What began in a family’s living room as an effort to care for a grandmother with dementia has grown into a Georgia home care company employing more than 3,300 people and earning national recognition for its rapid growth.
Primecare Home Care Services, a Georgia-based home care management company under Flournoy Health Systems, was announced Aug. 11 as a 2026 Inc. 5000 honoree, ranking No. 3,264 after reporting 90 percent growth over three years, a milestone that CEO Faris Flournoy said represents the caregivers, clients and community members who helped build the business.
For Flournoy, the recognition brought him back to the company’s earliest days, when his brothers Joshua and Caleb Flournoy were building the family business from their mother’s living room.
“I go back and think about when we were in our mother’s living room, when we were just trying to make it,” Flournoy said. “We were just trying to get nurses to believe in our dreams and family members to trust us to care for their loved one.”
The family’s home care journey began after their grandmother, a retired educator living in rural South Carolina, moved to Milledgeville, Ga., to live with family. After hiring an in-home caregiver, the family saw firsthand the difference home-based care could make.
That experience inspired Joshua and Caleb to leave South Carolina State University during their junior year and start the business. Faris later joined after serving six years in the U.S. Air Force and working in customer service.
“I was in love with serving individuals,” Flournoy said.
The company’s growth is especially meaningful to Flournoy because of where he came from. “Because I believe…It shows what’s possible. I come from a single-family, broken home. My dad was addicted to substance[s], and my mom was an educator. Six children lived in a single-wide trailer.”
“Statistically speaking,… this should not be possible,” Flournoy said.
Today, he said, his family members work in healthcare in various capacities, with many serving as executives. That commitment to healthcare also extends to the next generation through the Flournoy Cares Foundation, which provides scholarships to students pursuing healthcare careers.
Flournoy Health Systems serves as the management company behind a growing portfolio of home-based care organizations across Georgia and Indiana. Its services include traditional family caregiving, hospice and palliative care, skilled nursing and pediatric services.
“We do care for all ages, from pediatrics to geriatrics,” Flournoy said. “From babies all the way to, I think our oldest patient [is about] 102 years old right now.”
Rural healthcare access has also become central to Flournoy’s work. With family roots in rural Georgia, he said he has seen how communities outside major metropolitan areas can lack hospitals, urgent care and other resources.
“If we can solve the problem in rural communities, I promise you the [problem in] metropolitan communities can be solved,” he said.
Flournoy attributes Primecare’s growth in part to educating families about the possibility of receiving care at home.
“So many people… don’t know that home care is possible,” he said. “Our claim to fame was just getting out there and shouting it.”
For Flournoy, being a Black-owned healthcare company brings another layer of responsibility. He said the company has emphasized compliance and quality while recognizing the importance of building trust with the communities it serves.
“I don’t believe in just sitting in the office and pounding the computer,” Flournoy said. “I believe in going out on grandma’s front porch to give her a hug.”
The Inc. 5000 recognition, he said, belongs to the people who made the company’s growth possible.
“That was a recognition not for us, not for me, but it was for all the ones that are still connected with us,” Flournoy said, including caregivers, nurses, clients and community partners.
For Flournoy, the national recognition also represents a possibility for other young people who may look at their circumstances and assume success is out of reach.
“I hope that this inspires another young child that’s sitting there in what some may see as a hopeless situation,” he said. “If they did it, we can do it.”
As Flournoy Health Systems looks ahead, the company plans to expand its footprint and pursue acquisitions of other home care agencies. Flournoy said the goal is to help established providers transition their businesses to the next generation without losing the quality of care they have built in their communities.
