Firstcall

What Firstcall does

FirstCall is an Employee Assistance Program (EAP) provider founded in 1985 and operated as a subsidiary of Main Line Health, a Pennsylvania-based health system. The company sells EAP subscriptions to employers as part of their employee benefits packages, delivering 24/7 access to master's-level clinicians for behavioral health assessment, in-the-moment counseling, HIPAA-compliant telehealth sessions, and in-person counseling through an extensive provider network. Employees and household members access services free of charge at the point of use, with FirstCall compensated through annual contractual agreements with employer clients.

The platform is anchored on a core EAP offering and extended through four integrated add-on modules: Work/Life Services (parenting, eldercare, career support), Legal and Financial Services (estate planning, family law, debt management, financial planning), Health Advocacy (physician and specialist navigation, insurance approvals, claims assistance), and Wellness Coaching delivered via the Live Well digital platform with tracking tools and recipe resources. The underlying technology stack comprises HIPAA-compliant telehealth infrastructure, a member login portal, and external integrations with work/life and legal services platforms. A structural differentiator is FirstCall's integration with Main Line Health's owned behavioral health assets—including a residential drug and alcohol treatment facility, three substance use and mental health outpatient centers, a Women's Emotional Wellness Center, and an inpatient psychiatric unit—enabling seamless referral pathways for higher-acuity cases that standalone EAPs cannot replicate.

The business model is subscription-based recurring revenue from B2B employer contracts, marketed through direct sales to HR departments with a regional focus anchored to Main Line Health's Philadelphia-area footprint. Pricing is not publicly disclosed. FirstCall maintains HIPAA compliance for telehealth services and was recognized as a 2022 Healthcare Equality Index Top Performer by the Human Rights Campaign Foundation for LGBTQ+ inclusive workplace and clinical practices.

Name

Firstcall

Legal name

FirstCall

Website

https://firstcalleap.org

Company type

Private

Founded year

1985

Operating status

Operating

Headcount range

1–10 employees

Short description

FirstCall is a Pennsylvania-based Employee Assistance Program provider founded in 1985 and owned by Main Line Health, delivering 24/7 behavioral health counseling, work/life resources, legal and financial guidance, and wellness coaching to employer clients and their employees.

Ownership category

akta.pro rank

Product category

Employee Assistance Program Services

NAICS

Other Individual and Family Services (62419), Social Assistance (624)

SIC

Services-Misc Health & Allied Services, Nec (8090), Services-Health Services (8000)

akta.pro primary industry

Employee Assistance Programs (EAP) Management (HLAEAHAB)

akta.pro secondary industry

Workplace Mental Health & EAP-Integrated Teletherapy Platforms (HLALAEAK)

Keywords

• Employee assistance program
• Behavioral health services
• Workplace wellness
• Mental health counseling
• Employer benefits services

Headquarters

HQ city

Bryn Mawr

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. EAP Subscription Services: FirstCall provides Employee Assistance Program services to employers as a subscription benefit. EAP sessions are free and available to employees and their household members, with the company compensated by employer clients through contractual agreements typically billed annually.

Go-to-market motion1 record

Distribution channels1 record

Marketing channels1 record

Core offering

FirstCall provides Employee Assistance Program (EAP) services to employer clients, offering 24/7 behavioral, emotional, and physical wellness support through master's-level clinicians via phone, HIPAA-compliant telehealth video, and in-person counseling. The core EAP is complemented by four integrated service modules: Work/Life services, Legal and Financial Services, Health Advocacy, and Wellness Coaching through the Live Well digital platform. All services are delivered to employees and their household members at no cost as an employer-sponsored benefit.

Product overview

FirstCall is a single-product EAP provider owned by Main Line Health, offering a unified Employee Assistance Program that combines core clinical support with four integrated service modules. The core EAP provides 24/7 access to master's-level clinicians for behavioral health counseling via phone, telehealth, and in-person sessions. This core platform is extended through Work/Life Services (parenting, eldercare, career support), Legal and Financial Services, Health Advocacy (healthcare navigation), and Wellness Coaching via the Live Well digital platform. All services are delivered through an extensive provider network and include management consultation tools for HR teams.

