Outlier payments are held to no more than 2.5 percent of total payments (Federal Register). CMS's CY 2025 claims file, which it used to reprice payments in the CY 2027 final rule, held 6,661,334 30-day periods of care (Federal Register).

The cuts come from the switch to PDGM in 2020. CMS found that agencies were paid more under PDGM than the old 153-group system would have paid, and the law requires it to claw the difference back. For CY 2026, smaller agencies (fewer than 100 periods of care) were estimated to lose 2.0 percent, more than the 1.1 percent estimated for agencies with over 1,000 periods (Federal Register). CMS also estimated the year's quality-reporting changes would cost each agency $1,058.88 a year (Federal Register).

How fast must an agency assess and report on a new patient?

A registered nurse must make the initial assessment visit within 48 hours of referral or of the patient's return home, under 42 CFR 484.55 (eCFR). The full comprehensive assessment is due no later than 5 calendar days after the start of care (eCFR). To avoid a 2-percentage-point cut to its annual update, an agency must submit at least 90 percent of its required OASIS assessment records each July-to-June year, a window the CY 2027 final rule moves to the calendar year from January 1, 2027 (42 CFR 484.245) (eCFR; Federal Register).

How does Medicare's value-based purchasing model change agency pay?

An agency's Medicare payments can move up or down by up to 5 percent a year under the expanded Home Health Value-Based Purchasing (HHVBP) Model, per 42 CFR 484.345 (eCFR). The score uses OASIS assessments, claims and the HHCAHPS patient survey; a survey measure counts only when the agency has at least 40 completed surveys (eCFR). CMS's model page says the expansion began January 1, 2022 and covers agencies in all 50 states, DC and the territories (CMS).

The original model ran in 9 states from 2016. CMS says it saved Medicare an average of $141 million a year and raised agencies' total performance scores by an average of 4.6 percent (CMS). CMS projects the expansion will save fee-for-service Medicare $3.376 billion over CYs 2023 through 2027 (Federal Register).

In the CY 2026 final rule, CMS estimated that 7,061 agencies had enough CY 2023 data to compete (Federal Register). Florida had 556 agencies in the larger-volume group, with an average adjustment of +0.289 percent, plus 50 in the smaller-volume group (Federal Register). Adjustments for the larger Florida agencies ranged from −2.284 percent at the 10th percentile to +2.945 percent at the 90th (Federal Register).

What has CMS said about fraud in home health enrollment?

CMS says the number of home health agencies in Los Angeles County rose more than 45 percent between 2019 and 2023, with at least 1,400 new agencies enrolled since 2019. CMS made the point in its CY 2027 final rule, which adds a new revocation ground for high-risk clusters of providers (Federal Register). CMS said there was no medical need for growth that large.

How big are the listed home health companies?

Enhabit had an average daily census of 41,786 home health patients in 2025, by its own count in its annual report to the SEC (Enhabit 10-K). It ran 249 home health agencies in 33 states at December 31, 2025 (Enhabit 10-K), against 252 in 34 states at the end of 2022, its first year as a separate company (Enhabit 10-K). Its home health admissions reached 224,202 in 2025, up from 207,448 in 2023 (Enhabit 10-K).

Amedisys owned and operated 347 Medicare-certified home health care centers at December 31, 2024, according to its last 10-K before UnitedHealth Group bought it (Amedisys 10-K). Its home health segment recorded 441,945 admissions in 2024, up from 376,399 in 2022 (Amedisys 10-K). Each home health visit cost it $120.42 in 2024, counting the visiting clinician and the clinical manager, up from $111.22 in 2022 (Amedisys 10-K).

BrightSpring reported a Home Health Care average daily census of 31,135 in 2025, up 9.1% on the year (BrightSpring 10-K). Pennant recorded 86,076 home health admissions in 2025, 34,882 of them paid by Medicare (Pennant 10-K), and ran 172 home health and hospice agencies at the end of 2025, against 39 in 2016 (Pennant 10-K). Aveanna, mainly a pediatric private duty nursing company, recorded 39.6 thousand home health admissions in fiscal 2025 (Aveanna 10-K).

Addus, mostly a Medicaid-funded personal care (non-medical home care) company, served about 107,000 people in 2025 (Addus 10-K) through about 262 offices in 23 states (Addus 10-K). Its personal care segment billed 42,670 thousand hours in 2025, at $25.48 per billable hour (Addus 10-K). Pennant says the ten largest operators held about 25% of a market of more than 12,200 Medicare-certified home health agencies in 2025; it names no source for either figure (Pennant 10-K).

Pennant also reports that its home health agencies averaged 4.2 out of 5 CMS quality stars in the January 2026 refresh, against an industry average of 3.0; that is the company's own average of CMS ratings, not a CMS figure (Pennant 10-K). Enhabit says about 38% of its 2025 home health admissions came from physician offices and other community sources, and the rest from hospitals and other facilities (Enhabit 10-K).

How much of their home health revenue comes from traditional Medicare?

Traditional Medicare paid 55.9% of Enhabit's home health revenue in 2025, down from 65.6% in 2023, while Medicare Advantage rose to 31.1%, by Enhabit's own payer table (Enhabit 10-K). Its Medicare admissions fell to 91,603 in 2025 from 106,805 in 2023, while non-Medicare admissions rose to 132,599 (Enhabit 10-K). On those figures, traditional Medicare patients were 40.9% of Enhabit's home health admissions in 2025, against 51.5% in 2023 (our calculation).

Medicare paid about 70% of Amedisys's consolidated revenue in 2024, down from 74% in 2022 (Amedisys 10-K). It paid 43.8% of Pennant's home health services revenue in 2025, with managed care at 33.2% (Pennant 10-K). At LHC Group, Medicare's share of home health revenue was 59.4% in 2022, down from 66.8% in 2020 (LHC Group 10-K). Each company counts Medicare Advantage apart from traditional Medicare, so most of the fall is a shift of the same older patients into private Medicare plans.

How many caregivers and clinicians do they employ, and how many leave?

Addus employed 49,948 caregivers and agency staff at the end of 2025, 44,658 of them part-time (Addus 10-K); that is 89.4% part-time (our calculation). Enhabit employed about 10,800 people at December 31, 2025 (Enhabit 10-K), Pennant about 9,700 (Pennant 10-K) and Amedisys about 19,000 in February 2025 (Amedisys 10-K). In February 2020 Amedisys had counted about 11,600 home health employees out of 21,300 (Amedisys 10-K). LHC Group had 13,900 people in home health out of about 30,000 at the end of 2022, its last year as a listed company (LHC Group 10-K).

Amedisys is the only one of the seven to publish a turnover rate: voluntary turnover of 18% in 2024 (Amedisys 10-K), against 16.9% in 2019 (Amedisys 10-K). The rate is company-defined and covers home health and hospice staff together, so it is not comparable with caregiver turnover surveys of private-duty agencies. The phrase "caregiver turnover" itself appeared in only 2 Form 10-K filings from 2001 to 2025, both from Civitas Solutions (our calculation).

How do the companies recruit caregivers and spend on marketing?

Addus says it recruits with programmatic job advertising and an AI-powered conversation and scheduling assistant that talks to job candidates in real time (Addus 10-K). BrightSpring lists digital media candidate lead generation next to traditional media, job fairs and mailings (BrightSpring 10-K).

Amedisys spent $7.4 million on advertising in 2024, against $7.3 million in 2022 (Amedisys 10-K). Aveanna's marketing expense was $6.9 million in fiscal 2025 (Aveanna 10-K). Enhabit called its advertising expense immaterial in each year from 2023 to 2025 (Enhabit 10-K).

What do the filings say about video and telehealth?

The latest 10-Ks of Enhabit, Amedisys, Aveanna, Addus, BrightSpring, Pennant and LHC Group (fiscal 2022 to 2025) contain 0 uses of the word "video" about the company's own care, training, recruiting or marketing, by our count of the main documents; the one occurrence is a director's job title in LHC Group's 2022 report (our calculation). Telehealth appears in 3 of the seven, once each (our calculation). At Amedisys it is a virtual care unit in the hospital-at-home business that runs patient rounding visits via telehealth (Amedisys 10-K). At BrightSpring it is high-risk patient monitoring "utilizing telehealth" (BrightSpring 10-K).

The franchise disclosure documents say more. Visiting Angels lists caregiver training manuals and videos among products franchisees may buy from approved vendors (Visiting Angels FDD). BrightStar Care requires local advertising "including through digital, video and social media" to use creative from its approved libraries (BrightStar Care FDD).

How often do annual reports mention home health agencies and aides?

28 Form 10-K reports filed in 2025 used the phrase "home health agencies", down from 43 in 2001 and a peak of 51 in 2004, by our count of EDGAR full-text search results (our calculation). From 2001 to 2025, 976 10-K filings by 169 different SEC registrants used it (our calculation). Of the 2025 filings, 14 came from health services companies and 6 from real estate investment trusts that lease buildings to care operators (our calculation). 12 10-Ks filed in 2025 used "home health aide" or "home health aides", against a peak of 19 in 2003 (our calculation). The counts cover any context, and private agencies file no 10-K, so they show how often listed companies write about the trade, not how big it is.

