Who We Are

PERA invests in well-run, mid-sized local and regional hospice providers whose owners are seeking capital, advanced technology capabilities, compliance and regulatory support, and additional management resources to enhance and grow their offerings.

Thanks to its 2022 strategic partnership with Hospice Care of America (HCA), PERA now operates seven hospice licenses across four states.

Our Mission

PERA is on an aspirational mission to modernize palliative/hospice care, to enable the best care possible for patients and their families, and to empower caregivers in optimizing end of life care.

Meet the Team

  • RYAN GRUHALA

    CHIEF EXECUTIVE OFFICER

  • KARA JUSTIS

    CHIEF COMMERCIAL OFFICER

  • JENIFER STEVIE

    CHIEF FINANCIAL OFFICER

  • JULIA ROSEN

    CHIEF INFORMATION OFFICER

The Perfect Combination

PERA is backed by Kain Capital, a private equity firm focused exclusively on investments in healthcare services and healthcare information technology companies. Kain’s investment approach is different—the firm uses no debt in its transactions, so all capital is focused on growing the business and enhancing services. With all larger investments, the legacy company retains local autonomy along with a significant component of equity and continues to provide leadership within its geography.

Kain invests significantly in shared resources and advanced training and technologies. Our goal is to create enhanced clinical and administrative capabilities, while consolidating back-office functions such as compliance, regulatory management, revenue cycle management, financial reporting and analytics, technology and human resources (recruiting, payroll and benefits) to achieve cost and service levels that far exceed current practices.

PERA has a track record of improving operations, quality assurance, the human resources, and profit sustainability. We believe in empowering partners with the education, resources, tools, and support needed to succeed, bridging the employee and patient experience through unmatched quality of care and culture.

The PERA management team is comprised of lifetime professional hospice providers committed to best practices in clinical care and hospice administration. Together the team has decades of specialized experience in the hospice space, each executive is sensitive to the unique needs of the caregivers and patients in this setting.