Group 05 of 13

Care and Placement Agencies

Care and placement agencies sell trust with a person attached. Home care, nannies, senior placement, adoption: in every category here the product is a human being showing up in your home or your family's life, and the agency's job is vetting, backup, and accountability. It is the most regulated group on the map, and the one where checking licenses and certifications matters most.

9 categoriesEst. 40,000 to 55,000 US entitiesExplainers live

All 9 categories

Ordered by estimated size

Non-Medical Home Care Agencies

Non-medical help at home, usually paid privately by families.

25,000 to 35,000

Disability Support Agencies (HCBS)

Medicaid-funded daily living support for people with disabilities.

10,000 to 20,000

Pet Care / Dog Walking Companies

Dog walking and pet sitting companies with real staff.

5,000 to 15,000

Home Health Agencies (Medicare-Certified)

Doctor-ordered skilled nursing and therapy at home, Medicare paid.

11,000 to 12,000

Senior Placement Agencies

Advisors who help families find assisted living, paid by communities.

Adoption Agencies

Licensed agencies guiding families through adoption.

Nanny / Childcare Placement

Agencies that vet and place professional nannies with families.

Caregiver Registries

Referral services matching families with independent caregivers.

Au Pair Agencies

State Department sponsors placing live-in exchange caregivers.

Want full care listings?Explainers are live for all 9 categories. Requests decide which group gets full company listings next.

Comparisons touching this group

Cross-groupComparison

The Margin Map: net margins across 12 agency types, compared

Every agency sits in the middle and takes a cut. The size of the cut that survives as profit varies by a factor of ten. Here is the map.