What did UnitedHealth Group pay for Amedisys?

UnitedHealth Group paid $101 in cash for each Amedisys share when the merger closed on August 14, 2025, according to Amedisys's closing filing with the SEC (Amedisys 8-K). The merger agreement had been signed on June 26, 2023. To free Amedisys from an earlier deal, UnitedHealth paid Option Care Health a $106,000,000 termination fee on Amedisys's behalf (Amedisys 10-K). Under a December 2024 waiver, the regulatory break fee UnitedHealth would owe if the deal failed was set at $275,000,000, rising to as much as $325,000,000 if divestiture milestones were missed (Amedisys 10-K). LHC Group, the other large listed home health company, had already gone to UnitedHealth; its last 10-K covers 2022.

How big are these companies in Florida?

Enhabit had 25 home health locations in Florida at the end of 2025 (Enhabit 10-K), and Amedisys had 15 home health care centers there at the end of 2024 (Amedisys 10-K). The other filers do not give a Florida count.

Franchised private-duty home care is bigger in the state. Five brands had 243 franchised outlets in Florida at the end of 2025, by their own Item 20 tables (our calculation), or 8.8% of their U.S. franchised outlets (our calculation).

How many home care franchises are there, and what does one cost to open?

Home Instead, Visiting Angels, Right at Home, Comfort Keepers and BrightStar Care had 2,798 U.S. outlets between them at the end of 2025, 2,748 of them franchised, by our sum of each franchisor's disclosure document filed in Minnesota (our calculation). Each franchisor sells franchises into the home care market and reports its own counts.

The high ends of the initial investment ranges are $350,550 for Home Instead (Home Instead FDD), $171,150.00 for Visiting Angels (Visiting Angels FDD), $176,239 for Right at Home (Right at Home FDD), $190,700 for Comfort Keepers (Comfort Keepers FDD) and $217,486 for BrightStar Care (BrightStar Care FDD). Home Instead's Florida count fell from 41 to 38 in 2025 after three terminations (Home Instead FDD); Visiting Angels held steady at 35 (Visiting Angels FDD); Right at Home grew from 57 at the start of 2023 (Right at Home FDD); Comfort Keepers grew from 39 as it sold its company-owned Florida outlets to franchisees (Comfort Keepers FDD); and BrightStar Care had 9 company-owned Florida agencies on top of its 42 franchised ones (BrightStar Care FDD).

Right at Home franchisees billed $853,605,275.44 system-wide in 2025, up from $610,234,619.77 in 2022 (Right at Home FDD). BrightStar Care's franchised and affiliate-owned agencies billed $800,889,479 in 2025 (BrightStar Care FDD).

What does private-pay home care cost in 2025?

The U.S. median was $35 an hour for a non-medical in-home caregiver in 2025, up 3% on 2024, according to CareScout's 2025 Cost of Care Survey (CareScout). CareScout, a Genworth subsidiary that sells care plans and long-term care funding products, got 6,014 completed surveys from home care providers between July and November 2025 (CareScout). Skilled nursing in the home was new to the survey: a U.S. median of $90 an hour for a private duty nurse, or $160 a visit (CareScout).

Since 2025 CareScout reports homemakers and home health aides as one non-medical caregiver rate, because their prices converged (CareScout). In the 2024 survey, the last to price them apart, the U.S. annual median was $77,792 for a home health aide (Genworth and CareScout) and $75,504 for homemaker services (Genworth and CareScout), and two-thirds of home care agencies surveyed already charged the same rate for both (Genworth and CareScout). All annual figures assume 44 hours of care a week.

What does home care cost in Florida?

Less than the national median. CareScout's 2025 survey put Florida's annual median for a non-medical in-home caregiver at $73,216 at 44 hours a week (CareScout 2025 data tables), or $32 an hour against $35 nationally (CareScout 2025 data tables). That ranks Florida 39th of the 50 states and DC, tied with Georgia, with 1 the most expensive (CareScout 2025 ranked tables). A private duty nurse cost a median $80 an hour in Florida (CareScout 2025 data tables). In the 2024 survey Florida's annual median was $68,640 for both a home health aide and a homemaker (Genworth and CareScout 2024 data tables). CareScout publishes these state figures from metro-area medians; the Miami-Fort Lauderdale-West Palm Beach area is one of the Florida regions surveyed.

How many Americans are family caregivers?

About 63 million U.S. adults, nearly 1 in 4, gave ongoing care to an adult or a child with a complex medical condition or disability in the past year, up 20 million since 2015, according to AARP and the National Alliance for Caregiving (AARP and NAC, July 2025). Their Caregiving in the US 2025 survey was fielded online from August to October 2024 with Ipsos; its funders include Genworth and the home care franchisor Home Instead.

• 32 percent of caregivers use paid help such as aides or housekeepers, and 53% have unpaid help (Caregiving in the US 2025).
• 28 percent have had trouble finding affordable services such as home health aides, transportation and meal delivery, and 34% in rural areas (Caregiving in the US 2025).
• AARP puts caregivers' average out-of-pocket spending at roughly $7,200 a year (AARP); that figure comes from separate AARP research, not from this survey.

Pew Research Center's September 2025 survey of 8,750 U.S. adults found 10% of all adults care for a parent aged 65 or older, and another 3% for a spouse or partner that age (Pew Research Center). Of those caring for an aging parent, 42% regularly help manage the parent's health care, such as booking appointments or handling medication (Pew Research Center).

How many family caregivers are there in Florida?

About 4.5 million (4,451,000), by the AARP and NAC state estimate from Caregiving in the US 2025 (AARP and NAC, Spotlight on Florida). That is 24% of Florida adults (AARP and NAC). In Florida, 46% of family caregivers give high-intensity care, with more hours and more complex tasks (AARP and NAC), and 60% help with medical and nursing tasks (AARP and NAC).

How many patients do home health agencies serve?

There were about 11,500 Medicare-certified home health agencies in the United States in 2022, and 83.5% of them were for-profit, according to the CDC's National Center for Health Statistics (NCHS FastStats) (ownership). 3.3 million patients received and ended home health care during 2022 (NCHS FastStats), and 34.8% of home health patients had Alzheimer disease or another dementia (NCHS FastStats). These NCHS counts come from CMS data on Medicare-certified agencies, so private-duty non-medical home care agencies are not included. The Home Care Association of America, a trade association for those private-duty agencies, says it speaks for more than 5,000 of them (HCAOA); that is a membership claim, not an industry count.

How big is the paid home care workforce?

About 3.5 million workers (3,454,630) in 2025, up from 1,465,470 in 2015, by PHI's count of personal care aides and home health aides working in home care (PHI Key Facts 2026). PHI is an advocacy and research nonprofit; it builds these figures from BLS and Census data, and its grouping is not the same as the BLS occupation counts shown in the workers section. PHI estimates these workers help about 7.9 million older adults and people with disabilities living at home (PHI).

• Median pay was $16.98 an hour in 2025, up from $13.74 in 2015 after inflation (PHI).
• 46 percent work part-time, under 35 hours a week (2024) (PHI).
• 54 percent receive some form of public assistance (2024) (PHI).
• People of color are 67 percent of home care workers, against 43% of the U.S. labor force (2024) (PHI).
• PHI projects nearly 6.2 million job openings in home care from 2025 to 2035, counting new jobs, workers moving to other occupations and workers leaving the labor force (PHI).

How likely is someone turning 65 to need long-term care?

More than half. A federal HHS (ASPE) analysis estimated that 56% of Americans turning 65 will develop a disability serious enough to need long-term services and supports, though many will need help for less than three years (ASPE). The same model put average future long-term care costs at $120,900 per person turning 65, in 2020 dollars, with families paying more than a third (37%) out of pocket (ASPE). The brief, revised in August 2022, models people turning 65 in 2021-2025.

Does video training help family caregivers at home?

It helps with some outcomes, mostly knowledge, mood and confidence, and rarely with caregiver burden. The 2021 Cochrane review of remotely delivered information, training and support for unpaid caregivers of people with dementia living at home pooled 26 randomised trials with 2,367 participants (print, telephone or internet, with no face-to-face contact) (Cochrane Database of Systematic Reviews). Against information alone, training or support probably gave a slight improvement in caregiver depressive symptoms (11 studies, 1,100 participants; standardised mean difference -0.25) (Cochrane). Against usual care, a waiting list or attention control, it probably had little or no effect on caregiver burden (9 studies, 597 participants; SMD -0.06) (Cochrane). Caregivers given training or support were also more likely to drop out than those given information alone (12 studies, 1,266 participants; risk ratio 1.51) (Cochrane).

Single trials of video-led programs show the same pattern. Tele-Savvy, a U.S. online program for family caregivers of people living with dementia, pairs 7 weekly live group sessions with 36 brief asynchronous video lessons over 43 days (The Gerontologist). Its randomized trial of 261 caregivers found moderate-to-large gains for depression, perceived stress, reactions to behaviors and caregiving mastery, but no gain for burden or anxiety (The Gerontologist). In the U.S. FamTechCare trial, caregivers filmed difficult care moments at home and an expert team sent weekly advice based on the clips; the 42 caregivers in that arm had larger drops in depression and gains in competence at 3 months than 41 telephone-support controls (Innovation in Aging). A 2025 cluster trial in 16 Taiwanese dementia service centers enrolled 207 people with dementia and their caregivers for a 16-week video-based activity program (Frontiers in Medicine); caregiver burden fell -3.1 points on the Zarit scale against -1.2 in controls, a difference that was not statistically significant (Frontiers in Medicine).

