What Dominion Care does

Dominion Care is a private, Virginia-based behavioral health and educational services provider founded in 1999, headquartered in Richmond, and operating a statewide continuum of care for individuals from age 18 months through 65+. The organization delivers services through five core lines: (1) autism and ABA therapy including EIBI, in-home ABA, and ADOS-2 evaluations; (2) community-based mental health services covering Mental Health Skill Building, Intensive In-Home, mobile crisis response, Total Wellness Navigation, and the Dominion Club psychosocial rehabilitation program; (3) educational services including the Dominion Academy private day school and Therapy and Education Center; (4) intellectual and developmental disabilities services funded through Virginia Medicaid waivers, including Group Day, In-Home Supports, Sponsored Residential, Independent Living, Community Engagement, Workplace Assistance, and Therapeutic Consultation; and (5) outpatient therapy, psychiatric medication management, telehealth, and substance use treatment, including the Sequoia adult IOP and an Adolescent IOP. Service delivery occurs across outpatient clinics, private day school campuses, sponsored residential homes, in-home settings, school-based placements, and HIPAA-compliant telehealth platforms, with 750+ credentialed clinical and direct-support staff across Richmond, Fredericksburg, Norfolk, Roanoke, Lynchburg, Fairfax, and additional Virginia localities.

The business model is predominantly fee-for-service and Medicaid waiver-driven. Dominion Care is a credentialed provider with all Virginia Medicaid plans, Medicare, most commercial insurers, and Tricare East; Community Mental Health Services accept Medicaid but not private insurance for those programs. I/DD services are billed through three Virginia Medicaid HCBS waivers (Community Living, Building Independence, Family and Individual Supports), and educational placements at the private day school are funded through local county school divisions via Family Assessment and Planning Team (FAPT) meetings. The Sequoia IOP is billed on a program basis, ABA therapy on a recurring monthly cadence, and a Square-based online payment portal handles patient balances. Go-to-market relies on a sales-led referral network including self-referral, healthcare provider referrals, Community Services Board referrals, MCO/HMO referrals, school system IEP referrals, and direct-to-consumer digital marketing via the dominion.care website, Google/Facebook ads, and social media channels.

Strategic positioning is anchored on regulatory credentials (CARF accreditation, VAISEF accreditation, Virginia Department of Education licensing, DBHDS licensing) that gate Medicaid and school-district reimbursement, combined with a broad service portfolio that allows cross-referral across behavioral health, developmental disabilities, and special education populations within a single accountable organization.

Name

Dominion Care

Legal name

Dominion Care

Website

https://dominion.care

Company type

Private

Founded year

1999

Operating status

Operating

Headcount range

501–1,000 employees

Short description

Dominion Care is a private Virginia-based behavioral health and educational services provider delivering ABA therapy, outpatient mental health, I/DD waiver services, private day schooling, and substance use treatment to individuals from age 18 months through 65+ across Richmond, Fredericksburg, Norfolk, Roanoke, Lynchburg, and Fairfax.

Ownership category

akta.pro rank

Product category

Behavioral Health Services

NAICS

Ambulatory Health Care Services (621), Residential Intellectual and Developmental Disability, Mental Health, and Substance Abuse Facilities (6232), Other Residential Care Facilities (6239), Child and Youth Services (62411)

SIC

Services-Specialty Outpatient Facilities, Nec (8093), Services-Misc Health & Allied Services, Nec (8090), Services-Home Health Care Services (8082)

akta.pro primary industry

ABA Therapy Providers (Home-Based) (EDAKAHAB)

akta.pro secondary industries

ABA Therapy Providers (School-Based) (EDAKAHAC), ABA Supervision, Clinical Oversight & BCBA Consulting (EDAKAHAH), Early Intervention ABA (Birth–3) (EDAKAHAD)

Keywords

• Behavioral health services
• Applied behavior analysis
• Outpatient mental health
• Developmental disability services
• Substance abuse treatment

Headquarters

HQ city

Richmond

HQ country

United States

HQ region

North America

Offices17 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Insurance-based outpatient therapy and psychiatric services: Revenue generated through outpatient therapy, psychiatric evaluations, and medication management services billed to insurance providers including Medicaid and commercial plans
2. ABA therapy services: Applied Behavior Analysis therapy services for individuals with autism, billed through Virginia Medicaid plans, most Commercial plans, and Tricare East
3. Online payment system: Square-based online payment portal for ABA and Outpatient services allowing patients to pay account balances digitally
4. Educational services: Private day school services typically funded through local county school divisions via Family Assessment and Planning Team (FAPT) meetings; Therapy and Education Center services
5. Intellectual and Developmental Disabilities waiver services: Services for individuals with ID/DD diagnoses including Group Day, In-Home Supports, Sponsored Residential, Independent Living, Community Engagement, Workplace Assistance, and Therapeutic Consultation, billed through Virginia Medicaid waivers (Community Living, Building Independence, Family and Individual Supports)

