Total Homecare Solutions
Total Homecare Solutions is an Ohio-based, privately held provider of Medicaid Waiver-funded supported living, in-home care, and proprietary sensor-based remote monitoring services for individuals with developmental disabilities, serving six counties in person and offering remote support statewide.
- Company typePrivate
- Founded2007
- HeadquartersCincinnati, United States
- Headcount251–500
- GTM typeB2C
- OfferingServices
What Total Homecare Solutions does
Total Homecare Solutions LLC (THS) is an Ohio-based, privately held provider of supported living and homecare services founded in 2007 and headquartered in Cincinnati, with a second office in Dayton. The company serves individuals with developmental disabilities and elderly individuals primarily through Ohio Medicaid Waiver funding, delivering supported-living services across six counties — Hamilton, Butler, Montgomery, Miami, Warren, and Clermont — while making technology-enabled Remote Support Services available statewide. The core service stack combines in-person Life Coach support with a proprietary 24/7 sensor-and-camera monitoring platform monitored in-house (not outsourced), a free web-based medication management system, DODD-compliant payee/money management services (in partnership with First Financial Bank), accessible housing across multiple Ohio locations under both the THS and HomeChoice brands, and a family portal for guardians.
THS's go-to-market is community- and referral-led: clients are acquired through Ohio county Developmental Disability Services (DDS) networks, Medicaid Waiver referrals, and word-of-mouth from families and guardians. Revenue is recurring in nature, sourced from government Medicaid funding for supported living, homecare, and remote support, with a managed-services component from payee/financial management. Pricing is not publicly disclosed and is set administratively by the Medicaid Waiver program rather than through commercial negotiation.
The company's stated differentiation rests on its in-house, non-outsourced remote-monitoring operations and an early-mover sensor-and-camera footprint in Hamilton County, supported by a 'Remote Supports Initiative' brand and a separate Remote Support sub-domain (thsrss.com). The technology stack is operational IoT rather than AI/ML: open/close, motion, seat-occupancy, water, temperature, humidity, vibration, CO2, and emergency-button sensors stream data to a centralized in-home hub and then to the cloud for continuous human monitoring. Headcount sits in the 251–500 band; ownership is described as founder/management-held with no disclosed external institutional investment.
Total Homecare Solutions firmographics
Firmographics- Name
- Total Homecare Solutions
- Legal name
- Total Homecare Solutions LLC
- Website
- https://thshomecare.com
- Company type
- Private
- Founded year
- 2007
- Operating status
- Operating
- Headcount range
- 251–500 employees
- Short description
- Total Homecare Solutions is an Ohio-based, privately held provider of Medicaid Waiver-funded supported living, in-home care, and proprietary sensor-based remote monitoring services for individuals with developmental disabilities, serving six counties in person and offering remote support statewide.
- Ownership category
- akta.pro rank
Total Homecare Solutions industry classification
Industry- Product category
- Home and Community-Based Services for Developmental Disabilities
- NAICS
- Residential Intellectual and Developmental Disability Facilities (62321), Services for the Elderly and Persons with Disabilities (624120), Residential Intellectual and Developmental Disability Facilities (623210), Services for the Elderly and Persons with Disabilities (62412)
- SIC
- Services-Home Health Care Services (8082), Services-Nursing & Personal Care Facilities (8050), Services-Social Services (8300)
- akta.pro primary industry
- Special Needs Adult Day Programs (Developmental/Physical Disabilities, Seniors) (HLADAIAI)
- akta.pro secondary industry
- Respite Care for Adults with Disabilities / Special Needs (HSABAGAI)
Keywords
Where Total Homecare Solutions is headquartered
LocationHeadquarters
- HQ city
- Cincinnati
- HQ country
- United States
- HQ region
- North America
Offices2 records
Markets served
Total Homecare Solutions business model
Business model- GTM type
- B2C
- Offering type
- Services
- Cost components
- Personnel, Operations, Infrastructure, Technology or R&D, Marketing or Sales
Revenue model
- Medicaid Waiver Services: THS is certified in Ohio to provide Medicaid Waiver services to elderly and disabled individuals. Revenue comes from government Medicaid funding programs for supported living, homecare, and related services.
