Tender Heart

What Tender Heart does

TenderHeart Health Outcomes, Inc. (formerly Longhorn Health Solutions, founded 2004 and headquartered in Austin, Texas) is a privately held B2B healthcare services company that contracts with Medicaid managed care organizations and Medicare Advantage health plans to deliver value-based incontinence care and member engagement programs. The company was originally a conventional fee-for-service durable medical equipment (DME) provider but pivoted in 2016 to an outcomes-based model that aligns provider incentives with patient health outcomes rather than product volume, a transition that has since been adopted by all major Medicaid MCOs in Texas.

The core product line, Value-Based Incontinence, pairs personalized incontinence coaching via clinical staff with appropriate product matching across all major incontinence brands and tiers; the supporting Referral Portal enables health plan service coordinators, physicians, and members to submit and track durable medical equipment requests. A second program, Health Rewards (added through the September 2022 acquisition of Nextra Health), distributes evidence-based care gap closure kits covering fall risk management, immunizations, diabetes, prenatal/postpartum care, and breast pumps from brands including Zomee, Medline, Lansinoh, and Motif. Disclosed clinical outcomes include a 63% reduction in pressure ulcer admissions, a 44% reduction in UTI admissions, an 11% reduction in fall-related admissions, a 10.7% improvement in partner Medicaid HEDIS scores, and an 85 NPS.

TenderHeart monetizes exclusively through negotiated, multi-year value-based contracts with managed care organizations, with no public pricing or revenue disclosure. The company is a preferred partner for four national MCOs covering approximately 1.2 million individuals and services roughly 40,000 incontinence members monthly, with operational offices in Austin, Dothan (Alabama), Albany (New York), and St. Louis (Missouri), and active MCO contracts in Texas, Pennsylvania, Ohio, New Mexico, and Florida. Strategic distribution and supply partnerships include Medline (2025), UnitedHealthcare Community Plan of Virginia (2026), and academic collaborations with the University of Pennsylvania and University of Minnesota.

Name

Tender Heart

Legal name

TenderHeart Health Outcomes

Website

https://tenderheart.com

Company type

Private

Founded year

2004

Operating status

Operating

Short description

TenderHeart Health Outcomes is a privately held, Austin-based B2B healthcare services company that contracts with Medicaid and Medicare Advantage managed care plans to deliver value-based incontinence care and Health Rewards member engagement programs, serving approximately 1.2 million covered lives through four national MCO partnerships.

Ownership category

akta.pro rank

Product category

Value-Based Incontinence and Member Engagement Healthcare Services

NAICS

Individual and Family Services (6241)

SIC

Services-Health Services (8000)

akta.pro primary industry

Financial Assistance & Benefits Navigation Services (BPAGAEAK)

Keywords

• Value-based incontinence care
• Durable medical equipment
• Managed care services
• Member engagement programs
• Healthcare supply delivery

Headquarters

HQ city

Austin

HQ country

United States

HQ region

North America

Offices4 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. Value-Based Incontinence Contracts: TenderHeart generates revenue through value-based contracts with managed care organizations (MCOs). The company is reimbursed based on health outcomes and cost savings achieved rather than fee-for-service volume. This model shifts incentives from providing high volumes of low-quality products to providing appropriate amounts of high-quality products that result in better patient outcomes and lower total cost of care.
2. Healthcare Supply Delivery: Revenue is generated from providing durable medical equipment supplies including incontinence products, breast pumps, and other health-related products to patients covered under MCO contracts. The company services approximately 40,000 incontinence members monthly.
3. Health Rewards Programs: Member engagement programs that improve outcomes for health plan members by providing evidence-based, high-quality products targeting areas such as fall risk management, immunizations, diabetes, and prenatal/postpartum care. Revenue is derived from contracts with MCOs seeking to improve HEDIS scores.

Pricing tiers

Go-to-market motion2 records

Distribution channels4 records

Marketing channels6 records

Core offering

TenderHeart delivers value-based incontinence management and Health Rewards member engagement programs to managed care organizations, covering approximately 1.2 million individuals. The Value-Based Incontinence program combines personalized coaching, appropriate product matching across all major incontinence brands and tiers, and ongoing member engagement to reduce utilization and improve outcomes. Health Rewards delivers evidence-based product kits targeting fall risk, immunizations, diabetes, and prenatal/postpartum care to close HEDIS care gaps.

Product overview

TenderHeart offers two core programs: Value-Based Incontinence and Health Rewards. Value-Based Incontinence provides personalized incontinence coaching and high-quality product matching to improve patient outcomes while reducing costs. Health Rewards delivers evidence-based member engagement programs including breast pumps and custom-designed care gap kits. The company also operates a Referral Portal for submitting and tracking durable medical equipment requests. TenderHeart serves as a national managed care organization partner, managing incontinence needs for approximately 1.2 million individuals.

