What First Choice Community Medical Services does

First Choice Community Medical Services, P.C. is a Massachusetts-incorporated professional corporation founded in 2015 by Tracy Ann Ramos, MS, CNP. The firm operates a community-based geriatric medical practice that delivers primary, transitional, and post-hospitalization care to homebound older adults, primarily residing in assisted living facilities (ALFs) and individual residences across the Merrimack Valley. Care is provided by certified Nurse Practitioners specializing in gerontological care, with the practice claiming over 60 years of combined NP clinical experience and 24/7 care availability.

The practice is organized around three interconnected service lines — Primary Care Services (ongoing comprehensive care), Transitional Care Services (care coordination during healthcare setting changes), and Post-Hospitalization Care (recovery and readmission prevention). The firm operates as a field-delivered clinical model rather than a clinic-based one: NPs travel to patients in their residence. There is no proprietary software platform, no AI/ML capabilities, no API surface, and no consumer-facing digital product; the underlying technology stack is limited to standard Squarespace web presence and PDF-based patient intake forms. Patient onboarding is manual, requiring a downloadable new-patient packet submitted via email, mail, or fax.

The business model is a professional services fee-for-service healthcare practice, billed primarily through Medicare and private insurance plans for homebound patient visits. The go-to-market is sales-led and referral-driven, relying on relationships with assisted living communities, healthcare providers, and word-of-mouth. The practice is fully founder-owned with no disclosed external capital, parent company, or subsidiary structure. Leadership comprises five named members: the founder/CEO, a VP of Operations, a Director of Quality Improvement (DNP), a Director of Patient Coordination (LPN), and a Director of Administrative Services.

Name

First Choice Community Medical Services

Legal name

First Choice Community Medical Services, P.C.

Website

https://firstchoicecommunity.com

Company type

Private

Founded year

2015

Operating status

Operating

Headcount range

11–50 employees

Short description

First Choice Community Medical Services is a private nurse practitioner practice founded in 2015 that delivers primary, transitional, and post-hospitalization geriatric care to homebound older adults in assisted living facilities and private residences across Massachusetts and New Hampshire.

Ownership category

akta.pro rank

Product category

Gerontological Primary Care Services

NAICS

Services for the Elderly and Persons with Disabilities (624120)

SIC

Services-Home Health Care Services (8082)

akta.pro primary industry

Primary Care for Underserved Populations (e.g., migrant, homeless, refugee clinics) (HLAFAGAN)

akta.pro secondary industry

Assisted Living with Enhanced Care / High-Acuity (Aging-in-Place) (HLADABAC)

Keywords

• Gerontological primary care
• Homebound patient care
• Transitional care services
• Post-hospitalization care
• Assisted living primary care

Headquarters

HQ city

North Andover

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Healthcare Services Revenue: The practice provides primary, transitional, and post-hospitalization care to older adults. Services are delivered through certified Nurse Practitioners specializing in gerontological care. Revenue is generated through healthcare services, likely billed through Medicare and insurance for homebound patient visits.

Go-to-market motion1 record

Distribution channels1 record

Marketing channels1 record

Core offering

First Choice Community Medical Services delivers primary, transitional, and post-hospitalization care to homebound older adults in the Merrimack Valley region. Care is provided by certified Nurse Practitioners specializing in gerontological care, delivered directly inside assisted living facilities and individual residences across more than 20 Massachusetts and New Hampshire locations.

Product overview

First Choice Community Medical Services is a healthcare practice offering a unified suite of primary, transitional, and post-hospitalization care services for older adults. The practice operates through a network of certified Nurse Practitioners specializing in gerontological care, delivering services directly in assisted living facilities and home settings throughout the Merrimack Valley in Massachusetts and New Hampshire. The core offering consists of three interconnected service lines: Primary Care Services (ongoing comprehensive care), Transitional Care Services (care coordination during setting changes), and Post-Hospitalization Care (recovery support after hospital discharge), all unified by the mission of ensuring health challenges never go unmanaged for homebound older adults.

Differentiator

Problem solved

Functional benefit

Products and services

• Primary Care Services Comprehensive primary care delivered by certified Nurse Practitioners specializing in gerontological care for older adults, including homebound patients, across the Merrimack Valley and beyond.
• Transitional Care Services Care coordination and medical support for older adults transitioning between healthcare settings, ensuring continuity during care transitions.
• Post-Hospitalization Care Medical care and follow-up services for older adults after hospital discharge, helping manage recovery and prevent readmissions.

Quantifiable outcome

• 8 years of partnership with Haverhill Crossings Assisted Living

Named customers1 record

Segments2 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Partnerships

One partnership is on record.

• Haverhill Crossings Assisted LivingcoreStrategic or Co-development PartnerLong-standing partnership of 8 years providing primary care services to residents. The assisted living facility values the exceptional communication from nurse practitioners and administrative staff, as well as the unmatched follow-up and compassionate approach with patients.

Scale indicators4 records

Recent moves6 records

Expansion highlights4 records

Emerging players

• dispatchHealth: Mobile medical care provider delivering on-demand acute, urgent, and post-hospitalization care in patients' homes. Shares First Choice's in-home delivery model and geriatric focus, but skewed toward acute episodes rather than ongoing primary care.
• Senior Helpers: National non-medical in-home care franchise serving elderly in their homes and senior living facilities. Comparable patient profile and ALF channel access, but focused on personal care rather than primary medical care. Represents a potential referral or partnership partner.
• Heal: Tech-enabled house call doctor service delivering primary and urgent care to seniors at home. Direct comparability on home-based primary care delivery to elderly, though operates through digital booking rather than the ALF referral channel First Choice depends on.

Broad incumbents

• Amedisys: Large home health and hospice provider delivering in-home nursing and primary care to elderly patients. Overlaps with First Choice's homebound elder patient base, though primarily through skilled nursing visit contracts rather than physician-led primary care.
• CenterWell Home Health (formerly Kindred at Home): National home health and primary care platform owned by Humana that delivers physician, NP, and skilled nursing visits to elderly patients at home and in senior living settings. Comparable patient population and service delivery, but at vastly greater scale.
• Oak Street Health: Primary care provider dedicated to Medicare-eligible seniors, now owned by CVS Health. While predominantly clinic-based, it increasingly pursues home-based care for homebound Medicare patients - overlapping with First Choice's value-based gerontological care mission.

Direct peers

• Doctors Making Housecalls: Regional house call primary care practice serving elderly and homebound patients across multiple states, with almost identical operating model to First Choice - in-home visits, NP-led teams, and ALF partnerships.
• U.S. Medical Management (Visiting Physicians Association): House call physician and NP practice providing home-based primary care to frail elderly and homebound patients, with strong ALF and senior community partnerships. Operates in many of the same patient settings as First Choice.
• Mathew J. Gaffney House Calls / Doctor's House Call LLC: Small physician house call practices of similar shape to First Choice - solo or small-group NPs/MDs delivering primary care to homebound patients and ALF residents in defined regions. Closest peer by scale, business model, and patient mix.
• Landmark Health: Home-based medical care provider for complex, chronic elderly patients delivered by NPs and physicians in the patient's residence. Closest scaled analog to First Choice's mobile gerontological care model, but with national reach and value-based payer contracts.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat3 records

Key risks4 records

Key highlights6 records

Customer concentration

Revenue estimate

Valuation estimate

Number of profiles

Profiles5 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 First Choice Community Medical Services