St. Croix Hospice

What St. Croix Hospice does

St. Croix Hospice is a private, for-profit hospice care provider founded in 2008 and headquartered in Mendota Heights, Minnesota. The company delivers end-of-life and palliative care to patients with life-limiting illnesses (prognosis of six months or less) across 10 Midwestern states — Illinois, Indiana, Iowa, Kansas, Michigan, Minnesota, Missouri, Nebraska, South Dakota, and Wisconsin — through 83+ local branch locations and a daily census exceeding 7,000 patients. Service delivery is organized around the four Medicare-defined levels of care (Routine Home Care, Continuous Home Care, Respite Care, and General Inpatient Care) delivered wherever the patient resides, including private homes, assisted living facilities, nursing homes, and hospitals, with 24/7 clinical availability and same-day admissions.

The company operates a largely asset-light, service-delivery model with no proprietary technology platform disclosed. Clinical differentiation comes from a portfolio of trademarked specialty programs — BridgeCare (weekend admissions), North Star Dementia (Alzheimer's/dementia care), Voyage Vigil (end-of-life bedside presence), Heart Failure Care (AHA-certified), Navigate Falls Prevention, Wound Care Specialty, Lighthouse End-of-Life Planning, and Age-Friendly Care (CHAP-certified) — supported by specialized clinical training and a multi-disciplinary team of nurses, aides, physicians, social workers, chaplains, and therapists. The company holds CHAP accreditation, AHA Palliative/Hospice Heart Failure certification, CHAP Age-Friendly Care certification, and has earned all four rings in the National Alliance for Care at Home Quality Connections program for five consecutive years.

Revenue is generated almost entirely through per-diem Medicare Hospice Benefit and Medicaid reimbursement, with most private insurance plans also covering hospice care; billing follows four reimbursement tiers tied to the level of care provided. The go-to-market motion is a hybrid of healthcare-provider referrals (hospitals, physicians, nursing homes, assisted living facilities) supported by a dedicated referral portal and 855 phone line, plus direct patient/family acquisition via website, content marketing, and 24/7 inquiry handling. Growth has been executed primarily through geographic de novo expansion and a series of acquisitions, including Hometown Hospice & Homecare (2019), Hospice Care of America (2021), CNS Hospice (2021), and Adaptive Hospice (2022), funded in part by private credit financing.

Name

St. Croix Hospice

Legal name

St. Croix Hospice

Website

https://stcroixhospice.com

Company type

Private

Founded year

2008

Operating status

Operating

Headcount range

251–500 employees

Short description

St. Croix Hospice is a private, Midwest-based hospice care provider operating 83+ branches across 10 states, serving 7,000+ daily patients with end-of-life and palliative care reimbursed via Medicare/Medicaid per-diem rates across four levels of care.

Ownership category

akta.pro rank

Product category

Hospice Care Services

NAICS

Home Health Care Services (62161), Nursing and Residential Care Facilities (623)

SIC

Services-Home Health Care Services (8082), Services-Nursing & Personal Care Facilities (8050)

akta.pro primary industry

Home Hospice Agencies (HLAFAEAC)

akta.pro secondary industries

Inpatient Hospice (General Inpatient Care) (HLADAHAB), Hospice Care in Assisted Living / Residential Care Facilities (HLADAHAE), Hospice Care in Nursing Facilities (SNF/NH Hospice) (HLADAHAD), In-Home Hospice Nursing Visits (RN/LPN) (HSABAFAL)

Keywords

• Hospice care services
• Palliative care
• End-of-life care
• Bereavement support
• Home hospice

Headquarters

HQ city

Oakdale

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Infrastructure, Marketing or Sales, Technology or R&D, Others

Revenue model

1. Hospice Care Services: St. Croix Hospice generates revenue primarily through the Medicare Hospice Benefit and Medicaid, along with most private insurance plans. Hospice care is a covered benefit under these programs, reimbursing hospice providers for patient care services including nursing, physician, aide, social work, chaplain, therapy, and bereavement services. Revenue is recurring per patient based on per-diem Medicare/Medicaid rates across routine home care, continuous home care, respite care, and general inpatient care levels.