- Payee/Money Management Services: Dedicated financial team handles client finances including bill paying, fund management, and tax filing. Partnership with First Financial Bank for ATM access and personal debit cards for 24/7 fund access.
Go-to-market motion1 record
Distribution channels3 records
Marketing channels4 records
Total Homecare Solutions product offering
Product offeringCore offering
Total Homecare Solutions provides Supported Living and Homecare services for individuals with developmental disabilities in Ohio, combining in-person Life Coach staffing with a proprietary Remote Support monitoring platform (sensors and cameras monitored 24/7 by in-house employees). Services are funded primarily through Ohio Medicaid Waiver programs and span six Ohio counties for Supported Living and statewide for Remote Support.
Product overview
Total Homecare Solutions (THS) is a Supported Living and Homecare Provider offering a comprehensive suite of services for individuals with developmental disabilities in Ohio. The core offering is Supported Living, which combines multiple service modules including Remote Support/Remote Monitoring (sensor and camera-based technology for health and safety), a web-based medication management system, Payee/Money Management Services, Housing Options, and Life Coach Services. THS was established in 2007 and is certified to provide Medicaid Waiver services. The company differentiates through its Remote Supports Initiative, which uses sensor-based systems to increase independence while ensuring health and safety, with all monitoring performed by internal THS employees rather than outsourced.
Differentiator
Problem solved
Functional benefit
Brands
- Remote Supports: Remote support technology using sensors and cameras to monitor individuals' homes and ensure health and safety while increasing independence. THS was one of the first companies in Hamilton County to implement this technology.
- THS Remote Support
- THS Payee / Money Management Services
- HomeChoice Services
Products and services
- Supported Living Core in-person service providing comprehensive assistance to individuals with developmental disabilities including personal care, medication management, transportation, behavioral services, community integration, and medical appointment coordination. Funded through Ohio Medicaid Waiver programs and delivered across six Ohio counties.
- Remote Support / Remote Monitoring Technology-based monitoring service using sensors (open/close, motion, temperature, humidity, water detection, CO2, seat occupancy, activity/vibration) and cameras to ensure health and safety while increasing independence. All sensors are monitored 24/7 by in-house THS employees rather than outsourced. Available statewide in Ohio.
- Payee / Money Management Services Financial services for clients including bill paying, fund management, tax filing, and DODD-compliant financial record keeping, delivered by a dedicated financial team with over 20 years of experience. Clients receive personal debit cards and fee-free ATM access through a partnership with First Financial Bank.
- Housing Options Affordable, accessible housing provided to individuals with developmental disabilities at multiple Ohio locations including Cheviot, Silverton, Troy, and Colerain Township.
- HomeChoice Services Housing-related service line offering additional residential options for individuals served by Total Homecare Solutions.
- Life Coach Services Staffing service providing compassionate, reliable Life Coaches who deliver direct in-person support in the lives of individuals served, complementing Supported Living and Remote Support offerings.
Quantifiable outcome
- Increases independence while decreasing dependence on staff through Remote Supports technology
- +1 more outcomes
Companies that use Total Homecare Solutions
Customer profileNamed customers7 records
Segments3 records
Ideal customer profiles3 records
Total Homecare Solutions technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Feature3 records
Total Homecare Solutions partnerships and signals
Strategic signalPartnerships
One partnership is on record.
- First Financial BankminorTHS has a partnership with First Financial Bank for their Payee/Money Management Services. The bank provides ATM locations for fee-free cash withdrawals for THS clients, and clients can use personal debit cards for 24/7 access to their funds.
Scale indicators2 records
Recent moves6 records
Expansion highlights6 records
Total Homecare Solutions competitors and assessment
Company assessmentBroad incumbents
- BrightSpring Health Services: Large, publicly traded diversified home and community-based provider with a substantial IDD/behavioral health segment. Comparable because it operates supported living and homecare services for individuals with developmental disabilities across many states at far greater scale than THS.
- Sevita Health (formerly The MENTOR Network): National provider of home and community-based services for individuals with intellectual and developmental disabilities. Comparable to THS because it serves the same IDD population with supported living, day programs, and in-home supports across multiple U.S. states.