Most of these trials are small, single-site and run outside home health agencies, so they show what a well-made video can do for a family, not what an agency's own clips achieve.

Does training home health aides change anything?

It raises aides' knowledge and confidence; effects on patients are not yet proven. A 2025 pilot randomized clinical trial with a large New York City home care agency (May 2022 to May 2024) enrolled 102 home health aides caring for patients with heart failure; all got heart-failure training and half also got an app to message nurses (JAMA Network Open). In the app group, the median heart-failure knowledge score rose from 6.1 to 7.7 points on a 0-15 scale at 90 days, though the change did not differ from training alone (JAMA Network Open). Patients of aides who could message nurses had an emergency department visit rate ratio of 0.56, which was not statistically significant and which the authors call exploratory (JAMA Network Open). A 2026 follow-up analysis found the aides' turnover intention fell from 21% to 14% over the 90 days (Home Health Care Management & Practice).

The course behind that trial began as a 2-hour virtual heart-failure class built with a union benefit fund; among 53 home health workers from 15 agencies, mean knowledge rose from 11.21 to 12.21 points (Circulation: Cardiovascular Quality and Outcomes). Before it existed, a 2018-2019 survey of 323 agency-employed home care workers caring for heart-failure patients in New York City found two-thirds had received none or a little heart-failure training (Ethnicity & Disease), and those with some or a lot of training reported 14% higher job satisfaction (adjusted prevalence ratio 1.14, an association rather than a measured effect) (Ethnicity & Disease).

Format matters. An Australian stepped-wedge cluster randomized trial (July 2019 to May 2022) of 213 home care workers serving clients with dementia found the PITCH training raised their sense of competence, and in post hoc analysis face-to-face training consistently beat online training (International Journal of Geriatric Psychiatry). Video also works on the client side: in a Massachusetts proof-of-concept study where nurse managers used a safety handbook and video to coach new home care clients, 63% of coached clients made home-safety improvements that also protect aides (Journal of Applied Gerontology).

How many home health agencies use telehealth?

About a quarter did before COVID-19, and more than half did by 2021. A national survey of U.S. home health agencies serving the most patients with dementia, fielded October 2023 to November 2024, found 23% (183) used telehealth by 2019 (Health Services Research) and 56% (446) by 2021, growth mainly in virtual visits (Health Services Research). Of the agencies that adopted it, 19% (96) later stopped, citing whether it suited their patients and Medicare reimbursement (Health Services Research). The survey drew 791 responses, a 37% response rate (Health Services Research).

A separate nationally representative survey of 474 Medicare-certified home health agencies, published in 2025, found 69% used telehealth, mostly for care coordination, virtual visits, monitoring and starting care; urban agencies more often used video and rural agencies leaned on audio-only calls (Telemedicine and e-Health). In 2024 interviews with 14 home health leaders, clinicians and policy experts, agencies said the lack of CMS payment makes telehealth financially unsustainable for many, and that the telehealth G-codes CMS introduced in July 2023 add documentation without payment (Journal of Medical Internet Research).

Does telehealth in home care reduce hospital and emergency visits?

Pooled studies show small reductions, but the U.S. evidence inside home health agencies is thin. A 2023 meta-analysis of 17 studies (published 2003-2022) of telenursing in home health care, mostly for COPD and heart failure (Telemedicine and e-Health), found fewer emergency department visits (SMD -0.28) (Telemedicine and e-Health) and fewer hospital admissions (SMD -0.18) than conventional home health care (Telemedicine and e-Health). A 2025 review of U.S. home health telehealth research from January 2020 to April 2024 found only 6 empirical studies, all quasi-experimental, with tele-video, calls and remote monitoring used for education, symptom management and team communication (Journal of Telemedicine and Telecare).

Heart failure shows why results vary. A 2018 meta-analysis of 26 randomized trials of home telemonitoring found lower mortality at 180 days, no significant effect on hospitalization, and higher odds of emergency department visits at 180 days; home care provision did not change the hospitalization result (Health Affairs).

Only the telenursing review is limited to home health care; the trials above were run by hospitals or hospital-at-home programs, not Medicare home health agencies.

Why do home health aides leave, and did pay rise?

Studies point to pay, hours, respect and control over the work. The nationally representative 2007 National Home Health Aide Survey of 3,344 aides found non-Hispanic Black aides more likely than White aides to plan to leave because of low pay and lack of advancement, and Hispanic aides more likely to cite lack of respect or problems with a supervisor or agency (Journal of Applied Gerontology). A survey of 512 Massachusetts home health aides linked more control over daily work to higher job satisfaction and lower intent to leave the occupation (The Gerontologist). A June 2020 to July 2021 survey of 413 New York City aides from 56 agencies found those with more voice in patient care reported higher job satisfaction (Risk Management and Healthcare Policy).

Wage policy moved pay a little. A county-level study of 2,496 U.S. counties from 2012 to 2018 found home health aides' hourly wages were $1.00 higher in states that raised their minimum wage from below $8 to above $10 (Home Health Care Management & Practice), and the extension of federal Fair Labor Standards Act protections to home care workers was associated with $1.15 higher wages in states with minimum wages above $10 (Home Health Care Management & Practice). Medicaid spending did not: although states' inflation-adjusted home- and community-based services spending rose from 2008 to 2019, home care workers' wages stayed at $11-12 an hour (Health Services Research), and each extra $1 million was associated with only 1.2 more workers (Health Services Research). A study of 8,164 direct care workers in home and residential long-term care found exits peaked in 2020 and found no evidence that state wage-support or hazard-pay policies changed them (Journal of the American Medical Directors Association).

What hazards do home care aides face on the job?

Strain, infection risk, falls and abuse, often while working alone. The Safe Home Care survey of 1,249 Massachusetts home care aides (634 agency-employed, 615 hired by clients) covering 3,484 visits found the most frequent hazards were musculoskeletal strain, infectious agents, cleaning chemicals and violence (Occupational and Environmental Medicine). In the same project, 22% of 954 aides reported verbal abuse from clients or their families in the past 12 months (Occupational and Environmental Medicine), and those aides were 11 times as likely to also report physical abuse (Occupational and Environmental Medicine).

Over 12% of aides in an Illinois Medicaid-funded homecare program reported a slip, trip or fall at work in the previous 12 months, and 58% of them fell to the ground (Journal of Occupational and Environmental Medicine). Nationally, CDC Behavioral Risk Factor Surveillance System data for 2014-2018 on 2,987 home health care workers found 26.6% in fair or poor general health (American Journal of Public Health) and 20.9% with poor mental health, both higher than for similar low-wage health workers outside the home (American Journal of Public Health). In a national sample of 3,377 direct care workers in homes, a language barrier with the patient carried 4.44 times the odds of an injury from patient violence (Violence and Victims). Training lags: at two Southwestern Ohio sites, only half of home healthcare workers (25) had received workplace-violence prevention training (Workplace Health & Safety).

How much training does a home health aide need?

At least 75 hours for an aide at a Medicare-certified agency, under the federal Conditions of Participation at 42 CFR 484.80 as they stood on November 4, 2026 (eCFR). At least 16 hours of classroom work must come before at least 16 hours of supervised practical training (eCFR). An aide may instead qualify by passing a competency evaluation or a state-approved nurse aide program. Once working, every aide needs at least 12 hours of in-service training in each 12-month period, and it may happen while the aide is caring for a patient (eCFR). The rule sets hours and requires a registered nurse to supervise in-service training, but it names no format. Initial training is different: the practical part must be done in front of a registered nurse, or a licensed practical nurse under one, with the trainee caring for a person.

The training lapses. An aide who goes 24 consecutive months without paid home health work must complete another program before working again (eCFR).

Florida sets a lower floor for state-licensed agencies. A Florida home health aide must complete at least 40 hours of training, or pass the state's competency test, before providing services, under Florida Administrative Code rule 59A-8.0095 (effective May 31, 2026) (Fla. Admin. Code). Medicare- or Medicaid-certified agencies in Florida may still require the federal 75 hours. An aide who helps patients take their own medication needs at least 2 hours of training on it, which can sit inside the 40-hour course (Fla. Admin. Code). To pass the state competency test instead, an aide must perform all 14 practical tasks and answer 90 of the 104 written questions correctly (Fla. Admin. Code).

How often must a nurse supervise a home health aide?

At least every 14 days when the patient also gets skilled nursing or therapy: a registered nurse or other skilled professional must assess the aide's services on that schedule under 42 CFR 484.80 (eCFR). The aide does not need to be there. The check is in person, or rarely by two-way video, capped at 1 virtual check per patient in a 60-day episode. For patients who get only aide services, the nurse must make an in-person visit every 60 days (eCFR).

What dementia training does Florida require of home health staff?

