When a caregiver calls out, the day rebuilds itself.

Hearth finds a replacement for every visit, tells the caregiver, the family and your EVV system, and leaves you one button to press. Operations software for home care agencies with 20 to 400 caregivers.

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Operations DashboardMON, NOV 2 · 8:46 AM

Good morning, Joanne

Monday, Nov 2 · 45 of 48 visits are covered. 3 need a caregiver, the first at 10:00 AM.

All service areasNew visit
Scheduled today
48visits
14 caregivers on shift
Covered
45of 48
3 need a caregiver
In progress
3live now
6 completed, 4 EVV verified
At risk
1running late
Joel Amador, ETA 9:18 AM
Coverage by half hour
CoveredCompletedNeeds coverAt risk
45of 48 visits coveredEach square is one visit
Peak 10:00 AM · 11 visits at onceOpen schedule
Needs attention 3All alerts
Running 18 min lateJoel to Arthur W. · ETA 9:18
Reassign
EVV location not verifiedMeseret at Rosalind Yee · 8:34 AM
Review
Visit note overduePriya · Walter Greene, ended 8:30
Remind
Live visits3 in progress
Lucía FerreiraRuth Sandoval · arrived 7:27 AM
Ends 9:00
Grace LiuHarold Pruitt · arrived 7:58 AM
Ends 9:30
Meseret AlemuRosalind Yee · clocked in 8:34 AM
Ends 10:00

Running the day at 340 agencies in 22 states

Juniper Lane BRIGHTWATER CARE calloway MeadowbrookCompanions at home NORTHFIELDhome health Tallgrass

The same call-out, two mornings.

Tobias calls out sick at 8:31 with three visits on his route. This is the next hour on a spreadsheet and a phone, and on Hearth.

Spreadsheet and phone53 min of calls
  1. 8:31Tobias texts the coordinator’s personal phone.
  2. 8:38Coordinator opens the schedule, finds 3 visits at 10:00, 1:00 and 4:00.
  3. 8:44Calls Hannah, voicemail. Calls Daniel, he is in the shower.
  4. 9:02Lucía says yes to the 10:00. Nobody checked her hours this week.
  5. 9:16Nora calls to ask why Tobias has not texted.
  6. 9:24The 4:00 still has no caregiver. EVV gets fixed on Friday.
Each square is a minute
Hearth1 min of work
  1. 8:31Tobias taps “I’m sick” in the caregiver app. His 3 visits turn red on the dashboard.
  2. 8:31Hearth ranks 9 replacements by drive time, continuity and hours.
  3. 8:46Joanne gets off a family call, reads the three suggestions and approves them together.
  4. 8:46Lucía, Sami and Niamh get the visits and the care plans.
  5. 8:46Nora, Paul and Marcy get a text with the new caregiver’s name.
  6. 8:46EVV moves with each visit. Undo stays open for 10 minutes.
Each square is a minute

One call-out, one decision.

Scroll through Monday morning at Alder Home Care. The grid on the right is the real day: one square per visit, one column per half hour.

8:31 AM

The gap shows up before the phone rings.

Tobias reports sick in the caregiver app. Hearth marks his 10:00, 1:00 and 4:00 visits as needing cover and puts them at the top of the coordinator’s day.

8:31 AM

A replacement for every visit, ranked.

Within the same minute, each visit has three ranked matches. They weigh drive time, whether the caregiver knows the client, the skills in the care plan and hours this week. Lucía is 8 minutes from Evelyn and has seen her 15 times, so she comes first.

8:46 AM

Approve once. The day rebuilds itself.

Joanne reads the three matches between calls and presses one button. It moves the visits, notifies the caregivers, texts the families, reassigns EVV and recalculates routes. Undo stays open for ten minutes.

See a late visit before the family does.

Hearth watches every clock-in, drive and overrun. When Joel runs over at Leon’s and traffic on I-71 puts him 18 minutes late, you see the ETA, the nearest free caregiver and both choices side by side.

