Texas senior living placement network
One match, three winners.
A family finds the right licensed home, fast, at no cost. A hospital discharge team gets a safe, documented discharge instead of an open case. A community operator gets a qualified private-pay resident instead of another cold lead. One network, built to make all three true at once.
Patient encounters a year at the Texas Medical Center, the largest medical complex in the world, 10,000 patient beds, 54M sq. ft., 120,000+ employees, all inside one Houston campus.
Source: tmc.edu/about-tmc
Inpatient admissions a year across just three Houston systems, Memorial Hermann (201,482), Houston Methodist (151,634), Harris Health (42,508). Every one eventually needs a discharge plan.
Sources: each system’s own published facts & figures pages
Licensed Texas senior living communities mapped in our registry, live from HHSC records, not a purchased list, not an estimate.
Source: Texas HHSC licensing records
Families
Tell us once what a loved one needs. Get a shortlist of licensed communities, apply once, track everything to move-in. Free, always, the community pays our fee, never the family.
Hospital discharge teams
A discharge planner has minutes, not hours, to place a patient safely. We answer fast, with an explainable, license-checked match and a documented Patient Choice list, never a single option when more than one qualifies.
Community operators
List your home free. Every referral you receive is already matched against your licensed capability and stated capacity, not a blind blast to every provider in the county.
For operators considering the $1,800 tier
What you’re actually buying: a seat inside the channel, not a hope.
Free listing gets your home found by families and the matching desk. The paid tier is for one specific thing: your home’s profile positioned inside the discharge-referral channel hospital case managers actually open, matched to your license and capacity instead of blasted to every provider in the county.
Annual inpatient admissions across just Memorial Hermann, Houston Methodist, and Harris Health. Every one is a discharge plan waiting to happen.
Of hospital discharges nationally are followed by a home-health episode within 30 days (MedPAC, most recent data), a real measure of how much volume moves into post-acute care the moment a hospital stay ends.
Source: MedPAC, 2024 data
Houston isn’t solo doctors calling around. Memorial Hermann’s own Accountable Care Organization coordinates independent and employed physicians citywide alongside its 17 hospitals, one real example of how networked this market already is.
Source: memorialhermann.org/about-us/our-organization/aco
Where the line actually sits:the numbers above describe the size and shape of this market, they are not a claim that we partner with Memorial Hermann, Houston Methodist, Harris Health, or any ACO by name. The one relationship that’s real and verifiable: we were accepted into Aidin, the discharge-referral network hospital case managers use to find and rank providers by how fast and how reliably they respond. $1,800 buys your home a matched, tracked presence inside that channel, not a promise of a specific hospital’s business.
Why this is a hospital problem, not just a family one
Discharge planners don’t need another vendor promising to be nice to families. They need to clear a regulatory requirement and protect a Medicare number. Both are real, both are dated, and both point the same direction.
42 CFR § 482.43, the discharge planning Condition of Participation
Federal law requires every hospital to give a patient a real choice among qualified post-acute providers in their area and bars steering them to one preferred operator. A network that answers fast andshows more than one explainable, license-checked option isn’t a convenience, it’s how a discharge planner actually satisfies this rule instead of just hoping nobody checks.
Source: eCFR, Title 42 § 482.43
The IMPACT Act of 2014 (Public Law 113-185)
The federal law that pushed hospitals toward standardized, data-driven discharge planning in the first place, the same policy pressure that put Aidin, CarePort, and Epic’s discharge screens inside every hospital in this market.
Source: Congress.gov, PL 113-185
CMS Hospital Readmissions Reduction Program
Medicare withholds roughly $300–560 million a year, industry-wide, from hospitals penalized for excess 30-day readmissions, up to 3% of a hospital’s Medicare payments. A placement that doesn’t fit clinically is a patient who bounces back, and a bounce-back is a line item on the hospital’s own CMS scorecard, not just a bad outcome for the family.
Source: CMS.gov HRRP; historical penalty totals via KFF (kff.org)
Not a hobby, a category
This exact category has already priced itself.
What WellSky paid Allscripts for CarePort Health in 2020, reported at over 13x revenue, roughly 21x EBITDA, to own the hospital-to-post-acute discharge network. CarePort today: 2,000+ hospitals, 130,000+ providers.