Every Florida home health agency employee who gives personal care or has regular contact with patients must complete a 1-hour state dementia course within 30 days of starting work, under section 430.5025 of the 2026 Florida Statutes (Florida Statutes). The Department of Elderly Affairs offers the course online at no cost. Within 7 months of hire, staff who give personal care must add 2 hours more, covering behavior management, independence in daily activities and working with families (Florida Statutes).

What does Florida require to license and police a home health agency?

Florida licenses home health agencies under part III of chapter 400 of the Florida Statutes. The license fee is set by rule but capped at $2,000 per two-year license period (Florida Statutes). An applicant may not project an operating margin of 15 percent or more in any month of its first year (Florida Statutes). The state fines an agency $1,000 for a pattern of falsifying aide or nursing assistant training records (Florida Statutes) and $5,000 for a pattern of billing for services not provided (Florida Statutes). An agency that goes 60 days without directly serving a patient faces action against its license (Florida Statutes).

We found no telehealth provision in part III of chapter 400 or in rule 59A-8.0095. We did not read the state's own counts of licensed agencies, because the Agency for Health Care Administration's website asks AI crawlers not to visit.

What is electronic visit verification, and when did home health agencies have to use it?

Electronic visit verification (EVV) is a system that logs each in-home Medicaid visit electronically. It records the type of service, the person served, the date, the location, the worker and the start and end times. Under the 21st Century Cures Act, states had to require it for Medicaid personal care services by January 1, 2020 and for Medicaid home health services by January 1, 2023, per CMS's Medicaid.gov guidance (Medicaid.gov). It covers Medicaid only, not Medicare.

States that do not comply lose part of their federal Medicaid match, up to 1% (Medicaid.gov). For home health services, the statute sets the cut at 0.75 percentage points for calendar quarters in 2026, rising to 1 percentage point from 2027 (42 U.S.C. 1396b(l)) (U.S. Code). States can avoid the cut by showing a good-faith effort and unavoidable delays.

What do the popular home health numbers really say?

Home care agencies, franchisors and their software and marketing vendors repeat four numbers more than any others. We traced each one to the survey or company that produced it and read every edition we could reach. Pages that repeat a number are linked only as dated evidence of how it spread, never as a source for the number itself.

“90% of seniors want to age in place”

AARP’s current figure is 75% of adults 50 and older, not 90%. The newest AARP Home and Community Preferences survey, an online survey of 3,090 U.S. adults 18 and older in summer 2024 (AARP), found 75 percent of those 50-plus would like to live in their current home for as long as possible (AARP), while 44 percent expect to relocate at some point (AARP). AARP says the wish is stronger at 65-plus but prints no 65-plus percentage on its page.

The number has barely moved in 15 years, and the age band and question change from edition to edition. In AARP’s 2010 telephone survey of 1,616 adults 45 and older (July 16-25, 2010) (AARP), nearly three-quarters strongly agreed they would like to stay in their current residence as long as possible (AARP). In the 2014 telephone survey of 1,014 adults 45 and older (August 20-31, 2014) (AARP), 78 percent strongly agreed with the same statement (AARP). In 2018, from 2,287 adults sampled by NORC in March and April (AARP), 76% of adults 50 and older preferred to remain in their current residence, yet only 46% expected to stay in their current home (AARP). In 2021, from 2,826 adults surveyed in June and July (AARP), it was 77 percent of adults 50 and older (AARP).

The 90% comes from older and narrower AARP figures. AARP’s 2000 “Fixing to Stay” telephone survey of 2,000 adults 45 and older, fielded in November and December 1999 (AARP), found more than 9 in 10 of those 65 and over wanted to stay where they were for as long as possible (AARP), against more than 8 in 10 of all respondents 45-plus (AARP); 82% said they would not want to move even if they needed help caring for themselves (AARP). The nearest recent figure is AARP Public Policy Institute’s April 2014 “What Is Livable?” report, which found 87% of adults 65 and older wanted to age in their current home or community, against 71% of those 50 to 64 (METRO Magazine on AARP). That question counts the community as well as the home.

Home care pages rarely say which edition they mean. The Home Care Association of America, the private-duty trade association, tells families “more than 90%” of seniors would prefer to age in place, with no year (HCAOA). A Home Helpers franchise release in 2013 applied “90 percent” to adults 50 and older (Home Helpers), an age band for which no AARP edition gave 90%. The International Franchise Association wrote “nearly 90 percent” in 2023 (IFA), an Executive Home Care office “nearly 90% of adults aged 65+” preferring home “rather than move to a facility” (Executive Home Care), and LTC News credits “a 2023 study by the AARP” with 90% of adults over 65 (LTC News); AARP ran no Home and Community Preferences survey in 2023. SYNERGY HomeCare releases use two more variants: “over 80%” of people over 65 in June 2026 (SYNERGY HomeCare) and “75% of those 65+” in a February 2023 release for a new franchise in Altamonte Springs, Florida (SYNERGY HomeCare), though AARP’s 75% is for adults 50 and older.

Two non-AARP surveys do print about 90%, and both owners sell to people who stay home. American Advisors Group, a reverse mortgage lender, polled more than 1,500 people aged 60 to 75 in 2021 and found over 90% preferred to remain at home rather than move to assisted living (Home Health Care News on AAG). A two-day Pollfish survey for Today’s Homeowner, a home improvement media site, of 1,000 people 55 and older in June 2023 found 89% wished to age in place (HousingWire). Use instead: AARP’s 2024 figure, 75 percent of adults 50 and older, with its age band and year.

“Caregiver turnover is 65%” or “80%”

Both numbers are real, from different years of one vendor’s survey of mostly private-duty agencies, and the newest edition says 75.5%. The source is the annual Benchmarking Study by Home Care Pulse, now Activated Insights, a firm that sells benchmarking, training and retention software to home care agencies. Agencies report their own data; the rate counts caregivers who quit or were fired during the year against average caregiver headcount, so an agency can pass 100%. Home Care Pulse explained its 2017 average as an agency with 100 caregivers losing about 66 in a year (Home Care Pulse, archived). PHI, an advocacy and research nonprofit, described the 2015 edition the same way: more than 60 percent of caregivers at private duty home care companies quit or were fired in 2014 (PHI).

The “65%” comes from the 2019-2021 data years and the “80%” from rounding 2023’s 79.2% (or 2018’s 82%). The Home Care Association of America headlined the 2024 report “Home Care Turnover Rate Jumps to 80%” for a median that rose from 77.1% in 2022 to 79.2% in 2023 (HCAOA). PHI’s own summary, that turnover in home care was nearly 75 percent in 2024, is the same vendor figure; PHI adds that no large-scale, comprehensive measure of direct care turnover exists (PHI).

Other counters find much lower rates, because they count different agencies and workers. The Hospital & Healthcare Compensation Service, which sells salary surveys and polled more than 1,100 home health and visiting nurse agencies on over 52,200 employees, found turnover for home care aides and CNAs fell from 36.31% in 2024 to 34.17% in 2025 (Home Health Care News on HCS). Amedisys, a Medicare home health and hospice company, reported voluntary turnover of 18% across all employees in 2024. In peer-reviewed work, Bergman and colleagues found an average annual separation rate of over 30% for home health nurses at one large U.S. home health organization in 2016-2019 (Medical Care Research and Review), and a 2018 study of home care aides in Maine summarized earlier research as turnover of 44 percent to 65 percent a year (New Solutions). Use instead: name the counter. For private-duty caregivers, Activated Insights’ 75.5% for 2025, labelled as a vendor’s median of self-reporting agencies; for aides at Medicare-certified agencies, HCS’s 34.17%.

“10,000 baby boomers turn 65 every day”

It is a December 2010 projection for 2011 through 2029, not a current count. Pew Research Center wrote on December 29, 2010 that from January 1, 2011, “and for every day for the next 19 years,” 10,000 baby boomers would reach 65 (Pew). The Census Bureau later used the same round number for the past: since 2010 “about 10,000 a day” had crossed 65, and by 2030 all boomers would be 65 or older (Census, 2019). Home care franchisors still state it in the present tense and credit the Census: a SYNERGY HomeCare release of June 2026 says “10,000 Baby Boomers are turning 65 every day” (SYNERGY HomeCare). The newest variant, more than 11,200 a day from 2024 through 2027, comes from the Alliance for Lifetime Income, an annuity-industry group (PLANADVISER). Use instead: Census counts of the older population, which rose to 61.2 million people 65 and older in 2024 (Census), or 18.9% of the U.S. population in 2025 (Census, 2026).

“Video on a landing page lifts conversions 80%”

It is one video vendor’s best case from 2009, and the one large test since found little or no lift. EyeView Digital, which made and sold landing-page videos, wrote in February 2009 that viewers of its videos for one client were 80% more likely to become depositing users, comparing people who chose to watch with people who did not (EyeView, archived). In November 2009 it quoted a client saying the first test “boosted conversion by over 80 percent” (EyeView, archived). Its 2010 white paper said that “in some cases” the boost was over 80% (EyeView, archived), while the one test it described in full, on a trading site, found almost 32 percent (EyeView, archived). By August 2010 Unbounce, a landing-page software seller, had turned it into “a study by eyeviewdigital.com shows” video “can increase conversion by 80%” (Unbounce, archived).

