Best Option Healthcare

What Best Option Healthcare does

Best Option Healthcare PR, Inc. is a privately held, physician-led home health agency headquartered in San Juan, Puerto Rico, founded approximately in 1994. The company delivers clinical care directly in patients' homes across the full island of Puerto Rico through a network of more than 200 clinical professionals. Its core service lines are organized into four integrated offerings: intravenous infusions (antibiotics, hydration, specialized medications, anti-inflammatory steroids, iron sulfate, and total parenteral nutrition), skin lesion and wound management (ulcers, pressure injuries, diabetic foot ulcers, vascular ulcers, surgical and traumatic wounds, and burns), rehabilitation therapies (physical, occupational, and speech therapy), and support services (nutrition counseling, social work, LPN nursing, and infectious disease consulting). Two specialized sub-units — A.D.E.P.T. and M.I.C.A.S. — extend the platform into structured clinical programs under dedicated senior directors.

The business model is fee-for-service home healthcare billed predominantly through institutional payers: U.S. Medicare, Medicaid, Puerto Rico managed-care plans (Advantage, Vital, Classicare), and the majority of private commercial insurers operating in Puerto Rico. Patient acquisition is sales-led and referral-driven, requiring a physician's order or referral, after which Best Option coordinates insurance authorization, treatment planning, and in-home service delivery. The company holds licensure from the Puerto Rico Department of Health and certification from the U.S. Centers for Medicare and Medicaid Services (CMS), both of which are regulatory prerequisites for reimbursement in the territory. The executive team is led by President and Chief Medical Officer Javier O. Morales-Ramírez, MD, alongside a COO, CLO, and CFO, with dedicated functional heads for finance, human resources, business development, compliance, and program operations. No venture capital, private equity, or institutional investor ownership has been disclosed, and no funding rounds, acquisitions, or geographic expansions beyond Puerto Rico are on record.

Name

Best Option Healthcare

Legal name

Best Option Healthcare PR, Inc.

Website

https://bestoptionpr.com

Company type

Private

Founded year

1994

Operating status

Operating

Headcount range

101–250 employees

Short description

Best Option Healthcare PR, Inc. is a physician-led home health agency headquartered in San Juan, Puerto Rico, delivering in-home intravenous infusion, wound care, rehabilitation, and support services through a network of 200+ clinical professionals across the island, billed primarily to Medicare, Medicaid, and managed-care payers.

Ownership category

akta.pro rank

Product category

Home Healthcare Services

NAICS

Home Health Care Services (621610)

SIC

Services-Home Health Care Services (8082)

akta.pro primary industry

Skilled Home Health (Medicare-Certified) Agencies (HLAFAEAA)

akta.pro secondary industries

Home Infusion Therapy & IV Nursing Services (HLADAFAG), Home-Based Chronic Disease Management (Skilled) (HLADAFAL)

Keywords

• Home health services
• Infusion therapy
• Wound care
• Rehabilitation therapy
• Skilled nursing

Headquarters

HQ city

San Juan

HQ country

Puerto Rico

HQ region

Latin America

Offices1 record

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Supply Chain, Marketing or Sales, Others

Revenue model

1. Home Health Care Services: Fee-for-service home healthcare delivered to patients in Puerto Rico, billed through medical insurance plans including Medicare, Medicaid, and private insurers such as Advantage and Vital.

Go-to-market motion1 record

Distribution channels1 record

Marketing channels3 records

Core offering

Best Option Healthcare is a home health agency in Puerto Rico that delivers in-home medical services including intravenous infusions (antibiotics, hydration, specialized medications), advanced wound and skin lesion management, rehabilitation therapies (physical, occupational, speech), and clinical support services (nutrition, social work, nursing, infectious disease consulting). Services are coordinated through physician referrals and billed through Medicare, Medicaid, and private insurance plans.

Product overview

Best Option Healthcare operates as a home health agency offering four integrated service lines: Infusiones Intravenosas (intravenous infusions including antibiotics, hydrations, and specialized medications), Manejo de Lesiones en la Piel (advanced wound and skin lesion management for ulcers, wounds, and burns), Terapias de Rehabilitación (physical, occupational, and speech therapy), and Servicios de Apoyo (nutrition, social work, and nursing support). Services are delivered by a network of over 200 clinical professionals throughout Puerto Rico, coordinated with patients' physicians and insurance plans.

Differentiator

Problem solved

Functional benefit

Brands

• A.D.E.P.T. Specialized unit under the leadership of Mariena Álvarez Fernández, Director Senior
• M.I.C.A.S.

