Our History
SimiTree’s history is defined by continuous evolution in response to the changing needs of healthcare providers. What began as a specialized consulting firm has grown into a comprehensive partner offering both advisory services and advanced technology solutions.
The Early Foundations
SimiTree was established to address critical gaps in post-acute healthcare consulting — particularly in financial performance, compliance, and operational efficiency. Early success was driven by a hands-on approach and a deep understanding of provider challenges.

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Simione Healthcare Consultants is formed
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.
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Simione acquires Exact Recruiting Solutions, Inc.
Expanding its executive recruitment and interim leadership capabilities.
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Simione acquires Home Health Solutions
Merger to Advance Consulting, and Coding & OASIS Services for Home and Community-Based Care
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Simione and BlackTree merge to become SimiTree
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. Now, SimiTree’s collective expertise, experience and resources give you the ultimate, stronger resource.
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December 2021
SimiTree acquires Imark Billing
SimiTree acquires Imark Billing, expanding its revenue cycle management services and strengthening its ability to provide scalable billing, coding, and reimbursement solutions for home health and hospice organizations nationwide.
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January 2022
SimiTree acquires Infinity Behavioral Health Services
The strategic acquisition expanded SimiTree’s footprint into the behavioral health sector. 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.
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January 2023
SimiTree acquires Afia & GreenpointMed
SimiTree acquired mental health data and IT consulting experts Afia to further serve clients’ data analytics needs. SimiTree acquired GreenpointMed to extend its billing and collections reach into the mental health space.
The Expansion of Expertise
As client needs expanded, so did SimiTree’s capabilities. The firm broadened its services to include:
- Revenue cycle management and interim staffing
- Compliance and regulatory guidance
- Strategic growth and operational improvement
This expansion positioned SimiTree as a trusted advisor across multiple facets of healthcare operations.

Entering The Age of Data & AI
Recognizing the growing importance of data, SimiTree invested in analytics and technology to enhance its service offerings. This led to the development of AI-driven solutions designed specifically for healthcare environments.
Greater Accuracy in Coding & Documentation
More Reliable Financial Forecasting
Enhanced Visibility Into Organizational Performance
Today and Beyond
Today, SimiTree stands at the intersection of consulting and technology — delivering integrated solutions that help healthcare organizations navigate complexity with confidence.
As the industry continues to evolve, SimiTree remains focused on advancing its capabilities, leveraging AI responsibly, and maintaining its role as a trusted partner in healthcare transformation.

Start the Conversation Today
To learn more about how we can identify gaps, create action plans, and support your core workflows, call us at 800.949.0388 or complete the form.