The Last Word: SilverStone Health’s Alfonso Montiel on Bringing ‘Transformative Change’ to a Broken System in Healthcare

“I embarked on a mission to fix our corner of healthcare.”

Alfonso Montiel
SilverStone Health
.…on his journey from hospice volunteer to leading a Dallas-based company that’s redefining home-based medical care for patients with advanced and terminal illnesses.

When Alfonso Montiel started volunteering in hospice care over five years ago, he discovered a need for transformative change firsthand. But rather than accept the status quo, Montiel decided to take action.

“Some find their calling early in life—I found mine at 49,” Montiel said in a news release. “I purchased a small hospice company and discovered a broken system. I embarked on a mission to fix our corner of healthcare.”

That mission led to the creation of SilverStone Health, a fast-growing home health company, after Montiel acquired and rebranded Dallas-Fort Worth-based Comfort Care Hospice in 2020. This year, the company has expanded its continuum of care beyond hospice to include a full spectrum of home-based medical services, providing patients with seamless continuity of care across home health, wound care, telehealth, palliative care, hospice, and specialty physician services.

“Our vision has always been to provide patients and families with comprehensive support and guidance throughout their healthcare journey,” said Montiel. “With our integrated care model, patients can transition seamlessly between different levels of care while receiving essential services, including medical, emotional, and spiritual support, in the comfort of their homes or preferred care facilities.”

SilverStone Health’s approach appears to resonate. In about four years, the company grew from serving 17 patients to over 2,000 daily, with annual revenues increasing 15-fold, according to industry publication Hospice News.

The publication noted Montiel’s path to his calling was “circuitous,” paved by a career spanning strategic planning, private equity, and nonprofit leadership. He established a $150 million private equity hedge fund, worked in strategy development for Fortune 500 companies, and served as CEO of the charitable organization Lemon Tree Trust.

Leveraging his finance and law background, Montiel is confident about the company’s future prospects. “It takes our competitors an average of 10 locations to match the revenue and EBITDA of just one of ours,” he said. “By next year, I foresee achieving in one location what they accomplish in 20—that’s the caliber of the model we’ve created.”

Earlier this year, Montiel was named an Entrepreneur of the Year 2024 Southwest Award finalist by Ernst & Young, recognizing his visionary leadership at SilverStone Health.

But for Montiel, business success includes making a real difference in patients’ lives. “At SilverStone Health, we’re not just redefining post-hospital care, but elevating it to its true potential.”

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