What Visiting Nurse Association does

The Visiting Nurse Association of Texas (VNA) is a nonprofit 501(c)(3) organization founded in 1934 and headquartered in Dallas, Texas, providing community-based health care services to homebound seniors, terminally ill adults and children, and their families across 17 counties in North Texas. Its core service portfolio includes adult and pediatric hospice care, the Children's Haven Pediatric Hospice Program (launched 2021), Supportive Palliative Care and VNA Care Choices (the first Medicare-sponsored home-based palliative care program in North Texas, piloted 2018), and Meals on Wheels in Dallas County, which delivers more than 5,650 meals per day to approximately 4,500 homebound seniors. The organization is the first nonprofit hospice provider in Texas (1978) and operates the Meals on Wheels program for Dallas County, generating an estimated $10.4 million in annual health care savings for the seniors it serves.

VNA's business model blends Medicare and Medicaid reimbursement for hospice and palliative care services with charitable donations, foundation grants, corporate sponsorships, and event-based fundraising (e.g., the 16th Annual Celebrity Chef event raised $657,402). Services are provided regardless of ability to pay, and the organization is supported by a network of major foundations (Lyda Hill Philanthropies, Moody Foundation, Meadows Foundation, Ginger Murchison Foundation), corporate partners (Bank of America, Central Market, Southwest Airlines, Toyota, Dallas Mavericks), and referral relationships with leading North Texas health systems (Methodist Health Systems, Baylor Scott & White Quality Alliance, UT Southwestern Medical Center, Children's Health). In 2026, VNA expanded its hospice footprint through a partnership with Forefront Living, taking over Faith Presbyterian Hospice and operating inpatient hospice at the T. Boone Pickens Center. Katherine's House, a five-bedroom assisted living facility for seriously ill individuals in Dallas, is scheduled to open in 2027.

The technology stack is intentionally light: a "home-based healthcare delivery platform" with no disclosed proprietary AI or automation systems, supplemented by a website, blog, email newsletter (VNA Today), the "Aging Well with VNA" podcast, and active social media channels. The operating model is labor- and volunteer-intensive, relying on field-based clinical staff for hospice and palliative care and a large volunteer network for daily meal delivery. The organization is led by President and CEO Chris Culak and employs 101-250 people.

Name

Visiting Nurse Association

Legal name

Visiting Nurse Association of Texas

Website

https://vnatexas.org

Company type

Private

Founded year

1934

Operating status

Operating

Headcount range

101–250 employees

Short description

The Visiting Nurse Association of Texas is a 501(c)(3) nonprofit founded in 1934 that delivers hospice care, palliative care, and Meals on Wheels to homebound seniors and terminally ill patients across 17 North Texas counties, serving approximately 4,500 meal recipients daily.

Ownership category

akta.pro rank

Product category

Hospice and Home Healthcare Services

NAICS

Home Health Care Services (62161), Continuing Care Retirement Communities and Assisted Living Facilities for the Elderly (62331), Services for the Elderly and Persons with Disabilities (624120)

SIC

Services-Home Health Care Services (8082), Services-Nursing & Personal Care Facilities (8050)

akta.pro primary industry

Home Hospice Agencies (HLAFAEAC)

akta.pro secondary industries

In-Home Hospice Nursing Visits (RN/LPN) (HSABAFAL), In-Home Hospice Physician / Nurse Practitioner Visits (HSABAFAM), End-of-Life Emotional & Spiritual Support (Chaplaincy/Counseling) In-Home (HSABAFAH), Residential Hospice / Hospice House (Facility-Based) (HLADAHAC), Small Residential Care Homes (RCFE/Board & Care) (HLADABAF)

Keywords

• Hospice care services
• Palliative care programs
• Meals on wheels
• Home health services
• Community health programs

Headquarters

HQ city

Dallas

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Marketing or Sales, Supply Chain, Infrastructure, Others

Revenue model

1. Medicare/Medicaid Reimbursement: VNA receives Medicare and Medicaid reimbursement for hospice and palliative care services provided to eligible patients.
2. Charitable Donations: As a 501(c)(3) nonprofit organization, VNA relies on charitable donations from individuals, corporations, and foundations to fund services and programs.
3. Event Fundraising: Annual events like the Celebrity Chef event raise funds for Meals on Wheels and hospice programs. The 16th Annual Celebrity Chef event raised $657,402.

Go-to-market motion1 record

Distribution channels2 records

Marketing channels6 records

Core offering

The Visiting Nurse Association of Texas (VNA) is a nonprofit 501(c)(3) organization that delivers hospice care, palliative care, and home-delivered meal (Meals on Wheels) services to homebound seniors, terminally ill adults and children, and their families across North Texas. Services include adult and pediatric hospice, the first Medicare-sponsored home-based palliative care program in North Texas (VNA Care Choices), and a high-volume meal delivery program serving more than 5,650 meals daily in Dallas County.

Product overview

The Visiting Nurse Association of Texas (VNA) operates as a nonprofit 501(c)(3) organization offering a coordinated suite of community health services centered on hospice, palliative care, and meals on wheels. The core portfolio includes: Hospice Care for adult and pediatric patients; the Children's Haven Pediatric Hospice Program providing in-home support for children with life-limiting illness; Supportive Palliative Care and VNA Care Choices (the first Medicare-sponsored home-based palliative care program in North Texas); and Meals on Wheels delivering hot, nutritious meals to homebound seniors in Dallas County. These services are supplemented by caregiver resources, bereavement support including the SafeHaven program for grieving children and teens, and the announced Katherine's House hospice house facility (opening 2027). The organization serves multiple counties across North Texas.

