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Gentiva Health Services
Gentiva traces its roots to the 1999 founding of CareSouth Health System by Tony Strange, who remained at the helm through multiple transformations.
Gentiva Health Services
Gentiva traces its roots to the 1999 founding of CareSouth Health System by Tony Strange, who remained at the helm through multiple transformations. The modern entity emerged when Formation Capital and its partners acquired Kindred at Home's hospice and personal care divisions for $1.5 billion in 2022, folding them into the existing Gentiva platform (per Business Wire, August 2022). The deal created a provider reaching patients from Arizona to North Carolina, with an emphasis on rural and underserved Medicare populations. The firm operates across three tightly integrated segments: home health, palliative care, and hospice — with a growing specialty in personal care services for chronic-condition management. Gentiva's deployment model favors outright acquisitions of regional providers rather than de novo builds. Following the Kindred transaction, the company integrated roughly 700 care sites nationwide. Known relationships include the ownership group Formation Capital and co-investor Blue Wolf Capital Partners, who have historically partnered on healthcare services roll-ups. The Kindred acquisition pushed Gentiva's annual revenue past $2.5 billion and its clinician headcount above 30,000, making it a top-3 player by hospice patient census. Corporate headquarters remain in Atlanta, with a significant operational hub in Mooresville, North Carolina. The company does not disclose a standalone philanthropy, though its operating subsidiaries fund community-based grief counseling and veteran-specific end-of-life programs. August 2022: Closed the $1.5 billion acquisition of Kindred at Home's hospice and community care businesses from Humana, roughly tripling its footprint (per Business Wire, August 2022). Gentiva's architecture is distinct for a healthcare services platform: it is not simply a portfolio company but a strategic consolidator designed for scale before exit. The 2022 deal moved majority ownership to Clayton, Dubilier & Rice alongside Formation Capital, signaling a thesis that end-of-life care will shift from fragmented nonprofits to institutionally backed regional networks. That sponsor depth provides the balance sheet for bolt-on acquisitions without the quarterly earnings pressure of a public company.
General information
Firm type
Asset Manager
Year founded
1999
AUM
Undisclosed
Location
Region
North America
Country
United States
City
Atlanta
Corporate office
Atlanta, GA, United States
Sector focus
Frequently asked questions
Who controls Gentiva Health Services?
Following the 2022 acquisition of Kindred at Home, Gentiva is majority-owned by funds managed by Clayton, Dubilier & Rice (CD&R) alongside Formation Capital, with Humana retaining a minority interest as part of the transaction consideration. The sponsor group has historically backed roll-up strategies in healthcare services.
How does Gentiva source acquisition targets?
Gentiva acquires established regional home health and hospice agencies, prioritizing Certificate of Need states where regulatory barriers limit competition. Its corporate development team identifies targets with high Medicare patient mix in rural and suburban markets where hospital systems are seeking to offload post-acute assets.
What is Gentiva's hospice market position relative to competitors?
Following the Kindred deal, Gentiva became one of the three largest hospice providers in the U.S. by average daily census, alongside Amedisys (now owned by UnitedHealth Group's Optum) and VITAS Healthcare, a subsidiary of Chemed Corporation. The company serves approximately 14,000 hospice patients daily.
Does Gentiva participate in value-based care or Medicare Advantage contracts?
Yes. Gentiva participates in both traditional Medicare fee-for-service and a growing number of Medicare Advantage contracts, including capitated arrangements where the company takes on episodic risk. The company has also piloted shared-savings models with regional health systems in Texas and the Southeast.
What sectors does Gentiva operate outside of hospice?
Beyond hospice, Gentiva provides skilled home health nursing, physical and occupational therapy, palliative care consultation, and personal care services for activities of daily living. The company does not operate skilled nursing facilities, assisted living, or acute-care hospitals.
Is Gentiva Health Services a publicly traded company?
No. A prior entity named Gentiva Health Services traded on the NASDAQ under the symbol GTIV until it was acquired by Kindred Healthcare in 2015. The current Gentiva platform has been privately held since its re-formation in 2022 through the CD&R/Formation Capital acquisition.
How does Gentiva differentiate its operational model from larger health systems?
Gentiva operates with a decentralized management structure where local clinical directors retain significant autonomy over staffing and community engagement, while the corporate layer provides compliance, revenue cycle, and M&A support. This design aims to preserve the local branding and referral networks of acquired agencies that institutional owners often erode.
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