By Denise Bellville, RN, BS, Executive Director

Every home care agency begins with a decision — but behind that decision is almost always a deeply personal story.

As HCAF launches this first-ever blog, we wanted to start where it matters most: the “why.” Why do individuals choose to step into one of the most regulated, complex, and emotionally demanding sectors in health care? Why do they become home care agency owners?

Again and again, the answer is not business alone — it is purpose.

1. A Personal Experience That Changed Everything

For many agency owners, the journey begins with a loved one.

A parent who needed care at home.
A child with medical complexity.
A spouse recovering from illness.
A grandparent whose dignity depended on compassionate support.

These moments reveal gaps in the system — but they also ignite resolve. Owners often tell us, “I knew there had to be a better way.” What began as advocacy for one family member became a mission to serve many.

2. A Calling to Serve Others

Home care ownership is rarely accidental.

Many owners are former caregivers, nurses, therapists, social workers, or health care administrators who felt pulled toward a model of care that prioritizes relationships, trust, and continuity. Home care allows professionals to slow down, listen, and meet people where they are — literally and figuratively.

It is health care rooted in humanity.

3. A Desire to Build Something That Matters

Agency owners are builders.

They build teams.
They build culture.
They build systems that support both caregivers and families.

Unlike other sectors, home care ownership blends entrepreneurship with stewardship. Owners are not just running companies — they are shaping workplaces where caregivers feel valued and communities feel supported.

4. A Commitment to Dignity, Choice, and Independence

At its core, home care protects something fundamental: the right to remain at home.

Owners believe individuals should age with dignity, recover in familiar surroundings, and receive care that respects their preferences and values. Home care preserves independence while ensuring safety — and agency owners become guardians of that balance.

5. A Willingness to Lead Through Complexity

Home care is not easy.

Owners navigate licensure, reimbursement changes, workforce shortages, audits, and evolving regulations — all while maintaining quality and compassion. What sustains them is a belief that the work is bigger than the obstacles.

Leadership in home care is an act of courage.

More Than a Business — A Responsibility

Home care agency owners are caregivers at scale. They shoulder responsibility not just for patients, but for caregivers, families, and entire communities.

This blog will continue to highlight the voices, challenges, innovations, and victories of those who lead in home care. But it begins with gratitude.

To every agency owner who answered the call — thank you.

Your “why” is the foundation of care at home.

The Care at Home Insider is a monthly, executive-level blog featuring firsthand insights and perspectives from HCAF Executive Director Denise Bellville, RN, BS, on the people, policy, and leadership shaping care at home.