Differentiator

Problem solved

Functional benefit

Products and services

• Hospice Care Hospice care for seriously ill adult patients, providing pain-free, compassionate care in patients' homes or care settings across 17 North Texas counties.
• Meals on Wheels Home-delivered meal program providing hot, nutritious meals and human connections for Dallas County residents unable to provide for themselves due to illness, advanced age, or disability.
• VNA Pediatric Hospice Care (Children's Haven) In-home hospice care and support for children with life-limiting illness and their families, providing hospice journey navigation with grace and compassion for patients prenatal through age 21.
• VNA Care Choices (Supportive Palliative Care) First Medicare-sponsored, home-based palliative care program in North Texas, providing care navigation and customized quality-of-life support for seniors not meeting strict CMS hospice eligibility requirements.

Quantifiable outcome

• $10.4 million in annual health care savings for seniors served
• +2 more outcomes

Named customers9 records

Segments4 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Partnerships

Twelve partnerships are on record, tiered core and minor.

• Forefront LivingcoreStrategic or Co-development Partner · 11 March 2026VNA partnered with Forefront Living to become its preferred hospice care provider in North Texas. VNA took over operations of Faith Presbyterian Hospice and provides inpatient hospice care at the T. Boone Pickens Center, creating one of the largest nonprofit hospice organizations in the region. The partnership aims to address the growing need for hospice services as Texans over 65 are projected to increase 88% by 2050.
• Bank of AmericaminorOthersCorporate partner supporting VNA's mission through donations and community support.
• Central MarketminorOthersCorporate partner providing support for VNA's community programs.
• Methodist Health SystemscoreStrategic or Co-development PartnerHealthcare system partnership for coordinated patient care and referrals.
• Baylor Scott & White Quality AlliancecoreStrategic or Co-development PartnerHealthcare system partnership for quality care coordination.
• UT Southwestern Medical CentercoreStrategic or Co-development PartnerAcademic medical center partnership for healthcare collaboration.
• Meals on Wheels AmericacoreStrategic or Co-development PartnerNational affiliation providing resources, advocacy, and support for the Meals on Wheels program.
• Children's Health (Dallas)coreStrategic or Co-development PartnerPediatric healthcare partnership that led to the launch of VNA's Children's Haven Pediatric Hospice Program in 2021.
• Dallas MavericksminorOthersNBA team partnership for community outreach and awareness.
• United WayminorOthersCommunity services partnership.
• Southwest AirlinesminorOthersCorporate partner supporting VNA through donations and community programs.
• ToyotaminorOthersCorporate partner providing support for community initiatives.

Scale indicators7 records

Recent moves6 records

Expansion highlights5 records

Regional players

• Hospice Austin: Nonprofit hospice provider serving Central Texas (Austin and surrounding counties). Closest regional nonprofit hospice analog to VNA in Texas, offering adult and pediatric hospice plus bereavement services in a different geography.
• Houston Hospice: Nonprofit community-based hospice serving the greater Houston area with home hospice and palliative services. Regional nonprofit peer in Texas with similar mission, Medicare-funded hospice model, and volunteer-driven ethos.

Broad incumbents

• BrightSpring Health Services: Diversified home and community-based health services provider including hospice, home health, and pharmacy services. Comparable to VNA on home-based hospice delivery with the added dimension of integrated pharmacy for hospice patients.
• VITAS Healthcare: Largest US hospice provider and a subsidiary of Chemed Corporation, offering hospice and palliative care across multiple states including Texas. Directly comparable to VNA on core hospice service but with national scale, for-profit economics, and broader facility footprint.
• Amedisys: Large multi-state home health, hospice, and high-acuity care provider with significant Texas operations. Comparable to VNA on hospice and home-based care but operates as a for-profit public company with broader service lines.
• Encompass Health: Post-acute care operator combining inpatient rehabilitation with home health and hospice services across the US. Comparable to VNA on hospice service delivery but with a much broader portfolio including IRF hospitals.

Direct peers

• Traditions Health: Multi-state hospice, home health, and palliative care provider with active Texas operations. Direct service-line peer to VNA combining home hospice, palliative care, and community-based delivery to seniors.
• Compassus: National hospice, palliative, and home health provider operating across more than 30 states with a mix of home-based and facility-based hospice services. Closely comparable to VNA on the combination of hospice, palliative care, and home health delivery.
• Gentiva: National hospice and home health provider spun out from Kindred at Home in 2022, with a multi-state footprint including Texas. Direct competitor on adult home hospice and palliative care services delivered to patients in their homes.

Others

• Meals on Wheels America: National umbrella organization supporting the Meals on Wheels network, of which VNA is a member affiliate. Directly relevant ecosystem relationship for VNA's Dallas County meal delivery operations, though not a service provider competing with VNA.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights6 records

Customer concentration

• Xx.com/vnatexas
• YouTubeyoutube.com/user/VNATexas
• Facebookfacebook.com/vnatexas
• LinkedInlinkedin.com/company/visiting-nurse-association-of-texas
• Instagraminstagram.com/vnatexas

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 record

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 Visiting Nurse Association