Land Management 1st, Inc.

What Land Management 1st, Inc. does

Land Management 1st, Inc. (doing business as 1st Care Management) is a privately held, for-profit healthcare services provider founded in 2014 and headquartered in Sandy Springs, Georgia. The firm delivers in-home primary care, transitional care management, and chronic care services to patients, indicating a clinical focus on home-bound or post-acute populations that require ongoing oversight outside of traditional facility-based settings. The company's operating scale is small, with 1–10 reported employees, consistent with a localized or owner-operated home-care practice rather than a multi-state scaled operator.

Publicly available material on the company is extremely thin. The firm's own website (https://1stcaremanagement.com) resolves only to a loading/verification page with no substantive content, and no detailed information on care protocols, technology platforms, payer relationships, geographic reach beyond Sandy Springs, service pricing, or clinical staffing was obtainable from the source data. As a result, the underlying operational architecture, clinical workflows, and technology stack cannot be characterized from the evidence provided. The combination of a small headcount, a long operating history (founded 2014), and the absence of any disclosed funding rounds suggests a likely owner-operated, lifestyle-scale clinical practice rather than a venture-backed growth company.

The revenue model is not disclosed. There is no information on whether the company bills Medicare fee-for-service, Medicare Advantage, Medicaid, commercial payers, or self-pay patients, nor on contract structures with accountable care organizations, hospitals, hospital-at-home programs, or physician groups. No funding rounds, M&A activity, partnerships, leadership changes, regulatory actions, or product launches are documented in the source data, leaving the company's strategic posture, capital structure, and forward direction substantially opaque.

Name

Land Management 1st, Inc.

Legal name

Land Management 1st, Inc.

Website

https://1stcaremanagement.com

Company type

Private

Founded year

2014

Headcount range

1–10 employees

Short description

Land Management 1st, Inc. (1st Care Management) is a Sandy Springs, Georgia-based healthcare provider founded in 2014 that delivers in-home primary care, transitional care management, and chronic care services to patients in their homes, operating with 1–10 employees.

Ownership category

akta.pro rank

Product category

Home Healthcare Services

NAICS

Home Health Care Services (62161), Services for the Elderly and Persons with Disabilities (624120), Other Ambulatory Health Care Services (6219)

SIC

Services-Home Health Care Services (8082), Services-Misc Health & Allied Services, Nec (8090)

akta.pro primary industry

Chronic Care & Complex Care Management (HSABAIAD)

akta.pro secondary industries

Independent Primary Care Practices (HLAFAGAA), Care Transitions Management (Hospital/SNF-to-Home) (HSABAIAC)

Keywords

• Home healthcare services
• In-home primary care
• Transitional care management
• Chronic care management
• Patient care services

Headquarters

HQ city

Sandy Springs

HQ country

United States

HQ region

North America

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Others

Core offering

1st Care Management provides in-home primary care, transitional care management, and chronic care services for patients. The company delivers clinical care directly in patients' homes, supporting continuity of care across care settings and ongoing management of chronic conditions.

Differentiator

Problem solved

Functional benefit

Ideal customer profiles1 record

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Direct peers

• DispatchHealth: DispatchHealth delivers in-home acute, post-acute, and complex care via mobile clinician teams, directly competing for the same hospital-to-home and chronic care referrals that 1st Care Management targets in the Atlanta metro.
• Vesta Healthcare: Vesta is a home-based care management and primary care provider for medically complex seniors, layering in-home clinicians with 24/7 support — a closely analogous model to 1st Care Management's chronic and transitional care focus.
• MedArrive: MedArrive sends paramedics and other clinicians into the home to deliver transitional care, chronic care management, and primary care services, addressing the same patient panel and payer relationships as 1st Care Management.
• Landmark Health: Landmark (now part of Optum) provides in-home primary care, chronic care management, and transitions support for complex, polychronic patients — the same multi-service, house-call-plus-care-management model 1st Care Management operates, but at national scale and with risk-bearing payer contracts.

Broad incumbents

• CenterWell Senior Primary Care (Humana): Humana's CenterWell operates senior-focused primary care clinics with significant home-visit and care-management components and value-based contracts; it competes for the same chronic and post-acute patients across the broader Southeast.
• Amedisys: Amedisys (now part of UnitedHealth Group) is one of the largest U.S. home health and hospice operators, providing skilled nursing, therapy, and chronic care management in the home — overlapping with 1st Care Management's clinical scope, particularly around transitions and chronic care.
• Encompass Health: Encompass Health operates inpatient rehabilitation facilities plus a large home health and hospice segment, competing for post-acute and chronic care referrals in the same Southeast markets as 1st Care Management.
• CareMore Health (as part of Elevance): CareMore delivers integrated chronic and post-acute care for seniors, including in-home and clinic-based primary care and complex care management — directly comparable services to 1st Care Management, backed by a large payer/incumbent parent.

Emerging players

• Enabler / Heal (historical): Heal was a tech-enabled house-call and primary care provider; its on-demand, in-home physician model is structurally comparable to 1st Care Management's in-home primary care offering, illustrating the emerging-player competitive set.
• Papa: Papa pairs older adults with in-home companions and extends into chronic care and social-determinants support, making it an adjacent competitor for the same senior chronic-care panel in the Atlanta market.

Market position

Strengths4 records

Weaknesses2 records

Competitive moat2 records

Key risks6 records

Key highlights4 records

Customer concentration

• LinkedInlinkedin.com/company/1st-care-management

Revenue estimate

Valuation estimate

Number of profiles

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 Land Management 1st, Inc.