CareGivers

What CareGivers does

CareGivers Home Care, operating under the legal entity Homemakers Upstate Group Inc., is a private, for-profit home care agency founded in 1967 and headquartered in New Hartford, New York. The company delivers non-medical and skilled home care services—including companion care, personal care aide services, nursing, and medication management—to elderly and disabled clients across 12 branches in Upstate New York and one branch in Erie, Pennsylvania. Care is delivered under RN-supervised personalized care plans by screened and bonded caregivers, with the company maintaining New York LHCSA licensing and Pennsylvania Medicare certification.

The business model is fee-for-service hourly billing across seven payer streams: Long Term Care Insurance, Medicaid and Managed Medicaid, Medicare (in Pennsylvania only), Private Pay, the U.S. Department of Veterans Affairs, Workers Compensation, and Area Offices on Aging. Pricing is usage-based with no minimum hours requirement, positioning the agency to capture episodic as well as long-duration cases from hospital discharge referrals, aging-in-place households, and institutional payors. The customer base is a long tail of individual consumers and their families rather than concentrated enterprise contracts.

Operational scale sits at 251–500 employees, supported by dedicated caregiver recruiting and training academies in Rochester and Rome to address the structural Upstate labor shortage. Strategic posture has emphasized organic branch buildout, opportunistic tuck-in acquisitions (e.g., absorbing staff from the closed Family Care Services of Western New York in May 2024), and brand consolidation (rebranding the Schenectady operation formerly known as Rely Health Care). Long-tenured leadership, with Bader Reynolds in the business since 1985 and a formalized 2015 transition to Carmen Flitt as CEO, signals continuity rather than transformation-oriented governance.

Name

CareGivers

Legal name

Homemakers Upstate Group Inc.

Website

https://caregivershomecare.com

Company type

Private

Founded year

1967

Operating status

Operating

Headcount range

251–500 employees

Short description

CareGivers Home Care (Homemakers Upstate Group Inc.) is a New York-based home care agency founded in 1967 that delivers companion, personal care, nursing, and medication management services to elderly and disabled clients across 12 Upstate NY branches and one Erie, PA branch under hourly billing to seven payer streams.

Ownership category

akta.pro rank

Product category

Home Health Care Services

NAICS

Home Health Care Services (6216)

SIC

Services-Home Health Care Services (8082)

akta.pro primary industry

Personal Care / Non-Medical Home Care (Private Duty) (HLAFAEAB)

akta.pro secondary industries

Skilled Home Health (Medicare-Certified) Agencies (HLAFAEAA), Medicare-Certified Skilled Nursing Visits (RN/LPN) (HSABACAA), Private Duty 24/7 Nursing (RN/LPN) In-Home Care (HSABAHAJ)

Keywords

• Home health care
• Skilled nursing services
• Personal care aide
• Home health aide
• Elderly home care

Headquarters

HQ city

Tonawanda

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, Infrastructure, Technology or R&D

Revenue model

1. Long Term Care Insurance: Direct billing to long-term care insurance providers with full documentation and claims management.
2. Medicare: Federal health insurance program covering home health services (RNs, therapists, social workers, home health aides) - Erie, PA location only is Medicare Certified.
3. Medicaid / Managed Medicaid: Medical assistance program for low-income individuals; also works with Managed Medicaid and MLTC providers including Fidelis, Nascentia, and VNS Health.
4. Private Pay (Out of Pocket): Direct client payment for services with various payment plans available.
5. Veterans Administration: Contracts with VA to provide covered home care services to veterans.
6. Workers Compensation: Works with NY State Insurance Fund and commercial carriers for workers compensation cases in NY.
7. Area Offices on Aging / Community Agencies: Contracts with Area Offices on Aging and community agencies for covered home care services.

Pricing tiers

Go-to-market motion2 records

Distribution channels1 record

Marketing channels6 records

Core offering

CareGivers Home Care is a licensed home health care services agency providing in-home personal care, companion, homemaker, home health aide, and skilled nursing (RN/LPN) services. Care is customized through a free in-home RN assessment and delivered by employed, screened, bonded, and insured staff to clients in private homes, nursing facilities, and healthcare settings across 12 branches in Upstate New York and Western Pennsylvania.

