Paradigm Health

What Paradigm Health does

Paradigm Health is an Indiana-based, for-profit hospice and palliative care provider headquartered in Indianapolis, operating across at least 10 regional offices covering Central Indiana and counties including Hamilton, Hendricks, Johnson, Allen, Howard, Tippecanoe, Delaware, and St. Joseph. The company delivers hospice and palliative care directly to patients in their homes, hospitals, and long-term care facilities via 24/7 clinical intake and a clinical liaison network that drives referrals from physicians, hospitals, and senior living communities. Services span pain and symptom management, caregiver respite, grief support, music therapy, pet enrichment, dementia care (including Virtual Dementia Tour training), and veteran-centered hospice care through the We Honor Veterans Level 5 program. The company is the first provider in the nation to receive ACHC accreditation for community-based palliative care.

Commercially, Paradigm Health is reimbursed primarily through Medicare Part A hospice benefits and Medicaid, with palliative care billed through Medicare, Medicaid, or private insurance; hospice care is typically covered at 100% with no out-of-pocket cost to the patient. The go-to-market is sales-led through referral partnerships, with no e-commerce or self-serve digital onboarding. The company has taken two private equity growth rounds (Havencrest Capital Management in 2021 and a Cressey & Company-led round in 2025) to fund geographic expansion. Quality is signaled by a CMS Hospice Care Index score of 10/10, ACHC Gold Seal accreditation, and five consecutive years of IndyStar Top Workplaces recognition (including USA TODAY 2025 Leadership Award and Energage 2025 Industry Award). Leadership under CEO Michelle Pickering and Founder/Chairman Jeff Jarecki is supported by a board-certified palliative medical director and a CFO/COO team. Note: A separate tech-focused entity also using the "Paradigm Health" name operates an AI-powered clinical trial platform (SPIRE) and acquired Flatiron Health's Clinical Research Business; this analysis scopes only to the Indiana hospice and palliative care provider.

Name

Paradigm Health

Legal name

Paradigm Living Concepts LLC

Website

https://myparadigmhealth.com

Company type

Private

Founded year

2013

Operating status

Operating

Headcount range

51–100 employees

Short description

Paradigm Health is an Indiana-based hospice and palliative care provider operating 10+ regional offices statewide, delivering 24/7 in-home and facility-based end-of-life care reimbursed primarily through Medicare and Medicaid, distinguished by the first-in-the-nation ACHC accreditation for community-based palliative care.

Ownership category

akta.pro rank

Product category

Hospice and Palliative Care Services

NAICS

Home Health Care Services (62161), Home Health Care Services (621610), Services for the Elderly and Persons with Disabilities (624120)

SIC

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

akta.pro primary industry

Hospice & Palliative Care Care Coordination / Navigation (HLADAHAK)

akta.pro secondary industries

Routine In-Home Hospice Care (HSABAFAA), Community-Based Palliative Care (Home-Based Non-Hospice) (HLADAHAH), Hospice Care in Nursing Facilities (SNF/NH Hospice) (HLADAHAD), Hospice Care in Assisted Living / Residential Care Facilities (HLADAHAE)

Keywords

• Hospice care services
• Palliative care services
• End-of-life care
• Community-based healthcare
• In-home hospice care

Headquarters

HQ city

Indianapolis

HQ country

United States

HQ region

North America

Offices10 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Hospice Care Reimbursement: Hospice care is primarily reimbursed through Medicare Part A and Medicaid. The company states hospice care is typically covered 100% by most insurance plans including Medicare and Medicaid with no out-of-pocket costs to the patient. Revenue flows from government reimbursement programs for end-of-life care services rendered.
2. Palliative Care Reimbursement: Palliative care services are billed through Medicare, Medicaid, or private insurance. Coverage varies by plan but palliative care is generally covered as a physician-directed team approach to managing serious illness symptoms and care coordination.

