Transitions
Transitions Care is a privately held, multi-state hospice and palliative care provider serving terminally and chronically ill patients across Illinois, Indiana, Michigan, Ohio, and Pennsylvania, reimbursed primarily through Medicare, Medicaid, and commercial insurance.
- Company typePrivate
- Founded2007
- HeadquartersNaperville, United States
- Headcount501–1,000
- GTM typeB2C
- OfferingServices
What Transitions does
Transitions Care, founded in 2007 by Jim Palazzo under the Transitions Group conglomerate, is a privately held hospice and palliative care provider headquartered in Naperville, Illinois (corporate address in Peoria) with operations across five states: Illinois, Indiana, Michigan, Ohio, and Pennsylvania. The company serves terminally ill patients (prognosis of six months or less) and chronically ill patients needing pain and symptom management, plus their families and caregivers, through home-based and facility-based delivery across more than a dozen regional offices. Core service lines are End-of-Life (Hospice) Care, Palliative Care / Primary Care and Symptom Management, and the Transitions Home Medical Group (THMG) palliative division, supported by add-on modules including 13-month bereavement support, a Life Enrichment program, telehealth with Remote Physiologic Monitoring, and a five-track volunteer program (Companionship, Vigil, Family Support, Office, and Animal-Assisted).
The underlying technology platform is built on two EMRs — HomeCare HomeBase for hospice and NextGen for palliative care — connected through an interoperability layer that includes Muse, Forcura, RSL, Acclivity, and Referral Source Link. Trella Health Marketspace provides referral intelligence on 100% Medicare fee-for-service data. The company has migrated off legacy WellSky and Practice Fusion systems and added a CTO-led technology function to support multi-state scale.
The business model is reimbursement-driven: hospice is billed primarily under Medicare Part A's Hospice Benefit, with Medicaid, private insurance, and VA Benefits as additional payors, and palliative care under Medicare Part B and commercial coverage. Services are provided at no direct cost to patients or families. Patient acquisition is referral-led (hospitals, physicians, oncology practices, senior living operators) with named strategic partners including Affiliated Oncologists and Prime Care Physicians. The company is funded through its parent conglomerate (Transitions Group); no external institutional capital or PE backing is disclosed. Growth to date has been funded organically and through tuck-in acquisitions (Pilgrimage Hospice in 2021, Cardinal Hospice in 2022), reaching a 500 daily patient census by 2021.
Transitions firmographics
Firmographics- Name
- Transitions
- Legal name
- Transitions Hospice LLC
- Website
- https://transitionscare.com
- Company type
- Private
- Founded year
- 2007
- Operating status
- Operating
- Headcount range
- 501–1,000 employees
- Short description
- Transitions Care is a privately held, multi-state hospice and palliative care provider serving terminally and chronically ill patients across Illinois, Indiana, Michigan, Ohio, and Pennsylvania, reimbursed primarily through Medicare, Medicaid, and commercial insurance.
