eRSP
eRSP is a cloud-based, all-in-one software platform for U.S. home care agencies, providing scheduling, electronic visit verification, billing, payroll, and integrated payment processing. It serves 2,000+ agencies across startup, growing, established, and franchise segments.
- Company typePrivate
- Founded2000
- HeadquartersMatthews, United States
- Headcount11–50
- GTM typeB2B
- OfferingSoftware
What eRSP does
eRSP is an all-in-one, cloud-based software platform purpose-built for licensed home care and home health agencies in the United States. Founded in 2000 (originally as Kaleida Systems) and operating today as Fullsteam Software Holdings LLC DBA eRSP under Fullsteam Operations LLC, the platform consolidates client management, scheduling, electronic visit verification (EVV), billing, payroll, revenue cycle management, and integrated payment processing into a single system. The product is delivered on Microsoft Azure infrastructure with native iOS and Android caregiver applications, a Family Connect portal for clients and families, and telephony-based EVV for cases where mobile access is limited. The platform integrates with major healthcare clearinghouses (TriZetto, Availity, Waystar, UHIN), state EVV aggregators (Sandata, HHA Exchange, AuthentiCare, CareBridge, eMedNY, Tellus/NetSmart), and a broad set of payroll and HR providers (ADP, Paychex, QuickBooks, PrimePay, UKG, Dayforce, Paylocity, Paycom, Paycor, Viventium, and others), positioning eRSP as a system-of-record for the operational and financial workflows of home care delivery.
The company serves a vertically segmented customer base of more than 2,000 home care agencies, explicitly targeting startups, growing agencies, established agencies, and franchise operations. eRSP claims that 7 of the top 10 home care franchises rely on its platform, and customer testimonials cite 12+ year continuous relationships, indicating high retention. The go-to-market is sales-led, with demo-driven acquisition supplemented by content marketing (blog, white papers, webinars, case studies, video content) and an integration partner referral channel. The company is an HCAOA member and maintains HIPAA and PCI-DSS compliance certifications.
The revenue model combines SaaS subscriptions (monthly, quote-based pricing tied to agency size and modules), transaction fees on integrated ACH and credit card payment processing, and ancillary professional services including additional training, SMS messaging, background check integration, advanced form customization, electronic claims training, and patient eligibility verification. Pricing is not publicly disclosed; the company surfaces a 2026 Readiness Offer (waiving monthly subscription fees for new sign-ups until January 2026) as an acquisition lever. Revenue is not publicly reported, and the company operates as a privately held subsidiary within the Fullsteam Operations LLC portfolio.
eRSP firmographics
Firmographics- Name
- eRSP
- Legal name
- Fullsteam Software Holdings LLC
- Website
- https://erspsolutions.com
- Company type
- Private
- Founded year
- 2000
- Operating status
- Operating
- Headcount range
- 11–50 employees
- Short description
- eRSP is a cloud-based, all-in-one software platform for U.S. home care agencies, providing scheduling, electronic visit verification, billing, payroll, and integrated payment processing. It serves 2,000+ agencies across startup, growing, established, and franchise segments.
- Ownership category
- akta.pro rank
eRSP industry classification
Industry- Product category
- Home Care Software
- NAICS
- Computing Infrastructure Providers, Data Processing, Web Hosting, and Related Services (51821)
- SIC
- Services-Prepackaged Software (7372)
- akta.pro primary industry
- Healthcare Provider ERP (Hospital Operations, Supply Chain, Finance) (HDAEAEAH)
Keywords
Where eRSP is headquartered
LocationHeadquarters
- HQ city
- Matthews
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
eRSP business model
Business model- GTM type
- B2B
- Offering type
- Software
- Cost components
- Technology or R&D, Personnel, Infrastructure, Marketing or Sales, Operations
Revenue model
- Software Subscription: SaaS subscription model providing access to the all-in-one home care software platform including scheduling, EVV, billing, payroll, and client management capabilities. Includes free upgrades and ongoing platform improvements.
- Integrated Payment Processing: ACH and credit card payment processing integrated into the platform, enabling agencies to collect payments directly from clients. Supports automated invoicing and real-time payment posting.
- Additional Services: Additional paid services including additional training sessions, onsite training, SMS messaging, background check integration, advanced form customization, electronic claims training, and patient eligibility verification.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Monthly | Custom enterprise pricing based on agency size and needs |
Go-to-market motion1 record
Distribution channels3 records
Marketing channels9 records
eRSP product offering
Product offeringCore offering
eRSP provides an all-in-one cloud-based home care software platform sold primarily as a SaaS subscription to home care agencies. The platform consolidates scheduling, electronic visit verification (EVV), billing, revenue cycle management, payment processing, payroll, and client management into a single integrated system accessible via web and mobile applications. The company serves startups, growing agencies, established agencies, and franchise operations with quote-based pricing and additional paid services such as training, SMS messaging, and background checks.