Health marketers still repeat it. Nucleus Medical Media, a healthcare video producer, listed “increase conversion by 80% - Eyeview Digital” in 2018 (Nucleus Medical Media), and a 2026 health and wellness roundup by Webtonic, a marketing agency, says videos on healthcare landing pages raise conversions “by up to 80%”, crediting a statistics aggregator (Webtonic). We found no home care or healthcare test behind either. When Unbounce later examined about 35,000 of its own customers’ landing pages in each of three periods in 2020-2021 (Unbounce), it concluded video had a “minimal or negative” impact on performance (Unbounce). Use instead: no general number; an agency that wants to know should test a video against no video on its own page.

Every popular claim our research pages trace, 789 in all, is on one page: popular video statistics, fact-checked.

How we built this page

We started from the questions people search for about home health agency video statistics and looked for the organization that actually produced each answer. Every figure on this page sits in an evidence ledger with its source, the exact table or paragraph it came from, the measurement period, the population measured, and the date we checked it. This edition holds 590 figures from 74 publishers.

On November 6, 2026, each sourced figure on this page was re-fetched with the fetch cache cleared and matched against the recorded wording: BLS occupation wage estimates (through the BLS data API), the Quarterly Census of Employment and Wages, Employment Projections, the Occupational Outlook Handbook and injury tables (bls.gov pages through Internet Archive copies, because bls.gov refuses automated requests); Census County Business Patterns, Nonemployer Statistics, the 2022 Economic Census and the Annual Integrated Economic Survey (through the Census data API) and county population estimates; CMS’s Care Compare provider data (through Internet Archive copies of the data API queries, because the API refuses our verifier’s browser agent), its Provider of Services, post-acute care and state visit files, the Medicare Benefit Policy Manual and the CMS Innovation Center; MedPAC’s March 2026 report; the Federal Register (including the CY 2027 home health final rule as filed for public inspection on November 4, 2026), the Code of Federal Regulations through eCFR and the U.S. Code on govinfo; Medicaid.gov (Internet Archive copy); Florida’s statutes and the Agency for Health Care Administration’s rules on flrules.org; CDC and NCHS pages (Internet Archive copies, because cdc.gov refuses automated requests); peer-reviewed studies (PubMed abstracts re-read through the National Library of Medicine’s E-utilities, because pubmed.ncbi.nlm.nih.gov refuses automated requests); 10-K and 8-K filings on EDGAR; franchise disclosure documents from Minnesota’s CARDS database; AARP, the National Alliance for Caregiving, PHI, Pew Research Center, CareScout, Indeed Hiring Lab, YouTube and sellers’ own pages; and the pages behind each popular claim. Our agency, rating and Medicare counts come from CMS’s public files, our franchise counts from Item 20 tables, our 10-K phrase counts from EDGAR full-text search, and our YouTube figures from the YouTube Data API. We left out Florida’s Agency for Health Care Administration licence counts and congress.gov (their robots rules disallow our agent), WellSky’s pages (its robots rules disallow AI agents), AARP’s PDF reports (robots rules; we cite AARP’s own web pages), Activated Insights’ and HHAeXchange’s and Axxess’s survey figures where the publisher gives no sample size or field dates, and the CY 2025 telehealth G-code tables, which CMS printed only as images.

We only cite the producer: government agencies, regulators, company filings and official posts, and the survey owner's own report. We do not cite statistics roundups, Statista-style aggregators, or salary sites without a public method. We did not bypass paywalls or sign-up forms; where a full report was gated, we used only the figures its publisher states publicly.

Figures marked "our calculation" are arithmetic on the cited numbers, and anyone can reproduce them:

This edition contains no Mark Studios customer data.

Limitations

• Our YouTube read follows YouTube’s ranking. The 478 videos are what YouTube’s search returned for ‘home health care’, ‘home health aide’ and ‘caregiver training’ (the top 200 results of each, sorted by views, with no country filter) on November 6, 2026. It is not a census of home health video, view counts are lifetime snapshots that include views from ads, and we sorted 317 channels by hand from their public text. One gadget seller holds 68.1% of all the views, so we give agencies’ share with and without it.
• CMS’s lists differ. The Provider of Services file, the Care Compare list and MedPAC count agencies on different dates and rules (12,589, 12,409 and 12,234), and a third of listed agencies have no quality star rating. Our star-rating shares use rated agencies only; CMS’s own percentages use all listed agencies.
• Medicare files cover Original Medicare. The use and payment counts leave out Medicare Advantage, Medicaid and private-pay home care, which is where most non-medical home care is paid for.
• Job and industry counts split the trade. Medicare-certified agencies file under NAICS 6216; most non-medical home care agencies file under NAICS 624120 with other services for older adults. BLS’s payroll survey leaves out the self-employed and OEWS is not built for year-to-year comparison.
• Surveys and benchmarks have limits. Caregiver turnover figures from Activated Insights (formerly Home Care Pulse) are medians of self-reported, mostly private-duty agencies; CareScout and AxisCare sell into the market they survey. Several trials of video caregiver training were small or ran outside the United States; this page reports what each found and recommends no treatment.
• Company figures are self-reported. 10-K and franchise disclosure figures are each company’s own and are defined differently from company to company.

How to cite this page

For a single figure, cite the original publisher named next to it, and link here if the verification trail is useful to your readers. Each figure has its own anchor, so you can link straight to it, for example https://www.markstudios.com/research/home-health-agency-video-statistics#DRV-209. To cite the page as a whole:

Mark Studios. "Home Health Agency Video Statistics." Last verified Nov 6, 2026. https://www.markstudios.com/research/home-health-agency-video-statistics

@misc{markstudios_home_health_agency_video_statistics_2026,
  author = {{Mark Studios}},
  title = {{Home Health Agency Video Statistics}},
  year = {2026},
  month = nov,
  url = {https://www.markstudios.com/research/home-health-agency-video-statistics},
  note = {Last verified 2026-11-06}
}

Our calculations and the evidence table are free to reuse with attribution and a link to this page. Each underlying figure remains the claim of its original publisher, and some publishers ask for a link when their figures are reused.

Sources

Download the evidence table (CSV)

