Hillcrest Health Services

What Hillcrest Health Services does

Hillcrest Health Services (operating as Hillcrest Health & Living) is a privately held, for-profit senior living and post-acute healthcare provider founded in 1988 and headquartered in Bellevue, Nebraska. The company operates the Omaha region's largest continuum of senior living and health care services under founder Jolene Mathison-Roberts, spanning 20+ locations across Nebraska and Iowa with 1,001-5,000 employees. Its service portfolio covers 10 distinct lines: independent living, assisted living, memory care, long-term care, post-acute rehabilitation, respite care, adult day services, skilled home health, hospice, and in-home care.

The core operating model is a Continuing Care Retirement Community (CCRC) anchored by the 44-acre Hillcrest Country Estates campus in Papillion, which features the Grand Lodge (102 independent living apartments), Signature Villas, the Cottages (eight 13-resident households including Dimensions memory care cottages), and a freestanding Rehab Cottage. The cottage household model with 13 residents per household is the first licensed long-term care dementia program in a cottage setting in Nebraska and is nationally recognized for quality-of-life outcomes. Additional facilities include Hillcrest Highlands of Gretna, Hillcrest Firethorn (Lincoln), Hillcrest Mable Rose (Bellevue), Hillcrest Health & Rehab, Hillcrest Millard, Hillcrest Shadow Lake, The Club Adult Day Services, Hillcrest Home Care, Hillcrest Hospice, and Hillcrest Caring Companions, supported by partner integrations with Innovate Physical Therapy and Advanced Mobile Medicine.

Revenue is generated through monthly residential fees at all-inclusive pricing ($3,890-$8,175/month depending on care level and location), Medicare/Medicare Advantage/private insurance reimbursements for skilled nursing and post-acute rehabilitation (average stays 14-24 days), and fee-for-service home health, hospice, and adult day services. Distribution is direct-to-consumer through on-campus sales teams, community events (Dine & Discover evenings, support groups), website tour scheduling, hospital referrals, and a recently added Silver Ridge property. The company has earned multiple AHCA/NCAL Bronze Quality Awards (2023, 2026) and a National Quality Award (2025) across its facilities.

Name

Hillcrest Health Services

Legal name

Hillcrest Health & Living

Website

https://hillcresthealth.com

Company type

Private

Founded year

1997

Operating status

Operating

Headcount range

1,001–5,000 employees

Short description

Hillcrest Health Services is a privately held Nebraska-based senior living and post-acute healthcare operator running the Omaha region's largest continuum of care across 20+ facilities, serving aging adults with independent living, assisted living, memory care, skilled nursing, rehabilitation, home health, and hospice services.

Ownership category

akta.pro rank

Product category

Senior Living and Healthcare Services

NAICS

Continuing Care Retirement Communities (623311), Assisted Living Facilities for the Elderly (623312), Nursing and Residential Care Facilities (623), Home Health Care Services (6216)

SIC

Services-Nursing & Personal Care Facilities (8050), Services-Skilled Nursing Care Facilities (8051), Services-Home Health Care Services (8082)

akta.pro primary industry

Luxury / High-End Assisted Living Communities (HLADABAD)

akta.pro secondary industries

Luxury/Resort-Style Independent Living Communities (HLADAAAC), Independent Living with Supportive Services (Light ADL/IADL Support) (HLADAAAE), Home & Community-Based Services (HCBS) Coordination & Case Management (HSABAIAM)

Keywords

• Senior living services
• Assisted living care
• Memory care programs
• Skilled nursing services
• Post-acute rehabilitation

Headquarters

HQ city

Bellevue

HQ country

United States

HQ region

North America

Offices7 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Infrastructure, Marketing or Sales, Supply Chain, Others

Revenue model

1. Monthly Residential Fees: Monthly rental fees for independent living, assisted living, and memory care services. Pricing varies by location, floor plan, and care level. All-inclusive pricing at most locations covers housing, utilities, meals, housekeeping, and care services.
2. Skilled Nursing and Rehabilitation Services: Post-acute rehabilitation and long-term skilled nursing care billed through Medicare, Medicare Advantage, private insurance, and long-term care insurance. For qualifying Medicare guests, first 20 days typically covered in full.
3. Adult Day Services: Flexible weekday adult day services with pricing based on frequency of attendance. Accepts private pay, long-term care insurance, and Medicaid.
4. Home Health Services: Skilled home health care services provided through Hillcrest Home Care locations in Omaha and Lincoln, providing transitions from facility to home care.

