Franchising the Care and Feeding of Grandma

Attention will have to be paid to millions of seniors. Or you can pay Home Instead instead

ANDREAS SEIBERT FOR TIME

In countries like Japan, the idea of a stranger as caregiver is new. But societies are learning to adapt.

In 1994, while keeping his grandmother company at his mom's house in Omaha, Neb., Paul Hogan hatched a business. Barely mobile when her children moved the 89-year-old in, Grandma Hogan, newly pumped up by attention, would live to be a lively 100. What, Paul wondered, did families without available kin do? Providing that answer has propelled Home Instead Senior Care into an international franchising dynamo that reaped $661 million last year and projects a 2009 jump to $738 million on domestic growth of 10% and 26% growth internationally.

With people over age 65 rising from 7% to 15% of the world's...