At-Heart Homecare & Hospice

What At-Heart Homecare & Hospice does

At-Heart Homecare & Hospice is a full-service home health and hospice care provider based in Virginia Beach, Virginia, serving terminally ill patients and homebound individuals across seven cities in the Hampton Roads region (Chesapeake, Hampton, Newport News, Norfolk, Portsmouth, Suffolk, and Virginia Beach). The company operates two primary service lines: Hospice Care Services — including physician services, skilled nursing, pain and symptom management, medication coordination, personal care, medical social and spiritual counseling, bereavement support (13 months post-death), and pharmacy/medical equipment provisioning — and Home Health Care, comprising skilled nursing (RN/LPN), physical, speech, and occupational therapy, medical social work, and certified nursing aide services. Care is delivered at the patient's home, a family member's home, skilled nursing facilities, assisted living facilities, or hospitals on a 24/7/365 basis. The company differentiates through nurse-led leadership with lower patient-to-nurse ratios than industry standards and on-site (not on-call) nursing staff availability for rapid emergency response.

The business model is reimbursement-driven: hospice services are primarily covered by Medicare hospice benefits, Medicaid hospice benefits, and private insurance hospice benefits, with medications, supplies, and medical services related to terminal diagnosis typically covered at 100%. Go-to-market relies on referrals from physicians, hospitals, and skilled nursing facilities, supplemented by a community marketing liaison team that educates healthcare professionals and community members on hospice benefits, plus a digital presence including a WordPress website, Facebook and LinkedIn pages, a mobile app (hospiceatyourside.com), family testimonials, and volunteer/community outreach programs. At-Heart is an affiliate brand of BrightSpring Health Services (d/b/a Res-Care, Inc.) and a partner of Adoration Health, both of which provide broader clinical, pharmacy, and operational infrastructure. The company holds CHAP (Community Health Accreditation Partner) accreditation and operates the BrightSpring Hospice Foundation, a 501(c)(3) nonprofit supporting patients with non-covered hospice needs.

Name

At-Heart Homecare & Hospice

Legal name

Res-Care, Inc. d/b/a BrightSpring Health Services

Website

https://hearthchp.com

Company type

Private

Operating status

Operating

Headcount range

1–10 employees

Short description

At-Heart Homecare & Hospice is a Virginia Beach-based hospice and home health care provider serving terminally ill and homebound patients across seven Hampton Roads cities, operating as an affiliate of BrightSpring Health Services under Medicare/Medicaid reimbursement with referral-driven patient acquisition.

Ownership category

akta.pro rank

Product category

Hospice and Home Health Care Services

NAICS

Home Health Care Services (6216)

SIC

Services-Home Health Care Services (8082)

akta.pro primary industry

Home Hospice (Routine Home Care) (HLADAHAA)

akta.pro secondary industries

Home Hospice Agencies (HLAFAEAC), End-of-Life 24/7 In-Home Care (Hospice Support) (HSABAHAG), In-Home Hospice Nursing Visits (RN/LPN) (HSABAFAL), Hospice Care in Assisted Living / Residential Care Facilities (HLADAHAE), Hospice Care in Nursing Facilities (SNF/NH Hospice) (HLADAHAD)

Keywords

• Hospice care services
• Home health care
• End-of-life care
• Skilled nursing care
• Bereavement support

Headquarters

HQ city

Virginia Beach

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, Infrastructure, Technology or R&D

Revenue model

1. Hospice Care Services (Medicare/Medicaid): At-Heart HomeCare & Hospice generates revenue through Medicare hospice benefits, Medicaid hospice benefits, and private insurance hospice benefits. Medications, supplies, equipment and medical services may be covered 100% under the patient's Medicare, Medicaid or private insurance hospice benefit if authorized by the physician and related to the patient's terminal diagnosis.

Pricing tiers

Go-to-market motion1 record

Distribution channels2 records

Marketing channels6 records

Core offering

At-Heart Homecare & Hospice delivers home health and hospice care services to patients in the Virginia Beach / Hampton Roads area of Virginia. Hospice services include physician services, skilled nursing, pain and symptom management, personal care, medical social and spiritual counseling, bereavement support for up to 13 months post-death, volunteer companionship, and coordination of medications, equipment and supplies related to the terminal diagnosis. Home health services include skilled nursing, physical/speech/occupational therapy, medical social work, and home health aide services.

Product overview

At-Heart Homecare & Hospice is a full-service home health and hospice care provider offering a comprehensive, interdisciplinary approach to end-of-life care and home-based medical services. The company's core offering consists of two primary service lines: Hospice Care Services and Home Health Care, both delivered through an integrated team approach. Hospice services encompass physician services, nursing care with pain and symptom management, medication coordination, personal care, medical social and spiritual counseling, bereavement support (extending 13 months post-death), volunteer services, and pharmacy/medical equipment provision. Home health services include skilled nursing (RN/LPN), physical, speech, and occupational therapy, medical social work, and home health aide services. The company also operates the BrightSpring Hospice Foundation as a 501(c)(3) nonprofit providing financial assistance for non-covered hospice-related needs. Care is available 24/7/365 and can be provided at the patient's home, family home, skilled nursing facility, assisted living facility, or hospital. The organization is nurse-led with lower patient-to-nurse ratios than industry average.

