In a significant move within the healthcare franchising industry, an affiliate of Peak Rock Capital, a prominent middle-market private equity firm, has officially acquired BrightStar Group Holdings, Inc. (“BrightStar Care”). The acquisition was completed in partnership with BrightStar Care’s founder, Shelly Sun Berkowitz. It signals a strategic push to further enhance the company’s growth and impact in the home healthcare sector.
Strengthening a Legacy of High-Quality Care
BrightStar Care, founded in 2002, is a leading franchisor of home care services with over 400 agencies across the country. The company’s franchisees provide both skilled and unskilled home care, alongside medical staffing solutions for corporate partners. What sets BrightStar Care apart is its commitment to clinically led, nurse-driven care, ensuring a superior level of service. This has earned the company Joint Commission accreditation—the nation’s highest standard-setting body in healthcare.
The new partnership with Peak Rock Capital is poised to strengthen this legacy of high-quality care by focusing on technology, marketing, and other key growth initiatives. These will support franchisees in serving a broader patient base.
“BrightStar Care stands out because of its unique commitment to clinically led, high-quality home care services across its franchisee network,” said Spencer Moore, Managing Director of Peak Rock. “We are excited to partner with Shelly and BrightStar Care management and employees to invest in technology, marketing, and growth initiatives to support the company’s franchisees in serving more patients.”
A Vision for Expansion and Innovation
Shelly Sun Berkowitz, who founded BrightStar Care with a vision to elevate the standard of in-home care, expressed optimism about the opportunities this new partnership presents.
“I believe our partnership with Peak Rock will help BrightStar Care continue its mission of providing clients with high-quality, compassionate care in the home, as well as make investments to facilitate continued growth with existing and new franchisees,” said Berkowitz. “I am looking forward to working with the Peak Rock team during the company’s next stage of growth.”
CEO Andy Ray echoed this sentiment. He emphasized that Peak Rock Capital’s investment will enable BrightStar Care to expand its reach and improve access to home care for more families nationwide.
“We have found a strong partner in Peak Rock Capital, a group aligned with BrightStar Care’s mission and vision for the future,” said Ray. “With Peak Rock Capital, BrightStar Care will broaden access to high-quality care for more families, making key investments as we continue to lead the industry.”
For Peak Rock Capital, the acquisition aligns with its strategy of investing in founder-led businesses with strong growth potential, particularly in the healthcare and franchising sectors.

Rising Demand for High-Quality Home Healthcare
The demand for high-quality home healthcare has been steadily rising due to several key factors. These include an aging population, increased preference for in-home care, and advancements in medical technology. Such advancements allow more complex treatments to be administered outside of traditional healthcare settings.
1. Aging Population and Chronic Conditions
One of the most significant drivers of home healthcare growth is the rapidly expanding senior population. According to the U.S. Census Bureau, by 2030, all Baby Boomers will be over 65. This means one in five Americans will be of retirement age. As people live longer, the need for long-term care and support for chronic conditions such as diabetes, heart disease, and Alzheimer’s is increasing. Home healthcare services offer a cost-effective and patient-centered alternative to nursing homes and hospitals. They enable seniors to receive personalized care in the comfort of their own homes.
2. Preference for In-Home Care Over Institutionalized Settings
Many individuals, particularly older adults, prefer to receive care at home rather than in a facility. Home healthcare allows patients to maintain independence and comfort while still receiving necessary medical attention. Some studies suggest that patients recover faster and experience better health outcomes when treated in familiar surroundings.
3. Staffing Shortages in Healthcare Facilities
The ongoing shortage of healthcare workers, including nurses and aides, has made in-home care an attractive alternative to overburdened hospitals and nursing homes. BrightStar Care’s franchise model employs over 15,000 caregivers and 5,700 registered nurses nationwide. Consequently, it is well-positioned to address these workforce challenges by providing reliable, high-quality care where it is needed most.
4. Advancements in Home-Based Medical Technology
The rise of telehealth and remote patient monitoring has made home healthcare more viable than ever. New technology enables medical professionals to oversee treatments from a distance, reducing the need for frequent hospital visits. This is particularly beneficial for patients with chronic illnesses who require regular monitoring but prefer to avoid institutional care.
5. Healthcare Cost Considerations
Home healthcare is often more cost-effective than prolonged hospital stays or assisted living facilities. With rising healthcare costs, both insurers and families are looking for ways to provide high-quality care without excessive financial burdens. Many insurance providers and Medicare/Medicaid programs are expanding coverage for home healthcare services, making it more accessible to a larger population.
A Promising Future for Home Care Franchising
With the five factors above in play, companies like BrightStar Care are seeing increased demand for their services. With this acquisition, BrightStar Care is set to leverage Peak Rock Capital’s investment expertise. This will help expand its services, improve franchisee support, and enhance its technological infrastructure. As the demand for high-quality home healthcare continues to rise, this strategic partnership is expected to position BrightStar Care to expand its reach and chart a course to sustained success in the years ahead.
JP Morgan and Boxwood Partners served as financial advisors to BrightStar, while Latham & Watkins provided legal counsel. Peak Rock was advised by Lincoln International on financial matters, with legal guidance from McDermott Will & Emery.
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