Inclusion Criteria:  Systolic heart failure (left ventricular ejection fraction </=40%), with New York Heart Association (NYHA) class II-III symptoms At least one prior hospitalization for heart failure in the preceding 12 months Evidence of malnutrition on the Short Nutritional Assessment Questionnaire (SNAQ) screening tool for malnutrition (score of 2 or more) Have a fixed addressed within the Metro Boston region and availability of home refrigeration to accommodate the MTM deliveries Able and willing to sign study consent 18 years or above Not currently pregnant and not imminently planning a pregnancy  Exclusion Criteria:  Prior heart transplantation or implantation of a left ventricular assist device Patients with a non-cardiac etiology for a skeletal muscle disorder e.g. muscular dystrophy, cancer Currently pregnant or planning to become pregnant Food allergy, aversion, or dietary preference that cannot be accommodated by Community Servings Systolic blood pressure at screening <90 mmHg, or heart rate >110 bpm