Cooperative Home Care Associates

What Cooperative Home Care Associates does

Cooperative Home Care Associates (CHCA) is a Bronx, New York-based worker-owned home care cooperative founded in 1985 that delivers in-home personal care services to elderly, chronically ill, and disabled clients across seven U.S. states. The organization employs approximately 1,600 employee-owners who provide home-based assistance enabling clients to age in place rather than enter institutional care. CHCA differentiates itself through a cooperative governance structure in which caregivers hold ownership stakes and collectively bargain for wages above $15/hour, health benefits, and training — a model that research published in JAMA Open links to lower turnover and higher job satisfaction versus the 80% industry average.

The underlying technology of CHCA is not digital product or software but a worker-owned cooperative operating model that combines employer-of-record status under publicly funded Medicaid programs with collective bargaining and shared governance. This structure addresses a workforce crisis in home care — a sector facing an estimated need for 740,000 additional workers nationally over the next decade and chronically high turnover — by improving job quality, retention, and worker voice. Research partnerships with UCLA, ICA Group, and VividLife have produced the '7 Cs of the Cooperative Difference' framework, formalizing the model's mechanisms: greater worker autonomy, teamwork support, organizational recognition, and better compensation.

CHCA generates revenue primarily through Medicaid-funded home care services delivered by its employee-owner workforce directly in clients' homes. Services are reimbursed through state Medicaid programs that contract with the cooperative as an employer of record. Go-to-market is community-led rather than commercial: visibility is built through academic research publications, policy advocacy for Medicaid funding and worker rights, and healthcare industry earned media rather than traditional sales or marketing channels. The organization faces payer-side concentration risk given its dependence on public Medicaid reimbursement, with potential funding cuts of $900B+ over the next decade cited as a sector threat.

Name

Cooperative Home Care Associates

Legal name

Cooperative Home Care Associates

Website

https://chcany.org

Company type

Private

Founded year

1985

Operating status

Operating

Headcount range

1,001–5,000 employees

Short description

Cooperative Home Care Associates is a Bronx-based worker-owned home care cooperative founded in 1985, employing approximately 1,600 employee-owners who deliver Medicaid-funded in-home care services to elderly and disabled clients across seven U.S. states.

Ownership category

akta.pro rank

Product category

Home Health Care Services

NAICS

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

SIC

Services-Home Health Care Services (8082), Services-Social Services (8300), Services-Help Supply Services (7363)

akta.pro primary industry

Companion Care & Social Support (non-clinical) (HLADAGAB)

akta.pro secondary industries

Companionship & Social Engagement Visits (HSABAAAA), Independent Living with Supportive Services (Light ADL/IADL Support) (HLADAAAE), Elder Services & Aging Support (BPAGAEAF)

Keywords

• Home health care
• Home care services
• Personal care assistance
• Medicaid home care
• Worker cooperative

Headquarters

HQ city

Bronx

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Infrastructure, Others

Revenue model

1. Home Care Services Revenue: Revenue generated through providing home care services, primarily funded by Medicaid programs. Workers provide care to aging Americans and individuals needing home-based assistance.
2. Medicaid-Funded Programs: Home care workers leverage publicly funded Medicaid programs to establish employer-of-record relationships. Seven states utilize this model for home care worker employment.

Go-to-market motion2 records

Distribution channels1 record

Marketing channels3 records

Core offering

Cooperative Home Care Associates provides in-home personal care and daily living assistance services to elderly, chronically ill, and disabled individuals, enabling them to age in place. Services are delivered by approximately 1,600 employee-owners organized as a worker cooperative, with operations primarily funded through publicly funded Medicaid home care programs across seven states.

Product overview

Cooperative Home Care Associates operates as a single, unified home care service offering structured as a worker-owned cooperative. The organization delivers in-home care services through its network of employee-owners, differentiating itself through cooperative ownership model, collective bargaining for wages above $15/hour, health benefits, and training programs. Research by UCLA identified the cooperative model as achieving lower employee turnover and higher job satisfaction compared to traditional home health agencies.