Differentiator

Problem solved

Functional benefit

Products and services

• Hospice Care Services Comprehensive hospice care services including physician services, nursing care, pain and symptom management, medication coordination, personal hospice care, medical social and spiritual services, bereavement program, volunteer services, and pharmacy/medical equipment/supplies. Care is provided at the patient's home, family member's home, skilled nursing facility, assisted living facility, or hospital, available 24/7/365, for terminally ill patients and their families.
• Home Health Care Skilled healthcare services provided in the home to treat homebound patients recovering from illness, injury, or surgery. Includes skilled nursing (RN, LPN), physical/speech/occupational therapy, medical social workers, certified nursing assistants, home health aides, and clinical management.
• Pharmacy, Medical Equipment & Medical Supplies Coordination and delivery of medications related to terminal diagnosis, along with medical equipment (hospital beds, shower chairs, wheelchairs, walkers, oxygen) and medical supplies, plus 24/7 on-call hospice support, pain management, symptom management, and medication coordination.
• Medical Social and Spiritual Services Professional medical social work and pastoral/spiritual care services. Medical social workers assist with advanced directives, care options, and financial/insurance assistance. Spiritual services include pastoral care, funeral/memorial arrangements, and interfaith support for hospice patients and families.
• Bereavement Program Personalized bereavement support for family members and those affected by the grieving process. Includes one-on-one support, print materials, supportive calls, in-home support sessions, assistance with memorial services, and 13-month post-death support following the death of a hospice patient.
• Physician Services Hospice physician services in which the patient's Primary Care Physician remains director of care, supported by a Hospice Medical Director who oversees clinical aspects, participates in admission/eligibility decisions, and conducts in-home visits, keeping the PCP informed of the patient's condition and needs.
• Personal Hospice Care Services Individualized personal care plan including bathing, feeding, and daily personal hygiene for hospice patients, provided by nurses and nurse aides with specialized training. Triggered by eligibility indicators such as weight loss, increased assistance needs, weakness/fatigue, falls, swallowing difficulty, and recurrent infections.
• Hospice at Your Side Mobile App Mobile application providing access to hospice care information and services for patients, families, and caregivers.
• BrightSpring Hospice Foundation 501(c)(3) not-for-profit organization providing essential non-hospice financial support for hospice patients and families unable to afford additional assistance. Funds comfort care items, final arrangements, home care/sitting services, and other hospice-related expenses beyond standard hospice coverage.

Quantifiable outcome

• RN Case Managers have substantially lower patient-to-nurse ratios than other hospices in the county and industry

Named customers2 records

Segments3 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Partnerships

Two partnerships are on record, tiered core.

• Adoration HealthcoreStrategic or Co-development PartnerAt-Heart Homecare & Hospice is an Adoration Health partner. This partnership strengthens clinical offerings and the ability to serve more individuals needing care. Adoration Health is a national company offering Home Health, Hospice, Palliative Care, and Private Duty Nursing services across the nation. The partnership strengthens At-Heart's clinical offerings and ability to serve more individuals who need care in the Virginia Beach area.
• BrightSpring Health ServicescoreOthersBrightSpring Health Services Corporation is the parent company and owner of At-Heart HomeCare & Hospice. The website is operated by BrightSpring Health Services. At-Heart is a member of the BrightSpring Health Services family of brands, operating under Res-Care, Inc. d/b/a BrightSpring Health Services. The parent company provides compliance programs, Code of Ethics and Business Conduct, and organizational oversight.

Scale indicators1 record

Recent moves2 records

Expansion highlights4 records

Direct peers

• Adoration Health: At-Heart's named strategic partner; national provider of Home Health, Hospice, Palliative Care, and Private Duty Nursing. Direct overlap in service lines and patient population, with a formal partnership that aligns clinical offerings.
• Compassus: National hospice, palliative care, and home health provider. Comparable in interdisciplinary team model, four hospice levels of care, and community-based referral approach.
• Bayada Home Health Care: Large private nonprofit home health and hospice provider with significant East Coast presence. Closely comparable in mission-driven, clinically-led home health and hospice delivery across multiple service lines.
• Enhabit: Home health and hospice operator spun out from Encompass Health, focused on home-based skilled nursing, therapy, and hospice. Direct competitor in the home health + hospice dual-line model.
• Gentiva: National hospice and palliative care provider spun out from Kindred at Home. Direct hospice-line competitor serving terminally ill patients with similar 24/7 nursing and bereavement models.

Broad incumbents

• BrightSpring Health Services: Parent company and ultimate owner of At-Heart. Operates Home Health, Hospice, Pharmacy, Rehabilitation, Community Living, Family & Youth, and Behavioral Health Services nationally — the broader incumbent of which At-Heart is a regional hospice/home health affiliate.
• LHC Group: Large national home health and hospice operator (now part of Optum/UnitedHealth Group). Overlaps with At-Heart's combined home health and hospice service offering and referral-driven model.
• Amedisys: National home health and hospice operator with significant presence in Virginia. Competes with At-Heart for hospice referrals and clinician talent across the Hampton Roads market.
• Encompass Health: Major post-acute care provider with home health and hospice arm (Enhabit was spun out). Provides comparable home-based skilled nursing and hospice services in regional markets.
• VITAS Healthcare: Largest U.S. hospice operator (subsidiary of Chemed Corporation). Operates hospice programs across multiple states with comparable 24/7 clinical and bereavement service offerings.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights7 records

Customer concentration

• Facebookfacebook.com/athearthomecare
• LinkedInlinkedin.com/company/at-heart-homecare-hospice

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

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 At-Heart Homecare & Hospice