Caregiver

What Caregiver does

Caregiver is a multi-state provider of intellectual and developmental disability (IDD) services headquartered in Fort Worth, Texas. Founded in 1978 with the opening of the Lancaster Residential Center, the company operates residential group homes, host home/companion care programs, supported living arrangements, day habilitation programs, community-based services, behavioral health supports, nursing/clinical services, and vocational/employment services for individuals with IDD. Caregiver delivers care through a family of affiliated brands across six-plus states, including Texas, Indiana, Ohio, Tennessee, Georgia, Idaho, and Iowa. Revenue is generated almost exclusively through Medicaid Home and Community-Based Services (HCBS) waivers, ICF/IID certifications, and state developmental disability agency contracts, with services delivered directly by company-employed direct support professionals (DSPs), nurses, and program managers rather than through technology platforms or third-party providers.

The company's go-to-market relies on regional Client Relations Directors who cultivate referral relationships with case managers, service coordinators, Local Intellectual and Developmental Disability Authorities (LIDDAs), Managed Care Organizations, schools, and hospitals. Intake is facilitated through state-specific online forms and direct outreach, with a Connected Care Team supporting provider transitions and family navigation of complex Medicaid systems. Caregiver has pursued an active acquisition strategy, completing at least five residential provider acquisitions between 2020 and 2021, and secured an $82 million debt facility from White Oak Healthcare Finance in 2019 and equity funding from WindRose Health Investors in 2020 to fuel expansion. Leadership includes CEO and Founder Jake Chaya, COO Beth Landry, and CFO Jim Douthitt.

The core technology stack is minimal: no proprietary software platforms or AI/ML capabilities are described, with care delivery relying on standard digital documentation systems and basic tools. Caregiver differentiates on operational depth—95% of organizational leaders began as DSPs—and on its comprehensive service continuum, which allows families to access residential, clinical, vocational, and community-based supports through a single provider. The business model is recurring per-individual per-month Medicaid reimbursement with high regulatory barriers to entry across multiple state waiver systems.

Name

Caregiver

Legal name

Caregiver

Website

https://cg-idd.com

Company type

Private

Founded year

1978

Operating status

Operating

Headcount range

1,001–5,000 employees

Short description

Caregiver is a multi-state IDD services provider operating residential, community-based, day habilitation, behavioral, and vocational programs across Texas, Indiana, Ohio, Tennessee, Georgia, Idaho, and Iowa. Revenue is generated through Medicaid HCBS waivers, ICF/IID certifications, and state DD agency contracts serving individuals with intellectual and developmental disabilities.

Ownership category

akta.pro rank

Product category

Intellectual and Developmental Disability Services

NAICS

Residential Intellectual and Developmental Disability Facilities (62321), Services for the Elderly and Persons with Disabilities (624120), Vocational Rehabilitation Services (62431)

SIC

Services-Nursing & Personal Care Facilities (8050), Services-Social Services (8300), Services-Misc Health & Allied Services, Nec (8090)

akta.pro primary industry

Specialized Assisted Living for Developmental/Intellectual Disabilities (Adult) (HLADABAJ)

akta.pro secondary industries

Intellectual & Developmental Disabilities (IDD) Schools & Life Skills Programs (EDAKAAAD), Respite Care for Adults with Disabilities / Special Needs (HSABAGAI)

Keywords

• Intellectual disability services
• Developmental disability care
• Residential care services
• Behavioral health services
• Community-based support

Headquarters

HQ city

Fort Worth

HQ country

United States

HQ region

North America

Offices15 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Marketing or Sales, Technology or R&D

Revenue model

1. Medicaid Waiver Services (HCBS/HCS/TxHmL): Caregiver generates the majority of its revenue through Medicaid Home and Community-Based Services (HCBS) waiver programs across each state it operates. These include Texas HCS and TxHmL programs, Indiana HCBS, Ohio HCBS, Tennessee HCBS/CLASS, Georgia DBHDD waivers, and Idaho DD programs. Revenue is recurring per-individual per-month based on enrolled waiver participants receiving authorized services. The company also operates Intermediate Care Facility (ICF/IID) group homes — a Medicaid-certified program serving 6-8 individuals in residential settings with 24-hour staff — as an additional recurring revenue stream.

