Closing the Gap Healthcare

What Closing the Gap Healthcare does

Closing the Gap Healthcare Group Inc. is a privately held Canadian home and community healthcare services provider founded by Connie Clerici in 1991 and headquartered in Mississauga, Ontario. The company delivers integrated, team-based care across Ontario and Nova Scotia through 14 nursing/physiotherapy clinics, 11 home care offices, and a virtual care channel built on Microsoft Teams. Its service portfolio spans registered nursing, physiotherapy, occupational therapy, speech-language pathology, dietetics, social work, and personal/home support, with specialized offerings in pelvic physiotherapy, motor vehicle accident rehabilitation, pediatric and palliative home care, and a paid Home Support Worker training program with guaranteed employment outcomes. CTG was the first Canadian home care agency to earn Accreditation Canada's Exemplary Standing with a perfect score (2013) and renewed it in 2017, and the company integrated into the ParaMed/Extendicare organization in 2025.

CTG generates revenue across four streams: publicly funded home care services delivered under contract with Ontario Health Teams and former LHINs (OHIP-eligible nursing, therapy, social work, dietetics), motor vehicle accident rehabilitation funded through auto insurance, corporate workplace wellness programs (biometric screenings, flu clinics, wellness workshops) sold on a professional services basis, and government-funded subsidies for its Home Support Worker training program from Employment Ontario, the Ministry of Labour, and Health Canada. Distribution is primarily direct-to-client through in-home visits, clinic appointments, and virtual care, supplemented by referral partnerships with healthcare providers, hospitals, insurers, and integrated delivery through Ontario Health Teams and long-term care/retirement homes. CTG's pricing is not publicly disclosed; publicly funded rates are set by provincial payers while private-pay services are quote-based. CTG operates under the broader Extendicare/ParaMed corporate umbrella following its 2025 acquisition, with Leighton McDonald serving as President & CEO.

Name

Closing the Gap Healthcare

Legal name

Closing the Gap Healthcare Group Inc.

Website

https://closingthegap.ca

Company type

Private

Founded year

1991

Operating status

Operating

Headcount range

1–10 employees

Short description

Closing the Gap Healthcare is a Canadian home and community healthcare services provider delivering nursing, therapy, social work, dietetics, and personal support across Ontario and Nova Scotia via clinics, home visits, and virtual care, now operating as part of ParaMed/Extendicare.

Ownership category

akta.pro rank

Product category

Home and Community Healthcare Services

NAICS

Home Health Care Services (621610), Ambulatory Health Care Services (621), Services for the Elderly and Persons with Disabilities (624120)

SIC

Services-Home Health Care Services (8082), Services-Health Services (8000)

akta.pro primary industry

Care Management & Care Coordination (Home & Community-Based) (HLAFAEAL)

akta.pro secondary industries

Skilled Home Health Therapy Services (PT/OT/SLP) (HLADAFAE), Hospital-Based/Home Health System-Affiliated Skilled Home Health (HLADAFAB), Care Transitions Management (Hospital/SNF-to-Home) (HSABAIAC)

Keywords

• Home healthcare services
• Community nursing care
• Rehabilitation therapy services
• Personal support work
• Virtual care delivery

Headquarters

HQ city

Mississauga

HQ country

Canada

HQ region

North America

Offices13 records

Markets served

GTM type

B2B and B2C

Offering type

Services

Cost components

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

Revenue model

1. Publicly Funded Home Care Services: CTG delivers OHIP-funded home care services through contracts with Local Health Integration Networks (LHINs)/Ontario Health Teams, providing nursing, personal support, physiotherapy, occupational therapy, speech language pathology, social work, and dietetics to eligible Ontario residents.
2. Motor Vehicle Accident (MVA) Therapy: Comprehensive rehabilitation services funded through auto insurance for individuals injured in motor vehicle accidents (car, skidoo, bicycle, pedestrian). Services include physiotherapy and other therapy.
3. Subsidized HSW Training Program: Program funded by the Ministry of Labour (MOL) and Health Canada to train and hire Home Support Workers, with funding for up to 100 HSWs in 2022 and 150 HSWs in 2023.
4. Workplace Wellness Programs: Corporate clients engage CTG for employee wellness programs including biometric screenings, group wellness workshops, corporate flu clinics, and lunch-and-learns, charged as professional service engagements.

