Cooperative Care
By Cooperative Care on November 16, 2022

Jobs in Cooperative Home Care vs Franchise Home Care

Cooperative Home Care vs Franchise in Home Care: Weighing Your Options

Are you a caregiver in Central Wisconsin, looking for a better employer? Or are you one of the thousands of Americans looking to pursue a rewarding career as a personal care or home health aide for the first time, but you are unsure about the right kind of company to work for.

Did you know that you can work and even become a part-owner of a caregiver-owned home care agency that places caregiver needs and voices at the center of company decisions and shares profits with caregivers?
In either case, you’ll want to understand the different choices available to you and weigh the pros and cons of each. From national chains and franchised home care agencies to independent agencies and worker-owned cooperatives, today you have more choices, and more employee power, than ever before. Here we explain the difference between a franchise and a worker-owned home care agency.

What is Franchised Home Care?

A Growing Industry

Demand for home care is at an all-time high, and home care agencies are growing at a rapid rate to meet this demand. Franchise home care, in particular, has really taken off. 

Franchises are an easy solution for new entrepreneurs wanting to start a home care business. Franchises offer individuals who buy into and operate a franchise location (franchisees) access to everything they need to get started – a brand, website, and marketing support, operating systems and procedures, support with licensing, and more. 

The problem with this approach is that franchisees also pay a hefty price for this access, usually tens of thousands of dollars, and must pay annual fees to remain a franchisee. 

Franchised Home Care Pros and Cons in Central Wisconsin

So, what are some of the pros and cons of working at a franchised home care agency?


  • Because home care franchises are growing so rapidly, jobs are readily available in many areas, including here in Central Wisconsin
  • Because franchises are typically linked by a franchise hub, they can sometimes offer access to more advanced benefits and training platforms. 
  • Most franchises primarily serve out-of-pocket clients, sometimes meaning longer shifts. 
  • Even though they may be part of a national company, local franchise locations are run by local owners and managers, meaning you can still have a personalized experience with the right team.


  • Because franchise owners must pay high start-up and ongoing fees to the franchise, while also making a profit, there is less money to invest in caregiver wages and benefits. 
  • Given the structure of the company, caregivers rarely have a say in company policies and procedures and can often feel like just another cog in the wheel.
  • Franchises have notoriously high turnover rates, making it difficult for caregivers to establish meaningful connections with other caregivers. 
  • Franchises rarely offer opportunities beyond caregiving employment. Rarely do franchises hire from within, offer career advancement opportunities, or offer caregivers opportunities to put their other skills and interests to work.

Here in Central Wisconsin, some of the core challenges caregivers face working with franchises are a lack of schedule flexibility and minimal on-the-job support. 


Caregivers deserve respect


What is Cooperative Home Care?

Now that you understand franchised home care, what are some alternatives? ​​If you are a caregiver that wants more from your employer, a worker-owned cooperative may be the right choice for you.

Home care cooperatives are worker-owned and are structured to value, support, and give decision-making power to the people that do the hard work – caregivers. Caregivers are essential, front-line workers and deserve a seat at the table. By redistributing ownership and decision-making power, cooperative home care companies create that seat, and begin to shift the balance of influence and rewards.

Cooperatives in the United States aren’t new, and they certainly aren’t new in the home care industry. One of the largest worker-owned cooperatives in the country is actually a home care agency!

Q: Is cooperative home care available in Central Wisconsin?

A: Yes! Of course! Cooperative Care, one of the oldest worker-owned home care companies in the country is currently serving multiple neighborhoods.

Cooperative Home Care Pros and Cons

So, what are some of the pros and cons of working at a cooperative home care agency?


  • Cooperatives proactively build community between workers through social events, peer mentorship and support, the board and committees, and annual cooperative meetings. 
  • Cooperatives offer the opportunity for co-ownership, which means you get a share of profits in profitable years and a meaningful voice in company policy and procedures. 
  • Cooperatives offer unique leadership and skill-building opportunities including the opportunity to be on the board of directors, be a part of a committee, or to work in the office. Most cooperatives hire from within and help caregivers build skills for office or operations jobs. Here at Cooperative Care nearly 100% of our office staff are former caregivers, meaning we understand firsthand what it is like in the field!
  • Cooperatives offer the opportunity for caregivers to connect with people working at cooperatives across the country. 
  • Because cooperatives were established to provide the best quality employment possible for caregivers, they typically pay home care workers higher wages than non-cooperative agencies, provide paid training, paid time off and sick time, and offer greater work flexibility.  Cooperatives continuously work to add more benefits and new opportunities for caregivers to succeed on the job and advance in their careers. 


  • Cooperatives require more involvement from employees that decide to become caregiver-owners. This includes attending the annual meeting, voting on board members, or even serving on a board or committee. For the right person, this is exciting and rewarding, but for others, it's the wrong fit. If it’s not the right fit for you, you can still work for a caregiver-owned agency and enjoy the benefits of working for an agency that really values and respects caregivers. 
  • In an industry that does not appropriately value home care work and home care workers, it is hard for home care cooperatives to fully live out their values. Sometimes the disconnect between what the co-op wants to do and can do creates frustration for caregivers and leadership alike. It is important for caregiver-owners to understand the complex environment in which the cooperative exists, and to help advocate for a new and better reality.

The Right Choice for You

In the end, it is up to you to make the decision that is best for you and your goals as a caregiver. For some, working at a known franchise provides comfort and meets their day-to-day needs. For others, working at and eventually becoming a co-owner of a cooperatively owned home care agency might be the next step they have been waiting for. 

We hope this has given you some perspective on the opportunities available to you as a compassionate caregiver. We value every caregiver and wish you the best in taking the next step in your career journey.


Caregivers deserve respect

We are currently serving the following neighborhoods in Wisconsin:

  • Berlin
  • Wautoma
  • Green Lake County
  • Adams County
  • Marquette County
  • Neshkoro
  • Ripon
  • Princeton
  • Montello
  • Oxford
  • Adams/Friendship
  • Westfield
  • Coloma
  • Hancock
  • Plainfield
  • Town of Aurora
  • Town of Dakota
  • Town of Deerfield
  • Town of Marion
  • Town of Mt. Morris
  • Village of Plainfield
  • Village of Redgranite
  • Village of Wild Rose
Published by Cooperative Care November 16, 2022
Cooperative Care