Horizon Hospice & Palliative Care

What Horizon Hospice & Palliative Care does

Horizon Hospice & Palliative Care is a for-profit, founder-owned hospice and palliative care provider founded in 1998 by Loren and Beth Guske, headquartered at 608 E. Holland Ave., Spokane, Washington, and serving all of Spokane County. The company's core product is in-home hospice care for patients with a physician-confirmed terminal prognosis of six months or less, delivered by an interdisciplinary team of registered nurse case managers, MSW-credentialed social workers, chaplains, nurse aides, a medical director, and trained volunteers. It also offers a dedicated palliative care program for patients with serious illness (heart disease, lung conditions, dementia, cancer, kidney disease) who continue curative treatment, plus ancillary service lines including Grief Support (support groups, individual counseling, HelpTexts 13-month messaging, annual memorial) and a Veteran Honoring Program conducted with the Fairchild Air Force Base Honor Guard.

The business model is reimbursement-driven rather than technology-driven. Horizon generates revenue primarily through Medicare Part A, Medicaid, and private insurance hospice benefits, billing on a per-diem basis for routine home care, with no proprietary technology platform, no API or mobile application, and no disclosed data or AI assets. Go-to-market is sales-led via direct outreach to physicians, hospitals, skilled nursing facilities, assisted living communities, and adult family homes across Spokane County, supplemented by community education, social media presence (Facebook, Instagram, LinkedIn, Twitter), and word-of-mouth from families. Nursing intake is available 24/7 with admits scheduled seven days a week and free in-home assessments.

Horizon differentiates on quality and visit intensity rather than technology or scale: it is the only 5-Star Medicare-rated hospice in Spokane County (as of May 2023), ranks #1 in Washington State for the most visits delivered to patients in their last week of life per Medicare Claims Report and CMS Quality Data, and reports providing 35% more care than peer hospices including non-profits while operating on lower net funding as a for-profit entity. It has also received perfect (zero-deficiency) inspection scores from both the Washington State Department of Health and the Federal CMS Medicare Program. The organization has remained privately held with no disclosed funding rounds, no M&A activity, and no geographic expansion beyond Spokane County.

Name

Horizon Hospice & Palliative Care

Legal name

Horizon Hospice & Palliative Care

Website

https://horizonhospice.com

Company type

Private

Founded year

1998

Operating status

Operating

Headcount range

51–100 employees

Short description

Horizon Hospice & Palliative Care is a founder-owned, for-profit hospice and palliative care provider founded in 1998 and serving Spokane County, Washington. It delivers in-home end-of-life and serious-illness care through an interdisciplinary clinical team, reimbursed primarily via Medicare Part A, Medicaid, and private insurance.

Ownership category

akta.pro rank

Product category

Hospice & Palliative Care Services

NAICS

Services for the Elderly and Persons with Disabilities (624120), Ambulatory Health Care Services (621)

SIC

Services-Home Health Care Services (8082), Services-Nursing & Personal Care Facilities (8050), Services-Health Services (8000)

akta.pro primary industry

In-Home Hospice Physician / Nurse Practitioner Visits (HSABAFAM)

akta.pro secondary industries

Non-Hospice Serious-Illness / Community-Based Palliative Care (In-Home) (HSABAFAF), End-of-Life 24/7 In-Home Care (Hospice Support) (HSABAHAG), Hospice Care in Assisted Living / Residential Care Facilities (HLADAHAE), End-of-Life Planning & Hospice/Palliative Care Coordination (HLADALAL)

Keywords

• Hospice care services
• Palliative care services
• End-of-life care
• Bereavement support services
• Veteran recognition program

Headquarters

HQ city

Spokane

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Marketing or Sales, Infrastructure, Others

Revenue model

1. Government Healthcare Programs: Horizon Hospice generates revenue primarily through Medicare Part A, Medicaid, and most private insurance plans. Services are largely covered under these government healthcare programs, with the majority of insurance plans including hospice benefits. The organization provides services regardless of ability to pay, covering medications, equipment, and supplies related to the hospice illness.

Pricing tiers

Go-to-market motion1 record

Distribution channels1 record

Marketing channels8 records

Core offering

Horizon Hospice & Palliative Care provides hospice care for patients with a terminal prognosis of six months or less, palliative care for individuals with serious illness pursuing curative treatment, grief/bereavement support, a veteran honoring program, and volunteer services. Care is delivered wherever patients call home throughout Spokane County, Washington, by an interdisciplinary team of nurses, social workers, chaplains, and aides, with 24/7 RN availability.

