California has the largest home care market in the United States, with major markets in Los Angeles, San Diego, and Sacramento navigating some of the highest caregiver wage expectations in the country. The state's strong labor regulations and high cost of living make caregiver recruitment both more expensive and more competitive than nearly anywhere else. Agencies that secure exclusive leads gain a decisive advantage over competitors still relying on shared job boards. California has 6,469 home health agencies; the 3 cities we serve account for 4,215.
Regulated by California Department of Health Care Services (CA DHCS).
Aide median wage $16.50/hr. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. Establishment counts from the BLS Quarterly Census of Employment and Wages, 2025 Q1, NAICS 6216 (Home Health Care Services).
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