The Columbus Organization

What The Columbus Organization does

The Columbus Organization is a Pennsylvania-domiciled, privately held care coordination and clinical services company founded in 1984 that delivers field-based case management, support coordination, and clinical staffing under U.S. state Medicaid Home and Community-Based Services (HCBS) waiver programs. The company serves individuals with intellectual and developmental disabilities (IDD), behavioral health needs, acquired brain injury, and aging/disabled populations across 46 states, supporting more than 100,000 individuals cumulatively through 150+ state and local agency partnerships. Its core technology stack centers on two proprietary, trademarked care coordination models — C-Change™ and the ACCOMPLISH® Solution — which combine screening/assessment tools, prescriptive risk-stratification algorithms, and analytics integrated into member interactions to drive early identification of medical, behavioral, social, and environmental risk.

The company monetizes primarily through fee-for-service Medicaid waiver reimbursement (managed-services contracts with state Medicaid and developmental disability agencies), supplemented by professional clinical staffing placements billed on a customized quote basis to healthcare facilities, schools, and government entities. A secondary revenue stream comes from CMS-certified Quality Improvement Organization (QIO) services held since 2014, which can enhance the federal Medicaid match to 75% for contracting states. Distribution is direct-to-government and direct-to-enterprise (field sales and RFP responses); there is no consumer/retail channel. The organization has pursued growth through both organic state expansion (e.g., Kentucky 2017, CHILD Waiver approval 2026) and a roll-up of complementary care-coordination agencies, completing four acquisitions between 2018 and 2025, most recently Diversified Resources, Inc. (July 2025, adding 5,000+ members and 100+ staff) and Agro Transition & Consulting, LLC (December 2025).

Name

The Columbus Organization

Legal name

The Columbus Organization

Website

https://www.columbusorg.com/

Company type

Private

Founded year

1984

Operating status

Operating

Headcount range

501–1,000 employees

Short description

The Columbus Organization is a privately held, Pennsylvania-based care coordination provider founded in 1984 that delivers Medicaid HCBS case management, support coordination, and clinical staffing to individuals with IDD, behavioral health needs, brain injury, and aging populations across 46 U.S. states.

Ownership category

akta.pro rank

Product category

Healthcare Care Coordination Services

NAICS

Individual and Family Services (6241), Services for the Elderly and Persons with Disabilities (62412), Other Individual and Family Services (624190), Services for the Elderly and Persons with Disabilities (624120)

SIC

Services-Social Services (8300), Services-Health Services (8000), Services-Misc Health & Allied Services, Nec (8090)

akta.pro primary industry

Home Health Clinical Care Coordination & Case Management (HSABACAO)

akta.pro secondary industries

Interagency Coordination & Case Management (VR, DD, Medicaid Waivers) (EDAKANAM), Hospital/Facility-to-Home Caregiver Placement (HSABAMAC), Special Education Staffing & Contracted Providers (Paras, Therapists, Specialists) (EDAJAKAL), Behavioral Health & Cognitive Support Coordination (Dementia, Depression, SUD) (HSABAIAF)

Keywords

• Care coordination services
• Medicaid waiver programs
• Clinical staffing solutions
• Developmental disability services
• Quality improvement services

Headquarters

HQ city

Wayne

HQ country

United States

HQ region

North America

Offices5 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. Care Coordination / Case Management Services: Revenue generated through Medicaid Home and Community-Based Services (HCBS) waiver programs. The company provides case management and care coordination services under state waiver programs including Supports for Community Living (SCL), Michelle P. Waiver (MP), Acquired Brain Injury (ABI), CHILD Waiver, and others. Services are reimbursed through government Medicaid funding with rates established through federal/state programs.
2. Professional Clinical Staffing Services: Professional clinical staffing solutions provided to organizations serving individuals with intellectual/developmental disabilities, behavioral health, psychiatric care, and complex health needs. Columbus places healthcare professionals including physicians, nurses, psychologists, behavior analysts, and therapists with government agencies, healthcare facilities, and schools. Pricing is customized based on role type, scope, location, credentialing requirements, and duration.
3. Quality Improvement Services: CMS certified Quality Improvement Organization (QIO) services since 2014. Provides independent, objective quality improvement services to healthcare organizations. Through the CMS Federal match system, the QIO designation can be used with contracts to enhance states' federal match to 75%. Services include mortality reviews, compliance monitoring, and system reviews.
4. Behavioral Services: ABA therapy for children with autism, functional assessments, behavior support plan development, staff/caregiver training, and hands-on support services. Services provided across home, school, day program, and community settings.

