HealthStream Expands Workforce Ecosystem with Acquisition of MissionCare Collective, Strengthening Caregiver Career Networks Nationwide
HealthStream, a leading healthcare technology company specializing in workforce development solutions, today announced the acquisition of MissionCare Collective LLC (“MissionCare”), a healthcare workforce organization recognized for building and supporting the largest caregiver network in the United States. The acquisition represents a significant strategic expansion of HealthStream’s workforce ecosystem and reinforces the company’s commitment to addressing critical staffing challenges across the healthcare continuum.
With this transaction, HealthStream adds its third “Career Network” to its growing portfolio—following earlier launches focused on nurses and healthcare students—further extending its reach into the rapidly expanding non-medical caregiver, home health aide, and certified nurse assistant (CNA) workforce. The addition of MissionCare Collective strengthens HealthStream’s ability to support healthcare providers, caregivers, and payors with innovative, technology-driven tools designed to recruit, engage, retain, and professionally develop the healthcare workforce while improving the delivery of care.
Expanding the Healthcare Workforce Ecosystem
MissionCare Collective brings to HealthStream a robust and highly engaged caregiver community, anchored by its flagship platform, myCNAjobs.com. Recognized as the nation’s largest caregiver-focused job site, myCNAjobs.com connects non-medical caregivers, CNAs, and home health aides with employment opportunities, career resources, and professional development programs tailored to their unique needs.
More than 5.2 million individuals currently participate in the myCNAjobs caregiver career community, representing a broad spectrum of caregiver roles across diverse healthcare settings. Over time, MissionCare Collective has also supported more than 8,000 healthcare provider organizations through its suite of recruitment, engagement, and workforce management solutions.
By integrating MissionCare Collective’s offerings into its platform, HealthStream significantly enhances its workforce reach—particularly within home-based and long-term care environments where staffing shortages remain persistent and acute.
A Comprehensive Career Network for Caregivers
The acquisition establishes MissionCare Collective as a dedicated “Career Network” within HealthStream’s workforce ecosystem. This new network will support caregivers working across a wide range of care settings, including private homes, assisted living facilities, long-term care organizations, hospitals, and hospice programs.
As part of HealthStream’s ecosystem, caregivers within this Career Network will gain access to lifelong professional development opportunities, workforce engagement tools, and career advancement resources. These services will be delivered through HealthStream’s interoperable hStream platform, which connects healthcare professionals with enterprise applications designed to enhance learning, credentialing, workforce management, and performance improvement.
In addition to recruitment and job placement services, MissionCare Collective offers training and professional development programs, as well as a subscription-based platform through its CoachUp Care business line. CoachUp Care focuses on employee engagement, retention strategies, and workforce analytics—providing healthcare organizations with actionable insights to better support and retain their caregiver workforce.
Addressing a Growing Demand for Caregivers
Demographic trends underscore the growing importance of MissionCare Collective’s solutions across the healthcare landscape. Demand for home care and home health services in the United States is rising sharply, driven largely by the aging population and shifting patient preferences.
According to the U.S. Bureau of Labor Statistics, individuals aged 65 and older are expected to represent 20.6% of the U.S. population by 2030, up from 16.8% in 2020. Research from MIT’s AgeLab further indicates that nearly 90% of older adults prefer to remain in their homes for as long as possible, accelerating demand for home-based care services.
In response, the home care industry has experienced rapid growth, with an estimated 18,000 home care organizations operating in a highly fragmented market across the country, according to the 2025 Home Health Outlook Survey. Despite this growth, staffing remains the most significant challenge facing providers. The same survey identified workforce shortages as the single greatest concern for home-based care organizations heading into 2025.
HealthStream’s acquisition of MissionCare Collective directly addresses this challenge by expanding access to a large, engaged caregiver workforce and equipping providers with modern tools to recruit and retain talent in a competitive labor market.
Shared Mission to Elevate Caregiving
Founded with a mission to elevate the culture of care, MissionCare Collective has long focused on empowering caregivers through meaningful career opportunities, recognition, and professional support. Its approach aligns closely with HealthStream’s broader vision of improving healthcare quality by investing in the people who deliver care.
