SilverStone Health Expands Care Continuum Beyond Hospice, Sees Skyrocketing Census Growth

Dallas-based SilverStone Health has expanded its continuum of home-based services while growing its total daily census from 17 patients to 2,000.

SilverStone came on the scene in 2020 as a standalone hospice after CEO Alfonso Montiel’s purchase and rebranding of Comfort Care Hospice in the Dallas-Fort Worth region. Since then, the company has built a palliative care service and is developing a personal care business. 

In the interim, SilverStone also acquired two small home health agencies for undisclosed amounts, as well as a physician group, according to Montiel. 


“Even before the first acquisition we were quite deliberate in blueprinting the end solution. Every service line, whether acquired or from scratch, we had mapped and anticipated its synchronization within the whole,” Montiel told Hospice News. “While divine choreography played its role, we had a well thought plan — and option B and C in case A didn’t work. At SilverStone we are good at planned spontaneity.”

SilverStone Health’s current continuum of services now includes hospice, home health, palliative care, specialty physician services, wound care and its telehealth program, branded as Guided Care+. The company expects to launch a personal care operation this month. The company’s annual revenues have increased 15x since its founding in 2020, according to Montiel.

Montiel came to hospice through a circuitous route. His career began in the strategic planning field, and after a few years, he moved into the private equity space. Montiel established a $150 million private equity hedge fund, worked in strategy development for Fortune 500 companies and was CEO of the charitable organization Lemon Tree Trust.


There, he found success, but not fulfillment. Seeking change, Montiel journeyed to Iraq to work with refugees. Upon his return to the United States, he caught his first glimpse of hospice when a family member neared the end of life. Inspired by what he saw, Montiel decided to become a hospice volunteer. Here he found his calling, and he leveraged his prior experience in law and finance to launch Silverstone.

Montiel earlier this month was named an Entrepreneur of the Year finalist by Ernst & Young.

Alfonso Montiel
SilverStone Health CEO Alfonso Montiel spoke at the 2022 Hospice News ELEVATE Conference.

“When skeptics questioned our ambition, saying that bigger names had tried and failed, I countered: ‘Our competitors are either too large or too small; true innovation thrives precisely at our scale,’” he said. “While others chase quarterly profits, we prioritize families. As industry outsiders, we bring a fresh perspective. We have unlocked a method of care and access to patients like no other in our space.”

The goal behind SilverStone’s expanded business lines is to provide a seamless, less siloed continuity of care for seriously and terminally ill patients, as well as those who are moving between an acute-care setting and their homes or long term care facilities, Montiel indicated. 

Looking ahead, the company plans to explore collaborations with other providers to help reduce fragmentation of care and meet patients where they are, Montiel indicated.

“Curious about our approach, competitors and investors now reach out directly, and I’ve been fortunate to engage in candid conversations with them about changing our space together,” Montiel said. “Such opportunities will unfold in the coming 12 to 18 months.”

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