Alternate Solutions HomeCare

What Alternate Solutions HomeCare does

Alternate Solutions HomeCare is a privately held, Medicare-certified home health agency founded in 1999 and headquartered in Dayton, Ohio, with an additional office in Cincinnati. The company delivers skilled clinical care directly to patients' homes across Ohio, serving homebound individuals recovering from surgery, managing chronic conditions (COPD, Diabetes, CHF), or requiring physical rehabilitation. Its service portfolio spans six core clinical disciplines (skilled nursing, physical therapy, speech therapy, occupational therapy, medical social work, and home health aides), augmented by specialty programs (Bladder Health, Memory Care, Wound Care, Sight Assist, Swallowing, Rehab at Home) and chronic disease management tracks, all unified under a proprietary "Health Coach at Home" coaching model.

The company's technology stack centers on the ProviderLink Portal, a HIPAA-compliant web platform that enables referring physicians to access real-time clinical notes and wound measurements, and a wound care program that captures longitudinal weekly wound data for physician review. Internally, it uses ADP for HR/payroll. The firm holds no disclosed patents, APIs, SDKs, or AI/ML assets, and operates no consumer-facing mobile application. ASH University, an internal leadership development program, and a 24/7 continuing-education training portal support clinical staff development.

Alternate Solutions HomeCare generates revenue through five reimbursement streams — Medicare (Traditional and Advantage), Medicaid, commercial insurance, private pay, and Ohio PASSPORT/COMCARE programs — on a per-episode basis tied to physician-supervised care plans. Go-to-market is entirely referral-driven: physician referrals, post-acute transitions from hospitals/nursing homes/rehab facilities, and a 24/7 direct phone intake that schedules in-home assessments within 24 hours. The company has been recognized in the OCS HomeCare Elite 100 (top 1% of more than 10,000 U.S. home health agencies) and has received multiple BBB Integrity Awards, an Ernst & Young Entrepreneur of the Year award, and Inc. 500/5000 recognition.

Name

Alternate Solutions HomeCare

Legal name

Alternate Solutions HomeCare

Website

https://ashomecare.com

Company type

Private

Founded year

1999

Operating status

Operating

Headcount range

501–1,000 employees

Short description

Alternate Solutions HomeCare is a privately held, Medicare-certified home health agency founded in 1999, delivering skilled nursing, therapy, and chronic disease management to homebound patients across Ohio through a proprietary Health Coach at Home model and physician referral network.

Ownership category

akta.pro rank

Product category

Home Health Care Services

NAICS

Home Health Care Services (6216)

SIC

Services-Home Health Care Services (8082)

akta.pro primary industry

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

akta.pro secondary industries

Medicare-Certified Skilled Home Health Agencies (HHA) (HLADAFAA), Care Transitions Management (Hospital/SNF-to-Home) (HSABAIAC)

Keywords

• Home health services
• Skilled nursing care
• Physical therapy
• Occupational therapy
• Chronic disease management

Headquarters

HQ city

Cincinnati

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, Infrastructure

Revenue model

1. Medicare Reimbursement: Medicare certified agency providing home health care services. Services covered 100% by Medicare (Traditional and Advantage) for qualified patients who are homebound and require intermittent skilled nursing care, physical therapy, speech-language pathology, or occupational therapy.
2. Medicaid Reimbursement: State Medicaid programs cover home health services for eligible patients.
3. Commercial Insurance: Major health insurance plans cover home care services. Services covered by commercial insurance for qualified patients.
4. Private Pay: Private pay option available for patients who do not qualify for government or insurance coverage.
5. PASSPORT/COMCARE: Accepts PASSPORT and COMCARE programs (call for availability in area).

Pricing tiers

Go-to-market motion1 record

Distribution channels1 record

Marketing channels4 records

Core offering

Alternate Solutions HomeCare is a Medicare-certified home health agency delivering in-home skilled nursing, physical therapy, speech-language pathology, occupational therapy, medical social work, and home health aide services to patients in Ohio. The offering is anchored by a proprietary Health Coach at Home coaching model and augmented by specialty programs (Bladder Health, Wound Care, Memory Care, Sight Assist, Rehab at Home, Swallowing, Medication Compliance) and chronic disease management programs for COPD, Diabetes, and Heart Failure.

Product overview

Alternate Solutions HomeCare is a Medicare-certified home healthcare agency that delivers clinical care services directly to patients in their homes. The company operates a unified service model centered on its Health Coach at Home program—a proprietary health coaching approach that empowers patients to manage their health issues and goals. The core service portfolio comprises six clinical disciplines (Skilled Nursing, Physical Therapy, Speech Therapy, Occupational Therapy, Medical Social Work, and Home Health Aide) that work together under physician-supervised care plans. These clinical services are augmented by specialty programs (Bladder Health, Medication Compliance, Memory Care, Rehab at Home, Sight Assist, Swallowing, Wound Care) and chronic disease management programs (COPD, Diabetes, Heart Failure). The company also offers screenings including the Reality Comprehension Clock Test and Fall Risk Screenings. All services are available to qualified patients with coverage through Medicare (Traditional and Advantage), Medicaid, and major insurance plans.

