APRN

What APRN does

APRN Corporation (legal entity R & F, Inc.) is a privately held, family-owned provider of healthcare ancillary services headquartered in Holland, Ohio. Founded in 1959 by physical therapist brothers Richard and Thomas Leffler and incorporated in 1967, the company delivers physical rehabilitation, respiratory therapy, sleep disorder diagnostics, and home health services primarily to acute care hospitals, integrated health systems, community hospitals, and nursing homes across a multi-state Midwest footprint. APRN's core commercial model is a contractual "service under arrangement" framework in which the company supplies dedicated clinical staff, state-of-the-art equipment, and professional administrative support that is integrated into the partner facility's existing operations, allowing hospitals to access ancillary services without upfront capital outlays. The company operates four wholly-owned subsidiaries (Balance and Mobility Therapy, Carter Rehabilitation & Aquatic Centers, APRN Sleep, Inc., and Allied Medical Services) that function as its regional service network, and it pursues growth both organically and through practice acquisitions via its "Sell Your Practice" program.

The business is operated as a lean, relationship-driven enterprise with 51-100 employees and no disclosed external institutional investment, funding rounds, or M&A history outside of intra-network consolidation. Revenue is generated entirely through B2B contractual service agreements; pricing is not publicly disclosed. The technology stack is conventional clinical equipment and operational workflows, with the proprietary element being the contractual service delivery model itself rather than any software or platform. Distribution occurs through direct enterprise sales to hospital and health system partners, supplemented by community-based brand engagement (scholarship runs, festivals) and a corporate website. The most recent material strategic action is a 2025 merger of the two Carter Rehabilitation & Aquatic Center locations, alongside an active inorganic growth posture signaled by the practice acquisition program.

Name

APRN

Legal name

R & F INC.

Website

https://aprn1.com

Company type

Private

Founded year

1959

Operating status

Operating

Headcount range

51–100 employees

Short description

APRN Corporation is a privately held, family-owned healthcare ancillary services provider delivering physical rehabilitation, respiratory therapy, and sleep disorder diagnostics to hospitals, health systems, and nursing homes across a multi-state Midwest region through contractual service-under-arrangement agreements.

Ownership category

akta.pro rank

Product category

Healthcare Ancillary Services

NAICS

Offices of Physical, Occupational and Speech Therapists, and Audiologists (62134)

SIC

Services-Specialty Outpatient Facilities, Nec (8093), Services-Offices & Clinics Of Doctors Of Medicine (8011)

akta.pro primary industry

Integrated Delivery Networks (IDNs) & Multi-Hospital Systems (HLAFAAAC)

akta.pro secondary industry

Academic Medical Centers (AMCs) & Teaching Hospitals (HLAFAAAA)

Keywords

• Physical rehabilitation services
• Respiratory therapy services
• Sleep disorder diagnostics
• Ancillary healthcare services
• Healthcare staffing solutions

Headquarters

HQ city

Holland

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Supply Chain, Marketing or Sales, Technology or R&D

Revenue model

1. Ancillary Health Services Contracts: APRN generates revenue through contractual agreements with hospitals, health systems, and nursing homes to provide ancillary health services including physical rehabilitation, respiratory therapy, and sleep disorder diagnostics. Services are delivered under 'service under arrangement' agreements where APRN provides staffing, equipment, and professional administrative support.
2. Practice Acquisitions: APRN acquires physical therapy and sleep lab private practices, offering competitive valuations and seamless transitions while preserving the acquired practice's legacy and ensuring patient care continuity.

Go-to-market motion1 record

Distribution channels1 record

Marketing channels3 records

Core offering

APRN Corporation is a multi-state provider of ancillary health services that delivers physical rehabilitation, respiratory therapy, and sleep disorder diagnostics to hospitals, health systems, nursing homes, and community facilities through contractual 'service under arrangement' agreements. The company supplies the licensed clinical staff, state-of-the-art equipment, and professional administrative support that partner facilities need, and it also acquires independent physical therapy and sleep lab practices to fold into its network.

Product overview

APRN Corporation operates as a multi-state healthcare ancillary services provider offering three core service lines: Physical Rehabilitation, Respiratory Therapy, and Sleep Disorder Diagnostics. The company provides services through contractual 'service under arrangement' agreements with hospitals, health systems, and community facilities. The service portfolio is complemented by professional staffing solutions and equipment provision/maintenance. APRN's network includes four partner organizations: Balance and Mobility Therapy, Carter Rehabilitation & Aquatic Centers, APRN Sleep, Inc., and Allied Medical Services. The company was founded in 1959 and incorporated in 1967.

Differentiator

Problem solved

Functional benefit

Products and services

• Physical Rehabilitation Services High-quality physical therapy and rehabilitation services delivered through contractual 'service under arrangement' agreements to hospitals, nursing homes, and community facilities across a multi-state region. Includes access to licensed physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, speech-language pathologists, and rehab aides.
• Respiratory Therapy Services Respiratory therapy services provided as part of APRN's comprehensive ancillary healthcare offerings to healthcare institutions, delivered by Registered Respiratory Therapists (RRT) as part of contractual service agreements.
• Sleep Disorder Diagnostics Sleep disorder diagnostic services including sleep center operations and sleep lab management, offered through APRN Sleep, Inc. to healthcare partners and patients referred through partner facilities.
• Professional Staffing Solutions Recruitment, training, and ongoing staffing support providing dedicated and experienced clinical and operational staff to meet the specific needs of healthcare partner facilities, including physical therapists, occupational therapists, speech-language pathologists, respiratory therapists, and related clinical and administrative roles.
• Equipment Provision and Maintenance Supply, installation, and maintenance of state-of-the-art medical equipment (physical rehabilitation, respiratory therapy, and sleep diagnostics equipment) for partner healthcare facilities, eliminating the need for upfront capital investments by the partner.
• Practice Acquisitions Acquisition program that buys physical therapy and sleep lab private practices at competitive valuations and integrates them into the APRN network, preserving the acquired practice's legacy and ensuring patient care continuity.

Quantifiable outcome

• Better recovery rates, enhanced patient satisfaction, and overall improved health outcomes

Named customers5 records

Segments2 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature1 record

Partnerships

Five partnerships are on record, tiered core.

• Balance and Mobility TherapycoreOthersNetwork member operating under the APRN corporate umbrella, providing balance and mobility therapy services. Part of the company's multi-location service network.
• Carter Rehabilitation & Aquatic CenterscoreOthersNetwork member providing rehabilitation and aquatic therapy services with locations in Michigan (Adrian and Tecumseh). Part of the company's comprehensive service network.
• APRN Sleep, Inc.coreOthersNetwork member specializing in sleep disorder diagnostics services. Part of the company's comprehensive ancillary service offering.
• Allied Medical ServicescoreOthersNetwork member providing allied medical services. Part of the company's multi-state ancillary services network.
• Fulton County Health CentercoreOthersHealthcare partner facility where APRN provides rehabilitation services including outpatient rehab, inpatient rehab, and manor rehab. Multiple clinic locations under this partnership.

Scale indicators2 records

Recent moves6 records

Expansion highlights5 records

Market position

Weaknesses5 records

Competitive moat4 records

Key risks5 records

Key highlights6 records

Customer concentration

• Xx.com/APRNCorp
• Facebookfacebook.com/APRN1
• LinkedInlinkedin.com/company/aprn-corporation

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 record

Subsidiaries4 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 APRN