Nurse-Family Partnership

What Nurse-Family Partnership does

Nurse-Family Partnership (NFP), operating under the parent organization Changent, is a Denver-based 501(c)(3) nonprofit founded in 2003 that runs two evidence-based home-visiting programs: Nurse-Family Partnership, which pairs first-time mothers with specially educated registered nurses for support from pregnancy through the child's first two years, and Child First, a home-based mental health support program for young children and families. The organization operates as a national coordinating body rather than a direct service provider in most jurisdictions, supporting implementation across 56 states and jurisdictions through MIECHV-funded local program sites and a network serving more than 150,000 parents and children annually with over one million home visits per year.

Changent's core technology is the program model itself: a codified, nurse-delivered home-visiting protocol refined over more than 40 years of randomized clinical research, including 18-year follow-up studies published in journals such as JAMA Network Open. The platform is operational and clinical rather than software-based - no proprietary AI, digital platform, or technology product is disclosed, and the organization's competitive differentiation rests on evidence, trademark, and clinical workforce infrastructure rather than software IP.

The organization is funded almost entirely through government sources, primarily the federally authorized Maternal, Infant, and Early Childhood Home Visiting (MIECHV) program administered by HRSA (which awarded $481.5M in FY2025 across all MIECHV-funded programs, scaled to $800M in FY2027) and Medicaid, augmented by private donations. Services are provided at no cost to eligible families. Go-to-market is community-led: parent ambassadors and direct federal/state advocacy drive awareness and funding, while local implementation sites and registered nurses deliver services at no charge to first-time mothers.

Name

Nurse-Family Partnership

Legal name

Nurse-Family Partnership

Website

https://nursefamilypartnership.org

Company type

Private

Founded year

2003

Operating status

Operating

Headcount range

501–1,000 employees

Short description

Nurse-Family Partnership, operating as Changent, is a Denver-based 501(c)(3) nonprofit that delivers and supports evidence-based home-visiting programs pairing first-time mothers and at-risk families with specially educated nurses across 56 U.S. jurisdictions.

Ownership category

akta.pro rank

Product category

Maternal and Child Health Home Visiting Services

NAICS

Home Health Care Services (62161), Other Individual and Family Services (624190), Child and Youth Services (624110)

SIC

Services-Home Health Care Services (8082), Services-Social Services (8300)

akta.pro primary industry

Maternal/Newborn & Postpartum Skilled Home Visits (HSABACAK)

akta.pro secondary industries

Home Visiting & Parent Coaching Programs (EDACALAC), Family Coaching, Parent-Mediated & Home Visiting EI Services (EDACAFAJ), Postpartum Family Helper (Non-Medical) (HSAAAGAJ)

Keywords

• Home visiting services
• Maternal child health
• Nurse home visitation
• Evidence-based programs
• Family support services

Headquarters

HQ city

Denver

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Government Grants (MIECHV): The primary funding source is the Maternal, Infant, and Early Childhood Home Visiting (MIECHV) program. HRSA awarded $481.5 million through MIECHV-funded programs in fiscal year 2025, supporting over 1 million home visits to more than 150,000 parents and children across 56 states and jurisdictions. Program is funded at $800 million for FY2027.
2. Medicaid: The organization relies on Medicaid funding for families served through the home visiting programs. The organization has advocated against Medicaid cuts, noting that millions of families depend on Medicaid for access to care.

Go-to-market motion1 record

Distribution channels2 records

Marketing channels7 records

Core offering

Nurse-Family Partnership delivers two evidence-based home visiting programs: the Nurse-Family Partnership program, which pairs first-time mothers with specially educated registered nurses for continuous in-home support, advice, and clinical guidance from pregnancy through the child's second birthday, and Child First, a home-based mental health support service that promotes nurturing caregiver-child relationships and addresses trauma. Services are provided at no cost to eligible families and are funded primarily through federal MIECHV grants and Medicaid.

