Same territory. 3× the revenue.
Drag the slider to see what unlocking skilled nursing, occupational therapy, and Medicaid waiver contracts looks like — in the same living room your aides already visit.
What you're leaving on the table every quarter.
The same ZIP code, the same client relationships, the same morning routes — unlocking premium tiers adds skilled nursing, therapy, and Medicaid revenue without adding territory.
Basic Territory
Premium Territory
"I stalled on the upgrade for two years because I thought it meant rebuilding from scratch. It didn't. Hearth's ops team handled the Medicare certification — I just kept running my routes. Year one I cleared $1.4M. Year two, $1.91M. Same ZIP code."
Marcus Webb
Hearth Franchisee · Columbus, OH · Upgraded Q3 2024
Territory: 43201–43215 · 4 skilled nurses on staff
Six revenue streams. One upgrade.
Each service tier is Medicare/Medicaid-certified, operationally supported, and deployable within 90 days of your upgrade approval.
Skilled Nursing (RN/LPN)
Medicare-billable wound care, IV therapy, catheter management, and post-surgical recovery visits. Average ticket: $185/visit vs $22 for companion care.
Occupational Therapy
ADL retraining, home safety assessments, and adaptive equipment training. Pairs with nursing visits for bundled billing that increases per-client value by 340%.
Telehealth Monitoring
Tablet-connected vitals, RPM billing codes, and 24/7 nurse triage. Generates $120–$160/month per enrolled client with near-zero marginal cost after setup.
Medicaid Waiver Contracts
State-managed long-term care programs with guaranteed volume, predictable reimbursement, and no marketing cost. Hearth handles the enrollment paperwork.
Physical Therapy Add-On
Licensed PT visits for fall prevention, post-hip/knee replacement, and strength programs. Average 8-visit episode billed at $1,400 per client.
Chronic Disease Management
Nurse-led care coordination for diabetes, COPD, and CHF — billable under Medicare's CCM codes at $62/month per enrolled client, recurring.
All certifications, Medicare/Medicaid enrollment, and clinical compliance handled by Hearth's central ops team. You focus on running the territory.
14 territories already upgraded. 5 still available.
Protected territories mean no other franchisee can upgrade into your geography. Once a zone closes, it's closed permanently.
Available Upgrade Territories
Your territory might still be open.
Enter your ZIP to check availability and lock your upgrade slot before Q2 closes.