  • ETAs from live location, not guesses
  • Reassign or keep, with the trade-off spelled out
  • Families get the new arrival time by text
Now · 8:46 AMLive

At risk

Arthur WhitfieldJoel Amador · 9:00 AM
ETA 9:18

On the way

Margaret EllisonDenise Carter · 9:00 AM
ETA 8:55
Louise TranKenji Tanaka · 9:00 AM
ETA 8:57

In progress

Ruth SandovalLucía Ferreira · 7:30 AM
Ends 9:00
Harold PruittGrace Liu · 8:00 AM
Ends 9:30
Rosalind YeeMeseret Alemu · 8:30 AM
Ends 10:00
Visit at risk18 min late
Arthur WhitfieldPersonal care · Worthington · 9:00 to 10:30 AM
Joel AmadorCNA · still at Leon Asher, clocked out 8:44
NOW 8:46ETA 9:18DUE 9:00
Where everyone isUpdated 20 seconds ago

Reassign to Efua Asante Suggested

  • 6 min away, arrives 8:52 AM
  • Knows Arthur · 2 weekend visits
  • Back in time for her 11:00 AM visit

Keep Joel

  • Arrives 9:18 AM, 18 min late
  • His third late visit this month
  • Medication reminder moves past 9:15

EVV that passes the first time.

Every clock-in is checked against the geofence, the schedule and the care plan the moment it happens, not at the end of the week. Exceptions arrive with the likely reason already picked, and verified visits go to your state aggregator every 15 minutes.

94.1%
first-pass acceptance at Alder, up from 90.5% in August
15 min
between submissions to the Ohio aggregator
6
reason codes that cover 9 in 10 exceptions
Exceptions · today3 open
Rosalind YeeMeseret Alemu · 8:30 AM
Outside geofenceClock-in 0.3 mi from 820 City Park Ave
Pick a reason
Ignacio VegaArjun Nair · 7:30 AM
No clock-inClock-out 8:30 AM by GPS, no clock-in
Pick a reason
LA
Leon AsherJoel Amador · 7:00 AM
Over scheduled timeClock-out 8:44 AM, 29 min after the end
Pick a reason
Next submission 9:00 AM4 visits queued
A home care aide in navy scrubs going through a weekly pill organizer with an older woman at her kitchen table

Families hear it from you first.

When a caregiver changes or runs late, Hearth texts the family contact with a name and a time. No app to install, no portal password. Replies land in the coordinator’s inbox next to the visit.

Janet Whitfield · Arthur’s wife

Hi Janet, it’s Alder Home Care. Efua Asante is coming to see Arthur today instead of Joel. She arrives at 8:52 AM.

8:47 AM · delivered

Thanks for the heads up. His pills are on the counter for 9:15.

8:49 AM

Reply added to the visit. Efua sees it in the app.

What each person sees · 10:00 AM visitSent 8:46 AM, the moment Joanne approved
Family

Lucía Ferreira will visit your mother today at 10:00 AM instead of Tobias.

Text to Nora Marsh · delivered 8:46
Caregiver app

New visit today: Evelyn Marsh, 10:00 AM to 12:00 PM. 8 min from Ruth Sandoval. Care plan attached.

Push to Lucía Ferreira · accepted 8:47
EVV

Clock in and clock out now belong to Lucía. The geofence stays at 418 Wren Hollow Rd.

Visit V-20419

Every client has a history you can read in a second.

Care plan, authorized hours, the caregivers who know her, the family contact and every visit since intake, on one screen. Hearth uses the same history to keep familiar faces on the schedule.

78%of Alder’s visits are with a caregiver the client has met before

Evelyn Marsh Active Fall risk

84 · 418 Wren Hollow Rd, Clintonville · client since Jul 13, 2026

Knee discomfort reported during the latest visitFri, Oct 30 · reported by Tobias Mensah. Follow-up recommended before Wed, Nov 4.
Care plan
Service
Personal care
Schedule
Mon, Wed, Fri · 10:00 AM
Authorized
8 h a week
Family
Nora Marsh, daughter
Visit history · 48On timeLate
OCT 30Client reported knee discomfort.
OCT 28Good appetite, walked to the mailbox with support.
OCT 26In good spirits, took her medication on time.

