HouseWorks

What HouseWorks does

HouseWorks Holdings, LLC is a private, in-home senior care provider headquartered in Woburn, Massachusetts, operating under InTandem Capital Partners' ownership since December 2022. The company delivers non-medical in-home care to seniors and dual-eligible populations across seven northeastern states — Massachusetts, Connecticut, Rhode Island, Maine, New Hampshire, Pennsylvania, and New York — through both private-pay and Medicaid-funded service lines. Core offerings include personal care, dementia care, 24-hour and live-in care, post-hospital transition support, respite care, and in-facility senior care, organized around a proprietary BetterCare at Home™ methodology and a CareTeam case management model that assigns a dedicated professional team to each client with 24/7 family access.

The business model is usage-based, with hourly and live-in rates billed to private-pay families and increasingly to Medicaid and dual-eligible clients inherited through acquisitions. The go-to-market combines direct-to-consumer phone/web inquiry, content marketing, and an enterprise Senior Housing Partners program that embeds on-site care teams into Independent Senior Housing, Assisted Living, Memory Care, CCRCs, and 55+ communities; the company serves 75+ senior housing communities in Greater Boston with 175+ caregivers in that market alone. Caregivers carry 5-10 years of experience on average, and the firm holds CHAP Gold Seal, HIPAA, and state-level home care accreditations.

Growth has been acquisition-driven rather than purely organic. Since partnering with InTandem Capital in December 2022, HouseWorks has completed 12 transactions through March 2026, including Greater Boston Home Health Care (Feb 2022), Care and Help Home Care (May 2023), AccordCare's Connecticut Personal Care Division (May 2024, adding the Companions and Homemakers and Companions Forever brands), Best Home Care and O'Connell Care at Home (Jan 2025), and A Caring Experience in Rhode Island (Mar 2026). These acquisitions have expanded geographic reach, added Medicaid/dual-eligible and pediatric service capabilities, and brought an in-house caregiver training school via ACE. HouseWorks reports 10,000+ employees firmwide and is led by co-founder and CEO Andrea Cohen, with COO Nick Sansone and EVP/General Counsel Anthony L. Wolk as named executives.

Name

HouseWorks

Legal name

HouseWorks Holdings, LLC

Website

http://www.house-works.com/

Company type

Private

Founded year

1998

Operating status

Operating

Headcount range

5,001–10,000 employees

Short description

HouseWorks is a private, PE-backed in-home senior care provider operating across seven northeastern US states, delivering private-pay and Medicaid-funded personal, dementia, 24-hour, and transitional care via dedicated CareTeams under the BetterCare at Home methodology.

Ownership category

akta.pro rank

Product category

Senior In-Home Care Services

NAICS

Home Health Care Services (62161), Home Health Care Services (6216), Services for the Elderly and Persons with Disabilities (624120), Services for the Elderly and Persons with Disabilities (62412)

SIC

Services-Home Health Care Services (8082), Services-Nursing & Personal Care Facilities (8050)

akta.pro primary industry

Homemaking & Light Housekeeping Services (HLADAGAC)

akta.pro secondary industries

Dementia Personal Care (ADLs) Support (HSABAEAB), End-of-Life 24/7 In-Home Care (Hospice Support) (HSABAHAG), Light Housekeeping & Home Upkeep (Non-Medical) (HSABAAAD)

Keywords

• Home care services
• Senior in-home care
• Personal care assistance
• Dementia home care
• Respite care services

Headquarters

HQ city

Newton

HQ country

United States

HQ region

North America

Offices3 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Private Pay In-Home Care Services: Hourly and live-in care services billed based on client needs. Services range from a few hours per week to 24/7 live-in care with weekday and weekend rates. Primary revenue stream from private pay clients in the Greater Boston area.
2. Medicaid Home Care Services: Home care services for Medicaid and dual-eligible clients. Became the largest Medicaid home care provider in Connecticut following the AccordCare acquisition.
3. Pediatric Home Care Services: Home care services for pediatric clients in addition to senior care.

Pricing tiers

Go-to-market motion1 record

Distribution channels2 records

Marketing channels5 records

Core offering

HouseWorks provides private-pay in-home care services for seniors across Greater Boston and New England, delivered by trained caregivers. Service lines include home personal care, dementia care, home transitions, 24-hour/live-in care, respite care, in-facility senior care, and end-of-life care, all coordinated through a dedicated CareTeam case management model that provides each client a consistent point of contact with 24/7 family access.

Product overview

HouseWorks is a private in-home senior care company operating as a single unified service offering rather than a platform-plus-modules architecture. The core offering centers on the BetterCare at Home™ approach, which provides personalized in-home private care services through multiple service lines including Home Personal Care, Home Dementia Care, Home Transitions, 24-Hour Home Care, Respite Care, and In-Facility Senior Care. These services are supported by CareTeams—a case management model that assigns dedicated professional teams to each client. The company also operates a Senior Housing Partners program for senior living community partnerships. Recent growth has come through strategic acquisitions, including A Caring Experience (Rhode Island), Companions and Homemakers and Companions Forever (Connecticut), and Care and Help Home Care (Pennsylvania), expanding its geographic footprint across New England and into New York and Pennsylvania.