Pricing tiers

Go-to-market motion2 records

Distribution channels4 records

Marketing channels8 records

Core offering

Hillcrest Health Services operates a multi-facility senior living and healthcare network across Nebraska and Iowa, delivering a full continuum of care including independent living, assisted living, memory care, long-term skilled nursing, post-acute rehabilitation, adult day services, skilled home health, in-home care, respite care, and hospice. Services are delivered through owned communities such as Hillcrest Country Estates, Grand Lodge, Hillcrest Highlands of Gretna, Hillcrest Firethorn, Hillcrest Mable Rose, Hillcrest Health & Rehab, Hillcrest Millard, and Hillcrest Shadow Lake, with pricing structured as monthly all-inclusive residential fees plus Medicare/insurance billing for skilled nursing and rehabilitation.

Product overview

Hillcrest Health Services is a comprehensive senior living and healthcare services provider offering the Omaha region's largest continuum of care for aging adults in Nebraska and Iowa. The company operates on a multi-facility, multi-service model consisting of 10 distinct service lines (Adult Day Services, Assisted Living, Hospice Care, In-Home Care, Independent Living, Long-Term Care, Memory Care, Post-Acute Rehab, Respite Care, and Skilled Home Health) delivered through a network of owned and partnered facilities. Key facilities include Hillcrest Country Estates (a 44-acre CCRC featuring The Cottages, Dimensions Memory Care Cottages, Rehab Cottage, Grand Lodge, and Signature Villas), Hillcrest Highlands of Gretna, Hillcrest Firethorn, Hillcrest Mable Rose, The Club Adult Day Services, Hillcrest Health & Rehab, Hillcrest Millard, Hillcrest Shadow Lake, Hillcrest Home Care, Hillcrest Hospice, Hillcrest Caring Companions, and partner locations Innovate Physical Therapy and Freedom Village of Bellevue. Services range from independent maintenance-free living to 24-hour skilled nursing and end-of-life hospice care, enabling residents to transition seamlessly through care levels as their needs change.

Differentiator

Problem solved

Functional benefit

Products and services

• Independent Living Maintenance-free apartment and villa living for active seniors, typically including utilities, maintenance, amenities, and access to social activities without hands-on care services. Delivered at Grand Lodge, Signature Villas, Hillcrest Highlands of Gretna, Independent Living Cottage Apartments, and Freedom Village of Bellevue.
• Assisted Living Residential care services providing privacy, comfort, and assistance with daily activities such as bathing, dressing, medication management, and meals in a community setting. Delivered at Oxford Assisted Living (Grand Lodge), Fraser Assisted Living (Hillcrest Highlands), and Hillcrest Mable Rose. All-inclusive pricing with no fluctuating care-level costs.
• Memory Care Specialized care programs for individuals with Alzheimer's disease and other dementias, featuring secure environments, trained staff, and tailored activities. Includes the Dimensions Cottage model (first licensed long-term care dementia program in a cottage setting in Nebraska), York/Lancaster households at Grand Lodge, MacKinnon Memory Care at Hillcrest Highlands, Rosarian households at Hillcrest Mable Rose, and Memory Lane at Hillcrest Shadow Lake. Uses Montessori dementia care techniques.
• Long-Term Care 24-hour skilled nursing care for individuals requiring ongoing support with daily activities, medical management, and daily living assistance in a residential setting. Includes the Cottage Household Model at Hillcrest Country Estates (eight cottages of 13 residents each), Magnolia Terrace and Magnolia Circle at Hillcrest Health & Rehab, and long-term care at Hillcrest Shadow Lake.
• Post-Acute Rehab Short-term rehabilitation services following hospitalization for recovery from illness, injury, or surgery, including physical, occupational, and speech therapy. Delivered by in-house therapy teams at Rehab Cottage (22 private suites), Hillcrest Firethorn (72 guests), Hillcrest Millard (76 guests), and Hillcrest Health & Rehab. Most guests participate in therapy 6-7 days per week, with average stays of 14-24 days.
• Adult Day Services Weekday daytime care services for aging adults living at home, providing activities, personal care, social connection, and meals between 7 a.m. and 6 p.m. Delivered at The Club at Hillcrest Mable Rose, Sarpy County's only state-licensed adult day services center. Accepts private pay, long-term care insurance, and Medicaid.
• Respite Care Temporary care services providing relief for family caregivers, allowing them to take breaks while their loved ones receive professional care. Delivered across the Hillcrest continuum of care.
• In-Home Care Non-medical care services provided in the patient's home through Hillcrest Caring Companions to help with daily activities, offering flexibility for seniors who prefer to age in place.
• Skilled Home Health Medical and therapeutic care services provided in the patient's home by licensed professionals through Hillcrest Home Care in Omaha and Lincoln, including nursing, therapy, and personal care with seamless transitions from facility care.
• Hospice Care End-of-life care services providing supportive care, symptom management, and comfort for individuals with terminal illness, delivered in various settings including facilities and homes through Hillcrest Hospice.