Pricing tiers

Go-to-market motion1 record

Distribution channels1 record

Marketing channels8 records

Core offering

St. Croix Hospice provides patient-centered hospice and end-of-life care services delivered 24/7 at patient locations (homes, assisted living facilities, nursing homes, and hospitals) across 10 Midwestern states through 83+ branches. Core services include the four levels of hospice care (Routine Home Care, Continuous Home Care, Respite Care, and General Inpatient Care), specialty clinical programs for dementia, heart failure, wound care, falls prevention, and vigil support, advance care planning, and up to 13 months of bereavement support for families.

Product overview

St. Croix Hospice is a hospice care provider operating as a unified service platform across 10 Midwestern states (Illinois, Indiana, Iowa, Kansas, Michigan, Minnesota, Missouri, Nebraska, South Dakota, and Wisconsin). The company delivers its core hospice care services through four levels of care (Routine Home Care, Continuous Home Care, Respite Care, and General Inpatient Care) supported by specialty programs including BridgeCare™ for weekend admissions, North Star Dementia Program™ for Alzheimer's and dementia care, Heart Failure Care Program for cardiac patients, Voyage Vigil Program® for end-of-life vigil support, and the Lighthouse End-of-Life Planning Program® for advance care planning. Additional specialty offerings include Navigate Falls Prevention Program®, Wound Care Specialty Program, Age-Friendly Care Program, and Bereavement Support services (up to 13 months post-death). The company serves more than 7,000 patients daily across 80+ locations.

Differentiator

Problem solved

Functional benefit

Brands

• BridgeCare™: Program ensuring patients admitted on weekends have daily support during the hospice admission process
• Lighthouse End-of-Life Planning Program®
• Navigate: Falls Prevention Program®
• North Star Dementia Program™
• Voyage Vigil Program®
• Wound Care Specialty Program
• Heart Failure Care Program
• Age-Friendly Care Program

Products and services

• Hospice Care Comprehensive hospice services including medical care, pain management, emotional support, and spiritual care delivered 24/7 wherever patients call home (private residences, assisted living facilities, nursing homes, and hospitals). Available to terminally ill patients and their families across St. Croix Hospice's 10-state Midwest footprint.
• Routine Home Care Standard hospice care provided to stable patients wherever they call home, including private residences, assisted living facilities, and nursing homes, reimbursed under the Medicare Hospice Benefit.
• Continuous Home Care Round-the-clock hospice care during crisis periods when patient symptoms become uncontrolled or severe, provided in the patient's home by registered nurses and hospice aides.
• Respite Care Temporary relief care for primary caregivers, provided in nursing homes, hospice inpatient facilities, or hospitals, allowing caregivers to rest while the patient continues to receive hospice services.
• General Inpatient Care Hospice care provided in specialized facilities, nursing homes, or hospitals for patients with complex medical needs that cannot be managed at home.
• Bereavement Support Grief support services provided to families for up to 13 months after the death of a loved one, including counseling, support groups, and educational resources.
• BridgeCare Program ensuring that patients admitted to hospice on the weekend receive daily clinical support during the initial hospice admission process, addressing questions, education, and care continuity.
• North Star Dementia Program Dementia care program with staff training and certification following the Alzheimer's Association's Dementia Care Practice Recommendations, including two full days of dementia training per those guidelines.
• Heart Failure Care Program Specialized heart failure care program for hospice patients with cardiac conditions, certified by the American Heart Association as evidence-based palliative and hospice care for heart failure.
• Voyage Vigil Program Program providing increased caregiver presence at the bedside when patients approach their final days, ensuring continuous support during the actively dying phase.
• Lighthouse End-of-Life Planning Program Advanced care planning program empowering patients and families to make important decisions about healthcare at end of life.
• Navigate: Falls Prevention Program Falls prevention program designed to reduce fall risk for hospice patients receiving care at home or in care facilities.
• Wound Care Specialty Program Specialized wound care services for hospice patients, addressing complex wound management needs in the home or care facility setting.
• Age-Friendly Care Program Care program certified through CHAP (Community Health Accreditation Partner) following the John A. Hartford Foundation's 4Ms of Age-Friendly Care, ensuring patients receive safe, high-quality care that supports their unique needs and goals.