Go-to-market motion3 records

Distribution channels3 records

Marketing channels8 records

Core offering

Caregiver is a behavioral health company that delivers intellectual and developmental disability (IDD) services across multiple U.S. states through a family of 14 brands. The company offers residential services, community-based services, day habilitation, behavioral support, health and medical services, host home/companion care, and supported employment/job coaching to individuals with IDD and their families, funded primarily through Medicaid Home and Community-Based Services (HCBS) waivers and state developmental disabilities agencies.

Product overview

Caregiver is a multi-state provider of intellectual and developmental disability (IDD) services operating across Texas, Tennessee, Georgia, Ohio, Indiana, Idaho, and Iowa. The company offers a comprehensive portfolio of residential, community-based, and clinical support services through its core offerings and affiliated sub-brands. Core services include Residential Services (Group Homes, Host Home/Companion Care, Supported Living), Community-Based Services, Day Habilitation Services, Behavioral Support Services, Health and Medical Services, Supported Employment, and ICF/IID programs. The company operates through subsidiary brands including Journeys DDA, HAS LLC, and Journeys Vocational Services in Idaho; DSA in Indiana; Step Up in Ohio; and New Choices in Iowa. A dedicated Connected Care Team supports communication and continuity across all markets. The organization focuses on person-centered care that promotes dignity, inclusion, and independence for individuals with IDD.

Differentiator

Problem solved

Functional benefit

Products and services

• Residential Services 24/7 residential support services for individuals with intellectual and developmental disabilities (IDD) living in group homes or supported living arrangements operated by Caregiver's family of brands.
• Community-Based Services In-home and community-based support services that help individuals with IDD live independently and participate in their communities, delivered by Caregiver staff across multiple states.
• Day Habilitation Services Structured daytime programs providing skill-building, socialization, and recreational activities for individuals with IDD, including program activities such as 3D printing.
• Behavioral Support Services Behavioral health support and intervention services for individuals with IDD who have behavioral challenges, delivered as part of Caregiver's broader service portfolio.
• Health and Medical Services Health and medical support services for individuals with IDD, including medication management and nursing support, delivered as part of Caregiver's residential and community programs.
• Host Home/Companion Care Program Family-style living arrangements in which host families provide care, support, and companionship to individuals with IDD in a home environment, with a dedicated Client Relations Director in Texas.
• Supported Employment and Job Coaching

Named customers1 record

Segments4 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Partnerships

Ten partnerships are on record, tiered core and minor.

• Journeys Developmental Disability Agency (Journeys DDA)coreStrategic or Co-development PartnerJourneys DDA is a Caregiver-affiliated company providing individualized developmental therapy, adult day programs, and community-based activities in Idaho. Services are coordinated through Idaho Medicaid/DD programs and focus on building life skills, confidence, and independence. Darci Kearns serves as Journeys Administrator.
• HAS, LLC (Habilitation, Advocacy, & Supports)coreStrategic or Co-development PartnerHAS, LLC provides 24-hour and hourly supported living, nursing, and habilitation services for adults with developmental disabilities and brain injuries in Idaho. Services are person-centered and tailored to individual goals including daily living skills, personal care, and health/safety supports. Brandi Perkins serves as Administrator and Program Director.
• Journeys Vocational ServicescoreStrategic or Co-development PartnerJourneys Vocational Services partners with the Idaho Division of Vocational Rehabilitation (IDVR) to help individuals prepare for, obtain, and maintain employment through individualized job planning, job development, on-site job coaching, and long-term supports funded through IDVR, EES, CSE, and Social Security Ticket to Work programs. Beau James serves as Program Director.
• Idaho Division of Vocational Rehabilitation (IDVR)coreOthersIDVR is the Idaho state agency that funds and oversees vocational rehabilitation services. Journeys Vocational Services partners with IDVR to deliver employment preparation, job placement, and job coaching services for individuals with developmental disabilities in Idaho.
• Special OlympicsminorOthersCaregiver participates in Special Olympics Polar Plunge events as a visible community engagement activity. The company sponsors teams in select markets to demonstrate commitment to IDD community and inclusion, and promotes Special Olympics programs in its blog content.
• Best Buddies InternationalminorOthersCaregiver participates in Best Buddies Friendship Walks across multiple states (Georgia, Texas, Ohio, Indiana, Tennessee) as part of its community engagement and advocacy strategy. The partnership supports Best Buddies' mission of one-on-one friendships, inclusive employment, leadership development, and integrated living for people with IDD.
• New Choices, Inc. (Iowa)coreStrategic or Co-development PartnerNew Choices, Inc. is a Caregiver-affiliated organization providing person-centered disability support services in Iowa, including residential supports, community living services, and transition support services. Part of Caregiver's multi-state family of companies.
• DSA Indiana (Developmental Service Alternatives)coreStrategic or Co-development PartnerDSA Indiana serves intellectually or developmentally disabled adults through programs tailored to the individual including ICF group homes and HCBS waiver services. Operates under the Caregiver family of brands. Amy Klockow serves as Client Relations Director – Northern Indiana.
• HHC Ohio / StepUpcoreStrategic or Co-development PartnerHHC Ohio (operating as StepUp) provides community living, adult day services, and healthcare coordination for individuals with IDD in Ohio. Bryan Smith serves as Client Relations Director – Ohio. Part of the Caregiver family of companies.
• Journeys Family of Services (Idaho)coreStrategic or Co-development PartnerJourneys Family of Services encompasses the Idaho operations of Caregiver, including Journeys DDA, HAS LLC, and Journeys Vocational Services. It serves as the umbrella brand for Caregiver's Idaho market presence, offering a full continuum of person-centered supports from early skill-building to employment and community living.

