Impact

New report shows putting caregivers and clients first isn’t just good values – it’s good business

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For eight consecutive years of national data collection, home care cooperatives have demonstrated stronger caregiver wages and lower caregiver turnover.

The ICA Group’s 2025 Home Care Cooperative Benchmarking Report shows once again that the cooperative difference is real, measurable and enduring.

For eight consecutive years of national data collection, home care cooperatives have demonstrated stronger caregiver wages, lower caregiver turnover, longer caregiver tenure and longer client tenure than the broader industry.

The 2025 report, which reports on calendar year 2024 results, shows record-high revenues, continued leadership on caregiver turnover, tenure and wages, and a growing network of cooperatives, proving that putting caregivers and clients at the center isn’t just good values, it’s good business.

Whether you’re deep in the co-op world or just co-op curious, here’s what the latest data shows.

Caregiver turnover

In 2024, caregiver turnover at home care cooperatives increased by 6 percentage points to 38 percent. This is still substantially lower than the broader industry’s caregiver turnover rate of 75 percent.

Caregiver wages

Cooperatives recognize and pay caregivers more. Caregivers are the key to maintaining care continuity and client retention. In 2024, cooperatives paid an average of $2.04 more per hour ($18.21 vs. $16.18). In 2024, wages for the sector increased by $1.03 to the highest average hourly wage to date.

Client tenure

In 2024, median caregiver tenure, or the time a caregiver remains at a cooperative, increased by one month to reach 30 months in 2024. That’s almost 2.5 years—more than twice the home care industry median client tenure.

Download the full report


The Home Care Cooperative Benchmarking Survey and Report are created with the continued generous support of the Cooperative Development Foundation and the U.S. Department of Agriculture’s Rural Cooperative Development Grant.

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