Differentiator

Problem solved

Functional benefit

Products and services

• Employee Assistance Program (EAP) Core Employee Assistance Program service providing 24/7 behavioral, emotional, and physical wellness support to employees and household members through master's-level clinicians via live in-the-moment counseling, telehealth video, and in-person sessions. Sold to employer clients as a contracted employee benefit.
• Management Services Suite of HR management support including consultation on employee issues, policy review, and training sessions for supervisors on managing distressed employees, drug abuse detection, team building, and change management.
• Work/Life Services Resource and referral services helping employees with parenting, eldercare, personal growth, relationships, mental health, addiction recovery, career development, workplace productivity, and daily living needs such as financial guidance and legal forms.
• Legal and Financial Services Legal resources covering eldercare, estate planning, family law, consumer rights, and financial planning guidance including investment, retirement planning, and debt management.
• Health Advocacy Healthcare navigation assistance helping employees locate physicians, specialists, hospitals, medical equipment, and second opinions; includes support with insurance approvals, claims assistance, and medical record transfers.
• Wellness Coaching (Live Well) Telephonic wellness coaching available Monday-Friday focused on weight management, nutrition, physical activity, stress management, and tobacco cessation, supported by the Live Well digital wellness platform with tracking tools and recipe resources.

Quantifiable outcome

• Organizations save between $3 and $5 for every $1 invested in an EAP according to Association of Labor Management Administrators on Alcoholism studies. FirstCall EAP programs have delivered savings even higher.

Segments2 records

Ideal customer profiles1 record

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration2 records

Feature3 records

Partnerships

One partnership is on record.

• Main Line HealthcoreStrategic or Co-development PartnerFirstCall is owned by Main Line Health, a health system serving the Philadelphia region. This ownership structure provides FirstCall with access to comprehensive behavioral health infrastructure including its own Residential Drug and Alcohol treatment facility, three Substance Use and Mental Health outpatient centers, a Women's Emotional Wellness Center, and an Inpatient Psych unit. This integration enables seamless referral and care coordination for employees requiring intensive mental health services.

Scale indicators1 record

Recent moves6 records

Expansion highlights3 records

Direct peers

• AllOne Health: AllOne Health provides EAP, behavioral health, and wellness solutions to employers, with health system affiliations. It is a near-direct peer to FirstCall in business model, service breadth, and employer customer base.
• Concern EAP: Concern EAP is a long-standing independent EAP provider offering 24/7 counseling, work-life, and wellness services to employers. It is closely comparable to FirstCall in size, service mix, and B2B employer sales motion.

Broad incumbents

• Evernorth (Cigna): Evernorth, Cigna's health services arm, offers EAP and behavioral health benefits as part of its broader employer solutions portfolio. It overlaps with FirstCall across counseling, work-life, and wellness offerings, scaled across national employer contracts.
• Aetna (CVS Health) EAP: Aetna, part of CVS Health, offers EAP services bundled with its health insurance and behavioral health products. It competes with FirstCall for employer benefit dollars through national-scale distribution and integrated payer-provider capabilities.
• Optum (UnitedHealth Group): Optum's behavioral health division includes large-scale EAP offerings alongside managed care, claims, and pharmacy. It serves the same employer and health-plan buyer as FirstCall at national scale and competes on breadth of services.
• ComPsych: ComPsych is the world's largest EAP provider (GuidanceResources), serving tens of thousands of employers worldwide. It directly competes with FirstCall in the employer-sponsored EAP category and is the dominant incumbent FirstCall must position against.
• Magellan Health: Magellan Health (acquired by Centene) provides behavioral health management and EAP services to health plans, employers, and government agencies. It competes with FirstCall in the managed behavioral health and EAP category with national scope.

Emerging players

• Modern Health: Modern Health is a global mental health platform offering therapy, coaching, and self-guided resources to employers. It targets the same employee-benefits buyer as FirstCall with a more digital-native delivery model.
• Lyra Health: Lyra Health is a tech-enabled mental health benefits platform serving employers with in-person and virtual therapy. It competes for the same employer-sponsored behavioral health budget as FirstCall but leads on digital experience and self-serve matching.
• Spring Health: Spring Health provides precision mental health benefits to employers, combining assessment, therapy, coaching, and medication. It competes head-to-head with FirstCall's integrated suite for employer benefit spend, especially among mid-market and enterprise buyers.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat5 records

Key risks1 record

Key highlights1 record

Customer concentration

• LinkedInlinkedin.com/company/firstcalleap

Compliance2 records

Revenue estimate

Valuation estimate

Number of profiles

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 Firstcall