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24. Centers for Medicare & Medicaid Services, Home Health Care Agencies (Care Compare provider data, dataset 6jpm-sxkc), datastore count query (2026-09-21). Accessed 2026-11-06.
25. Centers for Medicare & Medicaid Services, Medicare Post-Acute Care Utilization - Home Health Agency by Geography and Provider, 2024 (2026-08-11). Accessed 2026-11-06.
26. Centers for Medicare & Medicaid Services, Medicare Post-Acute Care Utilization - Home Health Agency by Geography and Provider, 2024 (2026-08-11). Accessed 2026-11-06.
27. Centers for Medicare & Medicaid Services, Medicare Home Health Patients and Visits by State, 2025 (2026-09-01). Accessed 2026-11-06.
28. Centers for Medicare & Medicaid Services, Medicare Home Health Patients and Visits by State, 2025 (2026-09-01). Accessed 2026-11-06.
29. U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics (OEWS), May 2025 estimates (2026-05-15). Accessed 2026-11-06.
30. U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics (OEWS), May 2025 estimates (2026-05-15). Accessed 2026-11-06.
31. U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics (OEWS), May 2025 estimates (2026-05-15). Accessed 2026-11-06.
32. U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics (OEWS), May 2025 estimates (2026-05-15). Accessed 2026-11-06.
33. U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics (OEWS), May 2025 estimates (2026-05-15). Accessed 2026-11-06.
34. U.S. Bureau of Labor Statistics, Home Health and Personal Care Aides : Occupational Outlook Handbook (not stated on page (2025-35 projections edition)). Accessed 2026-11-06.
35. U.S. Bureau of Labor Statistics, Table 1.2 Occupational projections, 2025-35, and worker characteristics, 2025 (not stated on page (2025-35 projections edition)). Accessed 2026-11-06.
36. U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics (OEWS), May 2025 estimates (2026-05-15). Accessed 2026-11-06.
37. U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics (OEWS), May 2025 estimates (2026-05-15). Accessed 2026-11-06.
38. U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics (OEWS), May 2025 estimates (2026-05-15). Accessed 2026-11-06.
39. U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics (OEWS), May 2025 estimates (2026-05-15). Accessed 2026-11-06.
40. U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics (OEWS), May 2025 estimates (2026-05-15). Accessed 2026-11-06.
41. U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics (OEWS), May 2025 estimates (2026-05-15). Accessed 2026-11-06.
42. U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics (OEWS), May 2025 estimates (2026-05-15). Accessed 2026-11-06.
43. U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics (OEWS), May 2025 estimates (2026-05-15). Accessed 2026-11-06.
44. U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics (OEWS), May 2025 estimates (2026-05-15). Accessed 2026-11-06.
45. U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics (OEWS), May 2025 estimates (2026-05-15). Accessed 2026-11-06.
46. U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics (OEWS), May 2025 estimates (2026-05-15). Accessed 2026-11-06.
47. U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics (OEWS), May 2025 estimates (2026-05-15). Accessed 2026-11-06.
48. U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics (OEWS), May 2025 estimates (2026-05-15). Accessed 2026-11-06.
49. U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics (OEWS), May 2025 estimates (2026-05-15). Accessed 2026-11-06.
50. U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics (OEWS), May 2025 estimates (2026-05-15). Accessed 2026-11-06.
51. U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics (OEWS), May 2025 estimates (2026-05-15). Accessed 2026-11-06.
52. U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics (OEWS), May 2025 estimates (2026-05-15). Accessed 2026-11-06.
53. U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics (OEWS), May 2025 estimates (2026-05-15). Accessed 2026-11-06.
54. U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics (OEWS), May 2025 estimates (2026-05-15). Accessed 2026-11-06.
55. U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics (OEWS), May 2025 estimates (2026-05-15). Accessed 2026-11-06.
56. U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics (OEWS), May 2025 estimates (2026-05-15). Accessed 2026-11-06.
57. U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics (OEWS), May 2025 estimates (2026-05-15). Accessed 2026-11-06.
58. U.S. Bureau of Labor Statistics, Table 1.4 Occupations with the most job growth, 2025 and projected 2035 (not stated on page (2025-35 projections edition)). Accessed 2026-11-06.
59. U.S. Bureau of Labor Statistics, Table 2.11 Employment and output by industry, 2025 and projected 2035 (not stated on page (2025-35 projections edition)). Accessed 2026-11-06.
60. U.S. Bureau of Labor Statistics, TABLE 1. Incidence rates of nonfatal occupational injuries and illnesses by industry and case types, 2024 (not stated in capture (2024 data)). Accessed 2026-11-06.
61. U.S. Bureau of Labor Statistics, QCEW Open Data: 2025 annual averages, industry 6216 (CSV) (not stated in CSV (2025 annual file)). Accessed 2026-11-06.
62. U.S. Bureau of Labor Statistics, QCEW Open Data: 2019 annual averages, industry 6216 (CSV) (not stated in CSV (2019 annual file)). Accessed 2026-11-06.
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65. U.S. Census Bureau, Nonemployer Statistics: 2023 (Census Data API) (not stated in API response). Accessed 2026-11-06.
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70. U.S. Census Bureau, 2022 Economic Census: Selected Statistics by Industry (Census Data API) (not stated in API response). Accessed 2026-11-06.
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73. Centers for Medicare & Medicaid Services, Home Health Care - National Data (Care Compare provider data, dataset 97z8-de96) (2026-09-21). Accessed 2026-11-06.
74. Centers for Medicare & Medicaid Services, Home Health Care - State by State Data (dataset tee5-ixt5), state FL (2026-09-21). Accessed 2026-11-06.
75. Centers for Medicare & Medicaid Services, Home Health Care - Patient Survey (HHCAHPS) National Data 2025Q2 to 2026Q1 (dataset vxub-6swi) (2026-09-16). Accessed 2026-11-06.
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77. Centers for Medicare & Medicaid Services (regulation text, eCFR), 42 CFR 409.42 Beneficiary qualifications for coverage of services (2026-11-04). Accessed 2026-11-06.
78. Centers for Medicare & Medicaid Services, Medicare Benefit Policy Manual, Chapter 7 - Home Health Services (Pub. 100-02) (2023-12-21). Accessed 2026-11-06.
79. Centers for Medicare & Medicaid Services (Federal Register), Calendar Year 2027 Home Health Prospective Payment System (HH PPS) Rate Update (proposed rule, 91 FR 41216, FR Doc. 2026-13602) (2026-07-06). Accessed 2026-11-06.
80. Centers for Medicare & Medicaid Services (regulation text, eCFR), 42 CFR 484.80 Condition of participation: Home health aide services (2026-11-04). Accessed 2026-11-06.
81. Centers for Medicare & Medicaid Services (Federal Register public inspection), Calendar Year 2027 Home Health Prospective Payment System Rate Update (final rule, public inspection copy, FR Doc. 2026-22750, scheduled for publication 2026-11-09) (2026-11-04). Accessed 2026-11-06.
82. Centers for Medicare & Medicaid Services (Federal Register), Medicare and Medicaid Programs; Calendar Year 2026 Home Health Prospective Payment System (HH PPS) Rate Update (final rule, 90 FR 55342, FR Doc. 2025-21767) (2025-12-02). Accessed 2026-11-06.
83. Centers for Medicare & Medicaid Services (regulation text, eCFR), 42 CFR Part 484 Home Health Services (2026-11-04). Accessed 2026-11-06.
84. Centers for Medicare & Medicaid Services (CMS Innovation Center), Expanded Home Health Value-Based Purchasing Model (undated). Accessed 2026-11-06.
85. Enhabit, Inc. (SEC Form 10-K), Enhabit, Inc. Form 10-K for the fiscal year ended December 31, 2025 (2026-03-05). Accessed 2026-11-06.
86. Enhabit, Inc. (SEC Form 10-K), Enhabit, Inc. Form 10-K for the fiscal year ended December 31, 2022 (2023-04-14). Accessed 2026-11-06.
87. Amedisys, Inc. (SEC Form 10-K), Amedisys, Inc. Form 10-K for the fiscal year ended December 31, 2024 (2025-02-27). Accessed 2026-11-06.
88. BrightSpring Health Services, Inc. (SEC Form 10-K), BrightSpring Health Services, Inc. Form 10-K for the fiscal year ended December 31, 2025 (2026-02-27). Accessed 2026-11-06.
89. The Pennant Group, Inc. (SEC Form 10-K), The Pennant Group, Inc. Form 10-K for the fiscal year ended December 31, 2025 (2026-02-26). Accessed 2026-11-06.
90. Aveanna Healthcare Holdings Inc. (SEC Form 10-K), Aveanna Healthcare Holdings Inc. Form 10-K for the fiscal year ended January 3, 2026 (2026-03-19). Accessed 2026-11-06.
91. Addus HomeCare Corporation (SEC Form 10-K), Addus HomeCare Corporation Form 10-K for the fiscal year ended December 31, 2025 (2026-02-24). Accessed 2026-11-06.
92. LHC Group, Inc. (SEC Form 10-K), LHC Group, Inc. Form 10-K for the fiscal year ended December 31, 2022 (2023-02-22). Accessed 2026-11-06.
93. Amedisys, Inc. (SEC Form 10-K), Amedisys, Inc. Form 10-K for the fiscal year ended December 31, 2019 (2020-02-19). Accessed 2026-11-06.
94. Living Assistance Services, Inc. (Visiting Angels) (Franchise Disclosure Document, Minnesota CARDS), Living Assistance Services, Inc. (Visiting Angels) Franchise Disclosure Document 2026 (clean FDD, Minnesota registration file 10731) (2026-04-22). Accessed 2026-11-06.
95. BrightStar Franchising LLC (Franchise Disclosure Document, Minnesota CARDS), BrightStar Franchising LLC Franchise Disclosure Document, August 2026 amended (clean FDD, Minnesota registration file 5177) (2026-08-25). Accessed 2026-11-06.
