AfterCare Nursing Services

What AfterCare Nursing Services does

AfterCare Nursing Services Inc. is a Licensed Home Care Services Agency founded in 1989 in Western New York, providing both non-medical personal care and skilled medical home care services. The company operates as the only employee-owned home health agency in the region through an Employee Stock Ownership Plan (ESOP) structure, with a management team led by Chief Operating Officer Michelle Kuna and a governing board that includes President Thomas Boyd. Its service portfolio spans six core offerings: Personal Care Services (PCA) for daily living assistance, Home Health Care Services delivered by licensed nurses, Pediatric Home Health Care for children with complex medical needs, Traumatic Brain Injury (TBI) Home Care under a New York State Department of Health-approved program, the Nursing Home Transition and Diversion (NHTD) waiver program, and general Nursing Care provided by RNs and LPNs.

The company delivers all services directly in clients' homes through its own employed caregivers and nurses, operating four locations in the Buffalo / Jamestown / Niagara Falls / Cheektowaga corridor of Western New York and supporting 24/7 service availability. Revenue is generated primarily through Medicaid reimbursement across multiple waiver programs (NHTD, TBI, and standard Medicaid personal care), with private-pay pricing not publicly disclosed. The Walden Training Center in Cheektowaga provides free PCA certification training, functioning as an internal caregiver pipeline and a workforce differentiator in a labor-constrained market. Marketing is conducted through Facebook, LinkedIn, community events such as the annual Walk to End Alzheimer's, and a direct-to-consumer website with service pages and contact forms.

The underlying technology is a labor-driven care delivery model rather than a software platform; there is no app, no public API, no disclosed integrations, and no proprietary software systems beyond a standard WordPress-based website. Distribution is purely direct-to-consumer and direct-to-family through office-based intake, with no third-party referral intermediaries or channel partners. The company was recognized by Buffalo Business First in 2020 as one of the largest Home Health Care agencies in the Buffalo area, and it celebrated 30+ years of continuous operation in 2021 with the opening of its new Lancaster headquarters.

Name

AfterCare Nursing Services

Legal name

AfterCare Nursing Services Inc.

Website

https://aftercarenursingservices.com

Company type

Private

Founded year

1989

Operating status

Operating

Headcount range

11–50 employees

Short description

AfterCare Nursing Services is a Licensed Home Care Services Agency founded in 1989 that delivers non-medical and skilled medical home care across Western New York. It serves seniors, children with complex medical needs, TBI patients, and individuals with disabilities primarily through New York Medicaid waiver programs.

Ownership category

akta.pro rank

Product category

Home Health Care Services

NAICS

Home Health Care Services (62161), Home Health Care Services (621610)

SIC

Services-Home Health Care Services (8082), Services-Nursing & Personal Care Facilities (8050)

akta.pro primary industry

Medicare-Certified Skilled Home Health Agencies (HHA) (HLADAFAA)

akta.pro secondary industries

Medicare-Certified Skilled Nursing Visits (RN/LPN) (HSABACAA), Private Duty 24/7 Nursing (RN/LPN) In-Home Care (HSABAHAJ), Hospital/Facility-to-Home Caregiver Placement (HSABAMAC)

Keywords

• Home health care
• Personal care aides
• Skilled nursing services
• Pediatric home care
• Medicaid waiver programs

Headquarters

HQ city

Lancaster

HQ country

United States

HQ region

North America

Offices4 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Marketing or Sales, Others

Revenue model

1. Medicaid-funded Home Care Services: The agency receives reimbursement through Medicaid for personal care, home health care, and specialized waiver programs including NHTD and TBI services. Services are provided to eligible Medicaid recipients at home.

Pricing tiers

Go-to-market motion1 record

Distribution channels1 record

Marketing channels4 records

Core offering

AfterCare Nursing Services is a Licensed Home Care Services Agency providing medical and non-medical in-home care across Western New York. Services are delivered by employed Personal Care Aides (PCAs) and licensed nurses (RNs and LPNs), spanning personal care, skilled home health, pediatric care, TBI waiver services, and NHTD transition support. The agency is funded primarily through Medicaid and accepts referrals from state waiver programs.