Pricing tiers

Go-to-market motion1 record

Distribution channels2 records

Marketing channels4 records

Core offering

Paradigm Health provides hospice and palliative care services to patients with terminal or serious chronic illnesses across Central Indiana. Care is delivered wherever the patient calls home — including private residences, hospitals, and senior living facilities — through a multidisciplinary clinical team offering pain and symptom management, nursing care, spiritual care, grief support, and life enrichment programs such as music therapy, pet enrichment, and veteran-centered care. Services are reimbursed primarily through Medicare Part A, Medicaid, and private insurance, with hospice care typically covered at 100% and no out-of-pocket cost to the patient.

Product overview

Paradigm Health is a clinical research technology company offering an AI-powered platform ecosystem for clinical trials. The core offerings include the SPIRE platform for automated real-time data collection and the AI-Powered Study Conduct platform. Following the acquisition of Flatiron Health's Clinical Research Business, the company now operates the largest oncology research network in the United States. The platform enables equitable patient access to clinical trials while improving trial efficiency for healthcare providers, supporting Phase I-III oncology trials for 15 of the top 20 global pharmaceutical companies.

Differentiator

Problem solved

Functional benefit

Products and services

• Hospice Care End-of-life hospice care for individuals with terminal illness (typically six months or less life expectancy), delivered wherever the patient calls home — private residences, hospitals, and senior living facilities. Includes 24/7 clinical support, pain and symptom management, nursing care, emotional and spiritual support, caregiver respite, grief support, and care coordination with the patient's primary physician. Reimbursed by Medicare Part A and Medicaid typically at 100% with no out-of-pocket cost.
• Palliative Care Physician-directed, community-based palliative care for patients with serious chronic illnesses (cancer, dementia, COPD, heart disease, and other advanced conditions). Acts as an extra layer of hands-on care to manage symptoms, coordinate care across specialists, support caregivers, and conduct goals-of-care conversations without replacing the patient's primary care physician. Reimbursed through Medicare, Medicaid, or private insurance with coverage varying by plan.
• Life Enrichment Programs Above-and-beyond enrichment programming layered onto hospice and palliative care, including music therapy, pet enrichment therapy, volunteer companionship, caregiver support, spiritual care, and Dementia Care Cafe sessions for patients and families receiving hospice or palliative care.
• We Honor Veterans Veteran-Centered Care Specialized veteran-centered hospice care delivered under the We Honor Veterans Level 5 partnership with NHPCO and the Department of Veterans Affairs. Includes veteran-to-veteran volunteer companionship, recognition of military service, WHV protocols, and connection to VA benefits and VA telehealth mental health services for veteran hospice patients.
• Grief Support Services Bereavement and grief support services for families and caregivers following the loss of a loved one receiving hospice care, provided as part of the hospice benefit and available to the broader Indiana community.

Quantifiable outcome

• Hospice Care Index score of 10 out of 10

Segments3 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration4 records

AI capability4 records

Partnerships

Eight partnerships are on record, tiered core and minor.

