Visiting Nurse Home & Hospice

What Visiting Nurse Home & Hospice does

Visiting Nurse Home & Hospice (VNHH) is an independent, non-profit home health and hospice agency founded in 1950 in Newport, Rhode Island, originally as the Newport Public Health Nursing Association. The organization provides intermittent skilled home care, hospice, palliative care, rehabilitation therapies (physical, occupational, speech, and dietary), maternal and child health services, telemonitoring, and a Personal Emergency Response System (Lifeline) to a patient base spanning mothers and newborns through seniors with chronic or terminal illness. As of August 2020, VNHH maintained an average daily census of more than 900 patients across Rhode Island and southeastern Massachusetts, served by 300+ employees operating from four offices (Portsmouth HQ, Middletown, North Kingstown, and Swansea, MA). The agency is the only remaining independent non-profit home health provider in Rhode Island and is accredited by The Joint Commission.

The service portfolio is organized around core skilled nursing and therapy delivery, augmented by specialty clinical teams for stroke recovery, Parkinson's (LSVT BIG & LOUD), vestibular disorders, wound care, cardiac, diabetes, and chronic care management. Remote patient monitoring is delivered through HomMed home devices that transmit blood pressure, heart rate, weight, oxygen saturation, and temperature daily to a central nursing station reviewed seven days a week. Philips Lifeline PERS is offered as a subscription product ($29.99/month standard, $42.99/month with fall detection). Specialty certifications include three Wound Care Certified RNs and three LSVT-certified clinicians. The First Connections program, funded by the Rhode Island Department of Health and Department of Human Services, delivers free maternal-child home visits in Newport County.

Revenue is generated primarily through Medicare, Medicaid, and private insurance reimbursement for physician-authorized home health, hospice, and palliative services, supplemented by government grants (First Connections), subscription revenue from Lifeline and telemonitoring, and tax-deductible donations including an "Adopt a Lifeline" program at $444 per year. The go-to-market model relies on referral pipelines from hospital discharge planners in Rhode Island and southern Massachusetts, plus direct phone intake available 24/7. The agency is governed by a Board of Directors led by President Mark Hough and CEO Jennifer W. Fairbank, with a C-suite including Chief HR, Chief Clinical Operations, and Chief Quality & Compliance Officers.

Name

Visiting Nurse Home & Hospice

Legal name

Visiting Nurse Home & Hospice

Website

https://visitingnursehh.org

Company type

Private

Founded year

1950

Operating status

Operating

Headcount range

251–500 employees

Short description

Visiting Nurse Home & Hospice is an independent, non-profit home health and hospice agency delivering skilled nursing, rehabilitation, palliative, and hospice care to more than 900 daily patients across Rhode Island and southeastern Massachusetts, with 300+ employees.

Ownership category

akta.pro rank

Product category

Home Healthcare and Hospice Services

NAICS

Home Health Care Services (6216), Services for the Elderly and Persons with Disabilities (624120)

SIC

Services-Home Health Care Services (8082), Services-Health Services (8000)

akta.pro primary industry

Home Hospice Agencies (HLAFAEAC)

akta.pro secondary industries

Medicare-Certified Skilled Nursing Visits (RN/LPN) (HSABACAA), Routine In-Home Hospice Care (HSABAFAA), Maternal/Newborn & Postpartum Skilled Home Visits (HSABACAK), In-Home Hospice Physician / Nurse Practitioner Visits (HSABAFAM)

Keywords

• Home health services
• Hospice care
• Palliative care
• Rehabilitation therapy
• Telemonitoring services

Headquarters

HQ city

Middletown

HQ country

United States

HQ region

North America

Offices4 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Home Care Services: Intermittent home care covered by Medicare, Medicaid, and private insurance when authorized by a physician. Services provided by professionals and paraprofessionals.
2. Personal Emergency Response System (Lifeline): Monthly subscription service at $29.99/month standard, $42.99/month with fall detection. No long-term contracts.
3. Government Grants and Funding: Partially funded by Rhode Island Department of Health and Rhode Island Department of Human Services for First Connections program.
4. Donations: Not-for-profit accepts donations including 'Adopt a Lifeline' program ($444/year to provide Lifeline service to those who cannot afford it).

Pricing tiers

Go-to-market motion1 record

Distribution channels4 records

Marketing channels4 records

Core offering

Visiting Nurse Home & Hospice delivers intermittent skilled home health care, rehabilitation therapies (physical, occupational, speech, and dietary), palliative care, hospice care, and community health programs across Rhode Island and southeastern Massachusetts. Services are delivered by registered nurses, certified nursing assistants, therapists, medical social workers, and dietitians, supported by HomMed telemonitoring and the Philips Lifeline personal emergency response system. The agency also runs specialized clinical teams for wound care, cardiac, diabetes, stroke, Parkinson's, and vestibular conditions, plus a First Connections maternal-child home visiting program.

Product overview

Visiting Nurse Home & Hospice is an independent, non-profit home health agency providing a comprehensive suite of home healthcare and hospice services across Rhode Island and southeastern Massachusetts. The organization operates as a multi-service healthcare provider offering Home Care (intermittent skilled nursing and paraprofessional services), Rehabilitation Services (physical, occupational, speech therapy, and dietary counseling with specialty teams for stroke, Parkinson's, and vestibular conditions), Palliative Care, Hospice, Community Health programs, and specialized services including Telemonitoring via HomMed monitors and Personal Emergency Response Systems via Philips Lifeline. Maternal/Child Health services and the First Connections Program provide targeted care for pregnant women, new mothers, and pediatric patients. Specialty teams including Wound Care, Cardiac, Diabetes, and Chronic Care Management provide disease-specific expertise. The agency employs over 200 healthcare professionals serving patients from mothers and newborns to seniors with chronic or terminal illnesses.