Product overview

Nurse-Family Partnership is a national organization (operating as Changent) dedicated to improving health outcomes for children, families, and communities through data-driven programs that create lasting, multigenerational impact. The organization operates two core evidence-based programs: Nurse-Family Partnership, which pairs first-time mothers with specially educated home visiting nurses, and Child First, which provides home-based mental health support services for children and families. The organization also maintains advisory bodies including the Family Advisory Council for Transformation (FACT) and Indigenous Wisdom Council, and engages former participants through its Parent Ambassador Program.

Differentiator

Problem solved

Functional benefit

Brands

• Child First: Home-based mental health support services that promote strong, nurturing caregiver-child relationships, heal trauma, and foster optimal child development and overall family well-being.
• Nurse-Family Partnership (NFP)
• Family Advisory Council for Transformation (FACT)

Products and services

• Nurse-Family Partnership A home visiting program that pairs first-time moms with specially educated home visiting nurses, providing ongoing support, advice, and guidance throughout pregnancy and the first two years of the child's life to build better futures for mothers and their babies.
• Child First A home-based mental health support program that promotes strong caregiver-child relationships, heals trauma, and fosters optimal child development and overall family well-being.

Quantifiable outcome

• Lowered hypertension rates in mothers and reduced obesity among their daughters
• +1 more outcomes

Named customers1 record

Segments3 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature1 record

Scale indicators5 records

Recent moves7 records

Expansion highlights5 records

Broad incumbents

• Zero to Three: Zero to Three is a national nonprofit focused on infant and toddler development, including policy advocacy and workforce training. It is a broader incumbent in the early childhood space that overlaps with NFP's maternal-child mission and engages in overlapping federal advocacy.
• March of Dimes: March of Dimes is a broad incumbent in maternal and infant health, operating research, advocacy, and direct-service programs targeting the same maternal mortality and birth outcome issues NFP addresses. They compete for federal maternal-health funding and donor dollars.
• Early Head Start: Early Head Start is a federal program administered by ACF/HHS that serves low-income pregnant women and families with infants and toddlers — including via home-based options. It is a broader incumbent offering overlapping maternal-child early childhood services and competing for the same federal early childhood funding pool.
• Head Start: Head Start is the broader federal early childhood program serving low-income preschool children and families. While more center-based, it overlaps with NFP's early childhood development mission and shares federal funders and target populations.

Direct peers

• AVANCE: AVANCE is a nonprofit that delivers home-based parent education and family support programs for low-income Hispanic families and other underserved communities. It is MIECHV-eligible and operates as a comparable community-based family support model to NFP.
• Parents as Teachers: Parents as Teachers is a direct peer offering an evidence-based home visiting model focused on parent education and child development from prenatal through kindergarten. Like NFP, it is MIECHV-eligible and serves low-income families nationwide through affiliate network sites.
• Healthy Families America: Healthy Families America (HFA), administered by Prevent Child Abuse America, is a direct peer — both are evidence-based, MIECHV-funded home visiting models serving at-risk families from pregnancy through early childhood. They compete for the same federal and state funding allocations and serve overlapping populations of low-income first-time parents.
• Help Me Grow National Center: Help Me Grow is a national network helping states and communities implement systems for early identification and connection of at-risk children to services. It is a direct peer in the early childhood home visiting and family referral ecosystem, operating with similar MIECHV-aligned funding.
• Home Instruction for Parents of Preschool Youngsters (HIPPY): HIPPY USA is a direct peer delivering an evidence-based home visiting curriculum for parents of preschool-age children, including 3-year-old programs. It is MIECHV-eligible and competes with NFP for the same federal home visiting dollars and similar family demographics.

Others

• Association of Maternal & Child Health Programs (AMCHP): AMCHP is a national membership organization representing state maternal and child health programs. It is an ecosystem participant — not a direct service competitor — but overlaps with NFP in policy advocacy and federal funding ecosystem for Title V and MIECHV programs.

Market position

Strengths5 records

Weaknesses4 records

Competitive moat4 records

Key risks5 records

Key highlights7 records

Customer concentration

• Xx.com/NFP_nursefamily
• YouTubeyoutube.com/@Changent_Org
• Facebookfacebook.com/nursefamilypartnership
• LinkedInlinkedin.com/company/nurse-family-partnership
• Instagraminstagram.com/changentorg

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 Nurse-Family Partnership