Bootheel In-Home Care

What Bootheel In-Home Care does

Bootheel In-Home Care is a family-owned, private for-profit home care provider founded in 2004 and headquartered operationally in New Madrid, Missouri (corporate office in Glen Carbon, Illinois). The company delivers personal care and skilled in-home services through 11 Missouri office locations spanning Cape Girardeau, Columbia, Dexter, East Prairie, Grandview/Kansas City, New Madrid, Piedmont, Sullivan, Van Buren, and Poplar Bluff, plus the Illinois corporate office. Its stated mission is connecting families with caregivers so clients can remain at home rather than enter institutional care.

The company operates six core service lines: (1) standard In-Home Care Services providing assistance with activities of daily living (bathing, dressing, grooming, meal preparation, light housekeeping, medication reminders, transportation, companionship); (2) Consumer Directed Services (CDS), a Missouri Medicaid program allowing beneficiaries to hire, train, and supervise their own caregivers; (3) Department of Mental Health (DMH) services for individuals with mental health conditions; (4) Veterans Assistance (VA) services; (5) Private Pay Home Care for out-of-pocket clients; and (6) Private Duty Nursing staffed by licensed RNs and LPNs for medically fragile patients (trach, vent, G-tube care).

Revenue is generated primarily through Medicaid/MO HealthNet reimbursement, supplemented by VA benefits and Private Pay arrangements. There is no proprietary technology platform; the offering is service-based, caregiver-mediated, and dispatched from local offices. Go-to-market is community-led and sales-led via phone-based inbound, healthcare provider referrals, case managers, local SEO across city landing pages, Facebook, and an explicit competitor-switching campaign. Customer concentration risk is dominated by Medicaid payer exposure rather than individual client concentration, and the company does not publicly disclose revenue figures, headcount details, or financial performance.

Name

Bootheel In-Home Care

Legal name

Bootheel Home Care

Website

https://bootheelhomecare.com

Company type

Private

Founded year

2004

Operating status

Operating

Headcount range

101–250 employees

Short description

Bootheel In-Home Care is a family-owned Missouri home care provider, founded in 2004, delivering personal care, skilled nursing, CDS, DMH, VA, and private-pay services through 11 offices statewide to Medicaid-eligible individuals, veterans, and privately-paying families seeking in-home support.

Ownership category

akta.pro rank

Headquarters

HQ city

New Madrid

HQ country

United States

HQ region

North America

Offices11 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Marketing or Sales

Revenue model

1. Medicaid/MO HealthNet Reimbursement: Bootheel provides services covered under Missouri's Medicaid program (MO HealthNet), including In-Home Care Services, Consumer Directed Services (CDS), and Department of Mental Health (DMH) services. Reimbursement is processed through Medicaid for eligible individuals who meet income, age, disability, or medical need criteria.
2. Veterans Administration (VA) Services: The company provides in-home care services for veterans, likely reimbursed through VA benefits programs. Services are tailored to meet the unique care needs of veterans and their families.
3. Private Pay Services: Bootheel offers Private Pay Home Care Services for individuals who prefer to pay out-of-pocket rather than go through insurance or government programs. This provides flexibility for families who do not qualify for Medicaid or VA benefits but require in-home care support.
4. Private Duty Nursing: Skilled nursing services provided at home for individuals with complex medical needs (trach, vent, G-tube care). These services may be covered through Medicaid or private pay, offering one-on-one medical care from licensed RNs and LPNs.

Go-to-market motion2 records

Distribution channels3 records

Marketing channels6 records

Core offering

Bootheel In-Home Care is a family-owned Medicaid homecare provider that delivers personalized in-home care, skilled nursing, mental health support, and veteran and private pay services to individuals across Missouri. The company dispatches caregivers and licensed nurses from 11 office locations to assist clients with daily living activities, complex medical needs, and self-directed care arrangements.

