What Firstat Nursing Services does

Firstat Nursing Services, doing business as Firstat Healthcare, is a privately held, family-owned home health agency founded in 1995 and headquartered in West Palm Beach, Florida, with a regional office in Fort Lauderdale. The company provides in-home clinical and non-clinical care across South Florida, serving patients from Port St. Lucie to South Miami and extending Aging Life Care services from Orlando through Central Florida to the Southeast Coast. Its workforce of 1,001–5,000 is composed of W-2 employees (not independent contractors) who are licensed, bonded, background-checked, and drug-tested, delivering services 24 hours a day, 7 days a week, 365 days a year.

The company operates four core service lines: (1) Medicare Home Health covering skilled nursing, physical, occupational, and speech therapy, home health aide visits, and medical social work under Medicare Part A and Part B; (2) Insurance/Medicare Advantage skilled services delivered in-network through Florida Blue/Blue Cross-Blue Shield, Aetna, Cigna, and CareCentrix-managed plans; (3) Private Duty Home Health and a premium Concierge Program for private-pay clients covering hourly personal care, companionship, transportation, private-duty nursing, and concierge medicine coordination; and (4) RN Care Management / Aging Life Care Professional services providing care coordination, advocacy, crisis intervention, family mediation, housing placement, and healthcare navigation. The technical backbone is a traditional service-delivery platform centered on continuity of care rather than software, supported by a proprietary Concierge staff training program and dual Florida Home Health Agency licenses (HHA20359096, HHA21394096).

Revenue is generated through fee-for-episode Medicare reimbursement, per-visit insurance billing, and usage-based private-pay hourly rates, with all pricing determined via individualized assessment rather than published tiers. Go-to-market is sales-led, combining physician referrals, insurance network preferred-provider relationships, concierge medicine practice partnerships, and direct patient/family contact via phone, email, contact forms, and social channels. The company is ALCA- and HCAF-affiliated, has no institutional investors, no app or API, no disclosed AI/ML capability, and no parent company or subsidiaries.

Name

Firstat Nursing Services

Legal name

Firstat Nursing Services

Website

https://firstathealthcare.com

Company type

Private

Founded year

1995

Operating status

Operating

Headcount range

1,001–5,000 employees

Short description

Firstat Nursing Services (d/b/a Firstat Healthcare) is a family-owned, Florida-licensed home health agency founded in 1995, delivering Medicare skilled services, insurance-covered home health, private duty care, a Concierge Program, and Aging Life Care management across South and Central Florida.

Ownership category

akta.pro rank

Product category

Home Healthcare Services

NAICS

Home Health Care Services (621610), Home Health Care Services (62161)

SIC

Services-Home Health Care Services (8082), Services-Nursing & Personal Care Facilities (8050)

akta.pro primary industry

Medicare-Certified Skilled Nursing Visits (RN/LPN) (HSABACAA)

akta.pro secondary industries

Private Duty Skilled Nursing (RN/LPN) in the Home (HLADAFAD), Private Duty 24/7 Nursing (RN/LPN) In-Home Care (HSABAHAJ)

Keywords

• Home health services
• Skilled nursing care
• Aging life care
• Private duty nursing
• Medicare home health

Headquarters

HQ city

West Palm Beach

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Medicare Home Health Services: Part-time or intermittent skilled nursing visits, physical therapy, occupational therapy, speech therapy, home health aide visits, and medical social workers covered under Medicare Part A and Part B for qualifying patients referred by physicians
2. Insurance / Medicare Advantage: Skilled nursing and therapy services covered through commercial insurance plans including Florida Blue/Blue Cross-Blue Shield, Aetna, and Cigna. Preferred provider for all plans managed through CareCentrix. Also covers Workmen's Compensation and Long Term Care Insurance.
3. Private Pay / Hourly Home Care: Hourly home care and concierge services paid directly by clients for non-skilled care including companionship, personal care, homemaker services, transportation, and skilled private nursing. Services available 24/7/365 for home, hospital, or senior community based care.
4. RN Care Management / Aging Life Care Services: Comprehensive care management services provided by Aging Life Care Professionals covering care coordination, advocacy, crisis intervention, family mediation, housing placement, and ongoing care management along the Central and Southeast Coast of Florida

Go-to-market motion2 records

Distribution channels5 records

Marketing channels5 records

Core offering

Firstat Nursing Services is a family-owned home healthcare provider that delivers in-home skilled nursing, rehabilitation therapy, personal care, and care management services across South Florida. The company bills through Medicare Part A/B, commercial insurance plans (Florida Blue, Aetna, Cigna, CareCentrix), and private pay, with services available 24/7/365 for home, hospital, and senior community settings.

Product overview

Firstat Nursing Services is a family-owned home healthcare provider offering a comprehensive portfolio of services through four primary offerings: Medicare Home Health (covering Part A and Part B skilled services), Insurance/Medicare Advantage (skilled care through major insurers and CareCentrix), Private Duty Home Health (hourly non-skilled care and the Concierge Program for premium clients), and RN Care Management through Aging Life Care Professionals. The company operates as both a Home Healthcare division and an RN Care Management division, providing continuity of care from home settings to senior communities across Florida's tri-county area from Port St. Lucie to Miami.

