Financial terms of the deal were not disclosed.

Backed by Bain Capital Double Impact, Arosa+LivHome was formed in October 2018 after the combination of two regional health care companies: Arosa and LivHome. The provider has 18 locations and operates in California, Illinois, Texas and North Carolina.

The move expands Arosa+LivHome’s care management services in North Carolina, according to the company. LifeLinks’ Nashville office will serve as a launching pad for growth in a new market.

The Acquisition is Arosa+LivHome’s sixth acquisition since January.

In July, the company purchased The Cameron Group, an Orlando, Florida-based care management and home care agency, as well as Senior Care Management Associates (SCMA) and Companion & Home Care, both located in North Carolina.

Additionally, the company acquired Forever Young Home Care in May.

Arosa+LivHome is led by CEO Ari Medoff, who told Home Health Care News that the provider is growing both organically and by the acquisition of independently owned home care and care management companies.

“It is important for us to be able to offer care management and home care services in all of our current and future markets,” Medoff said.

As far as acquisition targets, the provider primarily looks for companies the reflect Arosa+LivHome’s mission of creating innovative models of care, according to Medoff.

“Our mission, slightly simplified, is twofold: to be the best employer to the best care professionals and to create new, better models of care to reach more clients and families,” he said. “We are acquiring organizations that buy into this mission and want to be a part of changing our industry.”

In general, it has become increasingly difficult to build a large platform company in the home care space, as some M&A experts perceive there to be a lack of attractive assets on the market. It’s one of the reasons Amedisys Inc. (Nasdaq: AMED) recently partnered with ClearCare, for example, to build a personal care network through a partnership model.

Medoff pushed back on that view, at least for Arosa+LivHome, which has found its acquisition targets through word of mouth and in-bound leads, he said.

“There are a lot of great companies in this industry with extraordinarily dedicated professionals,” Medoff said. “Scale will come in time — we are more focused on quality organizations with buy-in to our mission than we are with size.”

Looking ahead, Arosa+LivHome is preparing for an expanded rollout of Care Academy and an additional acquisition that is in the works.

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