Product overview

Bootheel In-Home Care is a family-owned home healthcare provider offering a comprehensive suite of in-home care services across Missouri. The company operates six core service lines: In-Home Care Services (general daily living assistance), Consumer Directed Services (Medicaid self-directed care program), Department of Mental Health Services (mental health support), Veterans Assistance Services, Private Pay Home Care (out-of-pocket flexible care), and Private Duty Nursing (skilled medical nursing). Services are delivered through a network of 11 office locations across Missouri and one corporate office in Illinois, with coverage in cities including Dexter, Columbia, Kansas City, East Prairie, Piedmont, Van Buren, Sullivan, Cape Girardeau, New Madrid, and Poplar Bluff.

Differentiator

Problem solved

Functional benefit

Products and services

• In-Home Care Services
• Consumer Directed Services (CDS) A Missouri Medicaid program allowing individuals with disabilities or chronic health conditions to manage their own in-home care by hiring, training, and supervising their own caregivers. Recipients can hire family members or trusted friends as paid caregivers.
• Department of Mental Health (DMH) Services Supportive in-home services for individuals with mental health conditions, coordinated through the Missouri Department of Mental Health. Provides personalized care including home-based support, daily living assistance, therapeutic services, and emotional support.
• Veterans Assistance (VA) Services In-home care services tailored for veterans, providing support with daily living activities and specialized care to honor and meet the unique care needs of those who have served. Reimbursed through VA benefits programs.
• Private Pay Home Care Services Flexible, personalized in-home care options paid out-of-pocket without insurance or Medicaid limitations, offering tailored support for specific needs with no eligibility restrictions.
• Private Duty Nursing Skilled one-on-one medical care at home delivered by licensed nurses (RNs and LPNs), supporting complex medical needs including trach, vent, G-tube care, and other medical equipment management. Covered through Medicaid or private pay.

Named customers4 records

Segments7 records

Ideal customer profiles6 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Partnerships

One partnership is on record.

• Home Care Association of America (HCAOA)minorOthersBootheel displays the HCAOA (Home Care Association of America) logo on their website footer, indicating membership in this industry trade association. HCAOA is a national association representing home care providers. This is an industry membership/organization relationship rather than a commercial partnership.

Scale indicators5 records

Recent moves6 records

Expansion highlights6 records

Direct peers

• Interim HealthCare: Franchise-based provider offering personal care, hospice, and home health across many U.S. markets. Closely comparable service portfolio (PCS, private duty, Medicaid/VA billing) and franchise footprint analogous to Bootheel's multi-office Missouri model.
• Senior Helpers: Franchise-based senior in-home care provider offering personal care, companionship, and dementia care across the U.S. Comparable ADL-focused service mix targeting Medicaid and private-pay clients.
• Comfort Keepers: U.S. in-home care franchise specializing in personal care, companionship, and dementia care for seniors. Closely comparable non-medical ADL service model and Medicaid/private-pay payer mix.
• Phamatech / Always Best Care Senior Services: Franchise home care brand offering in-home personal care, respite, and companionship. Comparable ADL-focused service delivery and multi-office model though broader geography.
• Maxim Healthcare Services: National home health, personal care, and PDN provider with strong Medicaid and pediatric complex-care exposure. Comparable mix of personal care, Medicaid waiver billing, and PDN for medically fragile clients.
• Visiting Angels: National franchise network providing non-medical in-home personal care, including dementia and respite care. Closely comparable in-home ADL service model with multi-office community-rooted footprint.

Broad incumbents

• Aveanna Healthcare: Public home health and PDN operator with a large Private Duty Nursing segment serving medically complex pediatric and adult clients. Directly comparable PDN/medically fragile case mix; larger and multi-state.
• BAYADA Home Health Care: National private-duty home health provider offering personal care, adult and pediatric nursing, including trach/vent/G-tube cases. Closest large incumbent to Bootheel's PDN and personal care combination, though multi-state.
• BrightSpring Health Services: Public home and community-based services company with a large Personal Care Services segment and PDN capability. Comparable Medicaid HCBS exposure and multi-payer revenue model.
• Help at Home: Largest U.S. personal care services provider serving Medicaid HCBS clients across multiple states. Directly comparable service mix (PCS, CDS-equivalent self-directed, PDN-adjacent) but at far greater scale and with PE backing.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights6 records

Customer concentration

• Facebookfacebook.com/BootHeelinhome

Revenue estimate

Valuation estimate

Number of profiles

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Bootheel In-Home Care