Product overview

CareGivers Home Care operates as a licensed home health care services agency offering a unified portfolio of in-home care services. The company provides personalized home care spanning six interconnected service tiers: Companion/Housekeeping services for basic household support and companionship; Personal Care Aide (PCA) services for hands-on personal assistance with daily activities; Home Health Aide services for clients requiring additional health monitoring and support; Skilled Nursing services (RNs & LPNs) for medical treatments and high-technology care including ventilator and tracheostomy management; Homemaker services for household maintenance; and 24/7 care availability. All services are customized through a free in-home client evaluation conducted by a registered nurse, with care plans developed in consultation with the client's physician. Services are delivered in private homes, nursing facilities, and other healthcare settings across 12 branches in Upstate New York and Western Pennsylvania.

Differentiator

Problem solved

Functional benefit

Products and services

• Companion/Housekeeping Services
• Personal Care Aide (PCA)
• Home Health Aide
• Skilled Nursing (RNs & LPNs)
• Homemaker Services
• 24/7 Home Care

Quantifiable outcome

• 36-50% cost savings compared to hospitalization or nursing home confinement

Named customers7 records

Segments5 records

Ideal customer profiles4 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 minor and core.

• AIG Life InsuranceminorOthersLong-term care insurance provider that CareGivers works with for direct billing and claims management.
• Genworth InsuranceminorOthersLong-term care insurance provider for direct billing and documentation services.
• MetLife InsuranceminorOthersLong-term care insurance provider for direct billing and documentation.
• Prudential InsuranceminorOthersLong-term care insurance provider for direct billing and documentation.
• John Hancock InsuranceminorOthersLong-term care insurance provider for direct billing and documentation.
• Fidelis CareminorOthersManaged Medicaid provider that CareGivers works with for covered home care services.
• Nascentia (formerly VNA Home Care Options)minorOthersManaged Medicaid/MLTC provider for covered home care services.
• VNS HealthminorOthersManaged Medicaid/MLTC provider for covered home care services.
• Veterans AdministrationcoreOthersContract with VA to provide covered home care services to veterans.
• Area Offices on AgingcoreOthersContracts with Area Offices on Aging to provide covered home care services for seniors.

Scale indicators4 records

Recent moves5 records

Expansion highlights5 records

Direct peers

• Home Instead: Global franchise network providing personal care, companionship, and home health aide services to seniors. Directly comparable to CareGivers' companion/PCA/HHA offering, with similar non-medical, private-duty model targeting aging-in-place clients.
• Visiting Angels: Large national franchise providing non-medical home care, personal care, and companionship services to elderly clients. Closely matches CareGivers' companion/homemaker/PCA service tiers and private-pay, LTC insurance, and Medicaid payer mix.
• BrightStar Care: Franchise offering both medical (skilled nursing) and non-medical home care including pediatric and adult high-acuity cases. Comparable to CareGivers because it spans companion through skilled nursing tiers and operates under state LHCSA-equivalent licensure.
• Comfort Keepers: National franchise providing in-home companionship, personal care, and homemaker services for seniors. Overlaps with CareGivers' core companion/PCA/homemaker tiers and similar target demographic of aging-in-place seniors.
• Interim HealthCare: Franchise network offering home health, personal care, hospice, and medical staffing. Comparable because it spans both skilled nursing (Medicare-certified home health) and non-medical personal care, mirroring CareGivers' dual-track service portfolio.
• Bayada Home Health Care: Large nonprofit home health provider offering adult and pediatric skilled nursing, personal care, and habilitation services. Comparable to CareGivers for high-acuity home health including ventilator/tracheostomy care and multi-state branch operation.
• Help at Home: PE-backed personal care services provider focused on Medicaid waiver and dual-eligible populations across multiple states. Directly comparable to CareGivers' personal care aide and Medicaid/MLTC-contracted book of business, with similar reliance on managed care referrals.

Broad incumbents

• Addus HomeCare: Public company providing personal care, hospice, and home health services across more than 20 states, with significant Medicaid revenue mix. Comparable to CareGivers as a diversified home care operator with LHCSA-equivalent personal care as its core, but at much larger scale.
• Amedisys: Large publicly traded home health and hospice provider with Medicare-certified skilled home health across many states. Comparable to CareGivers for its skilled nursing capability, but operates at a much larger scale and with significantly deeper Medicare/MA exposure.
• Aveanna Healthcare: Public home health and medical solutions company providing private-duty nursing, adult home care, pediatric high-acuity care, and medical solutions. Comparable to CareGivers for its private-duty nursing and ventilator/tracheostomy pediatric offerings under a multi-state branch model.

Market position

Strengths3 records

Weaknesses3 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• Facebookfacebook.com/caregivershomecare1967

Compliance3 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles4 records

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 CareGivers