Senior Helpers
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Kathy Livingston, owner of a New York City-based Senior Helpers franchise, said shrinking Medicaid reimbursements and unemployment benefits are her top concerns.
Revenue: $1.8 million
Number of employees: 68
Location: New York City

Kathy Livingston, a New York City-based Senior Helpers franchisee, said her business has gotten a flood of calls since Obama won re-election.

The uncertainty about health care funding is over, she said. "Many families now feel that they can plan better for their mom and dad."

Many Senior Helpers clients are on Medicaid. "There was some concern that if Mitt Romney won, Medicaid funding would decrease. And Medicaid also pays for services like ours."

Senior Helpers, which has 300 franchises in 40 states, provides professional caregivers to seniors who need assistance to live at home.

As Livingston's business grows, she's willing to hire more nurses and home health aides. But she's worried about pushing up her costs since she offers health insurance to her employees.

At the same time, since more of her clients are on Medicaid, shrinking reimbursements have been squeezing her profits.

"I need to grow my profits in order to expand the business," she said.


- Last updated November 14 2012 06:29 AM ET
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