What Arosa does

Arosa is a US-based, privately-held provider of integrated care management and in-home care services, operating 37 regional offices across 13 states (California, Florida, Georgia, Illinois, Kansas/Missouri, Massachusetts, Nevada, New Jersey, North Carolina, Tennessee, Texas, and Utah). The company traces its origins to LivHOME (founded in California in the late 1990s) and Nurse Care of North Carolina, which merged in 2018 to form Arosa under private equity sponsorship from HCAP Partners. It self-describes as the nation's largest integrated provider of care management and home care services. The legal entities behind the platform are LivHOME, Inc. (corporation) and Arosa Acquisitions, LLC.

Arosa's offering is organized around three integrated service lines: (1) Care Management, delivered by social workers, nurses, and gerontologists who develop personalized care plans, coordinate across providers, perform crisis intervention, and serve in Healthcare Power of Attorney and Guardianship roles; (2) In-Home Caregiving Services, providing non-medical support (companionship, personal care, medication reminders, meal preparation, transportation, light housekeeping) via CNAs, LVNs, and caregivers on hourly, 24-hour, live-in, or couples-care bases; and (3) Concierge Nursing Services, delivered by RNs/LPNs covering wound care, diabetes management, medication administration, line/site maintenance, and postoperative care, currently available in select offices in Florida, Georgia, New Jersey, North Carolina, and Utah. Add-on Care Management Packages (Future Care Planning, Diagnosis & Disease Management, Home Transitions) have been formalized and branded. The company has no proprietary software platform; service delivery is human-driven and coordinated through internal staffing and scheduling systems.

The commercial model is direct-to-consumer via local offices and a professional referral network (physicians, hospitals, elder law attorneys, senior living communities, and social workers). Pricing is quote-based and not publicly disclosed; Medicare does not cover these services, so families typically pay out-of-pocket with possible support from long-term care insurance, veterans programs, workers' compensation, or reverse annuity mortgages. Leadership consists of CEO Ari Medoff, COO Melissa Blankenship, CFO Chris Spencer, CMO Catherine Locker, Vice President of People Operations Michelle Bissonnette, and a clinical-directors bench (Jennifer Axelson, LCSW/CCM; Jennifer Gazda, DSW/LCSW; Heather Stewart, RN). The company pursues content-led demand generation through the Arosa Blog, downloadable guides, the ACE Awards community program, and earned media through online reviews.

Name

Arosa

Legal name

LivHOME, Inc. and Arosa Acquisitions, LLC

Website

https://arosacare.com

Company type

Private

Founded year

1990

Operating status

Operating

Headcount range

1–10 employees

Short description

Arosa is a US-based integrated home care and care management provider operating 37 offices across 13 states. It delivers care management, in-home caregiving, and concierge nursing services to seniors and their families, with private equity backing from HCAP Partners.

Ownership category

akta.pro rank

Product category

Home Care Services

NAICS

Services for the Elderly and Persons with Disabilities (624120), Nursing Care Facilities (Skilled Nursing Facilities) (623110)

SIC

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

akta.pro primary industry

Chronic Care & Complex Care Management (HSABAIAD)

akta.pro secondary industries

High-Acuity 24/7 In-Home Care (Complex Medical/Behavioral Needs) (HSABAHAD), Behavioral Health & Cognitive Support Coordination (Dementia, Depression, SUD) (HSABAIAF), In-Home Respite Care (Hourly/Short-Shift) (HSABAGAA)

Keywords

• Home care services
• Care management
• Senior care
• In-home caregiving
• Concierge nursing

Headquarters

HQ city

Los Angeles

HQ country

United States

HQ region

North America

Offices37 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Care Management Services: Arosa Care Managers (social workers, nurses, gerontologists) provide ongoing care management, crisis intervention, care coordination, healthcare Power of Attorney support, guardianship/conservatorship services, future care planning, diagnosis and disease management, and home transitions. These are sold as ongoing professional service engagements.
2. In-Home Caregiving Services: Professional caregivers (CNAs, LVNs, caregivers) provide non-medical home care including companionship, personal care, medication reminders, meal preparation, transportation, light housekeeping, and safety monitoring. Sold on an hourly, 24-hour, live-in, or couples care basis.
3. Concierge Nursing Services: Skilled RNs and LPNs provide in-home medical care including diabetes management, wound care, medication management, insulin injections, line and site maintenance, and postoperative care. Available around-the-clock or hourly, primarily in Florida, Georgia, New Jersey, North Carolina, and Utah.

