Changent

What Changent does

Changent is a national 501(c)(3) nonprofit organization headquartered in Denver, Colorado, that operates two federally designated evidence-based home visiting programs: Nurse-Family Partnership (NFP) and Child First. NFP pairs first-time mothers facing social and economic barriers with specially educated home visiting nurses for support from pregnancy through the child's second birthday. Child First provides home-based mental health support connecting families with mental health clinicians and care coordinators to address trauma, strengthen caregiver-child relationships, and foster child development. The two programs are delivered through a national network of 270+ community-based implementation partners across 39 states plus the District of Columbia, the U.S. Virgin Islands, tribal communities, and Puerto Rico, serving more than 59,000 families annually with the support of approximately 2,600 clinical staff. The organization rebranded from the National Service Office (NSO) to Changent on June 2, 2025, unifying both programs under a single organizational identity.

Changent's underlying technology centers on data-driven program delivery and outcome tracking, anchored by the NFP Information Management System — a web-based platform used for caseload tracking, performance monitoring, and quality improvement across the national network. The programs are validated by 45+ years of longitudinal research, including JAMA-published studies on long-term health impacts, and are recognized as evidence-based home visiting models eligible for federal MIECHV funding and Medicaid reimbursement. Outcome metrics for 2025 include 88% of NFP pregnancies reaching full-term, 89% of children up-to-date on immunizations at 12 months, 70% of Child First caregivers experiencing improvement in depression symptoms, and 72% experiencing improvement in PTSD symptoms.

Changent generates revenue through a diversified nonprofit funding model. FY2024 total revenues were $49.11 million, comprising philanthropic contributions ($21.45 million), fees for services ($17.03 million), and investment and other income ($10.63 million). In 2025, the organization secured $427 million in public funding across the Child First and Nurse-Family Partnership networks through Medicaid, MIECHV, and other federal and state grants. Services are provided at no cost to families. The organization is governed by an independent board led by Chair Jonathan Webb (CEO of AWHONN) and Vice Chair Steven Summer (President & CEO of Healthcare Institute), with Charlotte Min-Harris serving as President & CEO.

Name

Changent

Legal name

Nurse-Family Partnership

Website

https://changent.org

Company type

Private

Founded year

2025

Operating status

Operating

Headcount range

51–100 employees

Short description

Changent is a national 501(c)(3) nonprofit operating two federally designated evidence-based home visiting programs—Nurse-Family Partnership and Child First—serving families with young children facing adversity through a network of 270+ implementation partners across 39+ U.S. states and territories.

Ownership category

akta.pro rank

Product category

Maternal and Child Health Services

NAICS

Individual and Family Services (6241)

SIC

Services-Social Services (8300)

akta.pro primary industry

Family Coaching, Parent-Mediated & Home Visiting EI Services (EDACAFAJ)

akta.pro secondary industries

Home Visiting & Parent Coaching Programs (EDACALAC), Mental Health & Infant/Early Childhood Consultation (0–5) (EDACAFAO), Parent Mental Health, Stress Management & Wellness Programs (EDACALAJ), Family Resource Centers & Wraparound Support Services (EDACALAH)

Keywords

• Home visiting programs
• Maternal child health
• Early childhood support
• Family mental health
• Evidence-based services

Headquarters

HQ city

Denver

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Philanthropic contributions: Donations from individuals, foundations, and corporations to support Changent's charitable mission. In FY2024: $21.45 million.
2. Fees for services: Revenue from service delivery contracts with government and healthcare partners. In FY2024: $17.03 million.
3. Public funding: Government funding including Medicaid, MIECHV (Maternal, Infant, and Early Childhood Home Visiting) program, and other federal/state grants. Changent secured $427 million in public funding in 2025.
4. Investment and other income: Investment income and other revenue streams. In FY2024: $10.63 million.

Go-to-market motion1 record

Distribution channels1 record

Marketing channels5 records

Core offering

Changent operates two nationally-recognized, evidence-based home visiting programs: Child First provides home-based mental health support services connecting children and families with mental health clinicians and care coordinators to promote nurturing caregiver-child relationships and heal trauma, while Nurse-Family Partnership pairs first-time moms with specially educated home visiting nurses providing support from pregnancy through the child's second birthday. Services are delivered at no cost to families through a national network of 270+ community-based implementation partners, funded through public funding (Medicaid, MIECHV), philanthropy, and fees for services.

