Heart to Heart Hospice

What Heart to Heart Hospice does

Heart to Heart Hospice is a privately held, for-profit hospice care provider founded in 2003 and headquartered in Carrollton, Texas, operating more than 80 agency locations across four U.S. states — Indiana, Michigan, Oklahoma, and Texas — and serving more than 4,500 patients. Its core offering is end-of-life hospice care delivered to terminally ill patients in their homes, nursing facilities, or hospice centers, including nursing care, medical equipment, pain management, medications, emotional and spiritual support, and bereavement services.

The company's go-to-market is direct-to-patient via agency locations, with patient intake driven by referrals from hospitals, physicians, and other healthcare providers rather than traditional marketing. Growth has been driven almost entirely by greenfield geographic expansion into counties with limited hospice coverage — most recently East Texas (Huntsville and Hemphill, March 2026) and Oklahoma City (January 2026), following entry into Oklahoma via Durant in 2024. The organization has grown approximately 25 percent over the past 18 months and now operates more than 80 locations.

Heart to Heart Hospice generates revenue primarily through Medicare, Medicaid, and private insurance reimbursements for hospice services, operating within regulated per-diem payment frameworks rather than via disclosed commercial pricing. The company is founder-led by Kelly Mitchell (CEO since 2003) and remains independent, with no disclosed institutional investors or parent company. Recent non-clinical investments include a June 2026 cybersecurity partnership with CyberMaxx, signaling broader technology modernization as the footprint expands.

Name

Heart to Heart Hospice

Legal name

Heart to Heart Hospice

Website

https://hearttohearthospice.com

Company type

Private

Founded year

2003

Operating status

Operating

Headcount range

1,001–5,000 employees

Short description

Heart to Heart Hospice is a private hospice care provider founded in 2003, operating 80+ agency locations across Indiana, Michigan, Oklahoma, and Texas. It delivers end-of-life nursing, medical, and bereavement services to over 4,500 patients, reimbursed primarily through Medicare, Medicaid, and private insurance.

Ownership category

akta.pro rank

Product category

Hospice Care Services

SIC

Services-Home Health Care Services (8082), Services-Health Services (8000)

akta.pro primary industry

Home Hospice Agencies (HLAFAEAC)

akta.pro secondary industries

Hospice Care in Nursing Facilities (SNF/NH Hospice) (HLADAHAD), Hospice Care in Assisted Living / Residential Care Facilities (HLADAHAE), In-Home Hospice Nursing Visits (RN/LPN) (HSABAFAL), In-Home Hospice Physician / Nurse Practitioner Visits (HSABAFAM)

Keywords

• Hospice care services
• End-of-life care
• Palliative care
• Home health services
• Terminally ill care

Headquarters

HQ city

Carrollton

HQ country

United States

HQ region

North America

Offices7 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Marketing or Sales, Supply Chain, Infrastructure

Revenue model

1. Hospice Care Services: Heart to Heart Hospice generates revenue through providing hospice care services to patients. As a hospice care provider, revenue is typically derived from Medicare, Medicaid, and private insurance reimbursements for hospice services including nursing care, medical equipment, medications, and support services for terminally ill patients.

Go-to-market motion1 record

Distribution channels1 record

Marketing channels1 record

Core offering

Heart to Heart Hospice delivers hospice and end-of-life care services to terminally ill patients through a network of agency locations. Services include nursing care, medical equipment, medications, pain management, and emotional and spiritual support, organized by geographic coverage areas across Indiana, Michigan, Oklahoma, and Texas, currently serving more than 4,500 patients across 80+ locations.

Product overview

Heart to Heart Hospice is a hospice care provider founded in 2003, offering end-of-life care services through a network of agency locations across Indiana, Michigan, Oklahoma, and Texas. The company's service offering consists of hospice care provided at multiple physical agency locations (growing from 65 to over 80 locations), serving over 4,500 patients. The recent expansion includes new agencies in East Texas (Huntsville and Hemphill) and Oklahoma City, with services organized by geographic coverage areas serving specific counties. As a healthcare services company rather than a software product company, Heart to Heart Hospice does not offer distinct product modules or branded software offerings — its offering is the delivery of hospice care services at its agency locations.

Differentiator

Problem solved

Functional benefit

Products and services

• Hospice Care Services Comprehensive end-of-life hospice care delivered to terminally ill patients, including nursing care, medical equipment, medications, pain management, and emotional and spiritual support. Services are provided across 80+ agency locations in Indiana, Michigan, Oklahoma, and Texas to more than 4,500 patients.
• Bereavement Services Counseling and bereavement support provided to families of hospice patients as part of the end-of-life care offering.
• Caregiver Respite Services Respite support provided to family caregivers of hospice patients as part of the broader hospice service offering.

Quantifiable outcome

• 25% growth over 18 months
• +1 more outcomes

Segments2 records

Ideal customer profiles1 record

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Partnerships

One partnership is on record.

• CyberMaxxcoreTechnology or Integration · 30 June 2026Heart to Heart Hospice has partnered with CyberMaxx to strengthen its cybersecurity capabilities and protect sensitive patient and employee information. CyberMaxx provides healthcare-focused cybersecurity expertise, continuous security monitoring, endpoint detection and response, and escalation support to complement Heart to Heart's internal IT and security teams. The partnership supports Heart to Heart's broader technology modernization strategy.

Scale indicators5 records

Recent moves7 records

Expansion highlights4 records

Broad incumbents

• Encompass Health: Large post-acute platform with a hospice segment (Enhabit was spun off in 2022, but Encompass retains adjacent services); comparable as a scaled, publicly traded reference point for hospice economics.
• LHC Group (Optum): Large home-health and hospice platform now operating within UnitedHealth's Optum; serves as a scaled incumbent comparable on hospice service delivery and referral contracting.
• BrightSpring Health Services: Diversified home and community-based health platform with hospice and home-health offerings; comparable to Heart to Heart as a broader post-acute peer serving similar patient populations.
• Chemed (Vitas Healthcare): Operates Vitas Healthcare, the largest single hospice provider in the U.S.; competes broadly with Heart to Heart on hospice referrals, complex patient management, and geographic reach.

Direct peers

• Bristol Hospice: Privately held multi-state hospice operator with comparable agency-based model; competes for referrals, clinical staff, and hospice-eligible patients in overlapping geographies.
• Enhabit: Public hospice and home-health operator spun off from Encompass Health; competes with Heart to Heart on multi-state hospice delivery, referral relationships, and Medicare reimbursement dynamics.
• Compassus: National hospice, home health, and palliative care provider; comparable to Heart to Heart on multi-state hospice delivery, payer mix, and patient-acquisition strategy.
• The Pennant Group: Public home health, hospice, and senior living operator with a multi-state hospice segment; comparable to Heart to Heart on growth-via-de-novo-agency strategy and payer mix.
• Amedisys: Operates one of the largest U.S. hospice and home-health platforms (now within UnitedHealth/Optum); directly comparable to Heart to Heart on hospice service lines, scale, and payer mix.
• Gentiva: National hospice and home-health provider spun out of Kindred at Home; competes with Heart to Heart on multi-state hospice coverage, referral networks, and Medicare-reimbursed end-of-life care delivery.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat3 records

Key risks5 records

Key highlights5 records

Customer concentration

• Xx.com/HtoHHospice
• LinkedInlinkedin.com/company/heart-to-heart-hospice

Revenue estimate

Valuation estimate

Number of profiles

Profiles2 records

Funding overview

Funding rounds1 record

Investors1 record

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 Heart to Heart Hospice