Product overview

Horizon Hospice & Palliative Care is a hospice and palliative care service provider serving Spokane County since 1998. The company offers two core service lines: Hospice Care for patients with a terminal prognosis of six months or less, focusing on comfort and quality of life; and Palliative Care for individuals with serious illness who may still be pursuing curative treatments. These core services are supported by grief support programs (grief support groups and individual counseling), a veteran honoring program, and volunteer services for patient companionship and practical assistance.

Differentiator

Problem solved

Functional benefit

Products and services

• Hospice Care

Quantifiable outcome

• Ranks #1 in Washington State for most visits to patients in their last week of life
• +2 more outcomes

Named customers2 records

Segments4 records

Ideal customer profiles4 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.

• Fairchild Air Force Base Honor GuardcoreOthersUniformed Honor Guard members from Fairchild Air Force Base participate in veteran recognition ceremonies for hospice patients who have served in the military. These ceremonies include a framed achievement certificate, lapel pin presentation, and a blanket depicting the insignia of each branch of service.

Scale indicators6 records

Recent moves6 records

Expansion highlights4 records

Broad incumbents

• Gentiva Hospice (CenterWell): Gentiva is one of the largest U.S. hospice and palliative care providers, operating across dozens of states with a similar in-home interdisciplinary care model. Comparable to Horizon because both deliver hospice services with RN-led teams in patients' homes and accept Medicare/Medicaid, though Gentiva operates at vastly greater scale and geographic breadth.
• Amedisys Hospice: Amedisys is a national home health and hospice operator with similar in-home hospice service lines, Medicare-dependent revenue model, and interdisciplinary team approach. Relevant peer because Horizon competes for the same Medicare hospice beneficiaries and serves overlapping patient profiles (terminal prognosis, comfort care) under comparable reimbursement mechanics.
• VITAS Healthcare (Chemed): VITAS is the largest U.S. hospice provider, owned by Chemed Corp, and operates an in-home hospice model very similar to Horizon's, including 24/7 clinical access and Medicare-dependent revenue. Comparable as a direct competitor archetype, though at national scale versus Horizon's single-county Spokane footprint.
• Encompass Health Hospice: Encompass Health is a large national post-acute care operator with a hospice segment offering in-home hospice and palliative care. Comparable to Horizon because both provide home-based hospice to terminally ill patients with Medicare reimbursement, although Encompass operates at much larger scale across many states.
• Addus HomeCare (hospice segment): Addus HomeCare provides personal care, hospice, and home health services across multiple states, with Medicare/Medicaid-dependent hospice revenue. Comparable to Horizon because both operate in-home hospice models serving elderly and disabled populations under similar reimbursement frameworks.
• Heartland Hospice (ProMedica): Heartland Hospice, part of ProMedica's post-acute network, operates in-home hospice services across many states with an interdisciplinary team approach similar to Horizon's. Comparable because both deliver Medicare-reimbursed hospice care to terminally ill patients in their homes and compete for similar referral sources.

Direct peers

• Compassus Hospice & Palliative Care: Compassus operates hospice, palliative, and home health services across multiple U.S. states with a mission-driven, interdisciplinary care model. Highly comparable to Horizon because both emphasize whole-person care, serve terminally ill patients in their homes, and rely on Medicare hospice benefit reimbursement with similar clinical staffing models.
• Brookdale Hospice: Brookdale operates hospice and home health services, often co-located with its senior living communities. Comparable to Horizon because both serve terminally ill elderly patients in their residences (including assisted living facilities), use interdisciplinary hospice teams, and accept Medicare hospice benefit. Brookdale is much larger but the care delivery model overlaps significantly.
• St. Croix Hospice: St. Croix Hospice is a regional hospice provider with a similar interdisciplinary care model, 24/7 RN availability, and community-based in-home hospice delivery. Highly comparable to Horizon because both are mid-size, mission-driven hospice operators focused on quality outcomes and community reputation rather than national scale.

Others

• National Hospice and Palliative Care Organization (NHPCO): NHPCO is the national trade association for hospice and palliative care providers in the U.S. While not a commercial competitor, NHPCO is relevant as the industry body whose quality standards, advocacy, and CMS engagement shape the regulatory and reimbursement environment Horizon operates in. Useful peer for benchmarking standards and policy exposure.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xtwitter.com/_HorizonHospice
• Facebookfacebook.com/HorizonHospiceSpokaneWA
• LinkedInlinkedin.com/company/horizon-hospice
• Instagraminstagram.com/horizonhospicepalliativecare

Revenue estimate

Valuation estimate

Number of profiles

Profiles3 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 Hospice & Palliative Care