Building the infrastructure Texans need to age well at home.

Texas Healthy at Home was built by people who understand caregiving — not as a concept, but as a daily reality. We exist because the systems that are supposed to support older adults, caregivers, and families were too fragmented to meet real life needs.

Our Story

Texas Healthy at Home was born from a moment of shared frustration — and shared resolve.

In 2015, a group of innovative Area Agency on Aging directors across Texas recognized a fundamental gap: the systems meant to support older adults, caregivers, and communities were too fragmented to meet real life needs. Community-based organizations were stretched thin. Healthcare systems were siloed. Case managers and frontline staff were carrying caseloads too heavy to allow for meaningful connection.

Rather than accept those limitations, they imagined something different — a statewide ecosystem where healthcare, aging services, and community organizations could work together instead of in parallel. A structure that didn't yet exist, but desperately needed to.

So they built it.

In November 2016, Texas Healthy at Home received its 501(c)(3) designation and began operating as a standalone nonprofit with a simple but powerful purpose: to serve as a bridge between systems, strengthening community-based organizations, and making caregiving more visible, supported, and sustainable.

In Don's Footsteps

The soul of Texas Healthy at Home is inseparable from the legacy of our founder, Don Smith.

Don was not a leader driven by ego or visibility. He led through mentorship, trust, and an unwavering belief in people. He had a rare ability to see potential — in individuals, in ideas, and in communities — before others did. He opened doors for those who might have been overlooked. He created space for voices that weren't always heard.

Long before collaborative, community-based care became common language, he saw the future clearly: a system where people could age with dignity, where caregiving was recognized as essential infrastructure, and where trust and relationships were the foundation of real change.

In 2021, Don made a leap of faith — leaving his role as Director of AAA Tarrant County to lead Texas Healthy at Home full-time. When Don passed away suddenly later that year, the loss was profound. He wasn't just our founder — he was our compass. In the uncertainty that followed, a small but determined team chose to keep going — not because it was easy, but because the communities we served were still counting on us.

From that season of grief and resolve emerged the Community Care Hub model that defines THAH today: resilient, collaborative, and deeply grounded in purpose. Don's spirit lives on in every value we hold. He is not just our history — he is our foundation.

Our Values

  • We believe in keeping things simple, smart, and human. Every project starts with listening and ends with something we're proud to share.

  • Integrity, creativity, and empathy shape the way we work. These aren't just words—they’re the foundation of everything we build.

  • What began as a passion project has evolved into something more. We’re proud of where we’ve been and even more excited for what’s ahead. What sets us apart isn’t just our process—it’s the intention behind it. We take time to understand, explore, and create with purpose at every turn.

Meet the Team

Board of Directors

Behind everything we do is a team of people who truly care. We bring our full selves to the table—open-minded, collaborative, and ready to make something great.