How big is the home care industry?

Research highlights: The US spent $169.4 billion on home health care in 2024, about 3% of all national health spending, and that bill grew 10.2% in 2024.

Market analysts size the US home healthcare market between roughly $100 billion (services only) and $162 billion (equipment and services), and put the global market between $310 billion and $485 billion, with long-term forecasts pushing the US market toward $381 billion by 2033.

For owners, pay varies widely: independent agency owners average around $102,800, while franchise owners average around $149,000, with reported pay often in the $150,000 to $300,000 range.

Related research: How many people receive home health care? | How many home care workers are there? | How much does in-home care cost? | How is home care paid for?

This article is informational and not financial or investment advice. Market sizes and owner-income figures are third-party estimates that vary by source and are not guarantees of results.

How big is the US home health care industry?

It depends on how you measure it. By actual spending, the most authoritative figure comes from the government: the US spent $169.4 billion on home health care in 2024.

Market research firms use different definitions, with some counting equipment and services and others focused on home healthcare services, so they disagree on the exact number.

Estimates for the 2024 US market range from about $101 billion to $162 billion.

The spread reflects methodology, not confusion. Some counts include home healthcare equipment plus skilled and unskilled services; others focus on services such as nursing care, therapy and medical social services.

Either way, this is one of the largest and fastest-expanding corners of US health care.

US home health care, size estimates	Figure (year)
National spending (CMS, official)	$169.4 billion (2024)
Market size, Grand View Research	$162.4 billion (2024)
Market size, Fortune Business Insights	$101.0 billion (2024)

How big is the global home health care market?

The worldwide market is bigger than the US figure, though the exact multiple depends on the source and definition. One estimate puts the global market at $309.9 billion in 2025, while another, using a different methodology, puts it at about $485 billion in 2025.

North America dominates the field. The region made up 42.3% of the global home healthcare market in 2025 under one methodology, with the US a major contributor, driven by an aging population, sophisticated healthcare infrastructure and relatively high disposable incomes.

Growth is global, though. Aging populations across Europe and Asia, plus the spread of telehealth and remote monitoring, are pushing demand well beyond the United States, with Asia Pacific projected as the fastest-growing regional market.

Global home health care market estimates	Figure
Grand View Research global estimate	~$485 billion (2025)
MarketsandMarkets global estimate	~$310 billion (2025)
North America share, Grand View Research	42.3% (2025)

How fast is the home care industry growing, and how big by the 2030s?

Growth is brisk by any measure. Market analysts peg home healthcare growth in the high single digits to low double digits, roughly 7% to 11% a year depending on the source and definition.

The government’s official spending data rose 10.2% in a single year.

The forecasts compound quickly. One projection puts the US home healthcare market at about $381 billion by 2033. Globally, one forecast projects roughly $474 billion by 2030, while another projects about $1.02 trillion by 2033.

Three forces drive it: the surging 65-plus population, a strong preference to age at home and the lower cost of home-based care versus facilities.

In 2024, 75% of adults 50 and older said they want to stay in their current homes as they age.

Home care growth and long-term outlook	Figure
Annual growth rate (CAGR)	~7% to 11%
US spending growth (2024)	10.2%
US market by 2032, Fortune Business Insights	~$176 billion
US market by 2033, Grand View Research	~$381 billion
Global market by 2030, MarketsandMarkets	~$474 billion
Global market by 2033, Grand View Research	~$1.02 trillion

How much does the US spend on home health care, and what share of health spending is that?

This is the hard number, straight from the government. The US spent $169.4 billion on home health care in 2024, a 10.2% jump over the prior year.

As a share of the whole, it is still modest. Home health care made up roughly 3% of the $5.3 trillion the US spent on health care in 2024. For comparison, hospital care alone topped $1.6 trillion.

The share is small but climbing. Home health spending is growing faster than most other categories, and it is widely expected to keep rising as the population ages and care shifts out of facilities.

US home health care spending (2024)	Figure
Total home health care spending	$169.4 billion
Year-over-year growth	10.2%
Share of national health spending	~3%
Total US health spending	$5.3 trillion

How much do home care agency and franchise owners make?

The honest answer is a wide range. Independent home care agency owners earn an average around $102,800 a year, but that hides a steep curve.

Year one may pay under $70,000 as profits get reinvested, while scaled independents can reach $270,000 in salary plus profit distributions.

Franchise owners tend to ramp faster thanks to brand recognition. One estimate puts franchise owners at an average of $149,083, with compensation often in the $150,000 to $300,000 range.

Another estimate puts the average senior-care franchise income at $155,132. Net profit margins are thin, with a median near 10%.

Brand and tenure matter a lot. Years-in-business data shows franchise owners ranging from $50,000 to $90,000 in years one and two to $182,000 to $300,000 at five years and beyond.

These are third-party industry estimates, so treat them as ballpark figures, not promises.

Home care owner income (third-party estimates)	Range
Independent agency owner (average)	~$102,800
Independent owner, year one	May be under $70,000
Scaled independent owner	Up to ~$270,000
Franchise owner (average)	~$149,083
Franchise owner (reported range)	$150,000 to $300,000
Senior-care franchise average (2021 FBR study)	~$155,132
Median net profit margin	~9.7%

Sources & additional resources

• Centers for Medicare & Medicaid Services. “National Health Expenditures 2024 Highlights.” CMS Office of the Actuary.
• Grand View Research. “US Home Healthcare Market Size, Industry Report 2033.” Grand View Research.
• Grand View Research. “Home Healthcare Market Size, Industry Report 2033.” Grand View Research.
• AARP. “New AARP Report: Majority of Adults 50-plus Want to Age in Place.” AARP.
• Fortune Business Insights. “US Home Healthcare Services Market Size and Growth.” Fortune Business Insights.
• MarketsandMarkets. “Home Healthcare Market Report 2025-2030.” MarketsandMarkets.
• Clarify Capital. “How Much Do Home Care Agency Owners Make in 2025?.” Clarify Capital.
• Franchise.com. “How Much Does It Cost to Start a Home Care Franchise?.” Franchise.com.

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