Go-to-market motion1 record

Distribution channels5 records

Marketing channels5 records

Core offering

Closing the Gap Healthcare provides home and community-based healthcare services including nursing, personal support, physiotherapy, occupational therapy, speech language pathology, dietetics, and social work, delivered through 14 clinics, 11 home care offices, and Microsoft Teams-powered virtual care across Ontario and Nova Scotia. Services are accessed through publicly funded OHIP/LHIN contracts, auto insurance referrals, direct private-pay clients, and corporate wellness engagements.

Product overview

Closing the Gap Healthcare is a Canadian home and community healthcare services provider offering a comprehensive portfolio of services delivered through home care, clinic-based, and virtual care channels. The core offering consists of nursing, physiotherapy, occupational therapy, speech language pathology, dietetics, social work, and personal/home support services. The company operates 14 clinic locations and 11 home care office locations across Ontario and Nova Scotia. Additional offerings include a Home Support Worker (HSW) paid training program, virtual care using Microsoft Teams technology, and motor vehicle accident rehabilitation therapy. Services are available through both publicly funded (OHIP) and private pay models.

Differentiator

Problem solved

Functional benefit

Products and services

• Nursing Services Registered Nurses (RNs) and Registered Practical Nurses (RPNs) provide in-home and clinic-based nursing services including medication administration, pediatric care, palliative care, catheter changes, G-Tube feeds, ventilator care, wound and ostomy care, and diabetic education for Canadian clients of all ages.
• Physiotherapy Registered physiotherapists provide pain management and physical rehabilitation services through OHIP-funded clinics and private services, helping clients recover from injuries, surgeries, and musculoskeletal conditions across Ontario.
• Speech Language Pathology Speech-language pathologists (SLPs) help people of all ages overcome speech, language, communication, and swallowing disorders through evaluation, consultation, and treatment services delivered in home and clinic settings.
• Dietetics Registered Dietitians provide nutritional assessments, dietary counseling, and nutrition education services to help individuals make proper dietary choices for overall health and well-being in home and clinic settings.
• Social Work Registered Social Workers with Master's degrees provide counseling, mediation, and support services to help families, individuals, and communities improve their overall well-being in home and clinic settings.
• Virtual Care Telephone and video appointment services enabling healthcare providers to deliver nursing, therapy, social work, and dietetic services remotely using Microsoft Teams video conferencing technology.
• Home Support Services Comprehensive home care services including personal support, home support, and related assistance to help clients remain independent in their homes.
• Clinic Services Clinic-based healthcare services including nursing clinics, pelvic physiotherapy, general physiotherapy, and motor vehicle accident therapy rehabilitation delivered across 14 clinic locations.
• Pelvic Physiotherapy Specially trained pelvic health physiotherapists treat conditions including incontinence, pelvic pain, and urinary conditions in clinic settings.
• Motor Vehicle Accident Therapy Comprehensive rehabilitation services for individuals involved in motor vehicle accidents including car, skidoo, bicycle, or pedestrian incidents, funded through auto insurance.
• Home Support Worker (HSW) Training Program A paid training program for Home Support Workers that provides virtual in-class training, paid on-the-job training, and guaranteed employment opportunities upon completion, funded in part by Employment Ontario, the Government of Canada, and the Government of Ontario.

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

Integration1 record

Feature3 records

Partnerships

Six partnerships are on record, tiered core, major and minor.