Differentiator

Problem solved

Functional benefit

Products and services

• Home Care Intermittent home healthcare provided by professionals and paraprofessionals including registered nurses, certified nursing assistants, home health aides, therapists, medical social workers, and dietitians for patients requiring special skills not ordinarily performed by lay persons. Covered by Medicare, Medicaid, and private insurance when authorized by a physician.
• Social Work Services
• Maternal/Child Health
• First Connections Program
• Personal Emergency Response System: Lifeline
• Telemonitoring
• Rehabilitation Services
• Palliative Care
• Hospice
• Community Health

Quantifiable outcome

• Average daily census of over 900 patients (August 2020)
• +2 more outcomes

Named customers2 records

Segments4 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration2 records

Feature5 records

Partnerships

Six partnerships are on record, tiered core and minor.

• Philips LifelinecoreChannel Partner/ Reseller/ DistributorPartnership with Philips Lifeline for Personal Emergency Response System. VNHH is a local provider installing, maintaining, and training subscribers on Lifeline equipment. When the transmitter is activated, a trained operator contacts the subscriber and dispatches appropriate emergency assistance.
• Rhode Island Department of HealthcoreStrategic or Co-development PartnerGovernment funder for First Connections maternal and child home visiting program. VNHH provides free, voluntary, confidential skilled nursing home visits to pregnant women and families with young children referred through this partnership.
• Rhode Island Department of Human ServicescoreStrategic or Co-development PartnerGovernment funder for First Connections maternal and child home visiting program in collaboration with RI Department of Health.
• National Hospice and Palliative Care OrganizationminorOthersProfessional membership organization for hospice and palliative care providers.
• The Joint CommissioncoreOthersHealthcare accreditation organization providing quality and safety certification for home health and hospice agencies.
• CareLink of Rhode IslandminorOthersRegional healthcare network and referral partnership for Rhode Island healthcare services.

Scale indicators4 records

Recent moves7 records

Expansion highlights6 records

Broad incumbents

• Compassus: Compassus is a national hospice, palliative, and home health provider operating across more than 30 states with both home-based and facility-based services. Comparable on hospice/palliative care delivery model and similar mix of RN-led interdisciplinary teams.
• Amedisys: Amedisys is one of the largest U.S. home health and hospice operators, now part of UnitedHealth/Optum, with hundreds of care centers nationwide. A broad incumbent competing with VNHH for hospital referrals in southern New England and serving as a useful scale benchmark for cost structure and technology adoption.
• LHC Group: LHC Group, also consolidated under UnitedHealth/Optum, operates a national network of home health, hospice, and home-based primary care locations. Comparable to VNHH on core service lines but at materially greater scale and capital resources, making it a key competitive benchmark.
• Aveanna Healthcare: Aveanna is a large home health, hospice, and private-duty nursing provider with national coverage. Comparable to VNHH on the pediatric and skilled nursing visit side, and representative of well-capitalized for-profit competitors in the same referral ecosystem.
• Encompass Health: Encompass Health operates inpatient rehabilitation hospitals and a home health and hospice segment. The home health/hospice arm competes for hospital discharge referrals in similar geographies and serves as a broader-incumbent benchmark for specialty rehabilitation offerings.

Direct peers

• HopeHealth: HopeHealth (formerly Hope Hospice & Palliative Care and Visiting Nurse Association of Rhode Island) is a non-profit hospice, palliative care, and home health provider serving Rhode Island and southeastern Massachusetts. It is the most direct geographic peer to VNHH given overlapping service lines, geography, and non-profit mission.
• The Pennant Group: Pennant operates home health, hospice, and senior living services across the western and southern U.S., spun off from Ensign Group. Comparable to VNHH on operating model and home health/hospice mix, with similar size per local agency and community-based positioning.
• VNA Care Network: VNA Care Network is a Massachusetts-based visiting nurse association providing home health, hospice, and palliative care across eastern and central Massachusetts. Comparable to VNHH as a regional non-profit visiting nurse agency with overlapping referral sources and similar service portfolio.
• Bayada Home Health Care: Bayada is one of the largest non-profit home health, hospice, and pediatric providers in the U.S., offering skilled nursing, therapy, and personal care services across multiple states. Closely comparable to VNHH on mission (independent non-profit), service mix, and reliance on referral-based hospital and physician partnerships.

Regional players

• Care New England Health System: Care New England is a Rhode Island-based hospital and physician network that is both a referral source and a potential competitor/partner for VNHH. Comparable as a regional Rhode Island healthcare ecosystem participant whose discharge-planning decisions directly shape VNHH's census.

Market position

Competitive moat5 records

Customer concentration

• Facebookfacebook.com/VisitingNurseHH.org
• LinkedInlinkedin.com/company/visiting-nurse-home-and-hospice

Compliance3 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles9 records

Funding overview

Funding rounds1 record

Investors1 record

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M&A

Investments

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

Frequently asked questions about Visiting Nurse Home & Hospice