Product overview
eRSP is an all-in-one home care software platform built on Microsoft Azure cloud infrastructure, combining the core eRSP Platform with integrated modules including Payment Processing, Revenue Cycle Management, and Electronic Visit Verification (EVV). The platform serves agencies of all sizes through the central eRSP Platform which encompasses client management, scheduling (Comprehensive Scheduler), caregiver management, EVV, billing, and reporting (Dashboard & Reports). Key add-on modules include Payment Processing for ACH/credit card payments and accounts receivable, Revenue Cycle Management for end-to-end claims and billing, and the eRSP Mobile Connect App for caregiver field operations. Additional features like Family Connect (client portal), eRSP Ledger (built-in financial management), Shift Broadcasting, and Claims Submission extend capabilities. The platform integrates with multiple clearinghouses (TriZetto, Availity, Waystar, UHIN), EVV aggregators (AuthentiCare, CareBridge, Sandata, HHA Exchange, eMedNY, Tellus/NetSmart), and payroll providers (QuickBooks, PrimePay, ADP, Dayforce, UKG, Paychex, Paycom, Paylocity, Paycor, and others). Additional paid services include training sessions, SMS messaging, background checks, and form customization.
Differentiator
Problem solved
Functional benefit
Products and services
- eRSP Platform All-in-one cloud-based home care software platform that encompasses client management, scheduling, EVV submissions, payroll, collections, billing, and comprehensive operational tools in a unified system for home care agencies.
- Payment Processing Integrated payment processing solution that automates ACH and credit card payments, handles invoicing, manages accounts receivable, and provides real-time payment posting and reporting to enhance cash flow for home care agencies.
- Revenue Cycle Management End-to-end revenue cycle management covering client intake, insurance claims, payment posting, AR management, patient billing, claims submission, and compliance for Medicaid and private payers.
- Electronic Visit Verification (EVV) Electronic visit verification system enabling caregivers to clock in/out via mobile app or telephony, with real-time GPS tracking, live oversight dashboards, and compliance with state-specific EVV mandates.
- eRSP Mobile Connect App Mobile app for iPhone and Android enabling caregivers to clock in/out, view schedules, document care, message office, and receive real-time alerts from the field.
- Family Connect Portal Secure online portal designed to enhance communication and transparency between home care agencies, clients, and their families with document sharing, schedule visibility, and invoicing access.
- eRSP Ledger Built-in financial management tool offering comprehensive features for accounts receivable tracking, invoicing, payment reconciliation, and financial transaction management within the platform.
- eRSP Recruiting and Retention Feature product for improving recruiting and retention processes for home care agencies, helping reduce caregiver turnover in the first 90 days through targeted tools and analytics.
Quantifiable outcome
- 5 Million+ visits facilitated through the platform
- +4 more outcomes
Companies that use eRSP
Customer profileNamed customers8 records
Segments5 records
Ideal customer profiles3 records
eRSP technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- Yes
- API docs
- API detail
Core technology
AI maturity
App detail
Integration26 records
AI capability5 records
Feature8 records
eRSP partnerships and signals
Strategic signalPartnerships
21 partnerships are on record, tiered featured and core.
- TriZettofeaturedHealthcare clearinghouse partner providing high auto-adjudication rates. eRSP integrates directly for seamless claims submission.
- AvailitycoreNational-scale clearinghouse solution providing eligibility, authorization, claims, payments, and connectivity across health plans.
- WaystarcoreAward-winning claims management suite helping prevent rejections and denials before submission.
- Activated InsightsfeaturedWorkforce and experience platform built for home-based care agencies. Co-developed content on caregiver retention benchmarking.
- AuthentiCarecoreOne of the nation's preferred HIPAA-compliant EVV solutions for home care visit verification.
- CareBridgecoreEVV technology verifying member services and home healthcare visits with highly configurable capabilities.
- eMedNYcoreElectronic Medicaid system and fiscal agent for New York State MMIS, serving as EVV aggregator.
- HHA ExchangecoreReplaces paper timesheets with automated workflows connecting caregivers to agencies and agencies with payers.
- SandatacoreLeader in data-powered homecare solutions, empowering providers, payers, and states with improved communications.
- NetSmart (Tellus)coreEVV software with scheduling support, verification workflows, and audit readiness features.
- UHINcoreNational EDI network for health plans reducing costs and improving operational efficiencies.
- QuickBooksfeaturedIntegration for payment tracking and financial management. Employees, payroll, and invoices can be imported from eRSP into QuickBooks.
- PrimePayfeaturedModern payroll software with time and attendance. Integration provides efficient payroll processing for home care agencies.
- ADPcoreAll-in-one payroll for small businesses trusted by over 900,000 businesses.
- PaychexcoreDigitally driven HR leader with comprehensive, flexible payroll and HR services.