96. Amedisys, Inc. (SEC Form 8-K), Amedisys, Inc. Form 8-K filed August 14, 2025 (completion of merger with UnitedHealth Group) (2025-08-14). Accessed 2026-11-06.
97. Home Instead, Inc. (Franchise Disclosure Document, Minnesota CARDS), Home Instead, Inc. Franchise Disclosure Document 2026 (clean FDD, Minnesota registration file 10807) (2026-04-29). Accessed 2026-11-06.
98. Right at Home, LLC (Franchise Disclosure Document, Minnesota CARDS), Right at Home, LLC Franchise Disclosure Document 2026 (clean FDD, Minnesota registration file 4053) (2026-04-15). Accessed 2026-11-06.
99. CK Franchising, Inc. (Comfort Keepers) (Franchise Disclosure Document, Minnesota CARDS), CK Franchising, Inc. (Comfort Keepers) Franchise Disclosure Document 2026 (clean FDD, Minnesota registration file 10189) (2025-12-23). Accessed 2026-11-06.
100. CareScout (Genworth Financial), CareScout Releases 2025 Cost of Care Survey Results (2026-03-02). Accessed 2026-11-06.
101. CareScout (Genworth Financial), Cost of Long Term Care by State: Cost of Care Report | CareScout (2026-03-02). Accessed 2026-11-06.
102. Genworth Financial and CareScout, Genworth and CareScout Release Cost of Care Survey Results for 2024 (2025-03-04). Accessed 2026-11-06.
103. CareScout (Genworth Financial), Cost of Care Survey 2025 Median Cost Data Tables (2026-03-02). Accessed 2026-11-06.
104. CareScout (Genworth Financial), Cost of Care Survey 2025 Ranked Median Costs by State Data Tables (2026-03-06). Accessed 2026-11-06.
105. Genworth Financial and CareScout, Cost of Care Survey 2024 Median Cost Data Tables (2025-03-04). Accessed 2026-11-06.
106. Pew Research Center, Family Caregiving in an Aging America (2026-02-26). Accessed 2026-11-06.
107. AARP and National Alliance for Caregiving, Caregiving in the US 2025: Spotlight on Florida (2025-10-28). Accessed 2026-11-06.
108. CDC National Center for Health Statistics, FastStats: Home Health Care (2026-02-06). Accessed 2026-11-06.
109. CDC National Center for Health Statistics, FastStats: Alzheimer Disease (2026). Accessed 2026-11-06.
110. Home Care Association of America (trade association), Home Care Association of America (2026). Accessed 2026-11-06.
111. Office of the Assistant Secretary for Planning and Evaluation (HHS), Long-Term Services and Supports for Older Americans: Risks and Financing, 2022 (Research Brief, revised August 2022) (2022-08). Accessed 2026-11-06.
112. Cochrane Database of Systematic Reviews (González-Fraile et al.), Remotely delivered information, training and support for informal caregivers of people with dementia (2021-01-04). Accessed 2026-11-06.
113. The Gerontologist (Hepburn et al.), Results of a Randomized Trial Testing the Efficacy of Tele-Savvy, an Online Synchronous/Asynchronous Psychoeducation Program for Family Caregivers of Persons Living with Dementia (2022-04-20). Accessed 2026-11-06.
114. Innovation in Aging (Williams et al.), Supporting Family Caregivers With Technology for Dementia Home Care: A Randomized Controlled Trial (2019-10-16). Accessed 2026-11-06.
115. Frontiers in Medicine (Yang et al.), The effectiveness of video-based multiple training modalities in community service centers for dementia: a cluster randomized controlled study (2025-06-11). Accessed 2026-11-06.
116. Geriatric Nursing (He et al.), Video teach-back training method for family caregivers in stroke continuous rehabilitation: A randomized controlled trial (2025-07-01). Accessed 2026-11-06.
117. Quality of Life Research (Narayanan et al.), Comparative effectiveness of verbal instruction versus video-based education (VIVid) among family caregivers for improving the quality of life in advanced head and neck cancer patients receiving palliative care in Eastern India: a randomized controlled trial (2023-12-01). Accessed 2026-11-06.
118. Cancer (El-Jawahri et al.), Randomized trial of a hospice video educational tool for patients with advanced cancer and their caregivers (2020-08-01). Accessed 2026-11-06.
119. Journal of the American Heart Association (Favilla et al.), Personalized Video-Based Educational Platform to Improve Stroke Knowledge: A Randomized Clinical Trial (2024-08-06). Accessed 2026-11-06.
120. JAMA Network Open (Sterling et al.), Home Health Aides Caring for Adults With Heart Failure: A Pilot Randomized Clinical Trial (2025-11-03). Accessed 2026-11-06.
121. Home Health Care Management & Practice (Vergez et al.), Impact of an Educational Intervention on Job Satisfaction Among Home Health Aides: Findings from a Mixed-Methods Analysis of a Pilot Randomized Controlled Trial (2026-04-21). Accessed 2026-11-06.
122. Circulation: Cardiovascular Quality and Outcomes (Sterling et al.), Development and Piloting of a Community-Partnered Heart Failure Training Course for Home Health Care Workers (2022-11-01). Accessed 2026-11-06.
123. Ethnicity & Disease (Sterling et al.), Heart Failure Training and Job Satisfaction: A Survey of Home Care Workers Caring for Adults with Heart Failure in New York City (2020-09-24). Accessed 2026-11-06.
124. International Journal of Geriatric Psychiatry (Dow et al.), Promoting Independence Through Quality Dementia Care at Home (PITCH): An Australian Stepped-Wedge Cluster Randomised Controlled Trial Evaluating a Dementia Training Program for Home Care Workers (2024-09-01). Accessed 2026-11-06.
125. Journal of Applied Gerontology (Sama et al.), The Safe Home Care Intervention Study: Implementation Methods and Effectiveness Evaluation (2024-11-01). Accessed 2026-11-06.
126. Health Services Research (Mukamel et al.), Telehealth Use by Home Health Agencies Before, During, and After COVID-19 (2025-10-01). Accessed 2026-11-06.
127. Telemedicine and e-Health (Perera et al.), Transforming Care: The Impact of COVID-19 on Telehealth Adoption in U.S. Home Health Care Agencies (2025-12-01). Accessed 2026-11-06.
128. Journal of Medical Internet Research (Spertus et al.), Understanding Home Health Agencies' Perspectives Toward Telehealth Use Among Home Health Stakeholders in the Post-COVID-19 Era: Qualitative Interview Study (2025-08-07). Accessed 2026-11-06.
129. Telemedicine and e-Health (Mun et al.), Types and Effects of Telenursing in Home Health Care: A Systematic Review and Meta-Analysis (2024-09-01). Accessed 2026-11-06.
130. Journal of Telemedicine and Telecare (Chen et al.), Telehealth use in home health care in the US: A literature review (2026-06-01). Accessed 2026-11-06.
131. Health Affairs (Pekmezaris et al.), Home Telemonitoring In Heart Failure: A Systematic Review And Meta-Analysis (2018-12-01). Accessed 2026-11-06.
132. Journal of General Internal Medicine (Dawson et al.), Home Telemonitoring to Reduce Readmission of High-Risk Patients: a Modified Intention-to-Treat Randomized Clinical Trial (2021-11-01). Accessed 2026-11-06.
133. Journal of Nursing Scholarship (Liang et al.), Effectiveness of a Nurse-Led Tele-Homecare Program for Patients With Multiple Chronic Illnesses and a High Risk for Readmission: A Randomized Controlled Trial (2021-03-01). Accessed 2026-11-06.
134. JAMA Network Open (Levine et al.), Remote vs In-home Physician Visits for Hospital-Level Care at Home: A Randomized Clinical Trial (2022-08-01). Accessed 2026-11-06.
135. Clinical Gerontologist (Moo et al.), Home-Based Video Telemedicine for Dementia Management (2020-03-01). Accessed 2026-11-06.
136. Journal of Medical Internet Research (Testa et al.), Impact of a Home-Based Remote Patient Monitoring System on Hospitalizations and Emergency Department Visits of Older Adults With Polypathology: Multicenter Retrospective Observational Study (2025-09-10). Accessed 2026-11-06.
137. Journal of Applied Gerontology (Landes et al.), Racial-Ethnic Differences in Turnover Intent Among Home Health Aides (2020-05-01). Accessed 2026-11-06.
138. The Gerontologist (Gleason et al.), Maximizing Home Health Aide Retention: The Impact of Control and Support on the Job (2021-06-02). Accessed 2026-11-06.
139. Risk Management and Healthcare Policy (Bensson-Ravunniarath et al.), Having a Say Matters: The Association Between Home Health Aides' Voice and Job Satisfaction (2023-09-08). Accessed 2026-11-06.
140. Home Health Care Management & Practice (Yan et al.), Did Minimum Wage Policy Changes Impact Home Health Workforce? (2023-08-01). Accessed 2026-11-06.
141. Health Services Research (Miller et al.), Increasing expenditures on home- and community-based services: Do home care workers benefit? (2025-04-01). Accessed 2026-11-06.
142. Journal of the American Medical Directors Association (Miller et al.), From Nursing Homes to Home Care: Examining the Impact of the COVID-19 Pandemic on Direct Care Worker Transitions (2025-06-13). Accessed 2026-11-06.
143. Occupational and Environmental Medicine (Quinn et al.), Occupational health of home care aides: results of the safe home care survey (2016-04-01). Accessed 2026-11-06.
144. Occupational and Environmental Medicine (Karlsson et al.), Home care aides' experiences of verbal abuse: a survey of characteristics and risk factors (2019-07-01). Accessed 2026-11-06.
145. Journal of Occupational and Environmental Medicine (Muramatsu et al.), Slips, Trips, and Falls Among Home Care Aides: A Mixed-Methods Study (2018-09-01). Accessed 2026-11-06.
146. American Journal of Public Health (Sterling et al.), Prevalence and Predictors of Home Health Care Workers' General, Physical, and Mental Health: Findings From the 2014‒2018 Behavioral Risk Factor Surveillance System (2021-12-01). Accessed 2026-11-06.
147. Violence and Victims (Byon et al.), Language Barrier as a Risk Factor for Injuries From Patient Violence Among Direct Care Workers in Home Settings: Findings From a U.S. National Sample (2017-10-01). Accessed 2026-11-06.
