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Girling Healthcare is a subsidiary of another Austin-based health care company, privately held Harden Healthcare. Girling Health Care offers home health, personal care, and homemaker services for grown up girls and boys who need living assistance. The company serves customers in nine states in the midwestern, northeastern, and southern US. Girling provides services including skilled nursing, rehabilitation therapy, condition monitoring, social services, living assistance, and respite care. Texas is the health care firm's largest market.

Guardian Home Care Holdings provides medical and non-medical home health care services to private patients -- as well as through contracts with health insurers, hospitals, and nursing homes -- in Georgia, Tennessee, and Texas. Primarily working under Medicare and Medicaid funding programs, Guardian's health care personnel provide skilled nursing services, physical and speech therapy, social work services, and assistance with daily activities such as cleaning and bathing. The company also provides hospice services in Nashville, Tennessee. It operates as Texas Home Health in Texas and under the Guardian name in its other markets.

Home Instead has a network of some 900 franchises operating throughout the US and in more than a dozen countries internationally. Employees known as CAREGivers provide the elderly with one-on-one assistance in the home and at assisted living or nursing care facilities. Home Instead helps keep the elderly at home instead of in assisted living or nursing homes. The company -- operating under the name Home Instead Senior Care -- provides non-medical home care assistance for seniors. Its services are designed for people who are capable of managing their physical needs but require assistance, supervision, light housework, meals, errands, or simply companionship in order to remain in their homes.

Hospice of Michigan provides specialized health care services for people with a terminal illness and support for their loved ones. These services focus on comfort measures and pain control, or palliative care. Palliative care is directed by the patient and family along with the patient's physician or hospice medical director. Nurses, social workers, home health aides, spiritual advisors and trained volunteers work as an expert team to provide palliative care. The team focuses on providing comfort and pain relief when a cure is not possible. The goal is to help each person live as fully as possible and to help the family and loved ones participate in the person's care.

Immediate Care, Inc. has locations in Anchorage, Fairbanks, and Wasilla. Immediate Care takes care of senior or disabled Alaskans in the comfort of their own homes. The company provides a variety of non-medical home health care services include personal care, bathing, bedtime assistance, and medication coordination, as well as help with chores including laundry, grocery shopping, cooking, and menu planning. Its personal care assistants and chore assistants are available on a daily basis or for occasional visits. Immediate Care focuses on older generations as the number of retirees living in Alaska grows.

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