First Choice In-Home Care

What First Choice In-Home Care does

First Choice In-Home Care is a Washington State-based, privately held in-home personal care services provider founded in 1999 and headquartered in Renton, WA. The company delivers non-medical assistance with activities of daily living to seniors and elderly individuals, adults and children with developmental disabilities or special needs, post-hospitalization recovery patients, family caregivers seeking respite, and veterans. Services are organized into modules including daily personal care, overnight care, homemaking, companionship and transportation, post-hospitalization care, family respite, mentorship for young adults with developmental disabilities, and veteran-specific care. The company supports over 2,600 Nursing Assistants, Home Care Aides, and Registered Nurses (all W-2 employees with full benefits) and serves 4,500+ clients annually, delivering 1.5 million+ service hours.

The operating model combines a private-pay direct-to-consumer motion with contracted Medicaid/DSHS service delivery through Washington State Department of Social and Health Services and county-level agencies (City of Seattle Aging and Disability Services, Pierce County Community Connections, Snohomish County Aging and Disabilities Division). The company is subject to three annual compliance audits against DSHS and Department of Health requirements. Caregiver quality and supply are supported by proprietary operational assets: four on-site Caregiver Training Centers, an in-house Prometric testing facility for the 70-hour Home Care Aide Certification, an Electronic Timekeeping System using client home telephones for shift tracking, an in-house FBI fingerprinting site, and contracted IdentoGO MorphoTrust services. All staff undergo Washington State Patrol, DSHS date-of-birth, and FBI fingerprint background checks plus 12 hours of annual continuing education.

Revenue is generated primarily through hourly billing (per quarter hour of service) on weekly, bi-monthly, or monthly invoicing cycles to private-pay clients, alongside subscription-style contracted Medicaid reimbursement across King, Pierce, Snohomish, Kitsap, Clark/Cowlitz, and Eastern Washington counties. Caregiver starting pay is disclosed at $21.44-$24.59 per hour plus benefits. The company is privately held with no disclosed funding rounds, parent company, or acquisition history, and has scaled organically through county-by-county geographic expansion since 1999, with offices in Renton, Tacoma, Mountlake Terrace, Bremerton, Vancouver, and Spokane.

Name

First Choice In-Home Care

Legal name

First Choice In-Home Care

Website

https://fcihc.com

Company type

Private

Founded year

1999

Operating status

Operating

Headcount range

1,001–5,000 employees

Short description

First Choice In-Home Care is a privately held Washington State in-home personal care agency, founded in 1999, serving 4,500+ seniors, individuals with developmental disabilities, and veterans annually through 2,600+ W-2 caregivers across six regional offices.

Ownership category

akta.pro rank

Product category

Home Health Care Services

NAICS

Home Health Care Services (621610), Services for the Elderly and Persons with Disabilities (624120)

SIC

Services-Home Health Care Services (8082)

akta.pro primary industry

Personal Care / Non-Medical Home Care (Private Duty) (HLAFAEAB)

akta.pro secondary industries

Conversation, Cognitive Stimulation & Activity Facilitation (HSABAAAB), Live-In Care (Single Caregiver, 24-Hour Presence) (HSABAHAB)

Keywords

• In-home personal care
• Senior care services
• Disability care services
• Home health aides
• Medicaid home care

Headquarters

HQ city

Bellevue

HQ country

United States

HQ region

North America

Offices6 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Hourly Care Services: Billed per quarter hour of service provided by home care aides and nursing assistants. Invoicing can be structured as weekly, bi-monthly or monthly. Electronic timekeeping tracks service hours.
2. Medicaid/Government Funded Services: Contracted provider for Washington State Department of Social and Health Services Medicaid programs covering King, Pierce, Snohomish, and Kitsap counties.

Pricing tiers

Go-to-market motion2 records

Distribution channels2 records

Marketing channels3 records

Core offering

First Choice In-Home Care provides non-medical in-home personal care services to seniors, adults and children with special needs/developmental disabilities, and post-hospitalization patients across Washington State. Care is delivered by W-2 credentialed Department of Health Nursing Assistants, Home Care Aides, and Registered Nurses, with services billed per quarter hour. The company holds contracted provider status with Washington State DSHS Medicaid programs and multiple county Aging and Disability Services agencies, and supports its workforce with four on-site caregiver training centers and an in-house Prometric testing facility.