Go-to-market motion3 records

Distribution channels2 records

Marketing channels7 records

Core offering

Arosa is an integrated home care services provider that combines three core offerings: Care Management (professional social workers, nurses, and gerontologists who develop personalized care plans and coordinate services), In-Home Caregiving Services (non-medical support such as companionship, personal care, meal preparation, medication reminders, and transportation), and Concierge Nursing Services (skilled RN/LPN medical care including wound care, diabetes management, and postoperative care). These are delivered to seniors and their families through a network of 36+ regional offices across 13 US states, with specialized add-on packages covering future care planning, guardianship/conservatorship, and healthcare power of attorney services.

Product overview

Arosa is an integrated home care platform combining three core services: Care Management (professional social workers/nurses who develop care plans and coordinate services), In-Home Caregiving Services (non-medical support including companionship, personal care, and daily living assistance), and Concierge Nursing Services (skilled RN/LPN medical care). The platform also offers specialized add-on modules including Future Care Planning, Diagnosis & Disease Management, Home Transitions, Guardianship/Conservatorship support, and Healthcare Power of Attorney services. Care is available through multiple engagement models including hourly, 24-hour, live-in, and couples care options. The integrated model differentiates Arosa by combining care management expertise with compassionate caregiving delivery.

Differentiator

Problem solved

Functional benefit

Products and services

• Care Management Professional care management services for seniors and their families, where licensed Care Managers (social workers, nurses, gerontologists) develop personalized Plans of Care and coordinate services across healthcare, insurance, housing, transportation, and legal systems.
• In-Home Caregiving Services Non-medical in-home caregiving services for seniors and adults needing daily living support, including companionship, personal care (bathing, dressing, feeding), medication reminders, meal preparation, transportation, light housekeeping, and ambulation assistance. Available on hourly, 24-hour, live-in, or couples care basis.
• Concierge Nursing Services Skilled nursing care delivered by RNs and LPNs in the home setting, including diabetes management, wound care, medication management, line and site maintenance, insulin injections, wellness visits, nutrition education, postoperative care, and chronic illness management. Available around-the-clock or hourly.

Quantifiable outcome

• Patients discharged from hospital and receiving skilled nursing care at home tend to have better health outcomes and fewer readmissions and ER visits.
• +1 more outcomes

Named customers6 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

Partnerships

Two partnerships are on record, tiered minor.

• Therapy Dogs of AmericaminorStrategic or Co-development PartnerArosa partners with Therapy Dogs of America to bring therapy dogs into client homes as part of its holistic, person-centered care approach. The partnership emphasizes emotional connection, dignity, and healing beyond medication and schedules, providing comfort and canine joy to seniors receiving home care.
• Jewish Family and Children's ServicesminorStrategic or Co-development PartnerArosa and Jewish Family and Children's Services collaborate to support older adults with culturally sensitive care. The partnership combines Arosa's home care and care management expertise with JFCS's focus on dignity, independence, and culturally appropriate services for Jewish seniors and families.

Scale indicators3 records

Recent moves7 records

Expansion highlights6 records

Direct peers

• Caring Senior Service: Private franchised non-medical home care provider operating across 18+ states. Comparable on multi-state private-pay personal care for seniors.
• Help at Home: PE-backed (Centerbridge, Vistria) personal care services provider operating across 13+ states serving Medicaid and private-pay seniors. Most directly comparable to Arosa on multi-state personal care delivery and payer mix.
• Addus HomeCare: Public personal care and home health provider operating across 22+ states. Closely comparable on service mix (personal care + home health) and senior-focused customer base.
• Aveanna Healthcare: Public home health, hospice, and medical solutions provider. Comparable on home-based skilled nursing and private duty nursing offerings that overlap with Arosa's Concierge Nursing.
• Bayada Home Health Care: Large private nonprofit home health provider offering adult and pediatric skilled nursing, personal care, and rehab across 20+ states. Directly comparable on integrated home-based clinical and personal care services.
• Interim HealthCare: National franchised home care, hospice, and medical staffing provider. Comparable on multi-state personal care and skilled nursing delivered in the home.
• Senior Helpers: National franchised senior home care provider offering personal care and companionship services. Comparable on private-pay home care for seniors, though primarily a franchise model rather than integrated operator.

Broad incumbents

• BrightSpring Health Services: Large publicly-traded provider of home health, hospice, and home/community-based services across all 50 states. Comparable in scale and multi-state home care delivery, though much broader in scope than Arosa.
• Pennant Group: Public home health, hospice, and senior living operator across the western and southern US. Comparable on home-based skilled nursing and hospice adjacency.

Emerging players

• Honor Technology: Tech-enabled home care platform operating a network of agencies with proprietary software for caregiver matching and family transparency. Comparable on in-home senior care, with a software-first model that competes on experience and unit economics.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights6 records

Customer concentration

• LinkedInlinkedin.com/company/arosa-care
• Xx.com/arosa_care

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 record

Funding overview

Funding rounds1 record

Investors1 record

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

M&A1 record

Investments

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

Frequently asked questions about Arosa