- BAYADA Home Health Care: Large national home health and personal care services provider with adult and pediatric disability services. Comparable to THS in delivering in-home personal care and Medicaid-funded homecare, though at much greater scale and broader service scope.
- Help at Home: Major personal care services provider focused on Medicaid HCBS waiver populations including elderly and disabled individuals. Directly comparable to THS in revenue model (Medicaid-funded in-home caregiver services) and target populations.
Direct peers
- RHA Health Services: Regional provider of supported living, behavioral health, and IDD services operating across the Southeast and Midwest U.S. Closely comparable to THS in business model (Medicaid-funded residential and in-home supports for IDD populations) and in deploying technology-enabled remote supports.
- ResCare Community Living (BrightSpring): Operates residential, day, and supported living programs for individuals with intellectual and developmental disabilities. Highly comparable to THS in target population, service mix, and Medicaid waiver funding model; now part of BrightSpring.
Regional players
- CareStar Community Services: Ohio-based provider of home and community-based waiver services, case management, and behavioral health supports. Closely comparable to THS in Ohio-centric geographic focus and IDD/Medicaid waiver service delivery.
- Person Centered Services: Regional provider of HCBS waiver services for individuals with developmental disabilities in the Eastern U.S. Comparable to THS as a Medicaid waiver-funded IDD services operator with supported living offerings.
Others
- Public Partnerships (PCG): Fiscal employer agent and financial management services provider for self-directed Medicaid waivers. Comparable to THS's Payee/Money Management Services arm and DODD-compliant financial record keeping capabilities.
Emerging players
- eHomecare / Caregility: Technology vendor focused on in-home remote monitoring, virtual observation, and sensor-based patient safety for home and community-based settings. Comparable to THS's Remote Support platform from a technology stack and use-case perspective.
Market position
Strengths4 records
Weaknesses4 records
Competitive moat4 records
Key risks6 records
Key highlights6 records
Customer concentration
Total Homecare Solutions social profiles
Digital presenceTotal Homecare Solutions compliance and trust
Trust signalCompliance2 records
Total Homecare Solutions financial estimates
Financial estimateRevenue estimate
Valuation estimate
Total Homecare Solutions leadership team
Management profileNumber of profiles
Profiles6 records
Total Homecare Solutions funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Total Homecare Solutions M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about Total Homecare Solutions
What does Total Homecare Solutions do?
Total Homecare Solutions provides Supported Living and Homecare services for individuals with developmental disabilities in Ohio, combining in-person Life Coach staffing with a proprietary Remote Support monitoring platform (sensors and cameras monitored 24/7 by in-house employees). Services are funded primarily through Ohio Medicaid Waiver programs and span six Ohio counties for Supported Living and statewide for Remote Support.
Is Total Homecare Solutions a public or private company?
Total Homecare Solutions is a private company. It is classified as founder individual operated bootstrapped and is currently operating.
When was Total Homecare Solutions founded?
Total Homecare Solutions was founded in 2007. It employs 251 to 500 people.
Where is Total Homecare Solutions based?
Total Homecare Solutions is headquartered in Cincinnati, United States, in the North America region.
How does Total Homecare Solutions make money?
Two revenue lines are on record. Medicaid Waiver Services are the primary driver. The others are payee/Money Management Services.
Who are Total Homecare Solutions's main competitors?
Broad incumbents on record are BrightSpring Health Services, Sevita Health (formerly The MENTOR Network), BAYADA Home Health Care and Help at Home. Direct peers are RHA Health Services and ResCare Community Living (BrightSpring). Regional players are CareStar Community Services and Person Centered Services. Public Partnerships (PCG) is listed as an others. eHomecare / Caregility is listed as an emerging player.
Does Total Homecare Solutions have an API?
No public API is recorded for Total Homecare Solutions.
What industry is Total Homecare Solutions in?
Total Homecare Solutions's product category is Home and Community-Based Services for Developmental Disabilities. Its primary akta.pro industry code is HLADAIAI, Special Needs Adult Day Programs (Developmental/Physical Disabilities, Seniors), with a secondary code of HSABAGAI, Respite Care for Adults with Disabilities / Special Needs. Its NAICS code is 62321 and its SIC code is 8082.