Product overview

First Choice In-Home Care is a services company offering a unified portfolio of in-home personalized care services rather than a software product. The core offering comprises three main service categories: Senior Care Services for elderly individuals, Special Needs Care Services for individuals with developmental disabilities, and general In-Home Personalized Care Services. These services are delivered through various service modules including Daily Personal Care, Overnight Care, Homemaking Tasks, Companionship and Transportation, Post-Hospitalization Care, Family Respite Care, Mentorship Services, and Care for Veterans. The company operates four on-site caregiver training centers to certify its workforce of Nursing Assistants and Home Care Aides, ensuring consistent quality and compliance with Washington State Department of Health requirements.

Differentiator

Problem solved

Functional benefit

Products and services

• In-Home Personalized Care Services
• Senior Care Services
• Special Needs Care Services
• Care for Veterans

Quantifiable outcome

• Serves over 4,500 clients annually with 1.5 million+ service hours

Named customers4 records

Segments5 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

Partnerships

Four partnerships are on record, tiered core.

• Washington State Department of Social and Health ServicescoreOthers · 1 January 1999Primary government partner for Medicaid-funded in-home care services. Company is contracted and audited three times annually for compliance with DSHS and Department of Health requirements. Services authorized through local DSHS offices for eligible clients.
• City of Seattle Aging and Disability ServicescoreOthersContracted home care agency providing in-home care services to Seattle-area aging residents. Company maintains highest standards required for this contract and undergoes regular audits.
• Pierce County Community Connections Aging and Disability ResourcecoreOthersContracted provider for Pierce County's aging and disability services programs. Services provided under contract with county oversight.
• Snohomish County Aging and Disabilities DivisioncoreOthersContracted home care agency for Snohomish County aging and disability programs. Maintains compliance with county requirements and standards.

Scale indicators4 records

Recent moves6 records

Expansion highlights5 records

Direct peers

• Comfort Keepers: Franchise home care provider offering personal care, companionship, and incidental homemaking services for seniors. Directly comparable non-medical in-home care offering.
• Addus HomeCare: Public personal care services provider operating in multiple states with a similar mix of Medicaid-funded and private-duty personal care, serving elderly and disabled clients in their homes. Most directly comparable given Medicaid contract model and personal-care focus.
• Aveanna Healthcare: Public home health and personal care provider offering pediatric and adult private-duty nursing and personal care services, including specialized services for individuals with developmental disabilities — overlapping directly with FCIHC's special-needs segment.
• Interim HealthCare: Franchise-based home care, hospice, and personal care provider offering companion, personal care, and skilled services. Comparable personal-care service lines and W-2 staffing model.
• Bayada Home Health Care: Large private home care provider operating across multiple states with similar adult and pediatric personal care, special needs, and Medicaid waiver services. Comparable service mix and direct-to-consumer model.
• Synergy HomeCare: National franchise network providing non-medical personal care, companionship, and homemaking services to seniors and disabled clients. Comparable non-medical service portfolio and franchise/direct delivery mix.
• BrightSpring Health Services: Diversified home and community-based services provider with a large personal care segment serving Medicaid populations. Comparable in scale, payer mix, and target population.
• Visiting Angels: National franchise home care provider offering companion, personal care, and respite services for seniors and disabled adults. Closely aligned on services, target population, and franchise-driven geographic expansion.
• Help at Home: Personal care services provider focused exclusively on Medicaid-eligible seniors and individuals with disabilities, with similar W-2 caregiver model and government contract dependence. Closest peer on Medicaid PCS delivery model.

Broad incumbents

• Encompass Health / Enhabit: Public home health and hospice provider with skilled home health focus, serving as a broader incumbent that also touches Medicaid and Medicare home-based care markets — adjacent given some service overlap and shared Washington State payer dynamics.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat3 records

Key risks6 records

Key highlights6 records

Customer concentration

• Facebookfacebook.com/First-Choice-In-Home-Care-LLC-1842252236028129

Revenue estimate

Valuation estimate

Number of profiles

Profiles5 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 First Choice In-Home Care