Choice Health at Home

What Choice Health at Home does

Choice Health at Home is a Tyler, Texas-based, private equity-backed home-based care platform founded in 2007 that delivers Medicare-certified home health, hospice, palliative, and attendant/personal care services to patients across multiple U.S. states. Its service offering spans skilled nursing, physical and occupational therapy, wound care, diabetic teaching, end-of-life hospice care, and non-medical personal care, serving primarily Medicare recipients and post-acute care patients in their homes. The company has scaled aggressively through serial acquisitions since 2020, building a multi-state footprint across Oklahoma (approximately 90% state coverage), Texas, Arizona, Colorado, and Florida, with Florida added in early 2026 as a strategic anchor for further Southern U.S. expansion.

The company operates an acquisition-led roll-up model under PE ownership from Trive Capital and Coltala Holdings, with a $190 million credit facility (Oxford Finance/Maranon Capital, January 2022) funding the inorganic growth strategy. Distribution is direct-to-patient via agency-based care delivery — skilled nurses, therapists, and caregivers deployed across regional hubs in cities including Tyler, Oklahoma City, Tomball, Houston, Denver, and newer Florida markets. Revenue streams are recurring and reimbursement-driven, primarily from Medicare home health and hospice payments, supplemented by private-pay personal care services following the Instant Care of Arizona and Senior Nannies acquisitions.

On the technology side, Choice Health at Home has invested in AI and automation tools focused on revenue cycle management and intake processing, with publicly cited cost declines attributed to these systems. The broader technology posture is back-office and integration-oriented — enabling operational consolidation across acquired agencies — rather than a clinical or data-platform play. CEO David Jackson (with Jeffrey Kreger as CFO) leads a strategy of integrating personal care with skilled clinical services across the care continuum, positioning the company as a comprehensive in-home care provider rather than a technology-led disruptor.

Name

Choice Health at Home

Website

https://choicehealthathome.com

Company type

Private

Founded year

2007

Operating status

Operating

Headcount range

1,001–5,000 employees

Short description

Choice Health at Home is a Tyler, Texas-based, PE-backed home-based care platform delivering Medicare-certified home health, hospice, palliative, and personal care services across Oklahoma, Texas, Arizona, Colorado, and Florida through serial acquisitions of regional providers.

Ownership category

akta.pro rank

Product category

Home Healthcare Services

NAICS

Home Health Care Services (62161)

SIC

Services-Home Health Care Services (8082)

akta.pro primary industry

Skilled Home Health (Medicare-Certified) Agencies (HLAFAEAA)

akta.pro secondary industries

Home Hospice (Routine Home Care) (HLADAHAA), Routine In-Home Hospice Care (HSABAFAA), Care Transitions Management (Hospital/SNF-to-Home) (HSABAIAC)

Keywords

• Home health services
• Hospice care
• Personal care services
• Post-acute care
• In-home care

Headquarters

HQ city

Tyler

HQ country

United States

HQ region

North America

Offices4 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Supply Chain, Technology or R&D, Marketing or Sales

Revenue model

1. Home Health Care Services: Medicare-certified home health services including skilled nursing, physical therapy, occupational therapy, and wound care provided to patients in their homes
2. Hospice Care Services: Hospice care services providing end-of-life care across multiple states
3. Attendant and Personal Care Services: Non-medical personal care and attendant services expanding service offerings beyond clinical care

Go-to-market motion2 records

Distribution channels1 record

Marketing channels2 records

Core offering

Choice Health at Home is a multi-state home-based care platform that delivers Medicare-certified home health services (skilled nursing, physical therapy, occupational therapy, wound care, diabetic teaching) along with hospice care and non-medical personal/attendant care to patients across Oklahoma, Arizona, Texas, Colorado, and Florida. The company consolidates independent home health and hospice providers through acquisitions and integrates personal care with skilled clinical services across the care continuum.

Differentiator

Problem solved

Functional benefit

Products and services

• Medicare-Certified Home Health Services
• Hospice Care Services
• Attendant and Personal Care Services

Quantifiable outcome

• Cost declines from automating revenue cycle and intake processes
• +1 more outcomes

Segments4 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature2 records

Scale indicators5 records

Recent moves6 records

Expansion highlights6 records

Direct peers

• Amedisys, Inc. Major Medicare-certified home health and hospice provider now owned by UnitedHealth/Optum. Direct competitor for Choice in home health and hospice referrals and acquired-asset pipelines.
• BrightSpring Health Services: Public, PE-backed home and community health platform offering home health, hospice, and personal care services. Highly comparable in service mix, PE ownership profile, and acquisition-led growth strategy.
• Addus HomeCare Corporation: Public provider of personal care, home health, and hospice services. Directly comparable in combining personal care services with Medicare-certified home health across multiple states.
• Enhabit Inc. Public home health and hospice operator spun off from Encompass Health in 2022. Most direct publicly traded comparable for Choice given its mix of Medicare-certified home health and hospice services across multiple states.
• Aveanna Healthcare Holdings: Public home health, hospice, and medical solutions provider serving medically complex patients. Comparable in multi-state footprint and home-based care service mix.
• The Pennant Group: Public home health, hospice, and senior living operator with a decentralized acquisition-driven model in the Western U.S. Closely comparable GTM via tuck-in acquisitions and Medicare-certified services.
• Bayada Home Health Care: Large nonprofit home health and personal care provider operating across more than 20 states. Comparable in service breadth (skilled nursing, therapy, personal care) and home-based delivery model.

Broad incumbents

• Interim HealthCare: Franchised national home health, hospice, and personal care provider. Comparable in service offering but operates via a franchise model rather than corporate-owned locations.
• Encompass Health Corporation: Large publicly traded inpatient rehabilitation and home health/hospice operator. Competitor for hospice referrals and a broader incumbent in the post-acute care space.

Emerging players

• Help at Home: PE-backed personal care services provider serving Medicaid and elderly populations across multiple states. Adjacent competitor for personal care segment and labor pool.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat5 records

Key risks6 records

Key highlights6 records

Customer concentration

• LinkedInlinkedin.com/company/choice-rehab

Revenue estimate

Valuation estimate

Number of profiles

Profiles2 records

Funding overview

Funding rounds2 records

Investors3 records

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A9 records

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Choice Health at Home