CareFor

What CareFor does

CareFor is a Central Texas-based care management and in-home caregiving company founded in 2000 by Debbie Pearson, RN, and headquartered in Austin with a second office in San Antonio. The company delivers eight interconnected service lines — Care Management, Home Care, Hospice, Medical Power of Attorney, Guardianship, Advanced Planning, Mental Health, and Consumer Direct Payroll — coordinated by licensed registered nurses, medical social workers, and trained caregivers. CareFor's primary differentiator is continuity of care across the aging journey: clients transition across service lines without being handed off to new providers, and the company uniquely serves as both Medical Power of Attorney agent and court-appointed Private Professional Guardian, roles typically requiring separate providers.

The business model is predominantly private-pay (in-home care, care management, guardianship, MPOA), with long-term care insurance accepted as a third-party payer and Medicare Part A covering the recently launched hospice line. Revenue is generated through customized care plans billed monthly, hourly professional fees (e.g., $175/hour for MPOA coordination), and subscription-like annual fees (e.g., $250/year MPOA review). Go-to-market is sales-led: the company cultivates a professional referral network of estate and probate attorneys, geriatric psychiatrists, trust officers, and hospice providers, supplemented by a blog, organic social media, and dedicated business development staff. The company serves approximately 250 active clients across 11 Texas counties with a team of roughly 150 professionals, and holds A+ BBB and CHAP accreditations plus a Personal Assistance Service license.

CareFor's underlying technology is intentionally minimal: clinical expertise and continuity of relationship are positioned as the product. The company uses a HIPAA-compliant electronic medical record system for client documentation but has no proprietary software platform, AI/ML capability, or consumer-facing digital product. The technology layer is a delivery backbone rather than a value driver, which is consistent with the relationship-intensive nature of geriatric care but represents a potential gap relative to digitally-enabled competitors entering the home care market.

Name

CareFor

Legal name

CareFor

Website

https://carefor.com

Company type

Private

Founded year

2000

Operating status

Operating

Headcount range

51–100 employees

Short description

CareFor is a Central Texas care management and in-home caregiving company serving approximately 250 senior clients across 11 counties from Austin and San Antonio, offering eight interconnected services including in-home care, care management, hospice, guardianship, and Medical Power of Attorney.

Ownership category

akta.pro rank

Product category

Senior In-Home Care Services

NAICS

Home Health Care Services (62161), 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-Health Services (8000), Services-Social Services (8300)

akta.pro primary industry

Caregiver Support, Coaching & Training (HLADALAG)

akta.pro secondary industries

Conversation, Cognitive Stimulation & Activity Facilitation (HSABAAAB), Volunteer & Companion Support Services (Hospice Volunteer Programs) (HSABAFAO), Family Caregiver Coaching, Education & Support (HSABAIAI)

Keywords

• In-home senior care
• Care management services
• Hospice care
• Professional guardianship
• Medical power of attorney

Headquarters

HQ city

Austin

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Private Pay In-Home Care Services: CareFor's primary revenue comes from private-pay in-home caregiving services, including companion care, personal care, medication management, meal preparation, transportation, and other daily living assistance. Pricing is customized per client care plan and paid privately by families or individuals. This is the company's largest revenue stream and the core of its business.
2. Care Management Services: Revenue generated from professional care management services delivered by licensed registered nurses and medical social workers. Services include care plan coordination, medical advocacy, physician visit management, Medicaid eligibility assistance, long-term care insurance processing, and oversight of clinical and ancillary needs. Billed on a per-plan or hourly basis as part of customized care packages.
3. Long-Term Care Insurance Billing: CareFor accepts long-term care insurance as a payment method for in-home care and care management services, processing claims on behalf of clients. This represents a third-party reimbursement revenue stream rather than direct consumer payment.
4. Medical Power of Attorney (MPOA): CareFor serves as Medical Power of Attorney for clients across Texas. Revenue model includes a one-time initial setup fee of $1,500 (includes onboarding assessment) and an annual review fee of $250, with additional hourly fees ($175/hour) for care coordination and decision-making support as needed.
5. Hospice Care Services: CareFor Hospice provides Medicare-covered hospice services including routine home care, continuous home care, respite care, and general inpatient care. Medicare Part A covers hospice care in full with no deductible for qualifying patients. This is CareFor's first government-funded service line requiring Medicare reimbursement navigation. Commercial insurance plans also cover hospice services.
6. Consumer Direct Payroll Services: CareFor offers payroll processing, tax remittance, and compliance services for clients who hire private caregivers directly. Revenue is generated through administrative fees for bi-weekly payroll processing, employer tax handling, and W-2 distribution. CareFor acts as a payroll processor, not the employer.
7. Guardianship Services: CareFor serves as a court-appointed private professional guardian for individuals deemed incapable of managing their affairs, billing for guardian services including management of personal needs, care, budget preparation, and medical decision-making. Revenue is derived from professional service fees.

