SimiTree is all about symmetry.

The official dictionary pronunciation for the word “symmetry” is “[ sim-i-tree ].” Not coincidentally, the name SimiTree is a combination of the first part of Simione™ Healthcare Consultants plus the second part of BlackTree Healthcare Consulting, equally representing the two companies that have come together for a new level of industry leadership.

In addition to incorporating aspects of each of the former company names, the new name reflects the balance SimiTree brings to its clients. SimiTree aligns its teams, services and approach with clients’ challenges to help them raise operational performance, realize clinical and financial potential and improve the overall health of the organization.

Just as symmetry provides balance, SimiTree aligns business with care.

The perfect balance of two proven industry leaders has created a new, stronger post-acute healthcare powerhouse. SimiTree never settles for how things have always been done, because you can’t afford “good enough” when excellence is attainable.

BlackTree, founded in 2011, became a trusted provider of revenue cycle outsourcing, consulting and outsourced coding & OASIS review services to the home health, hospice and skilled nursing facility markets through exceptional client-centric service. Founded in 1966, Simione was a pioneer in home care and hospice consulting as the first organization of its kind dedicated entirely to the provision of healthcare at home. The two companies ran parallel while successfully leading the healthcare industry. Now, SimiTree’s collective expertise, experience and resources give you the ultimate, stronger resource.

In 2022, SimiTree acquired Florida-based Imark Billing allowing SimiTree to expand upon its billing, coding, and consulting services in post-acute care. The acquisition of Imark Billing is the ideal next step for SimiTree as it continues to expand the scope and scale of services and solutions, furthering the mission to help post-acute organizations become stronger and healthier overall by aligning business and care. This move delivers the scalability SimiTree needs to address the industry’s growing need for its services, no matter the size or census. SimiTree continues to help its clients address challenges, identify strategic growth opportunities and improve profitability. 

In 2022, SimiTree strategically combined with Infinity Behavioral Health Services.  Infinity is a Florida- and California-based behavioral health company that specializes in providing services for Mental Health and Substance Abuse facilities, including billing, insurance collections, utilization management and consulting to increase profitability.

The strategic combination and expansion into the behavioral health market strengthens SimiTree’s commitment to becoming a single financial, clinical, and operational resource for post-acute healthcare organizations.

By always pursuing excellence, SimiTree lets you fully focus on patient care while our experts take care of clinical, financial and operational excellence for you. With over 300 industry experts for over 770 active clients and over 16,000 agencies served, SimiTree Healthcare Consulting helps post-acute care providers grow stronger and healthier by optimizing operations, revenue and clinical performance. SimiTree brings industry expertise and a wide range of proven solutions together to guide organizations through challenges, changes and growth.

A balance of expert services for a range of healthcare needs.

In addition to financial, clinical and operational consulting, SimiTree offers clients a robust suite of services, including outsourced billing, coding and revenue cycle management; executive recruiting, interim staffing and other talent solutions; guidance through mergers and acquisitions; sales consulting and education; assistance with regulatory risk; and data analytics.


SimiTree is known throughout the industry for delivering the gold standard of services to home health, hospice, private duty, pediatrics, applied behavioral analysis, palliative care and other post-acute organizations, along with infusion and durable medical equipment. Connecting the right people and solutions together at the right time, SimiTree’s customized approaches will meet each client’s unique needs.