Differentiator

Problem solved

Functional benefit

Products and services

• Skilled Nursing Intermittent skilled nursing care provided in the patient's home by qualified nurses, delivered under physician-supervised care plans for homebound patients recovering from illness or managing chronic conditions.
• Skilled Physical Therapy Physical therapy services delivered in the patient's home to help regain strength and mobility, particularly after orthopedic injuries, joint replacements, or for chronic disease rehabilitation.
• Skilled Speech Therapy Speech-language pathology services including assessment and therapeutic programs for swallowing issues and communication disorders, delivered in the home.
• Occupational Therapy Therapy services focused on helping patients regain independence in daily activities at home.
• Medical Social Work Social work services addressing psychosocial needs and connecting patients and families with community resources.
• Home Health Aide In-home personal assistance services provided by bonded and insured home health aides to support daily living activities.
• Health Coach at Home A proprietary health coaching model that focuses on the patient's specific health issues and goals, empowering them to make healthy lifestyle changes through understanding diagnoses, identifying obstacles, motivation, lifestyle implementation, self-care skills, and treatment adherence.
• Bladder Health Program In-home specialty program supervised by a nurse practitioner specialized in geriatric bladder health, including assessment, therapies, exercises, and training for healthy lifestyle changes.
• Medication Compliance and Education Program Program using Health Coach at Home goal orientation techniques to clarify and educate patients on medications—teaching when, why, and how medications should be taken.
• Memory Care Program Program using compassion, care, and specialized training to work with clients facing cognitive and memory deficits, building effective communication methods and formulating strategies for memory recall.
• Rehab at Home Program Innovative in-home rehabilitation program for patients recovering from orthopedic injuries and joint replacements (hip, knee, shoulder), with therapists working in the patient's home to regain strength and mobility.
• Sight Assist Program Program developed by clinicians to help patients with low vision improve their ability to function independently and safely at home, with specially trained and certified therapists.
• Swallowing Program Program employing Speech Language Pathologists skilled at identifying swallowing issues and creating therapeutic programs to improve safe swallowing ability.
• Wound Care Program Program utilizing state-of-the-art wound care technology with a Wound Care Consultant working with the skilled nursing team, allowing physicians to monitor wound progress via weekly measurements on a HIPAA-compliant secure website.
• COPD (Chronic Obstructive Pulmonary Disease) Program Chronic disease program targeting education, treatments, and lifestyle changes for patients with chronic bronchitis, emphysema, chronic asthma, lung cancer, pneumonia, tuberculosis, and other lung diseases.
• Diabetes Management Program Chronic disease program focusing on controlling diabetes through education, proactive diet, exercise, and medication therapies to help patients make long-term lifestyle changes.
• Heart Failure Management Program Chronic disease program providing critical medical care while emphasizing education, medication management, diet and activity guidelines, and self-monitoring.
• Fall Risk Screenings In-home or in-facility fall risk screenings, with clinical team assisting patients in regaining strength and mobility to remain safe and independent.

Named customers3 records

Segments3 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature3 records

Scale indicators3 records

Recent moves4 records

Expansion highlights4 records

Direct peers

• Compassus: National provider of home health, hospice, and palliative care services with a comparable Medicare-certified skilled home health service line alongside specialty palliative and chronic care programs.
• Aveanna Healthcare: Public home health, hospice, and private-duty services operator with a national footprint. Competes directly with Alternate Solutions in Medicare-certified home health, pediatric home care, and adult home health services.
• BrightSpring Health Services: Diversified home and community-based services company offering home health, hospice, and pharmacy services to complex populations. Operates Medicare-certified home health programs directly comparable to Alternate Solutions' core service line.
• Bayada Home Health Care: Large nonprofit home health provider operating across multiple states, delivering skilled nursing, therapy, and home health aide services. Direct competitor in Medicare-certified home health with comparable clinical service offerings.
• Interim HealthCare: National franchised home health and personal care provider offering skilled nursing, therapy, and home health aide services. Competes in the same Medicare-certified home health category with comparable service mix.
• Enhabit: Public home health and hospice operator spun off from Encompass Health in 2022. Operates Medicare-certified home health agencies across multiple states with similar skilled nursing, therapy, and chronic disease management offerings, making it a directly comparable peer.
• Help at Home: Largest personal care services provider in the U.S., focused on in-home support for seniors and individuals with disabilities. Comparable in its home-and-community-based service model targeted at the same elderly/medically complex population.

Broad incumbents

• Amedisys: Major national home health and hospice operator (now part of Optum). Larger scale incumbent providing directly overlapping skilled home health services with considerably broader geographic reach and technology investment.
• CenterWell Home Health (Humana): Insurer-owned home health subsidiary of Humana operating Medicare-certified home health agencies nationally. Functions as both payer-aligned provider and direct operator with capabilities comparable to Alternate Solutions at meaningfully larger scale.

Others

• CareCentrix: Specialized post-acute care coordination and home-based care management platform. Adjacent to Alternate Solutions because it manages the transitions and utilization of home health services, sitting upstream in the referral value chain.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

Compliance2 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles7 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 Alternate Solutions HomeCare