FirstChoice

What FirstChoice does

FirstChoice Home Healthcare LLC is an Ohio-based home health care provider founded in 1998, delivering in-home clinical and custodial care services across multiple Ohio markets. The company operates from five office locations spanning Cleveland (corporate headquarters at 1457 West 117th Street), Akron, Mansfield, Sandusky/Milan, and Lake County, and serves homebound adults with skilled nursing (RN, LPN), physical/occupational/speech therapy, wound care, infusion therapy, diabetes management, and orthopedic and neurological rehabilitation. Specialty programs include the Journey Behavioral Health program (launched October 2009) for patients with mental health diagnoses, and the Becoming an Alzheimer's Whisperer program, a nationally-recognized dementia care curriculum developed by Dr. Verna Benner Carson and designated Best Practices in Dementia Care by the American Psychiatric Nurses Association.

The business operates as a single service-line healthcare provider rather than a software or platform business, with revenue generated through fee-for-service billing to multiple payors including Medicare, Medicaid, MyCare plans, Veterans Administration, commercial insurance, and private pay. Patient acquisition is primarily referral-driven, sourced through physician orders, hospital discharge planning, and direct outreach, with services available 24/7. The company employs 51-100 staff, all licensed, bonded, insured, and background-checked, and reports a 96% wound care quality rating exceeding state and national Medicare Home Health Compare averages. Operational infrastructure includes a staff portal and an SMS-based patient communication system with an effective policy date of April 22, 2025, indicating modest investment in care coordination technology. The company maintains memberships in the National Alliance of Mental Illness (NAMI) and the Alzheimer's Association as part of its specialty program positioning.

Name

FirstChoice

Legal name

FirstChoice Home Healthcare LLC

Website

https://firstchoiceohio.com

Company type

Private

Founded year

1998

Operating status

Operating

Headcount range

51–100 employees

Short description

FirstChoice Home Healthcare LLC is an Ohio-based home health care provider founded in 1998, delivering skilled nursing, therapy, wound care, behavioral health, and dementia care services to homebound adults across multiple Ohio markets.

Ownership category

akta.pro rank

Product category

Home Health Care Services

NAICS

Home Health Care Services (62161), Outpatient Mental Health and Substance Abuse Centers (621420)

SIC

Services-Home Health Care Services (8082)

akta.pro primary industry

Skilled Home Health Therapy Services (PT/OT/SLP) (HLADAFAE)

akta.pro secondary industries

Behavioral Health & Cognitive Support Coordination (Dementia, Depression, SUD) (HSABAIAF), Dementia/Alzheimer’s Care Management & Behavioral Support (HLADALAF)

Keywords

• Home health care
• Skilled nursing services
• Wound care therapy
• Behavioral health care
• Dementia care programs

Headquarters

HQ city

Cleveland

HQ country

United States

HQ region

North America

Offices5 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Healthcare Services Revenue: Revenue generated from providing home health care services to patients, billed through various payors including Medicare, Medicaid, private insurance, Veterans Administration, and private pay. Services include skilled nursing, therapy services, home health aides, and specialty programs.

Pricing tiers

Go-to-market motion2 records

Distribution channels1 record

Marketing channels4 records

Core offering

FirstChoice provides home health care services in Ohio, including skilled nursing (RN and LPN), physical, occupational, and speech therapy, home health aides, and custodial care. The company operates specialty programs such as Wound Care, the Journey Behavioral Health Program, the Becoming an Alzheimer's Whisperer dementia care program, Diabetes Today chronic care management, Infusion Therapy, and Orthopedic & Neurology Rehabilitation. Services are delivered in patients' homes and billed through Medicare, Medicaid, Veterans Administration, commercial insurance, and private pay.

Product overview

FirstChoice is an Ohio-based home health care services company established in 1998. The company operates as a single unified service offering rather than a software platform, providing comprehensive in-home health care through multiple service lines. The core offering consists of skilled nursing (RN, LPN), physical therapy, occupational therapy, speech therapy, social worker services, and home health aides. These are supported by specialty programs including the Journey Behavioral Health Program for mental health care, the Becoming an Alzheimer's Whisperer Program for dementia care, Wound Care, Diabetes Today chronic care management, Infusion Therapy, and Orthopedic & Neurology Rehabilitation. Services are available 24 hours a day, 7 days a week, with private duty and live-in care options. The company accepts Medicare, Medicaid, Veterans Administration, commercial insurance, and private pay.

