Second Family
Second Family Inc. is a Maryland-based non-profit operating ten residential homes that provide 24-hour skilled nursing care to medically-fragile, technology-dependent children and adults, funded primarily through state DSS referrals and private pay.
- Company typePrivate
- Founded1994
- HeadquartersLanham, United States
- Headcount101–250
- GTM typeB2C
- OfferingServices
What Second Family does
Second Family Inc. (SFI) is a Maryland-based non-profit organization founded in 1994 by Registered Nurse Shilda Frost to provide residential care for medically-fragile, technology-dependent, and intellectually/developmentally disabled children who have been abandoned in hospitals and nursing homes. The organization operates ten residential homes across two campuses in Capital Heights and Bowie, MD, with capacity for 24 children aged 0–21, delivering 24-hour skilled nursing care, educational and recreational programming, family reunification support, transportation, and legislative/court advocacy on behalf of residents.
The core service offering is augmented by two wholly-owned subsidiaries: Second Family Adult Homes Inc. (SFAHI), a for-profit entity established in 2004 that operates seven homes for medically-fragile adults aged 21 and older, and Second Family Nursing Services, which supplies one-on-one direct-care nursing staff across both programs. Revenue is generated through needs-based pricing that is "typically expensive," funded primarily through Maryland's Department of Social Services (DSS) and private pay; insurance is not accepted. The go-to-market is referral-driven, relying almost entirely on DSS caseworkers and the in-house Social Worker Director for admissions, with a website (2ndfamilyinc.org) and Flipcause donation portal serving secondary information and fundraising roles.
Strategically, SFI is signaling intent to expand its residential model beyond Maryland into other U.S. states, and is actively recruiting across nursing, operations, IT, HR, and quality assurance. The business is founder-led, family-scaled, and operationally constrained by skilled-nursing labor supply and state child-welfare funding rather than by product or technology limitations.
Second Family firmographics
Firmographics- Name
- Second Family
- Legal name
- Second Family Inc.
- Website
- https://2ndfamilyinc.org
- Company type
- Private
- Founded year
- 1994
- Operating status
- Operating
- Headcount range
- 101–250 employees
- Short description
- Second Family Inc. is a Maryland-based non-profit operating ten residential homes that provide 24-hour skilled nursing care to medically-fragile, technology-dependent children and adults, funded primarily through state DSS referrals and private pay.
- Ownership category
- akta.pro rank
Second Family industry classification
Industry- Product category
- Residential Healthcare Services
- NAICS
- Other Residential Care Facilities (6239), Residential Intellectual and Developmental Disability Facilities (62321), Services for the Elderly and Persons with Disabilities (624120)
- SIC
- Services-Nursing & Personal Care Facilities (8050)
- akta.pro primary industry
- Small Residential Care Homes (RCFE/Board & Care) (HLADABAF)
- akta.pro secondary industry
- Long-Term Care Nursing Homes (Custodial LTC) (HLADADAB)
Keywords
Where Second Family is headquartered
LocationHeadquarters
- HQ city
- Lanham
- HQ country
- United States
- HQ region
- North America
Offices3 records
Markets served
Second Family business model
Business model- GTM type
- B2C
- Offering type
- Services
- Cost components
- Personnel, Operations, Infrastructure, Marketing or Sales, Others
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Other | Multi-year contract | Needs-based pricing dependent on child's medical requirements |
Distribution channels2 records
Marketing channels3 records
Second Family product offering
Product offeringCore offering
Second Family Inc. operates residential group homes providing 24-hour skilled nursing care, supervision, and family-like living environments for medically fragile, technology-dependent, and intellectually developmentally disabled children (ages 0-21) and adults (ages 21+) across campuses in Capital Heights and Bowie, Maryland. The organization combines direct nursing care, educational advocacy, family reunification support, and transportation services, while also running a for-profit adult homes subsidiary and a dedicated nursing services entity that supplies one-on-one direct care staff.
Product overview
Second Family Inc. operates as a unified organization offering residential care services for medically fragile individuals across three distinct programs. The core offering is Second Family Inc., a non-profit program serving children ages 0-21 with acute and chronic medical needs, providing 24-hour nursing care, education, transportation, and family support. This is complemented by Second Family Adult Homes, a for-profit sub-brand serving adults 21 and older with similar care needs. Additionally, Second Family Nursing Services provides specialized direct care nursing staff across both programs, assigning personalized one-on-one nurses to support individual medical requirements.
