Horizon Home Care & Hospice

What Horizon Home Care & Hospice does

Horizon Home Care & Hospice, Inc. is a not-for-profit, Medicare- and Medicaid-certified healthcare organization founded in 1990 and headquartered in Milwaukee, Wisconsin. It operates an integrated continuum of care that includes hospice services (delivered at home and at two inpatient units — the Lawlis Family Hospice in Mequon and the Kathy Hospice in West Bend), home care (skilled nursing, physical, occupational and speech therapy, home health aides, and medical social work), palliative care, and elder-care services including an Aging Life Care management offering and a Lifeline Program that distributes Phillips Personal Emergency Response System hardware to aging clients. The organization also operates the Grief Resource Center, described as Wisconsin's only walk-in grief counseling center, which provides free counseling, support groups, and educational programming to the public.

Horizon generates revenue from a mix of Medicare and Medicaid reimbursement (which covers 100% of hospice care and most qualifying home health services), private insurance, long-term care insurance, and out-of-pocket private pay at disclosed rates of $25–$30 per hour for aide/homemaker services and $100–$200 per visit for nursing and therapy. As a 501(c)-style not-for-profit, it also relies on donations, tribute giving, planned giving, and fundraising events such as the annual Matters of the Heart Gala to support programs like the Grief Resource Center. Pricing for the Lifeline program is quote-based and billed monthly.

The organization serves patients across eight southeastern Wisconsin counties (Milwaukee, Waukesha, Ozaukee, Sheboygan, Washington, Dodge, Racine, and Kenosha) and operates from three Milwaukee-area office locations plus two embedded inpatient hospice units. Its referral and governance structure is anchored by long-standing strategic hospital sponsorship from Ascension Columbia St. Mary's and Froedtert & the Medical College of Wisconsin, both of which have board representation. Horizon is Joint Commission accredited, runs a 200+-volunteer program, and is led by President & CEO Coleen Schmidt, with Mary Haynor serving as CEO-Emeritus.

Name

Horizon Home Care & Hospice

Legal name

Horizon Home Care & Hospice, Inc

Website

https://horizonhomecareandhospice.org

Company type

Private

Founded year

1990

Operating status

Operating

Headcount range

501–1,000 employees

Short description

Horizon Home Care & Hospice is a Milwaukee-based not-for-profit, founded in 1990, providing hospice, home care, palliative, and elder care services — including inpatient hospice units and a free grief counseling center — across eight southeastern Wisconsin counties.

Ownership category

akta.pro rank

Product category

Home Health & Hospice Services

NAICS

Home Health Care Services (62161), Home Health Care Services (6216), Continuing Care Retirement Communities and Assisted Living Facilities for the Elderly (62331)

SIC

Services-Home Health Care Services (8082), Services-Nursing & Personal Care Facilities (8050), Services-Misc Health & Allied Services, Nec (8090)

akta.pro primary industry

Home Hospice Agencies (HLAFAEAC)

akta.pro secondary industries

Residential Hospice / Hospice House (Facility-Based) (HLADAHAC), Hospice Care in Assisted Living / Residential Care Facilities (HLADAHAE), Home Hospice (Routine Home Care) (HLADAHAA), Bereavement, Grief & Family Support Services (Hospice-Linked) (HLAFAEAO), Respite Hospice Care (Short-Term Relief) (HSABAFAD)

Keywords

• Home health care
• Hospice services
• Palliative care
• Grief counseling
• Elder care

Headquarters

HQ city

Milwaukee

HQ country

United States

HQ region

North America

Offices5 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Marketing or Sales, Others

Revenue model

1. Medicare & Medicaid Reimbursement: Horizon is Medicare and Medicaid certified. Medicare covers nursing, physical therapy, speech therapy, and if one of these is covered, also pays for occupational therapy, aide, and social work services. Medicare and Medicaid pay for 100% of hospice care.
2. Private Insurance: Most private insurance plans, HMOs, and managed care organizations cover hospice care, typically at 100%. Employer insurance coverage varies with deductibles, co-pays, and annual visit limits.
3. Long-Term Care Insurance: Long-term care policies pay a certain amount per day for care in the home in addition to what Medicare covers, covering large blocks of time for meals, laundry, errands, personal care and supervision.
4. Private Pay / Out-of-Pocket: Any patient can pay privately for home care. Aide or homemaker type care usually ranges from $25-30 per hour depending on type of care desired. Nursing and therapy visits cost $100-200 per visit.
5. Donations & Fundraising: As a not-for-profit organization, Horizon relies on donations for programs like the Grief Resource Center. Donations come through online/mail contributions, tribute pages, planned giving, gifts of assets, and special campaigns.

Pricing tiers

Go-to-market motion1 record

Distribution channels4 records

Marketing channels6 records

Core offering

Horizon Home Care & Hospice is a not-for-profit healthcare organization providing in-home skilled nursing, therapy and caregiver services, hospice care delivered at home and at two inpatient units (Kathy Hospice in West Bend and Lawlis Family Hospice in Mequon), palliative care, elder care with Aging Life Care management, and the Lifeline personal emergency response program. It also operates the Grief Resource Center, Wisconsin's only walk-in grief counseling center, offering free counseling, support groups, and educational workshops. Revenue is generated through Medicare/Medicaid reimbursement, private insurance, private pay, and charitable donations.

