How do I start my own Private duty nursing?

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Members are discussing private duty nursing, sharing experiences, seeking advice on starting their own businesses, asking for tips on obtaining clients, and inquiring about webinars and resources to help them succeed in the field. Some members are also offering assistance with agency startup and Medicaid provider services.

I would like to do homecare nursing on my own. I am just not sure where to begin

Meant... $72/day×10clients=$720/day×365days=$262,8000/year after payroll is met! It's THAT simple!

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Specializes in Cardio-Pulmonary; Med-Surg; Private Duty.
You have OBVIOUSLY misunderstood my post. No TN would work for $72/day but when you multiply that by 10=$720/day which is more than the average FLOOR NURSE. We are talking about being an AGENCY OWNER not going out and doing the work yourself. This is passive income. Meaning all you do is schedule your caregivers, bill and sign up new clients. Client pays $16/hr. You pay the caregiver $10/hr. Owner earns $6/hour/12th day/client×10=$7210/day. You can run this business from home and still work as a slave in a hospital IF YOU CHOOSE TO. I. Arnold on average $250,000/yr. I don't know of any run job that pays that and I only work about 12 hours/week. Doing scheduling & payroll.

Who pays the employer's portion of the payroll taxes?

Who pays the company's ?

Who pays the company's workers compensation insurance?

The difference between the $16/hour you're charging and the $10/hour you're paying in salary is not a net income of $6/hour when you factor in that you (the employer) have to pay the employer's share of the Social Security Tax and the Medicare tax directly to the IRS, plus state and federal unemployment insurance. Then add in agency liability insurance, plus workers compensation insurance -- both of which are high-rate insurances in this litigious society we live in -- and that margin is cut even more.

If you're claiming that your workers are "independent contractors" and so you're not covering them under employer taxes or agency/WC insurance, I highly recommend you talk with a qualified attorney and CPA -- you are leaving yourself wide open for all kinds of legal action.

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Specializes in addiction nursing,/ med surg.

Hi msdee1226, which state are you operating from. I'm planning to do the same thing here in Washington state. I know this old discussion but any idea will be appreciated. Thanks

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Specializes in addiction nursing,/ med surg.

Did you obtain a state license for home care.

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FYI, saw an ad on CL today for the Los Angeles area where someone is offering a hospice agency, with all pertinent 'licenses', etc., in place, for sale. There are no current patients. You just pay for the operation. It is all set up for you. I imagine it is not inexpensive.

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Specializes in critical care.

I think this is an old post but just so you RN's out there in the northeast know, big money in home care. As long as you have your own license and work within your scope of practice you can work as an independent contractor. I'v researched this extensively and know many people who do this. RN's in my area make $75-$125/visit. if your talking about extended hourly care $80/hr. THAT IS FACT! Nurses here can easily make $250K/yr. BUT, I do live in an area that supports that. The very wealthy will pay for good care. I do this.

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Specializes in Cardio-Pulmonary; Med-Surg; Private Duty.
I think this is an old post but just so you RN's out there in the northeast know, big money in home care. As long as you have your own license and work within your scope of practice you can work as an independent contractor. I'v researched this extensively and know many people who do this. RN's in my area make $75-$125/visit. if your talking about extended hourly care $80/hr. THAT IS FACT! Nurses here can easily make $250K/yr. BUT, I do live in an area that supports that. The very wealthy will pay for good care. I do this.

Just make sure you've researched the legal and financial ramifications fully.

Working as an independent contractor means that you carry 100% of the legal liability, which is separate from your coverage, so you'll need commercial in addition to malpractice.

Additionally, you're liable for paying the full amount of the employment taxes, not just the employee's portion that most people are used to paying as deductions on their paycheck. You also need to make quarterly tax payments to the IRS, rather than waiting until April 15th to file your taxes.

The IRS has a website section specifically for the self-employed: Self-Employed Individuals Tax Center

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I so needed to read this today. I have been thinking about this. Do you have employees or contractors?

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Specializes in Intensive Care.

msdee1266 Does your state require you to have new clients sign a contract that includes a hold harmless clause? I've been considering starting my own Home Care/Companion Care Agency. I am getting overly frustrated working as an Independent Contractor for other agencies 👎

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Specializes in Intensive Care.

Okay so I haven't quite moved on from the idea of owning my own home companion care services. I have a hypothetical question. With companion care it is generally non-medical. Most businesses start in the home, but with home care I haven't met a person who would interview employees in their home. Is it a requirement to have face-to-face interviews with a potential employee? Would a phone interview be sufficient enough? Especially if the employer has other ways to recieve the required documents (certifications and background check) from the caregiver (ie. fax number, PO Box address and business e-mail address).

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Specializes in Complex pedi to LTC/SA & now a manager.
Okay so I haven't quite moved on from the idea of owning my own home companion care services. I have a hypothetical question. With companion care it is generally non-medical. Most businesses start in the home, but with home care I haven't met a person who would interview employees in their home. Is it a requirement to have face-to-face interviews with a potential employee? Would a phone interview be sufficient enough? Especially if the employer has other ways to recieve the required documents (certifications and background check) from the caregiver (ie. fax number, PO Box address and business e-mail address).

Why would you hire an employee sight unseen?

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Specializes in Cardio-Pulmonary; Med-Surg; Private Duty.

No way on earth would I hire someone without looking at them in person. You're putting them out there representing your company, you want to know that they brush their teeth and launder their clothes and don't spit when they talk, etc.

You can do an interview at Starbucks or something if you don't want to interview in your home.

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