# Hometeam (CareGuardian Inc)

> Hometeam, legally CareGuardian Inc., built a technology-supported in-home care service around employed caregivers, clinical coordination and family updates. After launching with private-pay families, it accepted Medicaid in New York City in 2016 and shifted its strategy toward payer-funded care in 2018. Its technology lineage later continued through HT Health and Vesta Healthcare, whose clinical services business was sold in 2025.

- **Founded:** 2014
- **Headquarters:** New York, United States
- **Founders:** Josh Bruno (Co-founder and founding CEO), Akash Shah (Co-founder and founding COO)
- **Products:** In-home personal care, Caregiver matching and care planning, Hometeam Caregiver App, Medicaid-funded home care
- **Notable:** Placed more than 250 caregivers in hundreds of homes by its July 2015 public launch, according to TechCrunch., Reported about 1,000 employed caregivers by October 2016., Accepted Medicaid in New York City in October 2016, extending its payment options beyond private pay.

## Products & services

- **In-home personal care** — Home health aides support daily routines such as meals, hygiene, transportation and medication reminders.
- **Caregiver matching and care planning** — Matches aides to clients by needs, language and interests, with an adviser, nurse and coordinator supporting the plan.
- **Hometeam Caregiver App** — An in-home iPad and mobile software record daily activity and let authorized family members and care teams communicate.
- **Medicaid-funded home care** — Accepted Medicaid in New York City beginning in 2016 and later prioritized payer-reimbursed service.

## Achievements

- Placed more than 250 caregivers in hundreds of homes by its July 2015 public launch, according to TechCrunch.
- Reported about 1,000 employed caregivers by October 2016.
- Accepted Medicaid in New York City in October 2016, extending its payment options beyond private pay.

## Latest updates

- **2025-10** — Hometeam Technologies, doing business as Vesta Healthcare, sold its clinical services business to an Essen Health Care affiliate. This is a later related entity, not evidence that CareGuardian Inc. itself was sold.
- **2020-01** — The business operating Hometeam was reported to have rebranded as Vesta Healthcare after operating as HT Health; public accounts describe a late-2018 transfer of Hometeam technology assets.
- **2018-04** — Board said Hometeam would focus on Medicaid and other payer-funded care; Josh Bruno prepared to leave the CEO role while remaining on the board.
- **2018-03** — Chairman reported $7.5 million in convertible debt from existing investors.
- **2016-10** — Began accepting Medicaid in New York City.

## Links

- Website: https://www.careguardianinc.com/
- LinkedIn: https://www.linkedin.com/company/careguardian/
- Twitter/X: https://twitter.com/hometeamcare
- Facebook: https://www.facebook.com/hometeam

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Last updated: 2026-09-29