Differentiator
Problem solved
Functional benefit
Products and services
- Second Family Inc. Children's Program
Companies that use Second Family
Customer profileSegments3 records
Ideal customer profiles2 records
Second Family technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Second Family partnerships and signals
Strategic signalScale indicators7 records
Recent moves7 records
Expansion highlights4 records
Second Family competitors and assessment
Company assessmentEmerging players
- Maxim Healthcare Services: Maxim provides home healthcare, behavioral care, and personal care services including pediatric private duty nursing. Comparable to Second Family Nursing Services in delivering one-on-one nursing care to medically-complex children, with broader geographic reach and an in-home delivery model.
Direct peers
- Aveanna Healthcare: Aveanna is a leading provider of pediatric home health and private duty nursing for medically-complex children. Comparable to Second Family's nursing service model for medically-fragile children, scaled nationally with a similar Medicaid/insurance reimbursement structure.
- BAYADA Home Health Care: BAYADA provides pediatric and adult home health nursing services, including care for medically-fragile and technology-dependent children. Closely comparable to Second Family in serving the same patient population with skilled nursing, though delivered primarily in-home rather than in residential group homes.
Broad incumbents
- The Ensign Group: Ensign Group operates skilled nursing facilities and senior living communities across the U.S. with a focus on post-acute and long-term care. Comparable to Second Family in providing skilled nursing and residential care, though at much larger scale and broader service mix.
- National HealthCare Corporation: NHC operates skilled nursing facilities and assisted living communities plus home health and hospice. Comparable to Second Family in delivering 24-hour skilled nursing care in residential settings, though at much larger institutional scale rather than small residential homes.
- BrightSpring Health Services: BrightSpring operates a broad portfolio of home and community-based services including pediatric nursing and residential services for individuals with intellectual and developmental disabilities. Comparable to Second Family's medically-fragile and IDD residential care focus, but at much larger scale and across multiple segments.
- Brookdale Senior Living: Brookdale operates senior living communities including assisted living and memory care. Comparable to Second Family Adult Homes in providing residential care for medically-fragile adults, though at much larger scale and senior-focused only.
- Encompass Health: Encompass Health operates inpatient rehabilitation hospitals and provides post-acute care services. Comparable to Second Family in addressing medically-complex and post-acute patient needs, though in an institutional hospital setting rather than small residential homes.
- Pennant Group: Pennant operates home health, hospice, and senior living services across the U.S. Comparable to Second Family in providing residential and skilled nursing care for elderly and medically-complex populations, though focused on adult and senior segments rather than pediatrics.
Others
- CareCentrix: CareCentrix is a care coordination company that manages post-acute and home-based care for patients transitioning from hospital settings. Comparable to Second Family in addressing the medically-fragile population requiring coordinated care, though as a coordination/infrastructure player rather than direct care provider.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat4 records
Key risks5 records
Key highlights6 records
Customer concentration
Second Family social profiles
Digital presenceSecond Family financial estimates
Financial estimateRevenue estimate
Valuation estimate
Second Family leadership team
Management profileNumber of profiles
Profiles2 records
Second Family subsidiaries and ownership
Company hierarchySubsidiaries2 records
Second Family funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Second Family 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 Second Family
What does Second Family do?
Second Family Inc. operates residential group homes providing 24-hour skilled nursing care, supervision, and family-like living environments for medically fragile, technology-dependent, and intellectually developmentally disabled children (ages 0-21) and adults (ages 21+) across campuses in Capital Heights and Bowie, Maryland. The organization combines direct nursing care, educational advocacy, family reunification support, and transportation services, while also running a for-profit adult homes subsidiary and a dedicated nursing services entity that supplies one-on-one direct care staff.
Is Second Family a public or private company?
Second Family is a private company. It is classified as founder individual operated bootstrapped and is currently operating.
When was Second Family founded?
Second Family was founded in 1994. It employs 101 to 250 people.
Where is Second Family based?
Second Family is headquartered in Lanham, United States, in the North America region.
Who are Second Family's main competitors?
Maxim Healthcare Services is listed as an emerging player. Direct peers are Aveanna Healthcare and BAYADA Home Health Care. Broad incumbents are The Ensign Group, National HealthCare Corporation, BrightSpring Health Services, Brookdale Senior Living, Encompass Health and Pennant Group. CareCentrix is listed as an others.
Does Second Family have an API?
No public API is recorded for Second Family.
What industry is Second Family in?
Second Family's product category is Residential Healthcare Services. Its primary akta.pro industry code is HLADABAF, Small Residential Care Homes (RCFE/Board & Care), with a secondary code of HLADADAB, Long-Term Care Nursing Homes (Custodial LTC). Its NAICS code is 6239 and its SIC code is 8050.