A&L Home Care and Training Center

What A&L Home Care and Training Center does

A&L Home Care and Training Center, LLC is a privately held, founder-owned Ohio home health agency founded in 2005 by nurses Nila Irby, Dawnetta Abbett (RN, CEO/Administrator), and Ruthie Lucas (LPN, Vice President). The company delivers skilled and paraprofessional in-home healthcare—including nursing, physical/occupational/speech therapy, infusion therapy, wound care, pediatric care, medication management, homemaking, and respite services—to elderly, disabled, developmentally disabled (via DODD waivers), pediatric, and veteran patients across Lawrence, Gallia, and Scioto counties in Ohio, with limited service into Meigs County OH and Wayne/Cabell Counties WV. Service delivery runs 24/7 through three office locations (Proctorville headquarters, Ironton, Gallipolis), a field-based workforce of RNs, LPNs, HHAs, STNAs, CNAs, and contract therapists, and revenue is billed primarily to Medicare, Medicaid, managed care plans (Caresource, Molina, United Health Care Community), VA benefits, DODD waivers, and private pay.

The business combines service delivery with an in-house Training Center that runs a 75-hour State Tested Nursing Assistant (STNA) program approved by the Ohio Department of Health, plus Home Health Aide classes, American Heart Association CPR/First Aid certification, and—through a partnership with ABBE Education—Licensed Practical Nursing, Medical Assisting, Phlebotomy, and EKG programs. The training operation functions both as a tuition revenue stream and as a proprietary talent pipeline that supplies the agency's clinical workforce, evidenced by a reported 100% STNA certification pass rate. Technology is limited and compliance-driven: Electronic Visit Verification (EVV) was implemented on January 7, 2018 to verify caregiver visits in real time, with paper backup, alongside routine Continuing Education Unit (CEU) delivery to staff.

The go-to-market motion is direct-to-consumer in-home care and direct-to-candidate recruitment via online applications, job fairs (held at the ABBE Education facility), and a $500 employee referral bonus. Marketing is largely local and relationship-based: an active Facebook page, a content blog, and participation in community events such as the Lawrence County Senior Expo, Walk for Cystic Fibrosis, and senior housing blood pressure clinics. Insurance coverage and care plan complexity—not published pricing—drive unit economics, while private pay remains an option for uninsured patients. The company has received the 2014 Pinnacle Award, a Medicare "Above Average" quality rating, BBB accreditation, and Lawrence County Business of the Month (February 2018), but discloses no revenue and has no external funding or acquisitions.

Name

A&L Home Care and Training Center

Legal name

A&L Home Care & Training Center, LLC

Website

https://aandlhomecare.com

Company type

Private

Founded year

2005

Operating status

Operating

Headcount range

11–50 employees

Short description

A&L Home Care and Training Center, LLC is a privately held Ohio home health agency founded in 2005 that delivers in-home nursing, therapy, and personal care across Lawrence, Gallia, and Scioto counties while operating a state-approved STNA training center and ABBE-partnered allied health programs.

Ownership category

akta.pro rank

Product category

Home Health Care Services

NAICS

Home Health Care Services (6216)

SIC

Services-Home Health Care Services (8082)

akta.pro primary industry

Skilled Home Health (Medicare-Certified) Agencies (HLAFAEAA)

akta.pro secondary industries

Skilled Home Health Therapy Services (PT/OT/SLP) (HLADAFAE), Skilled Home Health Aide Services (HHA/CNA under Skilled Plan of Care) (HLADAFAF), Private Duty Skilled Nursing (RN/LPN) in the Home (HLADAFAD), Pediatric Skilled Home Health (Home Nursing & Therapy) (HLADAFAC)

Keywords

• Home health care
• In-home nursing services
• Nursing assistant training
• Physical occupational therapy
• Skilled home care

Headquarters

HQ city

Proctorville

HQ country

United States

HQ region

North America

Offices3 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. In-Home Healthcare Services: The company generates revenue by providing in-home healthcare services including nursing, therapy (physical, occupational, speech), infusion therapy, homemaking, personal care, pediatric care, wound care, respite services, nutritional counseling, and medication management. Services are billed to insurance providers including Medicare, Medicaid, and various managed care plans.
2. Healthcare Training Center: Revenue is generated through STNA (State Tested Nursing Assistant) training courses, HHA (Home Health Aide) classes, and CPR/First Aid certification courses. STNA classes have a 75-hour state-approved curriculum. CPR/First Aid through the American Heart Association is valid for two years. ABBE Education provides Licensed Practical Nursing, Medical Assisting, Phlebotomy, and EKG training programs.

