Private Duty Nursing
Private duty nursing agencies providing skilled registered nurses for complex, continuous care in home settings.
- 3
- Verticals
Overview
Private Duty Nursing covers agencies providing skilled registered nurses for complex, continuous care in home settings — including pediatric and medically fragile patients who need extended-hours nursing. Leaders include Aveanna Healthcare and BAYADA, serving a largely Medicaid-funded population.
Demand is driven by the care of medically complex patients at home, and the model depends heavily on Medicaid reimbursement rates and nurse availability. It is consolidating around scaled operators, though rate and workforce constraints shape the economics.
Market snapshot
Within home health (NAICS 621610); the Census Bureau does not separate private-duty nursing, so it is not separately sized.
Business model & economics
- Revenue model
- Medicaid and private-pay extended-hours nursing
- Recurring revenue
- High — continuous ongoing care
- EBITDA margin
- 10–18% — rate- and labor-constrained
- Capex intensity
- Low
- Skilled continuous care for medically complex patients.
- Largely Medicaid-funded, especially pediatric.
- Rate and nurse-availability constraints shape economics.
M&A deal context
Who’s acquiring
What’s driving deals
- Consolidation around scaled operators.
- Medicaid-funded complex-care demand.
- Reimbursement and workforce dynamics.
Verticals in this segment
- 4.6.6.1Pediatric Private Duty Nursing
Agencies providing skilled nursing for medically complex children at home.
- 4.6.6.2Private Duty RN & LPN Services
Agencies providing shift nursing care in home settings.
- 4.6.6.3Shift Nursing & Continuous Care
Agencies providing round-the-clock private duty nursing.
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