What Hot Springs Health Program does

Hot Springs Health Program (HSHP) is a private, non-profit 501(c)(3) Federally Qualified Health Center (FQHC) Look-Alike headquartered in Marshall, North Carolina, that delivers integrated primary care, pharmacy, home health, hospice, behavioral health, outpatient physical therapy, and telehealth services to residents of Madison County and surrounding areas in western North Carolina. Founded in 1971 by two nurses, Linda Ocker Mashburn and Rae Ann Gaserowski, with initial Appalachian Regional Commission funding, HSHP grew to four co-located medical-center-plus-pharmacy sites (Mashburn, Mars Hill, Hot Springs, and Laurel) and is the fourth-largest employer in Madison County with 135 staff including physicians, advanced practice providers, pharmacists, pharmacy technicians, nursing staff, and support personnel.

Operations run on Epic electronic health record, OCHIN's MyChart patient portal, and Zoom for telehealth, supporting same-site prescription fulfillment at every location, sliding-fee discounts for patients at or below 200% of federal poverty level, and Medicare/Medicaid-certified home health and hospice through its Madison Home Care and Hospice subsidiary. The care delivery model combines direct in-person service, virtual visits, home-based skilled nursing and therapy, and 24/7 hospice support, with formal coordination relationships with Mission Hospital in Asheville, MAHEC for provider pipeline, Madison County Health Department, and Ballad Health for cross-border Tennessee referrals.

HSHP has been self-supporting since 1986 when its board voted to forego federal funding and acquire a private Mars Hill practice that doubled the patient base. Revenue derives primarily from insurance reimbursement (Medicare, Medicaid, private payers) for medical, pharmacy, home health, and hospice services, supplemented by charitable donations; financial performance is not publicly disclosed and headcount and footprint appear stable across the documented period. The organization is governed by a community-based Board of Directors and led by Executive Director Teresa Strom and Medical Director Chipper Jones, MD.

Name

Hot Springs Health Program

Legal name

Hot Springs Health Program, Inc.

Website

https://hotspringshealth-nc.org

Company type

Private

Founded year

1971

Operating status

Operating

Headcount range

11–50 employees

Short description

Hot Springs Health Program is a non-profit FQHC Look-Alike operating four medical centers with in-house pharmacies across rural Madison County, NC, delivering integrated primary care, home health, hospice, behavioral health, physical therapy, and telehealth to county residents.

Ownership category

akta.pro rank

Product category

Community Health Services

NAICS

Offices of Physicians (except Mental Health Specialists) (621111), Offices of Physicians, Mental Health Specialists (621112), Ambulatory Health Care Services (621)

SIC

Services-Offices & Clinics Of Doctors Of Medicine (8011), Services-Home Health Care Services (8082)

akta.pro primary industry

Public/County Primary Care Clinics (HLAFAGAI)

Keywords

• Community health services
• Primary care clinics
• Home health hospice
• Rural healthcare
• Federally qualified health

Headquarters

HQ city

Marshall

HQ country

United States

HQ region

North America

Offices4 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Patient Services Revenue: Primary revenue from medical services billed to Medicare, Medicaid, and private insurance. Sliding fee discount program for patients at or below 200% of federal poverty level.
2. Home Health and Hospice Services: Medicare and Medicaid certified home health and hospice services. Services covered through Medicare, Medicaid, and private insurance companies.
3. Pharmacy Services: On-site pharmacy services at each of four locations generating revenue through prescription fulfillment covered by insurance plans.
4. Donations and Charitable Contributions: 501(c)(3) nonprofit accepting donations for community health programs and Hurricane Helene recovery efforts.

Pricing tiers

Go-to-market motion2 records

Distribution channels4 records

Marketing channels4 records

Core offering

Hot Springs Health Program operates four medical centers across Madison County, North Carolina, providing primary care, in-house pharmacy, home health and hospice, behavioral health, and outpatient physical therapy services. It is a Federally Qualified Health Center Look-Alike and recognized Patient Centered Medical Home, offering a sliding fee discount program for income-eligible patients and telehealth visits via Zoom and MyChart.

Product overview

Hot Springs Health Program is a not-for-profit, 501(c)(3) Federally Qualified Health Center Look-Alike providing integrated healthcare services across Madison County, NC. The organization operates a network of four medical centers (Mashburn, Mars Hill, Hot Springs, and Laurel) as its core primary care platform. Each center includes in-house pharmacies for convenient prescription fulfillment. The integrated service model extends beyond primary care to include home health and hospice (Madison Home Care and Hospice), behavioral health services, and outpatient physical therapy. The organization also offers telehealth/virtual visit capabilities and a patient portal (MyChart) for remote access. Additional services include a sliding fee discount program for income-eligible patients and transportation resources. Established in 1971, HSHP serves as the fourth largest employer in Madison County with 135 staff members including physicians, nurse practitioners, physician assistants, pharmacists, and support staff.