Differentiator

Problem solved

Functional benefit

Brands

• Journey: Behavioral and Mental Health home care services program for homebound adults, including specialized Alzheimer's and Dementia care through the 'Becoming an Alzheimer’s Whisperer' program.
• Homecare of Lake County

Products and services

• Skilled Nursing Services

Quantifiable outcome

• 96% wound care quality rating exceeding state and national averages

Segments4 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature3 records

Partnerships

Three partnerships are on record, tiered core and minor.

• CaracoreStrategic or Co-development Partner · 7 November 2025Cara announced a strategic partnership with FirstChoice, a MarshBerry Company, to provide its AI platform to FirstChoice's agency network in the United States. The collaboration aims to enhance operational efficiency, reduce errors, and drive growth for independent insurance agencies. This partnership positions FirstChoice at the forefront of AI adoption in the insurance industry.
• National Alliance of Mental Illness (NAMI)minorOthersFirstChoice Home Health is a proud member of NAMI, demonstrating commitment to mental health awareness and services for patients with behavioral health conditions.
• Alzheimer's AssociationminorOthersFirstChoice Home Health is a proud member of the Alzheimer's Association, supporting dementia care awareness and resources for families dealing with Alzheimer's and related dementias.

Scale indicators3 records

Recent moves4 records

Expansion highlights4 records

Broad incumbents

• Amedisys: Public home health and hospice operator with national footprint and concentrated presence in Ohio. Comparable as a scaled incumbent competing for the same Medicare-reimbursed skilled nursing and therapy episodes.
• BrightSpring Health Services: Diversified home and community-based services provider including home health, pharmacy, and behavioral health. Comparable across the home health and behavioral service lines FirstChoice operates.
• Interim HealthCare: Established national franchise network providing home health, hospice, and personal care across the U.S., including Ohio. Comparable as a broad incumbent offering the same core service lines (skilled nursing, therapy, home aides) with significant scale advantages.
• LHC Group: National home health, hospice, and home- and community-based services provider (now part of Optum) with deep Ohio coverage. Comparable as a broad incumbent with similar payor mix and service portfolio.

Emerging players

• Compassus: National home health, hospice, and palliative care provider with growing Ohio presence. Comparable as an emerging scaled player pursuing similar skilled nursing and behavioral home-based service lines.

Direct peers

• Bayada Home Health Care: Large national nonprofit home health and personal care services provider with adult and pediatric skilled nursing, therapy, and assistive care programs. Comparable across the full home health service portfolio including adult and specialty behavioral/dementia support.
• Cleveland Clinic Home Care: Cleveland Clinic's home health services provide skilled nursing and therapy across Northeast Ohio with hospital-integrated referral flows. A direct regional competitor operating in FirstChoice's core Cleveland market.
• Visiting Nurse Association of Ohio: Ohio-based nonprofit home health and hospice agency offering skilled nursing, therapy, and personal care services across Northeast Ohio. Directly comparable in service mix, geography, and payor profile (Medicare/Medicaid-heavy).
• University Hospitals Home Care: Northeast Ohio health system-affiliated home health agency offering skilled nursing, rehabilitation, and specialty home-based programs. Directly comparable in Ohio footprint and the model of leveraging hospital discharge referrals.
• OhioHealth Home Care: Hospital-affiliated home health provider serving central Ohio with skilled nursing, therapy, and chronic disease management. Comparable as a regional home health operator with multi-office reach and integrated referral channels from health systems.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat4 records

Key risks5 records

Key highlights6 records

Customer concentration

• Xx.com/homefirstchoice
• Facebookfacebook.com/FirstChoice-579975025723022
• LinkedInlinkedin.com/company/firstchoice-ohio

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 FirstChoice