Arosa: Redefining Caregiving Through Quality Job Focus and Operational Excellence
Ari Medoff (shown on the left) has led the company’s growth and caregiver-first mission since 2012.
How HCAP Partners supported Arosa in scaling a uniquely caregiver-centered home care platform focused on quality, retention, and growth.
Company Snapshot
Arosa is a national provider of home care and care management services for older adults and their families. Led by Ari Medoff since 2012, the company has differentiated itself through a workforce-first model that prioritizes care professional satisfaction, stability, and career advancement. Arosa’s services pair each client with a dedicated Care Manager who serves as a trusted advisor and advocate, coordinating medical care, managing transitions, facilitating family communication, and navigating complex aging-related needs. Clients experience a highly personalized, concierge-style care plan that integrates daily living support with clinical oversight, promoting independence, safety, and peace of mind for both clients and their families. In an industry marked by high turnover and fragmentation, Arosa stands out as a model for how home care can thrive by investing in its frontline teammates and delivering consistent, high-quality, high-touch support.
Investment Overview
HCAP Partners invested in Arosa in 2018 to support the launch and growth of a national platform through the merger of Arosa and LivHOME, two regional providers with mission-aligned leadership. The investment was completed in partnership with Bain Capital Double Impact, with HCAP bringing a unique focus on operational engagement and its Gainful Jobs Approach™ to improve job quality and drive scalable, sustainable business outcomes.
“Arosa became a model for what’s possible when you put frontline workers at the center of operational strategy.”
Arosa’s caregiver-first approach centers on building trusted relationships, celebrating team members, and creating a supportive culture that enhances care for families.
Value Creation & Strategic Milestones
HCAP worked closely with Arosa’s leadership to embed a focus on high-quality jobs within its business strategy to deliver quality care and win market share. Together, through the Gainful Jobs Approach™, they built a Strategic Roadmap that addressed talent strategy, growth optimization, and cultural alignment across an organization working in a variety of communities across 13 states. As a result, Arosa achieved significant job quality improvements at the time of exit, according to HCAP's Gainful Jobs Approach framework. The entire effort was grounded in Arosa’s core values, including a deep sense of gratitude for caregivers, clients, and the opportunity to build a business that values people at every level.
“HCAP brought more than capital. They had real experience with distributed frontline workforces—from senior living to wellness and multi-location health care providers—and they helped us operationalize job quality at scale.”
Investment Timeline & Key Milestones
Outcomes of HCAP’s Investment
Expanded footprint from 4 to 13 states through a combination of strategic acquisitions and organic growth
70%+ caregiver retention (up from ~30% at time of investment)
Achieved a Best of Home Care Pulse reputation survey score from clients and caregivers of 9.0 and recognized as a Provider and Employer of Choice
$119K+ distributed in employee hardship support through Arosa Grant Circle
$1.1M in grant funding secured to support workforce training and career progression
Sustained quality of care through COVID
Improved operating margins driven by job quality focus via lower turnover and need for overtime
100% of employees in quality jobs at time of exit*
*An employee has a quality job if four or more of the six key attributes of the Gainful Jobs Approach™ are present.
Stakeholder Perspectives
“Gratitude is at the center of how we lead. Whether it’s a handwritten note or a long-term career path, we built Arosa to honor and treasure the caregivers who make this work possible.”
“We’re proud of the long-term partnership with Arosa and the opportunity to support a business that’s changing what it means to work in caregiving. It’s a reminder that impact investing is about building alongside operators who live their mission every day.”
Insights & Takeaways
Workforce investment drives results
Arosa’s strategy proves that improved job quality leads to better care, stronger margins, and platform scalability.
Mission alignment matters
HCAP’s Gainful Jobs Approach™ was not a separate initiative—it was the foundation of the value creation plan.
Gratitude as a leadership value
From handwritten caregiver notes to culture-wide recognition, Arosa grounded its strategy in appreciation for the people powering the business.
Partnership unlocks performance
The shared Strategic Roadmap, peer convenings, and active engagement made HCAP more than a capital provider.
RELATED CONTENT
Interview with Ari Medoff
In this video from HCAP’s 2024 CEO summit, Arosa CEO Ari Medoff joins fellow HCAP portfolio leaders to discuss the impact of the Gainful Jobs Approach™ and how it aligns with Arosa’s mission and values.
