Transforming Home Care Through
Worker-Ownership

As worker-centered businesses, home care cooperatives improve working conditions through better training, higher wages, and job supports, resulting in increased worker satisfaction, decreased turn over, and ultimately higher quality, consistent care for care recipients.



“From the beginning, we set out to be a ‘different’ type of home care company. The type of company that valued the home care worker and understood that to deliver quality care we needed to create quality jobs for our workforce. More than 30 years later, our investment in our workforce continues to fuel our field-leading outcomes and has made CHCA the largest worker-owned cooperative in the country.”

– Adria Powell, President Cooperative Home Care Associates

As worker-led businesses, cooperative home care agencies:

Pay higher than industry standard wages and build caregiver wealth
Provide advanced training and on the job supports
Provide leadership and career advancement opportunities

Building the Home Care Cooperative Sector

Together with our partners, ICA is working to build a robust ecosystem of business support, training, and resources to strengthen and grow the home care cooperative sector.

KEY INITIATIVES & ACTIVITIES:
- Development and incubation of Elevate Cooperative
- Annual Home Care Cooperative Sector Benchmarking
- Annual Home Care Cooperative Conference
- Home Care Cooperative Launch Box
- Home Care Cooperative Market Opportunity Assessments
- Home Care Cooperative Start-up Support
- Technical Assistance & Strategic Consulting
- Cooperative Training

ICA's Approach

We have three goals for transformative impact in the home care industry:

Contact us to learn more about ICA's expertise in the home care sector.
Strengthen

Provide business tools and supports to ensure the financial and operational sustainability of new and existing home care cooperatives, and position them for growth.

Grow

Grow the sector through expanded industry networks, group purchasing, and by transitioning traditionally structured home care businesses into worker cooperatives.

Scale

With scale, home care cooperatives and the organizations and institutions that support them can push for policy change that addresses our nation’s systemic underinvestment in home care.

Conversions

In addition to maximizing profit, many exiting home care business owners want to preserve their legacy and ensure their business continues serving the community long after they sell. Selling to employees can achieve these goals while improving recruitment & retention, increasing staff compensation, and engagement in the business. ICA is a national leader in employee ownership transfers. Contact us to receive a free consultation and explore whether a conversion to employee ownership is right for you and your business.

4 Reasons selling your business to your employees is good for you, your staff, and your community:
  1. Home care cooperatives have significantly better recruitment and retention than traditionally owned agencies, with a turnover rate less than half of the industry average
  2. Employee ownership rewards employees and strengthens your community.
  3. The sale can happen gradually, at a pace that suits your needs.
  4. Home care cooperatives are supported by a national network of other cooperatives and supportive institutions.

Home Care
Resources

ICA develops tools and resources to support the financial and operational success of home care cooperatives.

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Connect with Us to Transform Your Business

Have questions about employee ownership or cooperative development? Whether you're exploring a business transition, starting a new cooperative, or seeking tailored solutions to strengthen your industry, our team is here to help. Let us guide you toward a more equitable and resilient future for your business and community.