Language Fundamentals

What Language Fundamentals does

Language Fundamentals & SLP Communication Foundations is a private speech-language pathology (SLP) services provider headquartered in Fishkill, New York, operating entirely within New York State. The company is structured around two service brands: Language Fundamentals focuses on the adult and geriatric segment, delivering speech therapy to skilled nursing facilities (SNFs), acute care hospitals, and schools, while SLP Communication Foundations focuses on the pediatric segment, providing early intervention (EI) services for children ages 0–3, preschool/CPSE services, office-based therapy, teletherapy, and (as of 2024) pediatric occupational therapy. The company employs 51–100 staff and is led by founder/COO Melissa C. Webb and CEO Michael V. Webb, with no disclosed institutional investors, parent company, or external funding rounds.

Core technical and clinical capabilities center on (a) Mobile Flexible Endoscopic Evaluation of Swallowing (FEES), in which the company is one of the earliest providers in New York State (established 2003, 21+ years of practice, thousands of completed exams) and operates a dedicated clinician training program; and (b) PDPM (Patient Driven Payment Model) SLP-component expertise, including accurate coding of dysphagia, mechanically altered diet, cognitive impairment, and SLP-related comorbidities to maximize SNF reimbursement. FEES is delivered at the patient's bedside in SNFs on a 24–48 hour scheduling window with same-day results, contrasted against 4–6+ week wait times for modified barium swallow studies in radiology.

The business model is fundamentally a clinical-services staffing and direct-care model. Revenue is generated through billing Medicare Part A (SNF), Medicare Part B (outpatient — the highest-reimbursing therapy discipline), the New York State Early Intervention Program (Medicaid-funded for ages 0–3), school district contracts, and acute care hospital arrangements. GTM is hybrid: a sales-led B2B motion into SNFs, hospitals, and schools via referrals from physicians, pediatricians, and school districts, combined with direct-to-consumer outreach to families for early intervention services. No consumer pricing is published; rates are set by payor fee schedules and PDPM case-mix components, making the business contractually recurring and largely reimbursed rather than out-of-pocket.

Name

Language Fundamentals

Legal name

Language Fundamentals & SLP Communication Foundations

Website

https://langfun.com

Company type

Private

Founded year

2003

Operating status

Operating

Headcount range

51–100 employees

Short description

Language Fundamentals is a New York-based speech therapy provider operating two brands — Language Fundamentals serving skilled nursing facilities, hospitals, and schools, and SLP Communication Foundations serving pediatric early intervention clients. The company specializes in mobile FEES swallowing assessments and PDPM SLP-component reimbursement optimization across New York State.

Ownership category

akta.pro rank

Product category

Speech Therapy Services

NAICS

Offices of Physical, Occupational and Speech Therapists, and Audiologists (621340), Educational Support Services (61171), Educational Support Services (611710)

SIC

Services-Health Services (8000), Services-Educational Services (8200), Services-Specialty Outpatient Facilities, Nec (8093)

akta.pro primary industry

Speech-Language Pathology (SLP) & Swallowing Therapy Centers (HLADAJAF)

akta.pro secondary industries

Speech & Language Therapy (Early Intervention) (EDACAFAB), Literacy-Related Language Intervention (Phonological Awareness, Narrative, Curriculum Language) (EDAKAEAJ), Language Disorders Intervention (Receptive/Expressive, Morphology/Syntax/Semantics) (EDAKAEAE), IEP Speech/Language Evaluation, Goal Setting & Compliance Documentation (EDAKAEAC), Speech Sound Disorders (Articulation/Phonology) Intervention (EDAKAEAD), School-Based Speech-Language Pathology (SLP) Services (EDAKAEAA)

Keywords

• Speech therapy services
• FEES swallowing assessment
• Early intervention therapy
• Skilled nursing speech therapy
• Pediatric speech pathology

Headquarters

HQ city

Fishkill

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Marketing or Sales, Infrastructure

Revenue model

1. Medicare Part A SNF Services: Speech therapy services billed to Medicare Part A for skilled nursing facility patients. Reimbursement tied to PDPM case-mix components including SLP component rates that vary based on diagnosis, comorbidities, dysphagia status, and diet modifications.
2. Medicare Part B Outpatient Services: Outpatient speech therapy services billed under Medicare Part B. Highest rate among all therapy disciplines.
3. Early Intervention Services: Speech therapy services for children ages 0-3 covered through New York State Early Intervention Program. Services may be provided in-home, in-office, or via telehealth.
4. School-Based Services: Speech therapy services provided in school settings to school-aged children. Can include staffing positions within schools.
5. Hospital Services: Acute care hospital speech therapy services including dysphagia evaluation and treatment.

