Apple Health → Home Assistant beyond the companion app's sensors: workouts, full history, MQTT/REST, 182 types

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The companion app’s new Apple Health sensors (Labs, 2026.8) cover the everyday numbers — steps, heart rate, HRV, SpO2, weight, blood pressure, sleep stages, about 29 in all — and if that’s what you need, use them: free and native. I built Healthcove for the gaps I kept hitting. I’m the developer, so read this as a project share.

What it adds on top of the companion app

  • The other 150-odd data types. Workouts, ECG classifications, State of Mind, medication logs, menstrual tracking, mindful minutes, time in daylight, environmental noise, cycling power, the full nutrition set (39 dietary types), and so on — 182 Health data types total.
  • History, not just the current reading. Companion sensors carry the latest value, so HA’s history starts the day you enable them. Healthcove pushes the samples themselves — or hourly / daily / weekly aggregates — and can send your whole history on the first run, so InfluxDB / Grafana / your own endpoint get the full series.
  • Not HA-only. MQTT to any broker (with HA discovery so entities auto-appear under one device), REST to any endpoint, Calendar events, or file export to a folder. The HA REST target posts to /api/states/<entity_id> with unit_of_measurement, device_class and state_class set.
  • Schedules or on-change. Every 15 min / hourly / every 6 h / daily, or when new Health samples land — same iOS background-delivery path the companion app uses, same limits.

Privacy

No cloud, no account, no analytics. The app talks only to the endpoints you configure. The Mac companion moves your full history device-to-device over your own Wi-Fi with TLS; nothing goes through a server, not even ours.

Pricing

Browsing, charts and manual export (CSV / JSON / GPX / TCX / FIT) are free. Automations — the HA / MQTT / REST part — are in Pro: 7-day free trial, then a one-time $14.99. No subscription.

App Store (opens the Home Assistant page of the listing): ‎Healthcove: Export & Sync App - App Store

Happy to answer setup questions, and I’m taking requests for which types or targets to add next. Mods — if this belongs somewhere other than Share your Projects, let me know.