One schedule, four kinds of people.

Hearth is the coordinator’s screen, the caregiver’s app, the family’s text thread and the owner’s report, all reading the same day.

A care coordinator at her desk with a headset around her neck
Coordinators

One screen for the day

Coverage, late arrivals, EVV gaps and call-outs, sorted by what needs a decision first.

A home care aide walking up the front steps of a brick bungalow in the morning
Caregivers

The route in their pocket

Visits, drive times, the care plan and one-tap clock-in. Calling out takes two taps, not a 6 AM phone call.

A caregiver’s hands helping an older man button his flannel shirt
Clients

Faces they know

Matches favor caregivers who have been in the home before, and the care plan travels with every visit.

An older man with a cane walking along a leafy sidewalk with a male caregiver
Families

A text when it matters

Who is coming and when, sent from the agency’s number. Replies go straight to the coordinator.

Live in six working days.

We move your caregivers, clients and recurring visits from your current system or a spreadsheet, and stay on the line for your first real call-out.

  1. Day 1 to 2

    Import

    Caregivers, clients, care plans and recurring visits come over from your scheduling tool or a CSV. We check every authorization.

  2. Day 3

    Set the rules

    Service areas, overtime limits, who approves replacements, and which changes text the family.

  3. Day 6

    Go live

    Caregivers get the app by text. Your first EVV submission and your first call-out happen with our team on a call.

What coordinators say

“Monday mornings used to start with six phone calls and a spreadsheet. Now I approve the replacements before my coffee is cold.”
Joanne MercerCare coordinator, Alder Home Care · Columbus, Ohio
Call-out cover time4 minmedian, was 52 min on phone and spreadsheet
Visits covered99.3%in October across 1,043 visits
EVV first pass94.1%accepted by the aggregator on first submission
Coordinator time3 hback each day, by Alder’s own count

Priced per active client.

An active client is anyone with at least one visit that month. Caregivers, coordinators and family contacts are free.

Starter

$6per active client a month

For agencies up to 60 clients moving off spreadsheets.

  • Schedule and live visits
  • EVV with state submission
  • Caregiver app for iOS and Android
  • Email support
Start with Starter
Agency Most agencies

$9per active client a month

Everything an operations team needs to run the day.

  • Everything in Starter
  • Call-out matching and one-tap rebuild
  • Family texts and shared inbox
  • Reports and payroll export
  • Phone support, 6 AM to 10 PM
Book a demo
Network

Customfor multi-branch agencies

Several locations, several payers, one view of coverage.

  • Everything in Agency
  • Branch roll-ups and payer billing
  • Single sign-on and audit exports
  • A named onboarding lead
Talk to us

Questions agency owners ask.

Something else? Ask us on the demo.

Which EVV programs do you submit to?

Hearth submits to state aggregators in 22 states today, in each state’s format, every 15 minutes. If your state uses its own system, we send verified visits there and keep the audit trail on our side.

Do we have to replace our scheduling software?

Most agencies do, because Hearth includes scheduling. If you need to keep billing in another tool, we export visits, hours and mileage every day.

What do caregivers need?

A phone with the free Hearth app. Caregivers without a smartphone can clock in by calling from the client’s landline, and still get visits by text.

Does the family need an app?

No. Family contacts get plain text messages from your agency’s number, and their replies arrive in the coordinator inbox.

Can Hearth approve replacements on its own?

Only if you turn it on. By default every match waits for a coordinator, and every approval has a 10-minute undo.

Is it HIPAA compliant?

Yes. We sign a BAA, encrypt data at rest and in transit, and log every view and change to a client record.

Your next call-out could take a minute.

A 30-minute demo on your own Monday: send us a week of visits and we will show you the rebuilt day.

Or open the app and press the button yourself
Monday, Nov 248 of 48 covered
Conceito · AriadnePT