Scale indicators3 records

Recent moves9 records

Expansion highlights5 records

Emerging players

• Centria Healthcare: National provider of autism and IDD services including applied behavior analysis, residential, and respite care. Comparable to Caregiver in clinical/behavioral service delivery to IDD populations, though more concentrated in ABA for children with autism.

Broad incumbents

• BAYADA Home Health Care: Large national home health and personal services provider with adult and pediatric care, including some IDD services through state contracts. Broader incumbent that overlaps with Caregiver in Medicaid-funded in-home and community-based support delivery.

Direct peers

• Dungarvin: National provider of residential, day, and behavioral services for individuals with intellectual and developmental disabilities and behavioral health needs. Directly comparable to Caregiver in ICF/IID, host home, and HCBS waiver service delivery across multiple US states.
• RHA Health Services: Multi-state operator of IDD and behavioral health residential, day, and community-based services, including ICF/IID group homes. Directly comparable to Caregiver in service continuum, multi-state Medicaid waiver delivery, and person-centered care model.
• Sevita Health (formerly The MENTOR Network): Largest US provider of home and community-based services for individuals with intellectual and developmental disabilities, offering residential, day, behavioral, and supported employment services across many states. Most directly comparable to Caregiver in service mix, multi-state HCBS delivery, and IDD-only focus.
• BrightSpring Health Services: Public diversified home and community-based provider with significant IDD/behavioral health exposure (including the legacy ResCare footprint). Comparable to Caregiver in multi-state HCBS delivery, ICF/IID operations, and reliance on Medicaid waiver funding, but at materially larger scale.
• Help at Home: Large personal-care services provider focused on Medicaid-funded home and community-based support for elderly and disabled individuals. Comparable to Caregiver in HCBS waiver delivery and Medicaid dependency, though Help at Home skews more toward elderly personal care than IDD residential.

Others

• The Arc: National community-based organization operating chapters that deliver IDD residential, day, advocacy, and family-support services. Comparable to Caregiver in person-centered IDD services and Medicaid waiver navigation, but organized as a nonprofit with largely local chapter delivery.
• Lifeway Mobility: Although primarily a home-mobility/accessibility provider, Lifeway operates within the broader IDD/senior services ecosystem that Caregiver navigates. Tangential adjacency through shared referral networks rather than direct service overlap.

Regional players

• Texas-based IDD Provider Roll-ups (e.g., Hill Country Community Ministries / regional LIDDA-contracted groups): Regional Texas IDD providers (often LIDDA- and HCS-contracted) that compete with Caregiver's Texas residential and day habilitation footprint. Comparable in service mix and Medicaid waiver delivery but typically single-state and sub-scale.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights6 records

Customer concentration

• Xx.com/caregivershh
• Facebookfacebook.com/CaregiverIDD

Revenue estimate

Valuation estimate

Number of profiles

Profiles11 records

Subsidiaries12 records

Funding overview

Funding rounds2 records

Investors2 records

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A5 records

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Caregiver