Alternate Solutions Health Network

The short version

A family-founded home health network where office and field experiences diverge

Founded in 1999 from a personal family story, ASHN provides home-based nursing care through partnerships with systems like The Christ Hospital and Beaumont Health, but employee reviews reveal a notable split between office staff who describe a supportive culture and field employees who raise concerns about benefits and work-life balance.

1. 1

   You cover a Stark County home-health territory doing one-on-one skilled nursing in patients' homes under physician direction, coordinating the full interdisciplinary plan as RN case manager.

   For experienced nurses

   Sources

   Source: credenzahealth.com
2. 2

   Clinician pay is framed as a guaranteed base plus uncapped bonus opportunities, with mileage paid.

   For experienced nurses

   Sources

   As of 2026Source: credenzahealth.com
3. 3

   Territory RN scheduling runs Monday–Friday 8:15am–5:00pm, with evening and weekend on-call built in.

   For experienced nurses

   Sources

   As of 2026Source: credenzahealth.com

Who it fits

Nursing here

ASHN promotes a family-oriented culture grounded in teamwork, integrity, and attitude-based hiring, with most nursing roles on a Monday–Friday daytime schedule and some on-call coverage required. The organization partners with major health systems and has expanded through joint ventures, including one with IU Health in Indiana. Reviews from Glassdoor and Indeed are polarized: office-based employees tend to describe a supportive, family-like workplace, while field staff—including visiting nurses and home health aides—report concerns about limited benefits, work-life balance, and remote work policy changes. Some field employees noted that bonuses were tied to meeting hourly thresholds over three-month periods, and one reviewer described going to work as 'depressing.'

What nurses say

The hard parts

• Aggregate nurse and employee reviews sit in the middling range, with management and onboarding called out as weak spots and only about 46% of employees satisfied with pay.

  Sources

  As of 2026 · 2026-07Source 1: glassdoor.comSource 2: indeed.comSource 3: glassdoor.com

• Does anyone work for Alternate Solutions Health Network (ASHN)? Their Unionized therapist in Northern Virginia are going on strike.

  Sources

  Source: reddit.com

What to ask

• How is base pay set for the role, and which differentials apply?
• Which shifts are open, and what are the weekend, holiday and call rules?
• How long is orientation, and will I have one preceptor?
• What does a usual day’s workload look like?
• Where would I work, and on which unit or team?