Differentiator

Problem solved

Functional benefit

Products and services

• Value-Based Incontinence Program A patient-centric incontinence management program for managed care organizations that uses personalized coaching and high-quality product matching across major incontinence brands to improve outcomes and reduce costs for plan members.
• Health Rewards Member Engagement Programs Member engagement programs that improve outcomes for health plan members by providing evidence-based, high-quality products targeting fall risk management, immunizations, diabetes, prenatal/postpartum care, and other care gaps, intended for managed care organizations seeking HEDIS improvements.
• Breast Pumps High-quality breast pump products offered to Medicaid managed care members through Health Rewards, including models from Zomee, Medline, Lansinoh, and Motif brands with various features such as hands-free operation, rechargeable batteries, and multiple suction modes.
• Referral Portal Web-based portal that allows health plan service coordinators, physicians, and members to submit new referrals for durable medical equipment and check the status of existing referrals for plan members.

Quantifiable outcome

• 25% lower utilization compared to fee-for-service models
• +9 more outcomes

Named customers3 records

Segments4 records

Ideal customer profiles1 record

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature4 records

Partnerships

Eight partnerships are on record, tiered minor and core.

• UnitedHealthcare Community Plan of VirginiaminorStrategic or Co-development Partner · 1 February 2026TenderHeart Health Outcomes partnered with UnitedHealthcare Community Plan of Virginia and The Fund for Alexandria's Child to provide 6,000 diapers and essential resources to at-risk children in Alexandria. Distribution began in February 2026 to support families who struggle to access basic necessities.
• MedlinecoreTechnology or Integration · 30 May 2025TenderHeart entered into a distribution and supply agreement with Medline to elevate member outcomes. The agreement combines TenderHeart's value-based care approach with Medline's products and solutions to improve health outcomes while lowering costs and improving care.
• Nextra HealthcoreOthers · 1 September 2022TenderHeart acquired Nextra Health in September 2022. This acquisition combined Nextra's well-respected name and industry expertise with TenderHeart's innovative program offerings, adding Health Rewards member engagement programs to its service offerings and expanding national reach.
• The Fund for Alexandria's ChildminorStrategic or Co-development PartnerPartnership with TenderHeart and UnitedHealthcare Community Plan of Virginia to distribute diapers to at-risk children in the Alexandria area.
• National Association for Continence (NAFC)coreStrategic or Co-development PartnerTenderHeart's Vice President of Clinical Affairs Tina Harris partnered with NAFC to explore the link between mental health and incontinence in NAFC's 'Life without Leaks' podcast, offering resources and tips to caregivers and patients impacted by mental health issues related to incontinence.
• University of PennsylvaniaminorStrategic or Co-development PartnerAcademic partner in the Incontinence at Home (Incon@Home) Study, evaluating the effectiveness of improved incontinence products and coaching on nursing home diversion and hospital admissions. Diane Newman, DNP from Perelman School of Medicine, University of Pennsylvania participated in the study.
• University of MinnesotaminorStrategic or Co-development PartnerAcademic partner in the Incontinence at Home (Incon@Home) Study. Kristine Talley, PhD, RN, GNP-BC from University of Minnesota participated in the research collaboration.
• Association Partners (SCAHP, MLTSS, TAHP, ACAP, MAHP, IAMHP, FAHP)coreGTM or Marketing PartnerTenderHeart partners with healthcare associations across the country to lend and gain expertise related to member engagement. These association partnerships help expand reach and credibility within the managed care industry.

Scale indicators13 records

Recent moves7 records

Expansion highlights6 records

Broad incumbents

• Hanger Clinic: Largest provider of orthotic and prosthetic care in the U.S. with adjacent home medical equipment services. TenderHeart's CFO previously worked at Hanger (formerly HNGR), indicating industry adjacency in the DME and home health services market.
• Medline Industries: One of the largest privately-held medical supply manufacturers and distributors globally with broad DME and incontinence product lines. Serves as both TenderHeart's distribution partner and a potential broad incumbent competitor in value-based incontinence services.
• Apria Healthcare: Major national provider of home medical equipment and DME (part of Owens & Minor), serving patients with sleep, respiratory, and incontinence needs. Operates at much greater scale but with a broader, less specialized product mix than TenderHeart.

Direct peers

• Comfort Medical: National DME supplier specializing in incontinence, urology, and catheter supplies. Competes directly with TenderHeart in providing incontinence products to Medicaid, Medicare, and commercial populations.
• AdaptHealth: Large publicly-traded provider of home medical equipment and DME including incontinence supplies, serving millions of patients across all 50 states. AdaptHealth is a scaled competitor in the value-based home medical equipment space with comparable MCO relationships.
• Edgepark Medical Supplies: National DME distributor offering incontinence, urology, diabetes, and other supplies to patients covered by insurance including Medicaid and Medicare. Direct competitor in the supply-driven portion of TenderHeart's business.
• 180 Medical: Specializes in incontinence, ostomy, and wound care supplies with a focus on personalized service and product matching. Direct competitor serving similar patient populations through insurance and direct-to-patient channels.
• Byram Healthcare Centers: Major national DME distributor with strong focus on incontinence, urology, ostomy, and wound care supplies serving health plans and patients directly. Directly comparable to TenderHeart's value-based incontinence supply model and target Medicaid/Medicare populations.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks7 records

Key highlights7 records

Customer concentration

• LinkedInlinkedin.com/company/tenderheart-health-outcomes

Compliance2 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles10 records

Subsidiaries1 record

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 Tender Heart