National HME

National HME

Founded in 2006 and headquartered in Richland Hills, Texas, National HME provides durable medical equipment (DME) exclusively to the hospice and post-acute care sectors. The company runs over 50 company-owned branches and a 40,000-square-foot national distribution center, which together extend its direct-service footprint across the United States. The firm brands this model as being "locally grown, nationally known." National HME's strategy centers on direct, in-house logistics rather than brokerage or drop-ship arrangements. It owns its warehouse facilities, delivery trucks, and full-time equipment technicians — a posture designed to guarantee same-day and next-day delivery windows for hospice partners. Its proprietary technology platform, Hospice Cloud Pro, gives clinical staff real-time order tracking, EMR integration, and spend-analytics dashboards. The firm cites relationships with customers such as Hospice of the South Plains (Lubbock, TX), Lehigh Valley Hospice (Allentown, PA), and Alliance Hospice, though a full client roster is not publicly disclosed. Geographically, its branch network spans at least the Mid-Atlantic, the Upper Midwest, and the Southwest. The firm employs a full-time fleet of delivery technicians and operates a centralized call-center that runs 24 hours a day, 365 days a year. It does not publicly disclose total deployment, AUM, or the identity of any financial sponsor; its capital structure remains private. In the last 24 months, National HME continued to highlight its 50-branch footprint and its HQAA-accredited status, consistent with an organic geographic expansion rather than M&A-led scaling. The company positions its front-line delivery staff as an extension of the hospice's own care team — a workforce-intensive model that differentiates it from lightweight brokerage platforms. National HME's structural differentiator is full vertical integration in a fragmented DME market. Whereas many competitors subcontract deliveries and rent equipment ad hoc, National HME owns and maintains its inventory, operates its own trucks, and employs its own technicians. This aligns its service-level incentives directly with the clinical and reputational needs of its hospice partners — an architecture that makes it operationally heavier but potentially stickier in long-term provider contracts.