Sources: Home Health Care News, Fierce Healthcare (Oct 2020)
A Place for Mom’s valuation after a $175M raise in 2022 (Insight Partners, General Atlantic, Silver Lake), on a network of 14,000+ senior living providers. Proof the senior-placement side of this alone is venture-scale.
Source: McKnight’s Senior Living (2022)
Placement OS sits where nobody else does: registered as a provider on Aidin, the discharge-referral platform case managers use, and holding no referral contract or partnership with any hospital system, which we say before anyone asks andbuilt as the licensed, compliance-first senior placement engine underneath it, in the one state where 1,603 licensed communities and assisted living commonly running around $5,100 a month for larger communities and $2,400 to $3,800 for small licensed care homes, market ranges rather than quotes, already below the $5,900 national median, mean the unit economics work without inflating anything.
Source: Genworth/CareScout Cost of Care Survey, Texas breakout (2024)
The rules we built in, not bolted on
Senior placement is a regulated business. Here is exactly where the lines sit and how the system enforces them, before anyone asks.
Federal Anti-Kickback Statute (42 U.S.C. § 1320a-7b(b))
Placement fees apply only to private pay, long-term care insurance, and comparable commercial funds. No fee is ever charged on a Medicare or Medicaid-funded placement, that referral routes as a complimentary community placement instead.
Texas Business & Commerce Code Chapter 121
Every family receives the written disclosure Chapter 121 requires, all four items: what our service does, who pays our fee (the community, never the family), their right to stop using us at any time without cause or penalty, and that the list we give them may not include every community in their area meeting their stated needs and preferences. We also disclose in that same document that fee-paying communities appear first in their results. Cost is never the sole factor in a recommendation, our matching engine weights clinical fit above price by design, and a family is never shown exactly one option when more than one community qualifies.
HIPAA
Referral packets are treated as protected health information from the moment they arrive. Real patient documents are processed only once a signed Business Associate Agreement is confirmed for the AI pipeline in use, until then, the system runs on de-identified or demo data only, by design, not by policy alone.
The hands-on care line
A boarding-home or unlicensed-lifestyle community can never earn credit in our matching engine for hands-on personal care claims (Tex. Health & Safety Code §§ 260.001, 247.002) unless that care is delivered by a licensed HCSSA sister company. This is enforced in the scoring logic, not left to a disclaimer.
The model, plainly
How the network makes money, and who never pays.
Cost to every family, every time. No exceptions.
Cost to list a community in the network. Free listing, no subscription.
The placement fee: one month's rent, paid by the community, only after a confirmed move-in.
A second, separate service, a paid automation package that makes an operator's own home visible to AI search and hospital discharge systems, is in an early, hand-picked founding phase right now. We're not going to print a client count here that isn't real yet; ask us directly for where that number actually stands today.
The paper trail
Every operator agreement is e-signed and SHA-256 audit-hashed against the exact text the signer saw, the same discipline whether it's community #1 or #1,000.
Network Listing Agreement
listing-v1-draft-2026-07-24NETWORK LISTING AGREEMENT (DRAFT, pending attorney review) By signing, the community representative confirms: 1. The information submitted (including care capability, licensing, pricing, and photos) is accurate to the best of their knowledge, and they are authorized to submit it. 2. The community grants permission to display this information on the placement network and to present the community to families and referral sources when it fits a stated need. 3. Capability claims will be shown with "[community name] reports..." attribution and a date. The community agrees to keep them current. 4. This listing is free. It creates no obligation to accept any referral and no fee obligation is created by this agreement. Any placement fee is covered by a separate written agreement before a placement closes. 5. Either side may end the listing at any time by written notice (email suffices). Texas Bus. & Com. Code Ch. 121 notice: this network operates as a senior living referral agency. Families receive the required written disclosure; cost is never the sole factor in any recommendation, and stated needs and preferences are always considered.
Marked draft pending attorney review because it is, we'd rather show you the real status than a polished version that oversells where we are.
Talk to us directly
Hospital discharge team, community operator, or evaluating a partnership or investment, the fastest path is a real conversation, not a form. Ask us anything on this page; every number here has a source behind it.