Go-to-market motion1 record

Distribution channels1 record

Marketing channels5 records

Core offering

A&L Home Care and Training Center provides in-home health care services including skilled nursing, physical therapy, occupational therapy, speech therapy, infusion therapy, wound care, personal care, homemaking, pediatric care, respite services, and medication management delivered by field-based caregivers across southern Ohio. Parallel to service delivery, the company operates a Training Center offering state-approved STNA certification (75 hours), Home Health Aide classes, and American Heart Association CPR/First Aid courses, with an extended training pipeline via its ABBE Education partnership.

Product overview

A&L Home Care and Training Center operates as a dual-purpose healthcare organization offering both in-home health care services and healthcare workforce training. The company provides comprehensive in-home care including nursing, therapy services (physical, occupational, speech), infusion therapy, personal care, pediatric care, wound care, and respite services across three Ohio locations. Parallel to service delivery, the company operates a Training Center that offers STNA certification courses (75-hour state-approved program), HHA training, and CPR/First Aid certification through the American Heart Association. Additionally, through a partnership with ABBE Education, the company offers pathways to Licensed Practical Nursing, Medical Assisting, Phlebotomy, and EKG certifications.

Differentiator

Problem solved

Functional benefit

Brands

• ABBE Education: Partnership with ABBE Education providing training for Licensed Practical Nursing, Medical Assisting, Phlebotomy, and EKG certifications.

Products and services

• In-Home Health Care Services

Quantifiable outcome

• 100% Pass Rate — Recent STNA graduates achieved 100% pass rate on their state certification exam

Named customers5 records

Segments4 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature1 record

Partnerships

Three partnerships are on record, tiered minor and core.

• BrickhouseminorGTM or Marketing Partner · 1 September 2017A&L partnered with Brickhouse (a business in Proctorville, OH) to gather and send supplies to those affected by Hurricane Harvey in Texas in September 2017. This was a community outreach/donation drive partnership.
• ABBE EducationcoreStrategic or Co-development PartnerABBE Education partners with A&L Home Care to provide healthcare training programs including Licensed Practical Nursing, Medical Assisting, Phlebotomy, and EKG. ABBE Education is located at 6101 Co Rd 107, Proctorville, Ohio and trains students referred by or associated with A&L Home Care. Job fairs are held at the ABBE Education facility.
• Ohio Department of HealthcoreOthersA&L Home Care's STNA training program is approved by the Ohio Department of Health. The company trains students who are then eligible to take the Ohio Department of Health's Nurse Aide competency test for STNA certification.

Scale indicators4 records

Recent moves6 records

Expansion highlights5 records

Broad incumbents

• Amedisys: One of the largest U.S. home health and hospice operators, offering skilled nursing, therapy, and hospice services nationwide. Comparable core services to A&L but at substantially greater scale and geographic breadth.
• LHC Group (Optum Home Health): Major national home health and hospice operator now part of Optum (UnitedHealth Group), delivering skilled nursing, therapy, and hospice services. Comparable service line to A&L with vastly greater scale, technology, and payor leverage.
• BrightSpring Health Services: Public home and community-based services platform offering home health, pharmacy, and behavioral health services. Comparable at the portfolio level to A&L's combined service + training offering, with broader scale and capital.
• Enhabit: National home health and hospice provider spun off from Encompass Health, offering skilled nursing, therapy, and hospice services. Comparable Medicare-certified skilled home health focus but with significantly broader geographic and operational scale.

Direct peers

• Bayada Home Health Care: Large national home health provider offering skilled nursing, therapy, and personal care services across multiple states, including adult and pediatric care — directly mirroring A&L's service mix and payor mix.
• Maxim Healthcare Services: National home health and medical staffing provider offering skilled nursing, therapy, and personal care services to pediatric and adult patients — comparable to A&L's nursing, therapy, and pediatric offerings.
• Help at Home: Large personal care services provider focused on in-home aide services for Medicaid waiver populations and seniors — directly comparable to A&L's personal care, homemaking, and DODD waiver service lines.
• Interim HealthCare: Franchised home health, hospice, and personal care provider with multiple Ohio franchise locations. Closest comparable model to A&L in offering Medicare-certified skilled home health plus aide/personal care across similar rural/suburban geographies.
• Compassus: National provider of home health, hospice, and palliative care services across multiple states. Comparable to A&L in delivering Medicare-certified skilled home health with nursing and therapy services.

Others

• CareCentrix: Home health and post-acute care coordination company managing referrals and benefits for payors. Not a direct service competitor, but operates in the same home health ecosystem and shapes referral flows that affect agencies like A&L.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat3 records

Key risks6 records

Key highlights3 records

Customer concentration

• Facebookfacebook.com/AandLHomeCare

Compliance2 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles6 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 A&L Home Care and Training Center