Quantifiable outcome

• Most post-acute rehabilitation guests return home within 14-24 days
• +3 more outcomes

Named customers10 records

Segments7 records

Ideal customer profiles6 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature5 records

Partnerships

Four partnerships are on record, tiered minor and core.

• CHI Midlands HospitalminorStrategic or Co-development Partner · 1 January 2016CHI Midlands Hospital is located near Hillcrest Shadow Lake in Papillion, providing convenient access for medical appointments and care coordination for local residents.
• University of Nebraska Medical CentercoreStrategic or Co-development PartnerGeriatric board-certified medical director at Dimensions Cottages is affiliated with University of Nebraska Medical Center, providing academic medical oversight for dementia care programming.
• Innovate Physical TherapycoreStrategic or Co-development PartnerOutpatient physical therapy services available on Hillcrest campuses. Provides seamless transitions from post-acute rehab to outpatient therapy. Also offers Innovate at Home services for residents in local independent/assisted living communities.
• Hillcrest HospicecoreStrategic or Co-development PartnerEnd-of-life care and symptom management services provided through Hillcrest Hospice partnership at Hillcrest Firethorn, Hillcrest Millard, and other locations. Supports residents requiring additional comfort and peace of mind.

Scale indicators17 records

Recent moves6 records

Expansion highlights5 records

Direct peers

• Genesis Healthcare: National skilled nursing and senior living operator directly comparable to Hillcrest's skilled nursing cottage and long-term care service line.
• National HealthCare Corporation: Skilled nursing, assisted living, and home care operator with a continuum model similar to Hillcrest's skilled nursing cottages and home health services.
• LCS (Life Care Services): National CCRC and senior living management company operating a continuum-of-care model similar to Hillcrest. Directly comparable on integrated IL/AL/SNF service delivery and CCRC economics.
• Atria Senior Living: Luxury-focused assisted living and memory care operator with resort-style amenities comparable to Hillcrest Grand Lodge and Signature Villas. Closest match on premium AL/MC positioning and pricing tier.
• Sunrise Senior Living: Premium assisted living and memory care operator with a strong continuum model. Comparable on upscale AL/MC service delivery and emphasis on personalized care.
• Senior Lifestyle: Regional senior living operator offering IL, AL, memory care, and skilled nursing across multiple states. Similar mid-size continuum model and private operating profile to Hillcrest.
• The Ensign Group: Post-acute rehab, skilled nursing, and senior living operator with a strong therapy-led service model comparable to Hillcrest's in-house therapy approach and SNF cottages.
• Encompass Health: Largest owner and operator of inpatient rehabilitation hospitals in the US, directly comparable to Hillcrest's post-acute rehab focus at Firethorn, Millard, and Rehab Cottage.

Broad incumbents

• Brookdale Senior Living: Largest US senior living operator offering IL, AL, memory care, skilled nursing, and home health across hundreds of communities. Comparable multi-service continuum but at much broader national scale.

Regional players

• Vetter Senior Living: Nebraska-based senior living and skilled nursing operator with a multi-facility continuum model in the same geography. Most direct regional comparable for Hillcrest's Nebraska-focused footprint.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xx.com/hillcresthealth
• Facebookfacebook.com/hillcresthealth

Compliance7 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 record

Subsidiaries14 records

Funding overview

Funding rounds

Investors

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

M&A

Investments

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

Frequently asked questions about Hillcrest Health Services