• ParaMedcoreStrategic or Co-development Partner · 1 January 2025ParaMed and Closing the Gap Healthcare announced they are joining forces to serve clients better. Under the Extendicare parent company, CTG became part of the ParaMed operations, integrating CTG's home care and clinic services with ParaMed's broader national home health platform. This integration positions CTG within Canada's largest home health care network.
• Capital District Health Authority (Nova Scotia)majorStrategic or Co-development Partner · 1 January 2014CTG won a contract with the Capital District Health Authority in Nova Scotia in January 2014 to deliver nursing and personal support services, marking CTG's first expansion of services outside of Ontario.
• Hospital for Sick Children (SickKids), TorontomajorStrategic or Co-development Partner · 1 January 2014One of CTG's earliest major contracts was with Toronto's Hospital for Sick Children, focused on providing high-quality pediatric home care for children with serious conditions and terminal illnesses.
• East Toronto Health Partners (ETHP) Ontario Health TeamcoreStrategic or Co-development PartnerCTG is a proud partner of the Integrated Neighbourhood Home Care Program, an initiative in the Thorncliffe Park and Taylor-Massey neighbourhoods in East Toronto. The program aims to improve home care services for adults and makes care more connected for clients and healthcare providers in this vibrant community.
• Canadian Centre for Diversity and Inclusion (CCDI)minorStrategic or Co-development PartnerCTG is a proud Employer Partner with the Canadian Centre for Diversity and Inclusion (CCDI). Through this partnership, team members have access to educational resources to facilitate further learning in all areas of equity and inclusion as part of CTG's I.D.E.A. (Inclusion, Diversity, Equity, and Anti-Discrimination) Committee initiatives.
• Government of Canada / Government of Ontario (Employment Ontario)coreStrategic or Co-development PartnerCTG's Home Support Worker (HSW) training program is an Employment Ontario program funded in part by the Government of Canada and the Government of Ontario. The program trains caring individuals for careers in healthcare with virtual in-class training, paid on-the-job experience, and guaranteed employment upon completion.

Scale indicators5 records

Recent moves10 records

Expansion highlights6 records

Direct peers

• Bayshore HealthCare: Canada's largest home and community health services provider, offering nursing, personal care, therapy, and home support across all provinces. Directly comparable to CTG in service mix, government payer relationships, and target populations.
• SE Health (Saint Elizabeth Health Care): National not-for-profit home and community care provider offering nursing, rehabilitation, personal support, and social services across Canada. Directly comparable to CTG in service lines and payer mix.
• ParaMed Home Health Care: National home health provider and now CTG's parent company under Extendicare. Operates an almost identical service portfolio (nursing, PSW, therapy) across Canada, making it the closest direct peer and benchmark for CTG's service model.
• VON Canada (Victorian Order of Nurses): Long-standing Canadian home and community care provider with nursing, personal support, and therapy services across multiple provinces. Highly comparable service mix and government-funded payer model.
• We Care Home Health Services: Canadian home health services franchise network offering personal support, nursing, and companionship across multiple provinces. Directly comparable service line and consumer/client base to CTG.
• Home Instead Senior Care (Canada): National franchise network providing personal care, companionship, and home support services for seniors. Comparable in elder-focused home support services and private-pay client base, though more limited in clinical/therapy offerings.
• CBI Health: National provider of community-based physiotherapy, rehabilitation, occupational therapy, and home health services. Overlaps with CTG's therapy and clinic offerings and competes for similar MVA and OHIP-funded rehabilitation volume.
• CarePartners: Ontario-based home health provider specializing in nursing, personal support, and therapy services delivered in homes and schools. Closely comparable regional peer competing in the same OHIP-funded home care market.

Regional players

• Lifemark Health Group: Canadian provider of physiotherapy, rehabilitation, and workplace health services across clinics. Comparable in therapy/rehabilitation service line but more clinic-centric with less home care delivery than CTG.

Broad incumbents

• Extendicare: Publicly traded parent company of ParaMed and CTG, operating long-term care homes and home health services across Canada. Comparable through its home health segment and provides strategic context for CTG's ownership.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights7 records

Customer concentration

• YouTubeyoutube.com/channel/UClB_r-SP3HIIfF5appc-h0w
• Facebookfacebook.com/CTGHealthcare
• LinkedInlinkedin.com/company/closing-the-gap-healthcare
• Instagraminstagram.com/closingthegaphealthcare
• Xx.com/ctghealthcare

Compliance4 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles13 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 Closing the Gap Healthcare