Products and services

• Intravenous Infusions (Infusiones Intravenosas) Home-based intravenous infusion services including antibiotics, hydrations, specialized medications, anti-inflammatory steroids, and iron sulfate treatments for patients requiring prolonged IV antibiotic therapy, chronic pain management, severe dehydration, iron deficiency, and total parenteral nutrition.
• Skin Lesion Management (Manejo de Lesiones en la Piel) Advanced wound and skin lesion treatment program specializing in ulcer healing, pressure injuries, diabetic foot ulcers, vascular ulcers, surgical wounds, traumatic wounds, and burns (partial and full thickness) using best practices to accelerate healing and reduce complications.
• Rehabilitation Therapies (Terapias de Rehabilitación) Comprehensive home-based rehabilitation services including physical therapy for mobility and strength recovery, occupational therapy for daily living skills, and speech pathology for communication and swallowing disorders.
• Support Services (Servicios de Apoyo) Additional clinical support services including nutrition counseling, social work, LPN nursing services, and specialized infectious disease consulting to complement primary care delivery.

Named customers4 records

Segments1 record

Ideal customer profiles1 record

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Partnerships

Five partnerships are on record, tiered core.

• Puerto Rico Department of HealthcoreOthersLicensed by the Puerto Rico Department of Health to provide home health services.
• Centers for Medicare and Medicaid Services (CMS)coreOthersCertified by CMS to provide services covered under Medicare and Medicaid programs.
• AdvantagecoreChannel Partner/ Reseller/ DistributorInsurance plan providing coverage for home health services including skin lesion management and rehabilitation.
• VitalcoreChannel Partner/ Reseller/ DistributorInsurance plan providing coverage for rehabilitation therapy and other home health services.
• ClassicarecoreChannel Partner/ Reseller/ DistributorInsurance plan providing coverage for rehabilitation therapy services.

Scale indicators4 records

Recent moves5 records

Expansion highlights4 records

Broad incumbents

• Encompass Health (Enhabit): Major U.S. home health and hospice operator with multi-state skilled nursing, therapy, and home health services. Comparable as a scaled, Medicare-certified home health agency with integrated therapy and skilled nursing offerings, though substantially larger and mainland-focused.
• Amedisys: National home health, hospice, and high-acuity care provider with Medicare-certified skilled home health services across 30+ U.S. states. Direct analog to Best Option's skilled home health, infusion, and rehabilitation therapy model, at significantly greater scale.
• LHC Group: Large U.S. home health, hospice, and home-based care operator with deep Medicare relationships and integrated post-acute services. Closely comparable in service mix (skilled nursing, therapy, infusion-adjacent care) and payor mix.
• Bayada Home Health Care: Large nonprofit home health provider offering skilled nursing, therapy, and home-based support services across the U.S. Comparable in integrated adult home health model and clinical workforce scale, with similar payor mix across Medicare, Medicaid, and private insurance.
• BrightSpring Health Services: Diversified home and community-based health services provider including home health, hospice, and pharmacy. Comparable in operating across multiple home health service lines and serving complex patient populations under value-based and fee-for-service models.
• CenterWell Home Health (Humana): Humana-owned home health operator with significant Medicare Advantage focus, offering skilled nursing and therapy services. Comparable in payor mix orientation (Medicare-led) and skilled home health delivery model.
• Help at Home: Large U.S. personal care and home health services provider focused on Medicaid and dual-eligible populations. Comparable in serving complex, government-payor-dependent patient populations through a distributed clinical workforce model.

Direct peers

• Aveanna Healthcare: Diversified home health and medical solutions provider with private duty nursing, home health, and adult services. Directly comparable in offering skilled home health nursing, therapy, and infusion-adjacent services to a mix of Medicare, Medicaid, and private pay patients.
• Interim HealthCare: Franchised home health, hospice, and personal care provider with broad U.S. footprint offering skilled nursing, therapy, and home health aide services. Comparable in service mix and reliance on physician referrals plus insurance reimbursement.
• Maxim Healthcare Services: Home health, medical staffing, and personal care services operator with skilled nursing and therapy offerings. Comparable in providing in-home skilled clinical services including infusion-adjacent care under physician orders and insurance reimbursement.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat4 records

Key risks5 records

Key highlights5 records

Customer concentration

• Xwa.me/7877236869
• Facebookfacebook.com/bestoptionpuertorico
• LinkedInlinkedin.com/company/best-option-healthcare
• Instagraminstagram.com/bestoptionpuertorico

Compliance7 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 Best Option Healthcare