• FDA (U.S. Food and Drug Administration)coreStrategic or Co-development Partner · 28 April 2026Paradigm Health announced a landmark research collaboration with the FDA to accelerate clinical trial execution and regulatory review using its AI-powered Study Conduct platform. The initiative launched in two trials at MD Anderson Cancer Center and the University of Pennsylvania. Note: This collaboration appears associated with a separate tech-focused Paradigm Health entity with SPIRE platform capabilities.
• Flatiron HealthcoreStrategic or Co-development Partner · 4 December 2025Paradigm Health acquired Flatiron Health's Clinical Research Business and formed a strategic partnership to enhance clinical trial access across the United States, including rural and community areas. The deal expands the network to over 25 academic medical centers and 100 community practices, reaching more than 2.4 million patients. Note: This partnership appears associated with a separate tech-focused Paradigm Health entity.
• ParexelcoreStrategic or Co-development Partner · 15 September 2025Parexel, a global CRO, announced a strategic partnership with Paradigm Health to launch a technology-enabled clinical trial execution solution for sponsors. The partnership combines Parexel's global scale with Paradigm Health's AI-driven platform and provider network to compress trial timelines, lower costs, and expand patient access. Note: This partnership appears associated with a separate tech-focused Paradigm Health entity with SPIRE platform capabilities.
• BMO Capital MarketsminorOthers · 25 September 2020BMO Capital Markets employees engage in virtual volunteer activities for Paradigm Health hospice patients, including creating handmade greeting cards and encouraging messages. This corporate volunteer partnership was initiated through VolunteerMatch and has connected BMO team members from Houston, Chicago, and San Francisco.
• Accreditation Commission for Health Care (ACHC)coreOthersACHC is the accrediting body that granted Paradigm Health the first-in-the-nation accreditation for community-based palliative care, establishing the company as a national quality leader in palliative care delivery.
• We Honor Veterans (NHPCO/VA)coreStrategic or Co-development PartnerParadigm Health is a We Honor Veterans partner at Level 5 status (the highest level), collaborating with the National Hospice and Palliative Care Organization and the Department of Veterans Affairs to provide specialized veteran-centered hospice care, including veteran-to-veteran volunteer companionship and VA telehealth mental health services.
• Aging Life Care ConsultantsminorStrategic or Co-development PartnerAging Life Care Consultants, a geriatric care management firm, partners with Paradigm Health as a preferred hospice and palliative care provider. Both organizations share similar missions around community-based, patient-centered care for aging individuals.
• Senior Living Facilities (Waterford Place and others)minorChannel Partner/ Reseller/ DistributorParadigm Health maintains formal and informal care partnerships with senior living facilities across Indiana, including Waterford Place in Kokomo. Clinical liaisons coordinate care and serve as a trusted referral partner for residents transitioning into hospice care.

Scale indicators5 records

Recent moves6 records

Expansion highlights5 records

Broad incumbents

• Gentiva: One of the largest U.S. hospice and home health operators following its spin-out from Kindred at Home. Competes with Paradigm Health in Indiana on hospital referrals, palliative care contracts, and hospice census scale.
• Amedisys: National hospice and home health provider with significant Indiana presence. Direct competitor on hospice referral relationships with hospitals, ACOs, and senior living facilities in the same Central Indiana geography.
• BrightSpring Health Services: Diversified home and community health platform including hospice, home health, and pharmacy services. Competes on hospice referrals and on integrated palliative/post-acute offerings in Indiana and adjacent markets.

Direct peers

• Care Hospice: Multi-state hospice operator with an emphasis on community-based care, We Honor Veterans participation, and clinical quality programming — closely comparable to Paradigm Health's positioning and footprint.
• Compassus: Multi-state hospice, palliative, and home health operator offering community-based palliative care accreditation-aligned services. Comparable on hospice + palliative care model, We Honor Veterans programming, and referral-led GTM.
• Elara Caring: Multi-state home health, hospice, and palliative care provider. Competes in Indiana on hospice referrals and palliative care contracts with a similarly broad community-based delivery model.
• Traditions Health: Hospice and home health provider with strong Midwestern/Southern footprint. Comparable regional hospice + palliative model with referral-led growth and similar size tier to Paradigm Health.
• St. Croix Hospice: Regional hospice operator with a similar community-based, enrichment-focused model (music therapy, pet visits, veteran programs). Closely mirrors Paradigm's holistic service positioning at comparable scale.
• Bristol Hospice: Multi-state hospice operator emphasizing holistic, dignity-centered end-of-life care. Closely comparable on value proposition (life enrichment, veteran programs, dementia care) and on community-based delivery model.

Others

• Aging Life Care Consultants: National professional association for geriatric care managers — referenced as a preferred partner of Paradigm Health. Adjacent ecosystem player rather than a direct competitor, useful for understanding referral channels.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xx.com/ParadigmHealth_

Revenue estimate

Valuation estimate

Number of profiles

Profiles6 records

Funding overview

Funding rounds2 records

Investors2 records

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 Paradigm Health