What's the market like for Home Health Care nurses, and or businesses on Oahu?

  1. I have a friend who opened a home health care business in Indianapolis several years ago and is doing extremely well (they have about 30 employee's and earned about 400K last year after expenses) despite this being a fairly competitive market. What's the "home health care" market like in Hawaii? On the one hand I would think that a higher than average number of retirees would create good demand for this service. However, the high cost of employing people (CNA's, LPN's, and RN's) would make this a relatively expensive service to offer. On the other hand I have read that LTC facilities are in short supply (relative to demand on the Islands) so that should tend to mean more demand for this service. What's the real deal?