Pricing tiers

Go-to-market motion2 records

Distribution channels3 records

Marketing channels5 records

Core offering

Language Fundamentals is a speech therapy services provider operating across New York State, offering comprehensive speech language pathology services for all ages. The company operates two divisions: Language Fundamentals serves skilled nursing facilities, hospitals, and schools (B2B), while SLP Communication Foundations focuses on early intervention and pediatric services (B2B/B2C). Core services include mobile FEES (Flexible Endoscopic Evaluation of Swallowing) testing, PDPM-optimized SNF speech therapy, early intervention speech therapy, school-based services, hospital acute care, group therapy, office-based therapy, and pediatric occupational therapy.

Product overview

Language Fundamentals & SLP Communication Foundations is a speech therapy service provider offering a comprehensive range of speech and language pathology services. The company operates two primary service brands: Language Fundamentals provides skilled nursing facility and hospital speech therapy services, while SLP Communication Foundations focuses on early intervention and pediatric services. The portfolio includes early intervention services for children birth-3 years, office-based therapy, teletherapy, FEES (Flexible Endoscopic Evaluation of Swallowing) assessments, group therapy, school-based services, hospital services, and skilled nursing facility services. The company also recently added pediatric occupational therapy as a complementary service. Services are primarily delivered across New York State with the main office located in Fishkill, NY.

Differentiator

Problem solved

Functional benefit

Products and services

• Early Intervention & Preschool Services

Quantifiable outcome

• $22 per day difference in PDPM SLP component rate for patients with properly documented dysphagia vs. without ($69.05 vs $47.01 daily rate near Hartford, CT)
• +3 more outcomes

Named customers4 records

Segments4 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature3 records

Partnerships

One partnership is on record.

• Zimmet Healthcare (Alicia Cantinieri)notableStrategic or Co-development Partner · 1 March 2024Presented jointly at the ACHCA convention on the topic of collaboration between speech language pathology and nursing in reducing and preventing rehospitalizations in skilled nursing facilities. Alicia Cantinieri is a representative from Zimmet Healthcare, a consulting firm specializing in SNF reimbursement and clinical reimbursement optimization.

Scale indicators4 records

Expansion highlights5 records

Direct peers

• Select Rehabilitation: Select Rehabilitation is a contract therapy provider for SNFs, hospitals, schools, and outpatient clinics, offering speech, occupational, and physical therapy services. It is one of the closest direct peers to Language Fundamentals, operating a similar multi-setting contract therapy model across the U.S.
• HealthPRO Heritage: HealthPRO Heritage provides contract rehabilitation and therapy services, including speech-language pathology, to skilled nursing facilities, schools, and pediatric programs nationwide. Comparable to Language Fundamentals in delivering SLP across SNF and school settings at scale.
• The Stepping Stones Group: The Stepping Stones Group provides school-based and early intervention speech, occupational, and behavioral therapy services across multiple states. Directly comparable to SLP Communication Foundations' pediatric and EI service lines.
• EBS Healthcare: EBS Healthcare is a therapy staffing and services company specializing in school-based speech-language pathology, occupational therapy, and physical therapy. Comparable to Language Fundamentals' school services division in targeting school districts with SLP staffing and direct service.
• Centria Healthcare: Centria Healthcare provides pediatric speech, occupational, and applied behavior analysis therapy services, including early intervention and home-based services. Directly comparable to SLP Communication Foundations' pediatric and EI service lines in target customer and delivery model.
• Progressus Therapy: Progressus Therapy provides school-based speech-language pathology, occupational, and physical therapy services to K-12 students nationwide. Comparable to Language Fundamentals' school services division in delivery model and K-12 customer base.

Broad incumbents

• Genesis Rehab Services: Genesis Rehab Services is a large, established provider of physical, occupational, and speech therapy across SNFs, hospitals, and senior living communities. As a much larger incumbent with national reach, it competes with Language Fundamentals for SNF and hospital therapy contracts but at a significantly broader scale.
• Soliant Health: Soliant Health is a national healthcare staffing company placing speech-language pathologists, school psychologists, and other allied health professionals. It overlaps with Language Fundamentals as an SLP staffing channel serving schools and SNFs, but operates at much broader scale and scope.
• Reliant Rehabilitation: Reliant Rehabilitation provides contract rehabilitation therapy services including SLP to skilled nursing facilities, hospitals, and assisted living communities across the U.S. A broader incumbent competing in the same SNF/hospital speech therapy market segment as Language Fundamentals.
• Sunbelt Staffing: Sunbelt Staffing is a healthcare and education staffing firm placing speech-language pathologists, school psychologists, and special education professionals. Comparable in placing SLPs into school and clinical settings, though primarily a staffing intermediary rather than a direct therapy provider.

Market position

Strengths4 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights6 records

Customer concentration

• Xx.com/langfndamentals
• Facebookfacebook.com/LanguageFundamentals
• LinkedInlinkedin.com/company/language-fundamentals
• Instagraminstagram.com/languagefundamentals

Revenue estimate

Valuation estimate

Number of profiles

Profiles4 records

Funding overview

Funding rounds

Investors

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

M&A

Investments

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

Frequently asked questions about Language Fundamentals