45 Hearts and Hooves works with miniature horses trained by the organization; In conjunction with its trained miniature horses, the services rendered by Hearts and Hooves consist of visits to a variety of facilities to render care and support to those in the facilities (and in some cases, to help and comfort those caring for the people in the facilities); Facilities visited include-- state hospitals, hospice care, assisted living, alzheimer's care, museums, schools, hospitals, nursing homes, at risk youth programs and the like