Pricing tiers

Go-to-market motion2 records

Distribution channels3 records

Marketing channels6 records

Core offering

CareFor is a Texas-based care management and in-home caregiving company providing a portfolio of eight interconnected services for seniors and their families, including non-medical home care, licensed care management, hospice, medical power of attorney, professional guardianship, advanced planning, mental health care management, and consumer direct payroll administration. The company serves clients across 11 counties in Central Texas, primarily in Austin and San Antonio, with a multidisciplinary team of registered nurses, medical social workers, chaplains, and trained caregivers delivering 24/7 clinical support.

Product overview

CareFor is a Texas-based care management and in-home caregiving company offering a portfolio of eight interconnected services. The core offerings include Home Care (non-medical in-home assistance), Care Management (coordinated by licensed registered nurses and medical social workers), and Hospice (comfort-focused end-of-life care available in Austin). Supporting services include Medical Power of Attorney (MPOA) for healthcare decision advocacy, Guardianship for legally appointed decision-making, Advanced Planning for proactive aging preparation, Mental Health care management, and Consumer Direct Payroll for private caregiver payroll administration. The company serves Austin and San Antonio regions and was founded in 2000 by Debbie Pearson, RN.

Differentiator

Problem solved

Functional benefit

Brands

• CareFor Hospice: A comprehensive hospice program launched in the Austin region, offering symptom management, emotional support, caregiver education, and 24/7 clinical coverage. It is CareFor's first government-funded service line requiring Medicare reimbursement navigation.

Quantifiable outcome

• Hospice program launched after 18+ months of due diligence, serving Austin region with initial census of 18 patients
• +1 more outcomes

Named customers7 records

Segments5 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Scale indicators6 records

Recent moves14 records

Expansion highlights6 records

Broad incumbents

• BrightSpring Health Services: BrightSpring is a publicly traded home and community-based services platform offering home health, hospice, personal care, and pharmacy services. Like CareFor, it operates across multiple in-home service lines, though at much larger scale and broader national footprint, making it a comparable scaled multi-service operator.
• Amedisys: Amedisys is a major home health and hospice provider operating across multiple states. Its combination of in-home clinical services and hospice care is structurally similar to CareFor's expanded service portfolio, particularly relevant given CareFor's new hospice launch and need to manage Medicare reimbursement.
• LHC Group: LHC Group is a national home health, hospice, and home-and-community-based services provider (now part of Optum). Highly comparable to CareFor's combined home care and hospice services, particularly relevant as a scaled Texas-presence operator.
• Enhabit: Enhabit is a home health and hospice provider that operates hospice programs across the U.S. As CareFor grows its hospice program, Enhabit serves as a relevant scaled comparator for hospice economics, clinical operations, and Medicare reimbursement navigation.

Direct peers

• Comfort Keepers: Comfort Keepers is a global franchise providing non-medical in-home care including companionship, personal care, and specialized dementia care. Directly comparable to CareFor's home care service line in terms of service offerings and senior care focus.
• Senior Helpers: Senior Helpers is a national home care franchise specializing in Alzheimer's and dementia care, personal care, and companion services. Comparable to CareFor's home care offerings with specific focus on dementia care, which is a key segment for CareFor's clientele.
• Visiting Angels: Visiting Angels is a large non-medical home care franchise providing companion care, personal care, and respite services to seniors—directly comparable to CareFor's home care service. Franchise model differs from CareFor's owner-operator model, but the core companion/personal care service offering and senior target market overlap directly.
• BrightStar Care: BrightStar Care is a franchise combining non-medical home care with skilled medical services, staffed by RNs and CNAs—closely comparable to CareFor's RN-led approach. Its hybrid medical/personal care model and 24/7 clinical availability mirror CareFor's positioning more closely than pure non-medical agencies.
• Home Instead Senior Care: Home Instead is the largest non-medical home care franchise globally, providing personal care, companionship, and specialized Alzheimer's care. Strongly comparable to CareFor's home care offering in both services delivered and senior client focus, with franchisees operating in many Texas markets including Austin.
• Interim HealthCare: Interim HealthCare provides home health, hospice, and personal care services across the U.S. through franchise locations. Its blend of clinical and non-clinical home services is comparable to CareFor's continuum, particularly relevant given CareFor's hospice expansion.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• Facebookfacebook.com/carefortx
• LinkedInlinkedin.com/company/nurses-case-management

Revenue estimate

Valuation estimate

Number of profiles

Funding overview

Funding rounds

Investors

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

M&A

Investments

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

Frequently asked questions about CareFor