Product overview

Horizon Home Care & Hospice is a not-for-profit healthcare organization offering an integrated portfolio of in-home and facility-based care services. The core offerings include Hospice Care (delivered at home, at two inpatient units—Lawlis Family Hospice in Mequon and Kathy Hospice in West Bend), Home Care (skilled nursing, therapy, and caregiver services), Palliative Care, and Elder Care (including the Lifeline emergency response program). The organization also operates Wisconsin's only walk-in Grief Resource Center providing free counseling and support services. Supporting services include a Volunteer Program with over 200 volunteers, Meals on Wheels delivery, and multiple donation channels. The organization was founded in 1990 and partners with Ascension Columbia St. Mary's and Froedtert & the Medical College of Wisconsin health network.

Differentiator

Problem solved

Functional benefit

Brands

• Grief Resource Center: Wisconsin's only walk-in grief counseling center dedicated to grief, bereavement and healing. Provides free services including counseling, support groups, resource library, and educational workshops.
• Lifeline Program

Products and services

• Hospice Care

Quantifiable outcome

• Over $90,000 raised at Matters of the Heart Gala 2011 to support Grief Resource Center

Named customers3 records

Segments5 records

Ideal customer profiles5 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration2 records

Feature1 record

Partnerships

Five partnerships are on record, tiered core and minor.

• Ascension Columbia St. Mary's HospitalcoreStrategic or Co-development Partner · 1 January 1990Ascension Columbia St. Mary's Hospital is a current hospital sponsor of Horizon. Horizon was created in 1990 by Columbia Hospital and St. Mary's Hospital among others. Today, Ascension Columbia St. Mary's and Froedtert & MCW are the current hospital sponsors with board representation.
• Froedtert & the Medical College of WisconsincoreStrategic or Co-development Partner · 1 January 1990Froedtert Memorial Lutheran Hospital was a founding hospital of Horizon in 1990. Today, Froedtert & MCW health network continues as a hospital sponsor with board representation. Horizon operates the Kathy Hospice at Froedtert West Bend Hospital.
• The Orthopaedic Hospital of WisconsinminorOthersSister organization partially owned by one of Horizon's sponsor hospital systems. Part of the Horizon family of organizations.
• Aging Life Care AssociationminorStrategic or Co-development PartnerHorizon's Aging Life Care Manager Charity Yoder is a member of the Aging Life Care Association. Sister organization partially owned by sponsor hospital systems.
• Dynacare LaboratoriesminorOthersSister organization partially owned by one of Horizon's sponsor hospital systems. Part of the Horizon family of healthcare organizations.

Scale indicators5 records

Recent moves1 record

Expansion highlights5 records

Direct peers

• Agrace HospiceCare: Wisconsin-based non-profit hospice and palliative care provider serving south-central Wisconsin. Closest geographic and mission peer to Horizon, with overlapping hospital partnerships and a similar donor-supported model.
• Compassus: National hospice, palliative, and home health provider with both non-profit and for-profit affiliate structures. Directly comparable hospice and palliative service offering including inpatient hospice capacity and grief support programs.
• St. Croix Hospice: Regional hospice provider operating across the Upper Midwest including Wisconsin, offering routine home hospice, inpatient hospice, and grief support. Closely comparable geographic footprint and service mix.

Broad incumbents

• VITAS Healthcare: Largest U.S. hospice provider (a subsidiary of Chemed Corp.), offering routine home hospice, inpatient hospice, and palliative care nationally. Comparable core service lines to Horizon's hospice and palliative offerings, though operating at vastly greater scale.
• Amedisys: Public home health and hospice operator with a similar mix of skilled home nursing, therapy, and hospice services. Directly comparable product portfolio and reimbursement model, with broader geographic reach than Horizon.
• Enhabit: Public home health and hospice operator spun off from Encompass Health. Offers Medicare-certified home health and hospice services that mirror Horizon's home care and hospice product lines at a larger national scale.
• Heartland Hospice: Hospice and palliative care provider (part of ProMedica / Gentiva) operating across the Midwest. Comparable hospice service model and Medicare reimbursement profile to Horizon's hospice business.

Regional players

• ProHealth Home Care: Wisconsin-based home health and hospice services line of ProHealth Care (Waukesha-based system). Direct competitor in Horizon's overlapping service area with comparable hospital-sponsored, non-profit-like structure.
• Aurora Health Care Home Health: Home health and hospice arm of Advocate Aurora Health, serving southeastern Wisconsin. Directly competes with Horizon for hospital discharges and home-based skilled nursing referrals in the same Milwaukee-area counties.

Emerging players

• Moments Hospice: Fast-growing regional hospice operator with locations across the Midwest, offering routine home hospice, respite, and grief services comparable to Horizon's hospice product set but at an earlier stage of scale.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• Facebookfacebook.com/HorizonHCH
• LinkedInlinkedin.com/company/horizon-home-care-&-hospice
• Instagraminstagram.com/horizonhch
• Xx.com/horizonhch

Compliance3 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles8 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 Horizon Home Care & Hospice