- UKG (Kronos)coreLeading workforce operating platform unifying HR, pay, and workforce management with AI.
- DayforcecoreAI-powered people platform simplifying HR, pay, time, talent, and analytics.
- PaylocitycoreAll-in-one HR and payroll solution combined with award-winning service.
- PaycomcoreSingle software empowering employees with on-demand access to their own HR data.
- PaycorcorePurpose-built solutions for leaders with flexible, open platform technology.
- ViventiumcoreHealthcare workforce solutions with tailor-made payroll, HR, and compliance platform.
Scale indicators6 records
Recent moves6 records
Expansion highlights4 records
eRSP competitors and assessment
Company assessmentDirect peers
- WellSky (formerly ClearCare): WellSky is the largest direct competitor in home care software after acquiring ClearCare. Both serve home care agencies with scheduling, EVV, billing, and clinical documentation, and both pursue franchise and multi-location agency segments.
- AlayaCare: AlayaCare offers a cloud-based home care platform with scheduling, billing, EVV, and a client/family portal — functionally similar to eRSP and targeting the same home care agency buyer, with stronger international (Canadian) footprint.
- HomeTrak: HomeTrak offers home care software for personal care and medical home health agencies, including scheduling, billing, and payroll. It competes with eRSP in the SMB and mid-market agency segment.
- Alora Healthcare Systems: Alora provides home health and home care software with scheduling, clinical documentation, billing, and EVV. It overlaps with eRSP's core platform capabilities and serves agencies of similar size profiles.
- ContinuLink: ContinuLink is a web-based home care software platform offering agency management, point-of-care, EVV, and billing. It targets a similar SMB and mid-market home care agency segment as eRSP.
- Carecenta: Carecenta delivers home care agency management software with scheduling, billing, payroll, and EVV. It directly competes with eRSP for private pay and Medicaid home care agencies.
- MatrixCare (a ResMed company): MatrixCare serves home care, hospice, and post-acute providers with scheduling, clinical, and billing software. Its home care line competes directly with eRSP for multi-site and franchise agency contracts.
- HHAeXchange: HHAeXchange is a leading home care management platform connecting agencies, caregivers, and state Medicaid payers via EVV. It directly overlaps with eRSP on EVV, scheduling, and Medicaid billing for home care agencies.
- CareSmartz360: CareSmartz360 is a home care management platform with scheduling, EVV, billing, and a family portal. It targets similar private duty and Medicaid home care agencies as eRSP, often with competitive subscription pricing.
- AxisCare: AxisCare provides home care software for private duty, Medicaid, and VA-funded agencies, with scheduling, EVV, and billing. It competes head-to-head with eRSP for startup and mid-market agency deals.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat6 records
Key risks6 records
Key highlights7 records
Customer concentration
eRSP social profiles
Digital presenceeRSP compliance and trust
Trust signalCompliance5 records
eRSP financial estimates
Financial estimateRevenue estimate
Valuation estimate
eRSP leadership team
Management profileNumber of profiles
eRSP funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
eRSP 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 eRSP
What does eRSP do?
eRSP provides an all-in-one cloud-based home care software platform sold primarily as a SaaS subscription to home care agencies. The platform consolidates scheduling, electronic visit verification (EVV), billing, revenue cycle management, payment processing, payroll, and client management into a single integrated system accessible via web and mobile applications. The company serves startups, growing agencies, established agencies, and franchise operations with quote-based pricing and additional paid services such as training, SMS messaging, and background checks.
Is eRSP a public or private company?
eRSP is a private company. It is classified as corporate owned and is currently operating.
When was eRSP founded?
eRSP was founded in 2000. It employs 11 to 50 people.
Where is eRSP based?
eRSP is headquartered in Matthews, United States, in the North America region.
How does eRSP make money?
Three revenue lines are on record. Software Subscription is the primary driver. The others are integrated Payment Processing and additional Services.
Who are eRSP's main competitors?
Direct peers on record are WellSky (formerly ClearCare), AlayaCare, HomeTrak, Alora Healthcare Systems, ContinuLink, Carecenta, MatrixCare (a ResMed company), HHAeXchange, CareSmartz360 and AxisCare.
Does eRSP have an API?
Yes. The platform includes Application Programming Interfaces (APIs) and programmatic access capabilities. The Master Services Agreement references 'Application Programming Interfaces ("API")s', 'programs, components, functions, screen Designs, reporting data, and report formats' as part of the Company Platforms definition. Clients are granted rights to use and make copies of the Documentation for internal use, training, and education of Authorized Users.
What industry is eRSP in?
eRSP's product category is Home Care Software. Its primary akta.pro industry code is HDAEAEAH, Healthcare Provider ERP (Hospital Operations, Supply Chain, Finance). Its NAICS code is 51821 and its SIC code is 7372.