Culture and Leadership | Home Care Assistance Culture and Leadership | Home Care Assistance

Culture and Leadership

Home Care Assistance is able to provide premier level care and help push the boundaries for the seniors we serve because of our people. The genuine passion, unmatched work ethic, creative spirit and passion for providing the best possible care can be experienced at all levels of the company, defines our company culture and is contagious! Home Care Assistance is a special company to work for and work with - learn why!

The leadership team at Home Care Assistance discusses what home care means to them and how Home Care Assistance is changing the way the world ages.

Learn more about our innovative approach to aging »

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Meet Our Leadership Team


Lily Sarafan, CEO

Lily Sarafan is CEO of Home Care Assistance, the fastest growing company in the $100B in-home care industry. Under Lily‘s leadership for more than a decade, Home Care Assistance grew from startup to venture-backed growth company to industry champion and today employs more than 6,000 team members across 150 global markets. The company is consistently recognized as an employer of choice and best-in-class consumer product, and Lily as a featured expert on digital health and the future of aging at the White House and conferences around the world. She serves on the boards of several high-impact organizations including the Stanford Alumni Association, the Berkeley Haas Center for Entrepreneurship and Development, and the National Iranian American Council. Across various public and private sector initiatives, Lily plays a leadership role to advance economic development, civil society, and interdisciplinary approaches to business and social impact. One of Silicon Valley‘s 40 Under 40, she has been featured in Forbes, Entrepreneur and Inc. Lily holds an M.S. in Management Science and Engineering and B.S. in Science Technology and Society with a minor in Middle Eastern Studies from Stanford University, where she was Eben Tisdale Fellow and Class President.


Chen Xie, CFO and VP of Corporate Development

Chen Xie is Chief Financial Officer and VP of Corporate Development for Home Care Assistance. Chen joined Home Care Assistance from McKinsey and Company where he served as a consultant in the healthcare industry. At McKinsey, Chen advised senior executives in multiple Fortune 500 companies and top 10 healthcare companies in strategy, finance, operations and investment strategy. As Chief Financial Officer of Home Care Assistance, Chen is responsible for the financial strength of the company, overseeing the Finance department, making investment decisions and developing analytics tools and programs. As Vice President of Corporate Development, Chen helps drive our company‘s growth and expansion by contributing to new tools, processes and systems and opening new corporate locations. Chen received his degree in Economics and Psychology with High Honors from Harvard University.


Danny Shapiro, COO

Danny Shapiro is Chief Operations Officer at Home Care Assistance. As COO, Danny leads field operations, human resources, marketing and operations support, and the strategic development and growth of HCA‘s care team, service offerings and global footprint. Before joining HCA, Danny was a Division Vice President with DaVita, one of the nation’s largest and leading healthcare services providers, where he led a $200 million operation and grew DaVita‘s kidney care business across Northern California. He is passionate about building bold, innovative and community-driven businesses at the intersection of health, retail and technology, and is a graduate of Harvard College, Harvard Business School and Harvard Kennedy School. When he’s not changing the way the world ages, Danny enjoys outdoor adventures with his wife and two children, and exploring all that the San Francisco Bay Area has to offer.


Barbara Schuh, VP of Franchise Development

Barbara Schuh is Vice President of Franchise Operations for Home Care Assistance. Barbara joined Home Care Assistance in 2011 and oversees every aspect of franchise operations from sales and marketing to employee and client care to ensure that all locations achieve operational excellence. Barbara has over 20 years of home care operations and management experience, having owned, operated and sold a multi-million dollar home care agency. A well-known geriatric care management and senior care expert, Barbara is a member of the Aging Life Care Association. Barbara holds Bachelor’s and Master’s degrees in Psychology and was honored as Humanitarian of the Year by the John Muir Foundation.


Ashley Mirone, VP of Business Development

Ashley‘s extensive management experience places emphasis on setting strategic direction, communicating vision and strategy through growth initiatives, establishing clear business objectives, and focusing the operational capacity to ensure those objectives are met. Ashley has built organizational cultures that are adaptable to change and embrace experimentation, are flexible and adjust priorities quickly to accommodate changing demands. Throughout her career and at Home Care Assistance, Ashley has earned a reputation for establishing and tapping into professional networks of business and entrepreneurial leaders to bring about breakthrough innovations, speed time to market, and improve organizational outcomes. In addition to Ashley‘s expertise on senior resources she is also a Certified Senior Advisor. Ashley gained extensive knowledge about aging and the important health, social and financial issues that affect the majority of seniors.


Yarona Marks, VP of Finance

Yarona Marks is the VP of Finance for Home Care Assistance. Yarona is an experienced professional who brings many years of leadership in accounting and financial reporting, with a primary focus on service-based businesses. Her expertise and experience is assisting growing companies stride to the next level. Yarona and her husband are parents of two beautiful daughters who reside in Gainesville, Florida. Yarona enjoys traveling the world with her husband and attending country music concerts with her two daughters.