Product overview

AfterCare Nursing Services is a Licensed Home Care Services Agency offering a unified portfolio of in-home healthcare services. The core offering comprises Personal Care Services delivered by Personal Care Aides (PCAs) for non-medical assistance, Home Health Care Services with skilled nursing for medical needs, Pediatric Home Health Care for children with complex medical conditions, Traumatic Brain Injury (TBI) Home Care Services approved by the Department of Health, the Nursing Home Transition and Diversion (NHTD) Program for Medicaid-funded independent living support, and Nursing Care provided by RNs and LPNs. All services are delivered in clients' homes across Western New York, with the company operating as an employee-owned organization established in 1989.

Differentiator

Problem solved

Functional benefit

Products and services

• Personal Care Services (PCA) One-on-one non-medical assistance from Personal Care Assistants in the client's home, including help with bathing, grooming, meal preparation, light housekeeping, and companionship. Designed for individuals needing daily living support to remain independent at home.
• Home Health Care Services Skilled medical care delivered at home by licensed nurses (RNs and LPNs), including wound care, medication management, health monitoring, IV therapy support, and post-hospital recovery care. Targeted at clients who need medical services but heal better in their own homes.
• Pediatric Home Health Care Services Specialized care for children with complex medical needs delivered at home, providing skilled nursing, therapy coordination, and personal care with a family-centered approach. For families needing pediatric medical care in familiar surroundings.
• Traumatic Brain Injury (TBI) Home Care Services Department of Health-approved TBI program that pairs individuals with trained Personal Care Aides who assist with daily living activities, skill-building, and rehabilitation goals, with active family participation. Funded through Medicaid.
• Nursing Home Transition and Diversion (NHTD) Program Medicaid-funded waiver program that helps seniors and adults with disabilities move out of or avoid nursing facility placement, providing care planning, family involvement, and ongoing in-home support up to 24 hours per day for independent living.
• Nursing Care RN and LPN services providing compassionate care at home to prevent or postpone hospitalization or institutionalization. Delivered as part of AfterCare's in-home clinical service line.

Segments5 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Scale indicators5 records

Recent moves5 records

Expansion highlights4 records

Broad incumbents

• Compassus: National home health, hospice, and palliative care provider. Operates skilled nursing and personal care lines comparable to AfterCare's and competes for complex Medicaid and managed care referrals across multiple states.
• BrightStar Care: National franchise providing skilled nursing and personal care services, including medically complex pediatric and adult cases. Operates in similar markets and competes for similar Medicaid and private-pay home care demand.
• Amedisys: One of the largest U.S. home health and hospice operators. Provides skilled nursing, therapy, and personal care services at a national scale and represents the scale benchmark AfterCare competes against in managed care contracting.
• Maxim Healthcare Services: National home health and personal care provider with significant private-duty nursing and pediatric presence. Competes for Medicaid waiver and pediatric skilled nursing referrals in markets adjacent to AfterCare's.
• Interim HealthCare: National home health and personal care franchise with local Western New York operators offering skilled nursing, personal care, and Medicaid-funded services overlapping AfterCare's core offerings.

Direct peers

• Help at Home: National provider focused almost exclusively on Medicaid-funded personal care services for seniors and individuals with disabilities. Closely mirrors AfterCare's PCA-heavy Medicaid model and represents a primary competitor for state Medicaid contracts.
• Aveanna Healthcare: Large national provider specializing in pediatric and private-duty home health, including Medicaid-funded waiver programs. Competes for the same pediatric, NHTD, and private-duty nursing referrals as AfterCare.
• VNA of Western New York: Visiting Nurses Association serving the same Western New York region with home health and personal care services. Directly competes with AfterCare for Medicaid, waiver, and skilled nursing referrals in the same counties.
• Bayada Home Health Care: National home health and personal care provider with adult, pediatric, and complex care service lines closely mirroring AfterCare's portfolio, including Medicaid waiver and TBI programs in multiple states.

Regional players

• McAuley Seton Home Care (Catholic Health): Hospital-affiliated home health agency operating in the Buffalo and Western New York market. Competes directly with AfterCare for post-acute and Medicaid referrals from shared health system discharge planners.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat3 records

Key risks5 records

Key highlights6 records

Customer concentration

• Facebookfacebook.com/aftercarens
• LinkedInlinkedin.com/company/aftercarens
• Xx.com/aftercarens

Revenue estimate

Valuation estimate

Number of profiles

Profiles9 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 AfterCare Nursing Services