Go-to-market motion2 records

Distribution channels3 records

Marketing channels6 records

Core offering

The Columbus Organization provides field-based care coordination, case management, and support coordination services for individuals with intellectual and developmental disabilities (IDD), behavioral health needs, brain injuries, and aging populations under state Medicaid waiver programs. The company also delivers professional clinical staffing solutions to healthcare facilities, schools, and government agencies, and operates as a CMS-certified Quality Improvement Organization (QIO) offering independent quality improvement consulting services.

Product overview

The Columbus Organization operates as a care coordination and clinical staffing services provider offering a portfolio of integrated products and services. The core offerings include C-Change™ (a comprehensive complex health management platform providing 360° care coordination), the ACCOMPLISH® Solution (a proprietary care coordination model with analytics tools), Care Management Services (person-centered traditional and intensive care coordination), and Professional Clinical Staffing Services. These are supplemented by Quality Improvement Services (CMS-certified QIO), Behavioral Services, and state-specific waiver program services including EDWP and CHILD Waiver case management. The organization serves individuals with intellectual/developmental disabilities, behavioral health needs, aging populations, and complex health concerns across multiple U.S. states.

Differentiator

Problem solved

Functional benefit

Brands

• C-Change™: An integrated system of supports driving measurable outcomes by delivering comprehensive care management for individuals with complex healthcare needs, developmental and/or physical concerns, cognitive impairment, behavioral health needs, and aging populations.
• ACC

Products and services

• C-Change™

Quantifiable outcome

• 100,000+ individuals supported since 1984
• +3 more outcomes

Named customers5 records

Segments6 records

Ideal customer profiles3 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.

• AlzBettercoreStrategic or Co-development Partner · 8 July 2025The Columbus Organization partnered with the AlzBetter Dementia 360 Program to strengthen support for individuals living with dementia and their caregivers. Through this initiative, Columbus care managers receive specialized training for effective, person-centered dementia support. The AlzBetter app provides caregiver education, ongoing support, and resources library for navigating dementia-related challenges. The partnership aims to help individuals remain safely in their homes and communities while reducing caregiver strain.

Scale indicators10 records

Direct peers

• Centria Healthcare: National provider of Applied Behavior Analysis (ABA) therapy and behavioral health services primarily to children with autism. Directly overlaps with Columbus's Behavioral Services offering (ABA, functional assessments, behavior support plans) across home, school, and community settings.
• Maxim Healthcare Services: National provider of home healthcare, behavioral services, and clinical staffing across the U.S. Directly competes with Columbus on Medicaid waiver personal care, ABA therapy, and government/educational staffing for individuals with IDD and behavioral health needs.
• Sevita Health: One of the largest U.S. providers of home and community-based services for individuals with intellectual and developmental disabilities, behavioral health, and aging populations. Directly competes with Columbus on Medicaid HCBS waiver case management and supported living services across many of the same states.
• Bayada Home Health Care: Large national provider of home health, adult nursing, pediatric, and habilitation services across 40+ states. Directly comparable care coordination and clinical staffing business for individuals with disabilities and complex needs, including Medicaid-funded services.
• Aveanna Healthcare: Public home health and medical solutions company providing private duty nursing, pediatric services, and behavioral health including ABA therapy. Comparable to Columbus's clinical staffing, behavioral services (ABA), and care coordination for medically complex pediatric and adult populations.
• Penn-Mar Human Services: Mid-Atlantic nonprofit provider of services for people with intellectual and developmental disabilities, including case management, residential, and community participation supports. Competes directly with Columbus in Pennsylvania, Delaware, and adjacent states on HCBS waiver coordination.
• Merakey: Nonprofit provider of behavioral health, intellectual disabilities, and autism services across multiple states. Competes with Columbus on HCBS waiver case management, community-based support coordination, and behavioral services for IDD populations.
• BrightSpring Health Services: Public company providing home and community-based health services including behavioral health, home health, and pharmacy services to complex populations. Overlaps with Columbus on HCBS waiver delivery, clinical staffing, and serving IDD/aging populations across multiple states.

Broad incumbents

• UPMC Community Care Behavioral Health: Health system-affiliated managed care organization providing behavioral health and IDD care coordination across Pennsylvania and additional states. Comparable care management infrastructure and risk-bearing approach for complex populations overlaps with Columbus's HCBS coordination capabilities.
• Help at Home: Largest U.S. personal care services provider serving Medicaid HCBS waiver populations across 13+ states. Overlaps with Columbus's Elderly and Disabled Waiver Program services and broader HCBS case management for aging and disabled populations.

Market position

Strengths5 records

Weaknesses4 records

Key risks5 records

Key highlights6 records

Customer concentration

• Xfacebook.com/thecolumbusorganization
• Facebookfacebook.com/thecolumbusorganization
• LinkedInlinkedin.com/company/the-columbus-organization

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles3 records

Subsidiaries2 records

Funding overview

Funding rounds1 record

Investors1 record

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

M&A4 records

Investments

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

Frequently asked questions about The Columbus Organization