Total Care Connections (TCC), an Arizona-based home care provider, has been named to the Inc. 5000 list of America’s fastest-growing private companies for the ninth time in 2025 – a milestone that fewer than 0.5% of companies ever achieve[1]. This latest honor places Total Care Connections at No. 3601 on the 2025 Inc. 5000, with a three-year revenue growth rate of 107%[2]. The company’s sustained growth – appearing on the Inc. 5000 in 2016, 2017, 2018, 2019, 2020, 2021, 2022, 2024 and now 2025 – underscores a decade of relentless innovation and expansion[2].
“To be an Inc. 5000 honoree for the ninth time is truly humbling,” said Daniel Stringer, founder and CEO of Total Care Connections. “We never set out to win awards – we started in 2009 during the economic downturn, simply focused on helping people. This achievement is a testament to what amazing people can do together when united by a common purpose. Our growth is not a foregone conclusion; it’s the result of continuous innovation, diversification, and an incredible team of ‘A-players’ who give their all to build Total Care Connections.”
Continuous Innovation and Diversification Fuel Growth
From its humble beginnings in Tucson in 2009, Total Care Connections has charted an extraordinary growth trajectory through strategic innovation and service expansion. In 2015, TCC began providing care to U.S. military veterans through a contract with a local VA hospital. This initiative later transformed into a nationwide partnership with TriWest Healthcare Alliance, enabling TCC to serve veterans across Arizona and Colorado. In recent years, the company has completed four acquisitions of other home care agencies, expanding into new markets and broadening its services and payer mix to include Medicaid, managed care organizations, workers’ compensation, and private insurance programs. These moves have positioned TCC to reach more clients and meet a wider array of care needs each year.
“Growth doesn’t happen by accident – it requires continuously finding better ways to serve,” Stringer noted. “Over the years we’ve expanded our offerings – from veteran care to specialized programs – always with the mindset of diversifying and innovating to fill gaps in care. We are excited to partner with large health systems and be part of the solution for our aging and disabled population as we continue to grow.”
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People and Culture at the Core
Leadership credits TCC’s team and culture as the driving force behind the company’s enduring success. The family-owned firm has assembled an executive team with over 100 years of combined home care experience and recruited top talent at every level. “One of the main things that makes Total Care Connections special is our people,” said Stringer. “Our caregivers and nurses could work for any agency, but they choose to work here – and they serve our clients with such compassion and excellence that families continue to choose Total Care Connections for their loved ones’ care. It’s not lost on me that our best people could work anywhere, yet they’ve chosen to build their careers here. That commitment is what makes us so special.”
Total Care Connections fosters a culture of compassion both in the field and internally. The company maintains a “Total Care Grant Circle” employee relief fund to support team members in times of need, and encourages a philosophy of “do ordinary things with extraordinary love.” Inspired by the famous Mother Teresa quote, TCC’s staff approach even routine caregiving tasks with exceptional kindness and empathy – an ethos that translates into outstanding client satisfaction and word-of-mouth reputation.
Expanding Services to Meet Growing Needs
Even as it celebrates past achievements, Total Care Connections is looking to the future with new services and market expansion. The company recently obtained licensure as a skilled home health agency in Tucson, Phoenix, and Colorado Springs, allowing it to provide medical home health services in those regions. In addition, TCC is launching pediatric home health and private-duty nursing services – including long-term in-home nursing for both pediatric and adult clients – across all its markets. These developments, supported by new expert hires, are slated to roll out through late 2025 and into 2026.
“2026 looks to be another year of explosive growth for us,” Stringer said. “We’ve brought on some amazing people to help lead our expansion into skilled home health and pediatric care. By broadening our continuum of care, we can serve families at every stage – from newborns needing in-home nursing to seniors wanting to age in place. Our vision is to be there for families when they need us most, with the highest standard of care.”
Embracing Technology While Preserving the Human Touch
In an industry built on personal care, Total Care Connections has distinguished itself by integrating technology in thoughtful ways to enhance (not replace) the human touch. The company has adopted tools including artificial intelligence to improve and streamline administrative workflows. By leveraging technology for scheduling, training, and communication, TCC frees up its staff to spend more quality time with clients. “Home care is a very personal, human-to-human service – often in the most vulnerable times of a person’s life,” Stringer explained. “We see technology and innovation as ways to empower that human element, not diminish it. For example, using AI in how we build care teams can ensure a great fit between caregiver and client, which leads to better care. Streamlining workflows with tech means our team members can focus on what they do best: caring for people.”
One recent example of TCC’s impact: a quadriplegic client in Colorado wrote to express how “Total Care Connections has changed [my] life” compared to her experiences with other agencies. After nearly 10 years of feeling like “just a number, a job to get done” – often left without the care she needed – she says that the “compassion, love, [and] grace” shown by TCC caregivers “every single day” have made all the difference. Stories like this exemplify TCC’s mission to do ordinary things with extraordinary love in home care. By marrying compassionate caregiving with smart innovation, Total Care Connections has created a model that not only achieves fast growth, but also delivers life-changing support to those who need it most.
With its ninth Inc. 5000 accolade in 2025, Total Care Connections joins an “elite and rare” group of companies that have demonstrated such sustained high growth[1]. Fewer than 0.5% of all companies that ever make the Inc. 5000 list manage to do so nine times[1]. For Total Care Connections, however, the true measure of success isn’t just revenue growth – it’s the lives improved along the way. “This Inc. 5000 honor is really a reflection of our team’s heart and our clients’ trust,” Stringer said. “It motivates us to keep raising the bar. We’re more excited than ever to continue our mission of serving families with extraordinary love, across Arizona, Colorado and beyond.”
About Total Care Connections
Founded in 2009, Total Care Connections is a leading provider of comprehensive in-home healthcare services, delivering personalized, high-quality care to clients across Arizona and Colorado[3]. The company’s nurse-led team offers a wide range of services – from companionship and personal care to 24/7 private nursing – all with a commitment to compassion and excellence. Over 16 years, Total Care Connections has grown from a small Tucson start-up into one of the Southwest’s preeminent home care agencies. It remains family-owned, debt-free, and dedicated to its core values of faith, compassion, and innovation. TCC has been recognized on the Inc. 5000 list nine times, and was honored among Arizona’s Most Admired Companies. For more information, visit totalcareconnections.com.
[1] Regional Company Makes The Inc. 5000 List For The 9th Year
[2] [3] Total Care Connections is a 2025 Inc. 5000 honoree
[4] [5] KUBRA Named One of Arizona’s Most Admired Companies for 2025
[6] [8] Here are Arizona’s Most Admired Companies of 2025 – AZ Big Media
[7] Most Admired Companies of 2024: Total Care Connections – AZ Big Media
