In its early days, the company served clients in parts of Wayne and Duplin counties with a professional staff of two, a part-time registered nurse and a part-time physical therapist. By 1982, the company’s market included all of Wayne, Duplin, and Lenoir counties, with a second office in Kinston, North Carolina. The company moved to Goldsboro, North Carolina, in June 1983, and established its headquarters there in 1984, where it remains. The same year, it changed its name to Home Health and Hospice Care, Inc.

The company quickly earned a reputation for quality and compassionate care. It often served areas that no other company would pursue, and in several instances, such as rural Jones County, 3HC was requested by County Commissioners, and other community leaders, to provide home care for their citizens. On its 10th anniversary year, 1991, 3HC had expanded its operations to Johnston, Wilson, Jones, and Pitt counties. In 1995, it opened offices in Fayetteville and Raleigh. Its newest office in Harnett County was opened in 2006.

As the company grew, so did the scope of its services. Company directors and managers were committed to the mission of home health care as a cost-effective and emotionally satisfying service. They believed that their patients, the great majority of them 55 and older, healed and thrived better in the comfort of familiar surroundings following hospital or clinical procedures. The company’s philosophy was embodied in its motto, “Compassionate Care Is Our Calling”.

Its home care services began in 1981 with the basics: skilled nursing, physical therapy, and aide services. It adopted speech pathology next and then occupational therapy and Medical Social Work. It offered Community Alternative Program/Mental Retardation and Community Alternative Program/Development Disability service in 1983. 3HC began offering hospice services in 1984. At the end of 1991, 3HC added private duty services, and became JCAHO accredited.

The company began to invest in its own buildings in 1986 in Kinston. It built its current Corporate Headquarters in Goldsboro in 1989, and a new Kinston office in 1991, and another in Clinton in 1993. The Kitty Askins Hospice Center in Goldsboro was also constructed in 1995 and expanded in 1997. In 2007, 3HC’s market includes 16 counties in the heart of eastern North Carolina, from Jones County near the coast to the Research Triangle west

In 1999, 3HC was restructured into a parent corporation and four subsidiaries – 3HC: Certified, 3HC: Special Programs, 3HC: Private, and 3HC: Hospice.

3HC continued to develop new services in its second decade, adding a telephone alert system, psychiatric nursing, OB/GYN nursing, industrial health program, HIV case management, home infusion, and CAP/AIDS program. In 2004, the agency's four subsidiaries consolidated back into one corporate entity.

The company’s story has not been without struggles. It established Healthcare Services of the Southeast for home infusion pharmaceuticals in 1995 and closed the subsidiary in 1998. 3HC endured a flawed search and seizure by federal and state investigators in 1989 and 1995. In its long and successful fight against what the federal courts called the government agents’ “reckless disregard for the truth”, 3HC was heralded nationally for its grit. The company also adjusted to the financial impact of the 1997 Balanced Budget Act with a minimum loss of business.

The measure of its first years was recorded in the company’s patient data. In 1981, after two months of operation, the company’s staff had made 99 home visits. The figures for the 2005 – 2006 fiscal year were:

Between 2004-2007, new technologies continue to be employed to enhance the quality of care offered to patients. For example, HomMed telehealth and monitoring, VitalStim, and PT/INR allow early intervention to health-threatening conditions. Anodyne Therapy, or infrared therapy, is 3HC's latest offering to the communities we serve.