148. Workplace Health & Safety (Small et al.), Workplace Violence Prevention Training, Safety Resources, and Commitment to HHCWs' Safety (2022-07-01). Accessed 2026-11-06.
149. Florida Agency for Health Care Administration (rule text via Florida Department of State, flrules.org), Florida Administrative Code Rule 59A-8.0095 Personnel Requirements (effective 05/31/2026) (2026-05-31). Accessed 2026-11-06.
150. The Florida Legislature (Online Sunshine), The 2026 Florida Statutes, 430.5025 Alzheimer's disease and related forms of dementia; education and training (2026). Accessed 2026-11-06.
151. The Florida Legislature (Online Sunshine), The 2026 Florida Statutes, 400.471 Application for license; fee (2026). Accessed 2026-11-06.
152. The Florida Legislature (Online Sunshine), The 2026 Florida Statutes, 400.474 Administrative penalties (2026). Accessed 2026-11-06.
153. Centers for Medicare & Medicaid Services (Medicaid.gov), Electronic Visit Verification (EVV) (undated). Accessed 2026-11-06.
154. U.S. Government Publishing Office (United States Code), 42 U.S.C. 1396b Payment to States (subsection (l), Electronic visit verification system), 2023 edition (2023). Accessed 2026-11-06.
155. AARP Research (AARP is a nonprofit membership organization; survey owner publishing its own results), 2024 Home and Community Preferences Survey: A National Survey of Adults Age 18-Plus (2025-11-21). Accessed 2026-11-06.
156. AARP Research (AARP is a nonprofit membership organization; survey owner publishing its own results), Home and Community Preferences of the 45+ Population (2010) (2010-11-16). Accessed 2026-11-06.
157. AARP Research (AARP is a nonprofit membership organization; survey owner publishing its own results), Home and Community Preferences of the 45+ Population 2014 (2015-06-26). Accessed 2026-11-06.
158. AARP Research (AARP is a nonprofit membership organization; survey owner publishing its own results), 2018 Home and Community Preferences: A National Survey of Adults Ages 18-Plus (2019-07-31). Accessed 2026-11-06.
159. AARP (AARP.org article reporting AARP's survey), Despite Pandemic, Percentage of Older Adults Who Want to Age in Place Stays Steady (2022-11-22). Accessed 2026-11-06.
160. AARP Research (AARP is a nonprofit membership organization; survey owner publishing its own results), Fixing to Stay: A National Survey on Housing and Home Modification Issues (2000-05-01). Accessed 2026-11-06.
161. METRO Magazine (transit trade publication) reporting AARP Public Policy Institute, Majority of seniors plan to continue living independently in community, report says (2014-04-28). Accessed 2026-11-06.
162. Home Care Association of America (trade association; repeater), Choosing a Home Care Provider (Not stated). Accessed 2026-11-06.
163. Home Helpers Home Care (home care franchisor; sells home care) via franchising.com, Home Helpers Experts Offer Tips on Keeping Seniors Healthy During the Holidays (2013-11-07). Accessed 2026-11-06.
164. International Franchise Association (franchisor trade association; repeater), Aging in Place: Leveraging Home Care Services for Better Senior Living (2023-09-25). Accessed 2026-11-06.
165. Executive Home Care, Bergen County (home care franchise office; sells home care), Older Americans Month: Celebrating Seniors with In-Home Independence (Not stated). Accessed 2026-11-06.
166. LTC News (long-term care insurance information site; repeater), Staying Home, Staying Well: The Advantages of Home Care for Older Adults (2024-07-03). Accessed 2026-11-06.
167. SYNERGY HomeCare (home care franchisor; sells home care) via franchising.com, SYNERGY HomeCare Expands Into Western Maryland (2026-06-25). Accessed 2026-11-06.
168. SYNERGY HomeCare (home care franchisor; sells home care) via franchising.com, SYNERGY HomeCare Announces Newest Franchise in Altamonte Springs, FL (2023-02-24). Accessed 2026-11-06.
169. Home Health Care News (trade press) reporting American Advisors Group (reverse mortgage lender; sells into the market), Seniors' Desire To Age In Place Remains Overwhelmingly Popular (2021-09-27). Accessed 2026-11-06.
170. HousingWire (trade press) reporting Today's Homeowner (home improvement media site), Nearly 90% of older adults want to age in place: survey (2023-07-28). Accessed 2026-11-06.
171. Home Care Pulse (benchmark vendor; sells into the market), How Much Is Caregiver Turnover Really Costing Your Business? (2019 (capture 2019-10-15)). Accessed 2026-11-06.
172. PHI (advocacy and research nonprofit) reporting Home Care Pulse, Survey: Home Care Worker Turnover Topped 60 Percent in 2014 (2015-04-28). Accessed 2026-11-06.
173. Home Health Care News (trade press) reporting Home Care Pulse (benchmark vendor; sells into the market), Caregiver Turnover Spikes 9%, Fuels Home Care Challenges (2015-04). Accessed 2026-11-06.
174. Home Health Care News (trade press) reporting Home Care Pulse (benchmark vendor), Median Home Care Turnover Hit 66.7% in 2017 (2018-04-19). Accessed 2026-11-06.
175. Home Health Care News (trade press) reporting Home Care Pulse (benchmark vendor), Home Care Industry Turnover Reaches All-Time High of 82% (2019-05-08). Accessed 2026-11-06.
176. Home Health Care News (trade press) reporting Home Care Pulse (benchmark vendor), 'A Huge Victory': Home Care Turnover Remains Stable at 65.2% (2021-05-19). Accessed 2026-11-06.
177. Home Health Care News (trade press) reporting Activated Insights (benchmark vendor), Home Care's Industry-Wide Turnover Rate Reaches Nearly 80% (2024-07-03). Accessed 2026-11-06.
178. Activated Insights (benchmark and software vendor; sells into the market), Activated Insights Releases 2025 Benchmarking Report, Unveiling Key Drivers of Retention and Revenue in Home-Based Care Industry (2025-07-01). Accessed 2026-11-06.
179. HHAeXchange (home care software seller) reporting Activated Insights (benchmark vendor), Recruiting & Retaining Caregivers in 2026 (2026-07-29). Accessed 2026-11-06.
180. Home Care Association of America (trade association; repeater), Home Care Turnover Rate Jumps to 80%...HCAOA is Here to Help Members! (2024-07-17). Accessed 2026-11-06.
181. PHI (advocacy and research nonprofit), Key Facts & FAQ (Not stated (current page)). Accessed 2026-11-06.
182. Home Health Care News (trade press) reporting Hospital & Healthcare Compensation Service (compensation survey publisher; sells the report), Home Health Worker Retention Improves As Wages, Bonuses Increase In 2025 (2025-11-14). Accessed 2026-11-06.
183. Medical Care Research and Review (Bergman, Song, David, Spetz, Candon; University of Pennsylvania and UCSF), The Role of Schedule Volatility in Home Health Nursing Turnover (2021-07-26). Accessed 2026-11-06.
184. New Solutions (Butler; University of Maine School of Social Work), Exploring Relationships Among Occupational Safety, Job Turnover, and Age Among Home Care Aides in Maine (2017-11-03). Accessed 2026-11-06.
185. Pew Research Center, Baby Boomers Retire (2010-12-29). Accessed 2026-11-06.
186. U.S. Census Bureau, 2020 Census Will Help Policymakers Prepare for the Incoming Wave of Aging Boomers (2019-12-10). Accessed 2026-11-06.
187. PLANADVISER (trade press) reporting the Alliance for Lifetime Income, Peak 65 Finds Millions of Americans Unprepared, Economist Warns (2024-01-10). Accessed 2026-11-06.
188. U.S. Census Bureau, Older Adults Outnumber Children in 11 States and Nearly Half of U.S. Counties (Release CB25-99) (2025-06-26). Accessed 2026-11-06.
189. U.S. Census Bureau, Global Older Adult Population Projected to Nearly Double by 2060 (press release CB26-TPS.49) (2026-08-31). Accessed 2026-11-06.
190. EyeView Digital (video production and testing vendor; sold the videos it tested), UMOO - a prime beef example of EyeView's success (2009-02-10). Accessed 2026-11-06.
191. EyeView Digital (video production and testing vendor; sold the videos it tested), Another video conversion success story (2009-11-10). Accessed 2026-11-06.
192. EyeView Digital (video production and testing vendor; sold the videos it tested), Making Video Accountable (EyeView white paper) (2010). Accessed 2026-11-06.
193. Unbounce (landing-page software seller), The benefits of using video on landing pages (2010-08). Accessed 2026-11-06.
194. Nucleus Medical Media (healthcare video producer; sells the videos it describes), Current Trends: Healthcare Video Usage on the Web (2018-03-13). Accessed 2026-11-06.
195. Webtonic (web and marketing agency; sells video and websites), 42+ Statistics Shaping Video Marketing in the Health & Wellness Industry (2026) (2026). Accessed 2026-11-06.
196. Unbounce (landing-page software seller; analysis of its own customers' pages), Video on landing pages means more conversions, right? Wrong. Here's why (2021-08-26). Accessed 2026-11-06.

Update policy and change log

We re-verify every figure quarterly and when a major source publishes a new edition. The next scheduled review is February 2027. Corrections go to contact@markstudios.com.

• Nov 6, 2026: First published with 590 figures from 74 publishers, each checked against its original source.
• Nov 6, 2026: Corrected after a check at source. Newer editions: ASPE's 2022 long-term care brief (56% of people turning 65 will need long-term services and supports, not 52%), Indeed's 2026 Q2 healthcare update (postings down 1.8% a year, 44.3% above February 2020) and AxisCare's 2026 home care survey (310 leaders; 61% cite affordability and rising costs). The claims count is now the CY 2025 file used in the CY 2027 final rule (6,661,334 periods), and the OASIS reporting year moves to the calendar year in 2027. Three YouTube title counts were re-read by hand (13 business-start titles, not 15; patient-care titles 19.0%, not 20.7%), and agencies drew 2.6% of all the views (8.1% is the share without one gadget seller).