Differentiator

Problem solved

Functional benefit

Products and services

• In-Home Personal Care Services Home-based personal care and assistance with daily living activities delivered by employee-owner care workers to elderly, chronically ill, and disabled individuals, enabling them to remain at home rather than enter institutional care.

Quantifiable outcome

• Lower employee turnover compared to traditional home health agencies
• +2 more outcomes

Named customers2 records

Segments2 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Partnerships

Three partnerships are on record, tiered core.

• UCLA (Dr. Geoffrey Gusoff research team)coreStrategic or Co-development Partner · 16 July 2025UCLA-led research team partnered with the cooperative and ICA Group/VividLife to study home care cooperative effectiveness. Published findings in JAMA Open showing lower employee turnover and higher job satisfaction compared to traditional agencies. Developed 'The 7 Cs of the Cooperative Difference' framework. Plans larger survey study of 1,000 home care workers.
• ICA GroupcoreStrategic or Co-development Partner · 16 July 2025ICA Group partnered with UCLA and VividLife to research home care cooperative model effectiveness. Collaborated on developing 'The 7 Cs of the Cooperative Difference' framework. ICA Group surveys indicate 740,000 additional home care workers needed over the next decade.
• VividLifecoreStrategic or Co-development Partner · 16 July 2025VividLife partnered with UCLA and ICA Group to research cooperative model effectiveness in addressing home healthcare workforce shortage. Contributed to development of 'The 7 Cs of the Cooperative Difference' framework for worker retention and care quality.

Scale indicators5 records

Recent moves5 records

Expansion highlights4 records

Broad incumbents

• Amedisys: Large publicly-traded provider of home health, hospice, and high-acuity care across 40+ states. Comparable broadly as a major home health incumbent, though more weighted to skilled nursing than CHCA's personal-care focus.
• LHC Group: Large home health, hospice, and facility-based care provider serving patients across 38 states. Comparable broadly as a national home health incumbent, though skewed toward skilled nursing rather than personal care.
• Pennant Group: Provider of home health, hospice, and senior living services across the U.S. Comparable broadly as a multi-state home health and senior services operator with overlapping elderly-care customer base.

Direct peers

• Addus HomeCare: Public home and community-based services provider of personal care, hospice, and home health across more than 20 states. Comparable as a publicly-traded peer generating revenue primarily from Medicaid personal care services.
• BrightStar Care: Franchised home care and medical staffing provider offering personal care, skilled nursing, and elder care services. Directly comparable in-home care delivery model for aging and disabled clients.
• Senior Helpers: Franchised in-home senior care provider offering personal care, companionship, and specialized dementia and Parkinson's care. Comparable non-medical in-home care services for elderly clients.
• Bayada Home Health Care: One of the largest U.S. providers of in-home personal care, habilitation, and skilled nursing services across multiple states. Directly comparable given multi-state Medicaid-funded home care delivery and similar customer base of elderly and disabled clients.
• Home Instead Senior Care: Largest franchised provider of in-home personal care, companionship, and home helper services for older adults. Comparable franchise-based model delivering non-medical in-home care to a similar elderly clientele.
• Visiting Nurse Service of New York: Largest not-for-profit home and community-based health care provider in the New York metro area. Directly comparable as a large-scale, mission-driven home care provider serving Medicaid populations in CHCA's primary geography.
• Help at Home: Personal care services provider focused on Medicaid-eligible seniors and adults with disabilities across more than a dozen states. Directly comparable Medicaid-funded in-home care model operating at similar scale and geographic footprint as CHCA.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat3 records

Key risks5 records

Key highlights6 records

Customer concentration

• LinkedInlinkedin.com/company/cooperative-home-care-associates-inc.

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 record

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 Cooperative Home Care Associates