Differentiator

Problem solved

Functional benefit

Quantifiable outcome

• 68,000+ patient encounters annually (historical data)
• +2 more outcomes

Named customers3 records

Segments5 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration5 records

Feature4 records

Partnerships

Ten partnerships are on record, tiered core and minor.

• OCHINcoreTechnology or IntegrationOCHIN provides the MyChart patient portal platform used by HSHP for telehealth visits, appointment scheduling, secure messaging, lab results access, and prescription refills. MyChart is the primary patient engagement technology.
• MedicarecoreOthersMedicare certification for home health and hospice services. Primary payer for hospice care covering physical, psychological, and spiritual care for terminally ill patients.
• MedicaidcoreOthersMedicaid certification for home health services. Coverage verification conducted prior to patient enrollment for home care services.
• Mission HospitalcoreStrategic or Co-development PartnerRegional hospital partner for patients requiring hospital-level care and specialist referrals. Located in Asheville, NC.
• Madison County Health DepartmentcoreStrategic or Co-development PartnerLocal public health department partnership for community health resources and referrals in Madison County.
• SHIIP (Senior Health Insurance Information Program)minorStrategic or Co-development PartnerPartnership with NC Department of Insurance program providing Medicare and Medicare Advantage information for seniors. HSHP has on-site SHIIP counselor.
• Mountain Area Health Education Center (MAHEC)coreStrategic or Co-development PartnerMAHEC provides residency program support. HSHP staff have completed MAHEC Family Practice Residency Program. Historical partnership cited in organization's development.
• Madison County Chamber of CommerceminorGTM or Marketing PartnerLocal business organization partnership for community economic development and business resources.
• Madison Community Health ConsortiumcoreStrategic or Co-development PartnerCollaborative health organization partnership for community health initiatives and services in Madison County.
• Greeneville Community Hospital (Ballad Health)minorStrategic or Co-development PartnerRegional hospital partnership through Ballad Health system for patients in surrounding areas including Tennessee border communities.

Scale indicators5 records

Recent moves8 records

Expansion highlights5 records

Direct peers

• Goshen Medical Center: Federally Qualified Health Center operating dozens of primary care, dental, behavioral health, and pharmacy sites across eastern and central North Carolina. Comparable as a large NC FQHC serving underserved rural populations with similar sliding-fee and sliding-scale operations.
• Rural Health Group: North Carolina-based FQHC operating primary care, dental, behavioral health, and pharmacy services across multiple rural counties. Comparable as a multi-site rural community health center in NC with an integrated service model similar to HSHP.
• Appalachian Mountain Community Health Centers: FQHC serving Appalachian communities in Western North Carolina with primary care, behavioral health, and enabling services. Comparable in mission, FQHC designation, and rural community-based delivery model.
• Blue Ridge Health: Federally Qualified Health Center operating multiple primary care, dental, behavioral health, and pharmacy sites across Western North Carolina (Hendersonville and surrounding counties). Directly comparable FQHC operating model, patient mix, and rural WNC service area to HSHP.
• Western North Carolina Community Health Services (WNCCHS): Asheville-based FQHC providing integrated primary care, behavioral health, dental, pharmacy, and case management across WNC. Closest geographic direct peer, with broader urban scale than HSHP but identical FQHC service model and overlap in Madison/Buncombe service areas.
• Mountain Community Health Partnership: FQHC operating primary care, behavioral health, and pharmacy locations across Mitchell, Yancey, and Avery counties in WNC. Directly comparable as a small rural community health center serving contiguous mountain counties with overlapping patient catchment.

Broad incumbents

• Mission Health (HCA Healthcare): Asheville-based regional hospital system (now part of HCA Healthcare) and explicit referral partner for HSHP patients needing hospital-level or specialist care. Larger incumbent in the same WNC healthcare ecosystem, providing both partnership leverage and competitive pressure.

Regional players

• Ballad Health: Regional hospital system spanning Northeast Tennessee and Southwest Virginia, including Greeneville Community Hospital — a referral partner for HSHP's Tennessee-border patients. Comparable as a regional delivery system with overlapping catchment in the southern Appalachian service area.

Emerging players

• Mountain Area Health Education Center (MAHEC): WNC-based health education and residency organization with which HSHP has a historical training partnership. Comparable as a strategic workforce-pipeline partner addressing rural clinician recruitment — the same constraint HSHP faces.

Others

• Elderberry Nursing Facility: Local nursing home partner that receives care services from HSHP. Adjacent ecosystem participant rather than competitor — illustrates HSHP's care-continuum integration from ambulatory primary care into skilled nursing.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• Facebookfacebook.com/MadisonHomeCareandHospice

Compliance4 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles8 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 Hot Springs Health Program