Madeline arrived in the United States in 1993 with a background in law from Lebanon and a handful of English words. She built her life here the way so many immigrants do — through hard work, resilience, and an instinct to connect with people wherever she went.

Over the years, Madeline worked her way through Birmingham's retail scene, earned her cosmetology license, worked at Hudson's in Somerset, and eventually built a successful alterations business serving some of Metro Detroit's most beloved stores — Kashy, Talbots, Banana Republic, Lacoste, Cache, Tory Burch, and more. She built those relationships one customer at a time, in broken English, with her hands and her heart.

But it was her customers who changed the direction of her life. A few of them were elderly, and Madeline began quietly going to their homes — helping them with small tasks, bringing food, sitting with them, asking if they needed anything. Not because it was her job. Because it was her nature.

"Some of my customers told me, Madeline, you would be very good at home care," she recalls. "And I felt like — this is part of me. I like to help people."

Madeline had already lived it. She traveled back to Lebanon three times to personally care for her aging parents — staying for months at a time, being present in the way only a devoted daughter can be. When her parents passed, that experience never left her.

When the alterations work began taking a toll on her body — her hands, her back, her neck — she made the decision to step into home care fully. She founded Tohme HomeCare Group with a simple belief: that caring for someone is not a transaction. It is a relationship. And if you do not have it in your heart, you cannot truly do it.

Today, Madeline personally checks on her clients. She calls them. She shows up unannounced to make sure her caregivers are doing their best work. She wants every family to feel what she felt with her own parents — that their loved one is being cared for like family. Because to her, they are.