In a market obsessed with VC-backed apps and national platforms, ElderChoice proves that dominating hyper-local healthcare requires something ancient: actual human relationships. With 71 employees and $17.3M in revenue, they aren't chasing scale—they're cornering the market in Upstate New York by making caregivers stay.

"Their biggest marketing asset isn't their website—it's their retention rate."

The tech stack tells a story of pragmatic evolution. Built on jQuery, Bootstrap, and OpenCart, it's not bleeding edge—but it works. The 42% direct traffic share is the metric that matters: it means brand recall. When people need care, they type 'elderchoice' directly, not 'home care near me'. That's a defensible position.

• Traffic quality over quantity: Ranking for 'how old do you have to be to be a pca in ny' shows they capture the supply side (caregivers) with high-intent content
• Social proof via Facebook Feed integration, but zero Trustpilot presence—a missed opportunity for third-party validation
• Regional dominance: Explicitly naming Syracuse, Ithaca, Utica, Rome, and Auburn in URLs and titles builds local SEO moats