Product overview

Changent is a national nonprofit organization that operates two evidence-based home visiting programs: Child First and Nurse-Family Partnership. Child First provides home-based mental health support services connecting families with mental health clinicians and care coordinators. Nurse-Family Partnership pairs first-time mothers with educated home visiting nurses for support from pregnancy until the child reaches two years of age. The organization rebranded in June 2025 from the National Service Office (NSO) to Changent, unifying the two programs under one organizational umbrella while maintaining each program's distinct brand and methodology.

Differentiator

Problem solved

Functional benefit

Brands

• Child First: Home-based mental health support services for children and families that promote nurturing caregiver-child relationships, heal trauma, and foster optimal child development.
• Nurse-Family Partnership

Products and services

• Child First Home-based mental health support services that connect children and families with a mental health clinician and care coordinator. The program promotes strong, nurturing caregiver-child relationships, heals trauma, and fosters optimal child development and overall family well-being. Targeted at families with children from birth to age 5 facing complex social and economic challenges, trauma, mental health concerns, and family stress.
• Nurse-Family Partnership Evidence-based home visiting program that pairs first-time moms with specially educated home visiting nurses, providing support, advice, and guidance from pregnancy through the child's second birthday to build better futures for mothers and their babies. In 2025, the program expanded eligibility to include expectant parents with existing children and those enrolling later in pregnancy.

Quantifiable outcome

• 88% of pregnancies reached full-term (NFP 2025)
• +9 more outcomes

Named customers3 records

Segments3 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

Five partnerships are on record, tiered core and minor.

• Goodwill Legacy GroupcoreStrategic or Co-development Partner · 1 March 2025Partnership to support program start-up and deliver clinical training for the first-ever Nurse-Family Partnership program in Puerto Rico through Goodwill de Puerto Rico.
• Goodwill de Puerto RicocoreImplementation/ SI/ Consulting PartnerLaunched Nurse-Family Partnership program in Puerto Rico in March 2025, with support from a Community Advisory Board of local leaders, bringing critical home visiting services to families on the island.
• Implementation Partner Network (270+ organizations)coreImplementation/ SI/ Consulting PartnerNational network of community-based implementation partners including local social service providers, public health entities, hospitals, and health systems that deliver Child First and Nurse-Family Partnership programs.
• Healthcare InstituteminorStrategic or Co-development PartnerSteven Summer, President and CEO of Healthcare Institute, serves on Changent's Board of Directors, bringing healthcare leadership expertise.
• Association of Women's Health, Obstetric and Neonatal Nurses (AWHONN)minorStrategic or Co-development PartnerJonathan Webb, CEO of AWHONN, serves as Chair of Changent's Board of Directors.

Scale indicators10 records

Recent moves11 records

Expansion highlights6 records

Others

• Mahmee: Maternal and infant health company providing in-person and virtual support during pregnancy and postpartum. Targets a similar population to NFP but delivers services through a tech-enabled commercial model rather than a home-visiting nonprofit network.
• Maven Clinic: Digital-first women's and family health platform serving maternity, postpartum, and pediatric care. Comparable in maternal-child health outcomes focus but operates as a commercial virtual care provider rather than an in-home visiting nonprofit.

Broad incumbents

• ZERO TO THREE: National nonprofit focused on the healthy development of infants and toddlers; combines policy advocacy, training, and program support for the 0–3 population, overlapping with Changent's mission on early childhood mental health and family well-being.
• National Head Start Association: Membership organization supporting Head Start programs serving low-income children prenatal to age 5. Adjacent to Changent in target population and federal funding ecosystem, though primarily center-based rather than home-visiting.

Direct peers

• Healthy Families America: Prevent Child Abuse America's signature home visiting program serving at-risk families from pregnancy through early childhood. Directly comparable to NFP in methodology, federal MIECHV eligibility, and family-support mission.
• Parents as Teachers: National nonprofit operating an evidence-based home visiting model for families with young children, closely aligned with Changent's NFP and Child First in target population (families with children prenatal to age 5) and delivery model (parent coaching via home visits).
• HIPPY USA (Home Instruction for Parents of Preschool Youngsters): Evidence-based home visiting program for parents of preschoolers ages 3–5, focused on school readiness and parent involvement. Comparable to Child First in early childhood focus and home-based parent coaching model.

Emerging players

• Reach Out and Read: National nonprofit partnering with pediatric clinics to promote early literacy and parent-child bonding during well-child visits. Comparable in mission (early childhood development, parent engagement) but uses a clinic-based rather than home-visiting model.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat6 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xx.com/changentorg
• YouTubeyoutube.com/@Changent_Org
• Facebookfacebook.com/changentorg
• LinkedInlinkedin.com/company/changentorg/posts/?feedView=all
• Instagraminstagram.com/changentorg

Compliance1 record

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 Changent