Quantifiable outcome

• Earned all four rings in the 2025 Quality Connections program (highest achievement) for five consecutive years
• +2 more outcomes

Segments2 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Partnerships

One partnership is on record.

• Adaptive Hospice LLC (from Help at Home)coreStrategic or Co-development Partner · 5 October 2022St. Croix Hospice acquired Adaptive Hospice LLC from Help at Home in October 2022. This acquisition marked St. Croix's first entry into Indiana, with locations in Indianapolis, Jeffersonville, and Newburgh. All Adaptive Hospice employees were retained. The deal increased St. Croix's total branches to 60 and supported its regional growth strategy in the Midwest.

Scale indicators7 records

Recent moves7 records

Expansion highlights5 records

Direct peers

• Compassus: Compassus is a national hospice, palliative care, and home health provider with a multi-state regional operating model similar to St. Croix. Both run four levels of hospice care with strong referral networks to hospitals and facilities.
• Bristol Hospice: Bristol Hospice is a PE-backed (Webster Equity Partners) regional hospice consolidator with operations across multiple Western, Midwestern, and Southern states. Its growth-by-acquisition strategy mirrors St. Croix's organic + inorganic Midwest playbook.
• Traditions Health: Traditions Health is a PE-backed hospice and home health provider with a multi-state footprint in the South and Midwest. Its acquisition-driven growth model and hospice focus make it a direct peer in consolidation strategy and target markets.

Broad incumbents

• Gentiva: Gentiva is a large national hospice and home health provider (formerly part of Kindred at Home, backed by Humana/PE), competing across multiple states with overlapping service offerings (routine home care, continuous home care, general inpatient hospice) — directly comparable to St. Croix's four-level hospice model.
• VITAS Healthcare (Chemed Corporation): VITAS is the largest hospice provider in the U.S. and a division of Chemed Corp (VITAS, CHEMED). It operates a national hospice platform across multiple states — a direct competitor in the hospice category and the most relevant scale benchmark for St. Croix's eventual national or regional ambition.
• Addus HomeCare: Addus HomeCare provides home and community-based services including hospice, personal care, and home health across multiple states. Its hospice line directly competes with St. Croix and shares a Medicare-heavy revenue mix.
• Amedisys: Amedisys is a national home health and hospice provider (now under Optum/UnitedHealth Group following the 2025 acquisition) operating across many of the same categories as St. Croix. It serves as a broad incumbent competitor in hospice care delivery.
• LHC Group (Optum): LHC Group, now part of Optum/UnitedHealth Group, is one of the largest U.S. home health and hospice operators. Its hospice service line competes with St. Croix in any overlapping Midwest geographies.
• Enhabit Inc. Enhabit is a publicly traded home health and hospice operator (spun off from Encompass Health) with hospice branches across numerous states. It competes in hospice four-level care delivery with similar referral-based GTM.

Regional players

• National HealthCare Corporation: NHC operates skilled nursing and assisted living facilities plus hospice services across the Southeast and Midwest. Its hospice segment overlaps with St. Croix's facility-based hospice delivery in shared Midwest geographies.

Market position

Strengths5 records

Weaknesses2 records

Competitive moat4 records

Key risks5 records

Key highlights7 records

Customer concentration

• Facebookfacebook.com/stcroixhospice
• LinkedInlinkedin.com/company/st-croix-hospice
• Pinterestpinterest.com/stcroixhospice
• Xx.com/stcroixhospice

Compliance3 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles10 records

Subsidiaries1 record

Funding overview

Funding rounds1 record

Investors1 record

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A4 records

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about St. Croix Hospice