Pricing tiers

Go-to-market motion1 record

Distribution channels7 records

Marketing channels12 records

Core offering

Dominion Care provides a continuum of behavioral health, educational, and intellectual/developmental disability services across Virginia. Offerings include ABA therapy for autism, outpatient mental health therapy, psychiatric medication management, substance abuse intensive outpatient programs (Sequoia IOP), community-based mental health services, private day school education, and Medicaid waiver-supported residential and day programs for individuals with I/DD.

Product overview

Dominion Care is a behavioral health and educational services organization providing a comprehensive continuum of care across Virginia. The company operates as a coordinated portfolio of services rather than a single product platform. Core offerings include: (1) Autism and Behavior Services featuring ABA therapy, Early Intensive Behavior Intervention (EIBI), in-home ABA, and autism evaluations; (2) Community-Based Mental Health including mental health skill building, intensive in-home services, crisis response, and psychosocial rehabilitation; (3) Educational Services encompassing private day school (Dominion Academy), Therapy and Education Center (TEC), and transitional services; (4) Intellectual and Developmental Disabilities Services offering group day, in-home supports, sponsored residential, independent living, community engagement, workplace assistance, and therapeutic consultation; (5) Outpatient Services including therapy, psychiatry/medication management, telehealth, and substance use treatment programs such as the Sequoia IOP for adults and Adolescent IOP. The company delivers services through outpatient clinics, in-home settings, schools, residential homes, and telehealth platforms across Virginia including Richmond, Fredericksburg, Norfolk, Roanoke, Lynchburg, Fairfax, and surrounding areas. All services maintain CARF accreditation and Virginia Department of Education licensing.

Differentiator

Problem solved

Functional benefit

Brands

• Sequoia: Eight-week substance use intensive outpatient program (IOP) serving adults 18+ with substance use disorders, incorporating RECOVERY core values.

Products and services

• Autism and Behavior Services (ABA Therapy) Evidence-based Applied Behavior Analysis (ABA) therapy services for children and adolescents diagnosed with Autism Spectrum Disorder, delivered in-home, in-clinic, or in-community settings, supervised by Board Certified Behavior Analysts (BCBAs).
• Early Intensive Behavior Intervention (EIBI) Intensive ABA therapy program for young children ages 5 and under with autism or developmental delays, featuring play-based, structured sessions focused on communication, social interaction, daily routines, and school readiness.
• In-Home ABA Therapy ABA therapy services delivered in the child's home environment for children and young adults up to age 21, focusing on skill generalization in natural settings and family caregiver involvement.
• Autism Evaluations (ADOS-2) Autism Diagnostic Observation Schedule, Second Edition (ADOS-2) testing and autism evaluations conducted by licensed providers to diagnose Autism Spectrum Disorder and guide treatment planning.
• Mental Health Skill Building for Adults In-home skill-building services for adults ages 21+ with mental health diagnoses who require individualized training to live independently, covering daily living skills, social engagement, budgeting, and medication management.
• Intensive In-Home for At-Risk Youth Family-centered mental health services for children and adolescents ages 4-21 at risk of out-of-home placement, providing counseling, behavior modification, and crisis support within the home environment.
• Crisis Services (Mobile Crisis Response & Community Stabilization) Mobile crisis intervention and community stabilization services for individuals experiencing acute mental health crises, including de-escalation, care coordination, and transition support to prevent psychiatric hospitalization.
• Psychosocial Rehabilitation (Dominion Club) Clubhouse-style rehabilitation program for adults with mental health diagnoses, offering skill development, socialization opportunities, community engagement, and empowerment activities to increase independence.
• Private Day School (Dominion Academy) Therapeutic private day school for students ages 5-22 with behavioral and emotional challenges, offering academic instruction, emotional support, and behavioral intervention within a structured educational environment, with a goal of returning students to public school within 12 months.
• Outpatient Mental Health Therapy Services Comprehensive outpatient behavioral health services including individual therapy, play therapy, couples and family therapy, and psychoeducational group therapy for children, teens, and adults addressing anxiety, depression, PTSD, ADHD, trauma, and other mental health concerns.
• Psychiatry and Medication Management Psychiatric evaluation and medication management services provided by psychiatric nurse practitioners and physicians for mental health, emotional, and behavioral disorders, integrated with therapy services.
• Telehealth Options Virtual behavioral health and substance abuse services delivered via HIPAA-compliant video platforms, enabling remote access to therapy, medication management, and IOP services for individuals unable to attend in-person appointments.
• Sequoia Substance Use Intensive Outpatient Program (IOP) Eight-week intensive outpatient program for adults ages 18+ with substance use disorders, meeting Mondays, Wednesdays, and Thursdays from 9am-12pm, incorporating RECOVERY core values and holistic, person-centered approaches to recovery.
• Sponsored Residential 24/7 supported living arrangements in licensed sponsor homes for adults ages 18+ with intellectual or developmental disabilities, providing person-centered support within family-style settings in the community.
• Group Day Services Community and center-based day support for adults ages 18+ with intellectual or developmental disabilities, focusing on life skills, job skills, community integration, and recreational activities.
• In-Home Supports One-to-one in-home skill training for individuals ages 6+ with intellectual or developmental disabilities, covering relationship building, money management, safety, daily living skills, and community activities.
• Workplace Assistance On-the-job support services for employed adults ages 18+ with disabilities, addressing non-job-related needs such as daily living assistance, behavior management, medication, and other skills necessary for employment success.
• Therapy and Education Center (TEC) ABA therapy and education center offering preschool (ages 2-6) and school-age (ages 6-22) programs with individualized curriculums for children with autism and related disorders, providing academic-based ABA services in affiliation with Dominion Academy.