Differentiator

Problem solved

Functional benefit

Products and services

• Medicare Home Health Medicare-covered home health care services under Part A and Part B, including skilled nursing visits, physical therapy, occupational therapy, speech therapy, home health aide visits, and medical social worker services for patients meeting eligibility criteria upon physician referral.
• Insurance / Medicare Advantage Home Health Skilled nursing and therapy services covered through insurance plans including Florida Blue/Blue Cross-Blue Shield, Aetna, Cigna, and CareCentrix-managed plans, with services such as wound care, infusion therapy, cardiac care, diabetic care, and chronic disease management.
• Private Duty Home Health Hourly home care and private pay services including non-skilled assistance with activities of daily living (bathing, dressing, toileting, feeding, meal preparation, housekeeping, transportation), with care available 24/7/365.
• Concierge Program Premium home care program offering personalized assistance, transportation, rehabilitation services, medical travel services, comprehensive assessment, care coordination, long-term planning, private nursing, crisis intervention, and hospital discharge coordination for clients desiring a higher level of service beyond traditional Medicare or insurance coverage.
• RN Care Management / Aging Life Care Professionals Care management services provided by Aging Life Care Professionals offering complete care coordination, healthcare system navigation, insurance benefit review, crisis intervention, family mediation, home modification oversight, physical and mental health management, legal and financial referrals, supportive counseling, and housing placement assistance across Florida's Central and Southeast Coast.

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

Feature2 records

Partnerships

Six partnerships are on record, tiered core and minor.

• CareCentrixcoreChannel Partner/ Reseller/ DistributorPreferred provider for all plans managed through CareCentrix, enabling patient referrals and insurance coverage for home health services through their network of managed care plans
• Florida Blue / Blue Cross - Blue ShieldcoreChannel Partner/ Reseller/ DistributorIn-network insurance provider accepting Blue Cross-Blue Shield plans for home health care services covered under patient insurance policies
• AetnacoreChannel Partner/ Reseller/ DistributorIn-network insurance provider accepting Aetna plans for home health care services covered under patient insurance policies
• CignacoreChannel Partner/ Reseller/ DistributorIn-network insurance provider accepting Cigna plans for home health care services covered under patient insurance policies
• Aging Life Care Association (ALCA)coreStrategic or Co-development PartnerProfessional association membership for Aging Life Care Professionals, providing certification standards, industry guidelines, and professional network for care managers
• Healthcare Association of Florida (HCAF)minorStrategic or Co-development PartnerState healthcare association membership supporting Florida home health providers with advocacy and industry resources

Scale indicators3 records

Recent moves6 records

Expansion highlights5 records

Direct peers

• BrightSpring Health Services: Public home and community health platform with home health, hospice, and personal care services. Comparable in service breadth across skilled nursing and private-duty, and competes for the same Florida patient population.
• Bayada Home Health Care: Large private home health provider with Medicare skilled nursing, private-duty, and pediatric services across multiple states. Closest comparable to Firstat as a non-public, multi-service home health operator with a similar W-2 caregiver model and broad payer mix.
• Interim HealthCare: Franchised home health, hospice, and personal care provider with skilled nursing, therapy, and private-duty offerings. Directly comparable to Firstat's Medicare skilled, insurance, and private-pay portfolio across regional Florida markets.
• Senior Helpers: National franchised provider of in-home senior care (personal care, companionship, skilled nursing). Closely comparable to Firstat's private-duty and hourly home care lines, including Florida franchise locations.
• Aveanna Healthcare: Public home health and private-duty nursing operator with strong pediatric and adult skilled nursing exposure. Comparable to Firstat on private-duty skilled nursing (RN/LPN), Medicare skilled visits, and a multi-payer mix.
• Maxim Healthcare Services: National home health, private-duty nursing, and medical staffing provider. Closely comparable on private-duty RN/LPN care and Medicare skilled services, with significant Florida presence competing for the same referrals.

Broad incumbents

• Encompass Health: Public post-acute care provider with both inpatient rehabilitation and home health divisions. Overlaps with Firstat's skilled nursing and rehabilitation services, especially post-acute discharge patients.
• LHC Group (UnitedHealth/Optum): National home health and hospice platform, now integrated into Optum. Competes directly with Firstat in Florida for Medicare skilled nursing referrals and commercial payer contracts at national scale.
• Amedisys (UnitedHealth/Optum): Large national home health and hospice operator now part of UnitedHealth's Optum. Overlaps with Firstat's Medicare skilled nursing offering and competes for Florida referral volume with significantly greater scale and technology.

Emerging players

• Arosa: Aging Life Care / care management provider with a similar professional care management model to Firstat's ALCA team. Comparable on the highest-margin care management line and competes for the same Florida family-advisory relationships.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat6 records

Key risks6 records

Key highlights7 records

Customer concentration

• Facebookfacebook.com/FirstatCareMgmt
• LinkedInlinkedin.com/company/firstat-nursing-services

Compliance2 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles8 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 Firstat Nursing Services