Differentiator

Problem solved

Functional benefit

Brands

• Companions and Homemakers: Acquired brand operating as part of HouseWorks' Connecticut Personal Care Division, providing personal care services.
• Companions Forever

Products and services

• Home Personal Care In-home support with daily activities for seniors, ranging from a few hours per week to 24-hour live-in care, delivered by Companions, Certified Home Health Aides, and Certified Nursing Aides.
• Home Dementia Care Care and structured routines for seniors at home in familiar environments, with dementia-trained caregivers and memory care programs.
• Home Transitions Specially tailored care for clients returning home after discharge from a hospital or rehab, including medication assistance, prescription pick-up, and meal preparation.
• 24-Hour Home Care Around-the-clock comfort, security, and supervision for seniors returning from hospital stays or living with dementia, Alzheimer's, Parkinson's, or ALS.
• Respite Care Provides family caregivers a break by offering companionship, meal preparation, transportation, and light housekeeping for their elderly loved ones.
• In-Facility Senior Care Senior care services delivered in facility settings alongside independent senior housing, assisted living, and memory care communities.
• CareTeams A dedicated team of professionals overseeing each client's care with consistent direct point of contact for families, providing 24/7 access and case management.
• Senior Housing Partners Program Partnership program for senior housing communities providing on-site private home care, staffing solutions, and communication protocols for independent senior housing, assisted living, memory care, and CCRCs.
• End-of-Life Care Care that supports quality of life, promotes comfort and safety, and respects dignity and privacy for clients at the end-of-life stage.

Quantifiable outcome

• Caregivers can be at client's home within 24 hours — sometimes same day
• +1 more outcomes

Named customers3 records

Segments4 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature2 records

Partnerships

Five partnerships are on record, tiered minor and core.

• Provident Healthcare PartnersminorImplementation/ SI/ Consulting Partner · 11 March 2026Provident Healthcare Partners served as advisor to A Caring Experience Nursing Services, Inc. (ACE) on its acquisition by HouseWorks Holdings, LLC, providing strategic guidance during the transaction.
• A Caring Experience (ACE)coreOthers · 11 March 2026Rhode Island-based home care provider founded in 1999, based in Cranston. Also operates a caregiver training school. Acquisition marks HouseWorks' first entry into Rhode Island and 12th transaction since partnering with InTandem Capital.
• AccordCare (Connecticut Personal Care Division)coreOthers · 1 May 2024Acquired Connecticut Personal Care Division including brands Companions and Homemakers, LLC and Companions Forever, LLC. Made HouseWorks the largest Medicaid home care provider in Connecticut.
• Care and Help Home CarecoreOthers · 1 May 2023Pennsylvania-based home care provider acquired to expand HouseWorks' network and services for seniors, Medicaid, pediatric, and dual-eligible clients.
• Greater Boston Home Health CarecoreOthers · 1 February 2022Massachusetts-based home care provider acquired to expand HouseWorks' footprint and strengthen payor contract relationships across Eastern Massachusetts, Cape Cod, and Martha's Vineyard.

Scale indicators4 records

Recent moves6 records

Expansion highlights6 records

Direct peers

• Addus HomeCare: Public personal-care services provider focused on Medicaid and dual-eligible populations across multiple states. Closely comparable to HouseWorks' Connecticut Medicaid business and dual-eligible segments.
• BrightStar Care: Franchised private-duty home care provider offering companion, personal, and skilled nursing services across the U.S. Closely comparable to HouseWorks in service scope (senior in-home care, dementia care, 24-hour care) and customer base, though operating via a franchise model.
• Interim HealthCare: Franchised provider of home health, hospice, and personal care services across the U.S. Comparable to HouseWorks in personal-care service line and multi-state franchise/branch delivery model.
• Senior Helpers: Franchised senior home care provider specializing in Alzheimer's/dementia care, Parkinson's care, and personal care. Direct peer in private-pay in-home care with comparable service lines.
• Bayada Home Health Care: Large private (non-profit transitioning) home health and personal care provider operating across multiple U.S. states. Comparable in scale, multi-state footprint, pediatric/adult mix, and personal-care focus to HouseWorks' platform.
• Home Instead (Honor Technology): Largest franchised provider of personal care, companionship, and dementia support for aging adults. Direct competitor in private-pay in-home senior care with overlapping services (dementia care, respite, 24-hour support).
• Aveanna Healthcare: Public home health, hospice, and private-duty nursing provider with strong pediatric and adult home-care lines. Comparable to HouseWorks' pediatric (Care and Help) and personal-care service lines, though broader in clinical scope.
• Visiting Angels: National franchised network providing non-medical senior home care including Alzheimer's/dementia care, personal care, and respite. Directly comparable to HouseWorks on service scope and private-pay go-to-market.
• Comfort Keepers (CK Franchising): Franchised in-home care provider offering personal care, companionship, dementia/Alzheimer's care, and 24-hour support. Highly comparable service mix to HouseWorks including homemaking and respite services.

Broad incumbents

• AccentCare: PE-backed national home health, hospice, and personal care platform. Comparable to HouseWorks on personal-care service line and PE-backed rollup strategy, but materially larger and broader in scope (includes hospice and skilled home health).

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xx.com/House_Works
• YouTubeyoutube.com/@AgeHowYouWant
• Facebookfacebook.com/houseworks.homecare
• LinkedInlinkedin.com/company/houseworks-llc

Compliance4 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles5 records

Subsidiaries4 records

Funding overview

Funding rounds1 record

Investors1 record

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

M&A8 records

Investments

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

Frequently asked questions about HouseWorks