Quantifiable outcome

• Students typically return to public school in less than 12 months at Dominion Care Academy
• +4 more outcomes

Named customers6 records

Segments6 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature4 records

Scale indicators14 records

Recent moves6 records

Expansion highlights5 records

Direct peers

• Hopebridge: Hopebridge is a multi-state ABA therapy provider offering center-based and home-based ABA, diagnostic evaluations (ADOS-2), and ABA-supervised programming for children with autism. Directly comparable to Dominion Care's Autism and Behavior Services line, including EIBI, in-home ABA, and ADOS-2 testing.
• Centria Healthcare: Centria is a national ABA therapy provider delivering center-based and home-based ABA, as well as autism evaluations and early intervention, serving pediatric and adolescent populations. Closely overlaps Dominion Care's ABA core service including EIBI and ADOS-2.
• Autism Learning Partners: Autism Learning Partners is a multi-state ABA provider offering in-home, center-based, and telehealth ABA services along with diagnostic evaluations. Direct overlap with Dominion Care's ABA services for individuals with autism.
• ChanceLight Behavioral Health, Therapy and Education: ChanceLight provides ABA, mental health, and special education services (including private day school programs) to K-12 students across multiple states. Highly comparable to Dominion Academy, TEC, and 1:1 Transitional Services.
• Catalight (formerly ASCENDigo / Caravel Autism Health): Catalight is a national autism services provider combining ABA therapy, diagnostic services, and family support. Directly comparable to Dominion Care's ABA core service, ADOS-2 evaluations, and family/caregiver support programs.
• Invo Healthcare / Invo-Progressus: Invo-Progressus provides ABA, mental health, and school-based related services to K-12 students across the US. Comparable to Dominion Care's school-based 1:1 Behavior Aides, transitional services, and ABA service lines.
• Kadiant: Kadiant provides ABA therapy across multiple states with a focus on BCBA-supervised programs in center-based and home-based settings. Comparable to Dominion Care's BCBA-supervised ABA offerings and EIBI.
• Merakey: Merakey is a behavioral health and I/DD nonprofit providing mental health outpatient, I/DD residential and community-based services, and autism services across multiple states. Direct overlap with Dominion Care's community-based mental health, I/DD waiver, and behavioral health offerings.

Broad incumbents

• BrightSpring Health Services: BrightSpring is a large, publicly-traded home and community-based services platform with strong exposure to I/DD waiver services (similar to Dominion Care's Medicaid waiver services), behavioral health, and pharmacy — directly comparable on the waiver-funded residential, in-home supports, day, and community engagement offerings.
• The Sevita / MENTOR Network: Sevita (formerly The MENTOR Network) operates one of the largest networks of I/DD and behavioral health services in the US, including sponsored residential homes, day programs, and in-home supports. Directly comparable to Dominion Care's Sponsored Residential, Group Day, In-Home Supports, and Community Engagement offerings.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xx.com/DominionCareVA
• Facebookfacebook.com/dominioncareva
• LinkedInlinkedin.com/company/dominion-care
• Instagraminstagram.com/dominioncareva

Compliance5 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles12 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 Dominion Care