The study purpose was to determine the impact of demographic, social, environmental, and health indicators on utilization of health services among elders with heart disease. Existing data from a regional Area Agency on Aging were used and the sample (N = 1,167) included vulnerable groups, men, blacks, low income, and rural residents. Services most frequently used were case management, congregate meal, home delivered meal, outreach, and recreation. Multiple linear and logistic regression indicated that race, marital status, living arrangements, payment source, residence, transportation capability, health conditions, sensory impairment, and function were predictors of service use. ©1995 John Wiley & Sons, Inc.