What Hand’n Heart Home Care Services does

Hand'n Heart Home Care Services, operating within the Amivie home care network, is a multi-state provider of in-home personal care and intellectual/developmental disabilities (I/DD) support services headquartered in Richmond, United States, and in continuous operation since 1992. The company runs 120+ locations across six states, employing more than 6,000 caregivers who together deliver approximately 5 million care hours per year, with an average of 35 care hours per client each week. Service lines span two main pillars: Home Care — including Personal Care, Private Duty, Respite/Companion, and Veterans-focused care — and I/DD Support, comprising Home and Community-Based Services (HCBS), Day Supports, and Host Home programs. The company holds both CARF and CHAP accreditations, which position it to contract with managed care payers, state Medicaid waiver programs, and the Veterans Administration.

The business model is a subscription/recurring engagement structure: clients are onboarded for ongoing weekly care hours rather than discrete transactions, which produces a stable, usage-based revenue stream tied to the active client census. Pricing is set on a per-hour basis across payer categories, with rates varying between Medicaid-funded programs, Veterans Administration reimbursement, and private-pay arrangements. Go-to-market is sales-led, relying on direct inbound referrals via phone and website alongside case-manager and discharge-planner relationships developed through the multi-state branch network; no technology platform, marketplace, or AI-driven matching layer is disclosed in the source material.

Operationally, the company is a labor-intensive service business in which caregivers are the primary productive asset and the principal cost driver. The technology stack described is limited to standard intake channels, with no evidence of proprietary software, data assets, or automation beyond the website/phone pipeline. Strategic posture centers on multi-state branch density, dual accreditation, and vertical diversification (aging + I/DD) rather than product innovation, and growth appears to be driven primarily by geographic rollout, service-line expansion, and recurring client-hour accumulation rather than capital-raise activity.

Name

Hand’n Heart Home Care Services

Legal name

Amivie

Website

https://handnheart.org

Company type

Private

Founded year

1992

Operating status

Operating

Headcount range

11–50 employees

Short description

Hand'n Heart Home Care Services provides recurring in-home personal care, private duty, respite, and Veterans home care alongside I/DD support services (HCBS, Day Supports, Host Home) across 120+ locations in six states, serving Medicaid waiver, VA, and private-pay clients.

Ownership category

akta.pro rank

Headquarters

HQ city

Richmond

HQ country

United States

HQ region

North America

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations

Revenue model

1. Home Care Services: Provides personalized in-home care services including personal care, companionship, private duty care, and respite care for individuals of all ages and abilities.
2. I/DD Support Services: Intellectual and developmental disability support services including home and community-based services, day supports, and host home programs.

Go-to-market motion1 record

Distribution channels1 record

Marketing channels4 records

Core offering

Hand'n Heart Home Care Services (doing business as Amivie) provides personalized in-home care services including personal care, companionship, private duty care, respite care, and specialized support for veterans. The company also delivers intellectual and developmental disability (I/DD) support services such as home and community-based services, day supports, and host home programs, operating through 120+ locations across six states with more than 6,000 caregivers.

Product overview

Amivie offers a unified home care and support services platform consisting of two main service lines: Home Care Services and I/DD Support Services. Home Care includes Personal Care/Homemaker Services, Private Duty Care, Respite/Companion Care, and Veterans Care, providing personalized in-home assistance for seniors and individuals with disabilities. I/DD Support encompasses Home & Community Based Services, Day Supports, and Host Home services, empowering individuals with intellectual and developmental disabilities to live fulfilling lives within their communities. The company operates across 120+ locations in six states with 6,000+ caregivers serving approximately 5 million care hours annually.

Differentiator

Problem solved

Functional benefit

Products and services

• Home Care Services
• Personal Care / Homemaker Services Assistance with daily living activities to help individuals maintain independence in their homes.
• Private Duty Care Specialized, tailored care services for individuals requiring more intensive or specific care support.
• Respite/Companion Care Short-term care services providing relief for primary caregivers, along with companionship support.
• Veterans Care Specialized home care services for veterans to support their unique needs.
• I/DD Support Services Support services for individuals with intellectual and developmental disabilities (IDD) to live fulfilling lives within their communities.
• Home & Community Based Services (HCBS) Services enabling individuals with IDD to live and participate in their communities, including waiver and funding services.
• Day Supports Day program services providing support and activities for individuals with IDD.
• Host Home Residential support services providing home-based care arrangements for individuals with IDD.

Quantifiable outcome

• 5 million care hours served annually
• +2 more outcomes

Segments4 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Scale indicators5 records

Recent moves5 records

Expansion highlights5 records

Direct peers

• BrightSpring Health Services: Large public home and community-based services platform with overlapping personal care, home health, and I/DD service lines; comparable multi-state footprint and dual-elder/I/DD exposure.
• Aveanna Healthcare: Public home health, private duty, and adult day services provider; directly overlaps with the company's private duty, personal care, and I/DD adult day lines.
• Enhabit Inc. Public home health and hospice provider; comparable in patient population, payer mix (Medicare/Medicaid), and multi-state home-based care delivery.
• Addus HomeCare: Public personal care, home health, and hospice provider with a strong Medicaid personal care book; closely comparable to the company's core home care and I/DD HCBS offerings.
• Help at Home: Private personal care provider focused on Medicaid HCBS waiver services for seniors and individuals with disabilities; closely comparable to the personal care and HCBS offerings.
• Pennant Group: Public home health, hospice, and senior living operator with decentralized local branch model that mirrors the company's 'locally managed, nationally backed' structure.
• Interim HealthCare: Franchised home care, hospice, and staffing provider; comparable in personal care, respite, and companion service delivery across multiple U.S. markets.
• Bayada Home Health Care: Large private home health and personal care provider serving adults, seniors, and pediatric/adult I/DD clients across multiple states; directly overlaps on private duty and personal care.
• Sevita Health: Large private I/DD and behavioral health provider with HCBS, day, and host home programs; highly comparable to the company's I/DD service line and Medicaid waiver funding model.

Broad incumbents

• Compassus: Large multi-state home health, hospice, and palliative care provider; broader incumbent with overlapping home-based service delivery but distinct primary focus on hospice and palliative care.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat4 records

Key risks6 records

Key highlights7 records

Customer concentration

• Facebookfacebook.com/Community-Based-Care-108602867464592/?modal=admin_todo_tour
• LinkedInlinkedin.com/company/amivie

Compliance2 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 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 Hand’n Heart Home Care Services