“We built MissionCare Collective to help change the culture of care,” said Brandi Kurtyka, Co-Founder and Chief Executive Officer of MissionCare Collective. “By joining HealthStream, we can extend that vision to reach more caregivers, clinicians, and healthcare organizations. Together, we can help the industry recruit, engage, and retain its workforce while advancing our shared commitment to improving healthcare by investing in those who deliver it every day.”
Kurtyka emphasized that the combination of MissionCare Collective’s caregiver-focused expertise with HealthStream’s scale and technology platform creates new opportunities to support caregivers throughout their careers.
Leadership Perspective from HealthStream
HealthStream leadership highlighted the strategic importance of the acquisition and its potential impact on the healthcare industry.
We are delighted to welcome MissionCare Collective’s clients, partners, employees, and the millions of caregivers they serve into the HealthStream family,” said Robert A. Frist, Jr., Chief Executive Officer of HealthStream. “MissionCare’s technologically savvy approach to addressing the urgent need for caregiver workforce solutions, combined with their passion for excellence, is unmatched.”
Frist noted that HealthStream’s hStream platform already serves millions of healthcare professionals each day, and the addition of MissionCare Collective significantly extends the company’s reach into one of the fastest-growing segments of the healthcare workforce.
By expanding our ecosystem to include caregivers at scale, we are creating meaningful synergies and adding value for healthcare organizations, caregivers, and patients alike,” he added.
Transaction Details
Under the terms of the agreement, HealthStream acquired all outstanding equity of MissionCare Collective for a total purchase price of up to $40 million. The transaction includes:
- $26 million in cash paid at closing, subject to customary working capital and purchase price adjustments
- Approximately $4 million in HealthStream common stock issued at closing through a private placement
- Up to $10 million in potential earnout payments, contingent upon the achievement of agreed-upon performance targets over the next three years
The structure of the transaction reflects HealthStream’s confidence in MissionCare Collective’s growth potential and its ability to generate long-term value within the combined organization.
Strengthening the Future of Healthcare Workforce Solutions
The acquisition of MissionCare Collective marks a significant milestone in HealthStream’s strategy to build a comprehensive, interconnected workforce ecosystem that supports healthcare professionals at every stage of their careers. By expanding into the caregiver segment, HealthStream positions itself to better address one of the most pressing challenges facing healthcare providers today: ensuring access to a stable, skilled, and engaged workforce.
As demand for home-based and long-term care continues to rise, the integration of MissionCare Collective’s caregiver network and workforce solutions is expected to play a vital role in supporting healthcare organizations nationwide. Together, HealthStream and MissionCare Collective aim to create a more resilient, empowered caregiver workforce—ultimately improving care quality and outcomes for patients across the healthcare system.
About HealthStream
HealthStream (Nasdaq: HSTM) is the healthcare industry’s largest ecosystem of platform-delivered workforce solutions that empowers healthcare professionals to do what they do best: deliver excellence in patient care. For more information about HealthStream This press release includes certain forward-looking statements (statements other than solely with respect to historical fact) that involve risks and uncertainties regarding HealthStream. These statements are based upon management’s beliefs, as well as assumptions made by and data currently available to management. This information has been, or in the future may be, included in reliance on the “safe harbor” provisions of the Private Securities Litigation Reform Act of 1995. The Company cautions that forward-looking statements involve known and unknown risks, uncertainties, and other factors that may cause the actual results, performance, or achievements to be materially different from future results, performance, or achievements expressed or implied by the forward-looking statements, including that the anticipated financial and strategic benefits of the acquisition may not be achieved, as well as risks referenced in the Company’s Annual Report on Form 10-K for the year ended December 31, 2024, filed on February 28, 2025, the Company’s Quarterly Report on Form 10-Q for the nine months ended September 30, 2025, filed on November 6, 2025, and in the Company’s other filings with the Securities and Exchange Commission from time to time. Consequently, such forward-looking information should not be regarded as a representation or warranty or statement by the Company that such projections will be realized. Many of the factors that will determine the Company’s future results are beyond the ability of the Company to control or predict. Readers should not place undue reliance on forward-looking statements, which reflect management’s views only as of the date hereof. The Company undertakes no obligation to update or revise any such forward-looking statements.
