Florida Home Care Market at a Glance
4.9 million (65+)
Senior Population
14.5% (2020-2030)
Projected Growth
2.8x - 5.0x
Typical Multiples
$9.1 Billion
Market Size
Key Market Facts
Highest concentration of seniors in the US - 21.3% of population is 65+
No state income tax makes Florida attractive for deal structuring and seller relocation
Four distinct markets: South Florida (Miami-Dade, Broward, Palm Beach), Tampa Bay, Orlando, Jacksonville
Strong snowbird population creates seasonal demand patterns in some markets
Over 3,500 licensed home health agencies and 2,000+ nurse registries
The Villages (Sumter County) is the fastest-growing metro in the US - 100% retirees
Market Opportunities
Largest senior population in the US creates massive addressable market
Affluent retirees from Northeast drive strong private pay demand - rates 20-30% above Medicaid
Year-round demand with no seasonal slowdowns (unlike Northern states)
Active M&A market: Amedisys, LHC Group, Addus, and multiple PE platforms actively acquiring
Cuban and Latin American population in South Florida values culturally-competent care
VA contracts through Orlando and Tampa VA Medical Centers offer diversification
Market Challenges
South Florida (Miami-Dade, Broward) is extremely competitive - over 1,200 agencies in tri-county area
Hurricane and flood insurance costs can reach $50K+ annually for coastal operations
Caregiver turnover exceeds 60% annually in competitive South Florida market
Medicaid managed care rates under pressure - MCOs squeezing provider margins
Fraud scrutiny high in South Florida due to historical Medicare/Medicaid fraud cases
Cost of living in South Florida impacts caregiver recruitment and retention
Florida Regulatory Environment
Licensed by Agency for Health Care Administration (AHCA) - separate licenses for Home Health and Nurse Registry
Statewide Medicaid Managed Care (SMMC) Long-Term Care program through MCOs like Humana, Molina, and Sunshine Health
Level 2 background screening required through AHCA clearinghouse for all direct care staff
Home Health agencies require a licensed administrator and director of nursing
Nurse Registries have lighter regulatory burden but limited service scope
Certificate of Need (CON) eliminated for most home care services - market entry relatively open
Data Sources
Market Size: Estimated from IBIS World Home Care Providers Industry Report and state-level Medicare/Medicaid expenditure data.
Valuation Multiples: Derived from M&A transaction databases and industry broker reports for home care and home health agencies.
Growth Projections: Based on 65+ population projections from the U.S. Census Bureau (2020-2030).
Senior Population: U.S. Census Bureau American Community Survey estimates.