- Ownership category
- akta.pro rank
Transitions industry classification
Industry- Product category
- Hospice and Palliative Care Services
- NAICS
- Home Health Care Services (62161), Services for the Elderly and Persons with Disabilities (624120)
- SIC
- Services-Home Health Care Services (8082), Services-Health Services (8000)
- akta.pro primary industry
- Routine In-Home Hospice Care (HSABAFAA)
- akta.pro secondary industries
- Home Hospice Agencies (HLAFAEAC), Respite Hospice Care (Short-Term Relief) (HSABAFAD), Medication Reconciliation & Transition-of-Care Support (HSABALAE)
Keywords
Where Transitions is headquartered
LocationHeadquarters
- HQ city
- Naperville
- HQ country
- United States
- HQ region
- North America
Offices6 records
Markets served
Transitions business model
Business model- GTM type
- B2C
- Offering type
- Services
- Cost components
- Personnel, Operations, Technology or R&D, Supply Chain, Marketing or Sales, Infrastructure
Revenue model
- Medicare Part A Hospice Benefit: Hospice care covered under Medicare Part A for patients with terminal illness and life expectancy of 6 months or less
- Medicaid: State Medicaid programs cover hospice and palliative care services for eligible individuals
- Private Insurance: Most private insurance benefits cover hospice and palliative care services
- VA Benefits: Veterans Affairs benefits cover hospice care for eligible veterans
- Medicare Part B: Palliative care services covered under Medicare Part B for symptom management
Go-to-market motion1 record
Distribution channels3 records
Marketing channels6 records
Transitions product offering
Product offeringCore offering
Transitions Care is a multi-state hospice and palliative care provider that delivers end-of-life care, symptom management, and primary care to terminally and chronically ill patients in their homes, assisted living facilities, skilled nursing facilities, and hospitals. Services are rendered by 24/7 interdisciplinary clinical teams and supported by ancillary programs including life enrichment, bereavement support, telehealth with remote physiologic monitoring, and durable medical equipment through AdvaCare. The company operates across Illinois, Indiana, Michigan, Pennsylvania, and Ohio, accepting referrals from hospitals, physicians, oncology practices, and direct patient/family inquiries, with billing handled primarily through Medicare, Medicaid, VA benefits, and private insurance.
Product overview
Transitions Care operates as a hospice and palliative care provider with a unified service model built around three core offerings: End of Life Care (Hospice) for patients with terminal diagnoses, Palliative Care / Primary Care and Symptom Management for patients at any stage of serious illness, and Transitions Home Medical Group (THMG) as the palliative care division. These core services are supported by add-on modules including Life Enrichment activities, Grief and Bereavement Support, Telehealth with Remote Physiologic Monitoring, Medical Equipment and Supplies, and five Volunteer Programs (Companionship, Vigil, Family Support, Office Assistance, and Animal-Assisted). The company utilizes HomeCare HomeBase for hospice EMR and NextGen for palliative care EMR, with interoperability through interfaces including Trella Health/Marketspace, Muse, Forcura, RSL, and Acclivity. Founded in 2007, Transitions has expanded from Illinois to serve Indiana, Michigan, Ohio, and Pennsylvania through organic growth and acquisitions including Cardinal Hospice and Pilgrimage Hospice.
Differentiator
Problem solved
Functional benefit
Products and services
- End of Life Care (Hospice) Hospice care services for patients with terminal diagnoses and six months or less life expectancy. Provides comprehensive interdisciplinary team care including physicians, nurses, CNAs, social workers, chaplains, volunteers, and bereavement specialists. Covered under Medicare Part A, Medicaid, most private insurances, and VA benefits; typically provided at no cost to the patient or family.
- Palliative Care / Primary Care and Symptom Management Specialized pain and symptom management for patients at any stage of serious illness. Available 24/7, providing customized care plans, emotional and spiritual support, caregiver education, and assistance navigating the healthcare system. Covered under Medicare Part B and other payers.
- Transitions Home Medical Group (THMG) A division of Transitions providing palliative care and symptom management services. Operates with a 24/7 care model and partners with multiple physician practices. Includes nurse practitioners, medical doctors, and podiatrists providing in-home care.
Quantifiable outcome
- 94% of patients do not die alone
- +2 more outcomes
Companies that use Transitions
Customer profileSegments3 records
Ideal customer profiles3 records
Transitions technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Integration8 records
Feature4 records
Transitions partnerships and signals
Strategic signalPartnerships
Nine partnerships are on record, tiered core and minor.
- Pilgrimage HospicecoreAcquired by Transitions in October 2021. Founded by former NFL quarterback Bruce Gradkowski. Serves patients in Southwestern Pennsylvania counties.
- AdvaCarecoreAdvaCare provides all medical supplies and equipment for patient care plans, including durable medical equipment (DME), delivery, on-site setup, and family training. AdvaCare accepts Medicare, Medicaid, and major private insurance as preferred provider.
- Affiliated OncologistscorePartnership with comprehensive medical and radiation oncology practice specializing in cancer diagnosis and treatment for patients in the greater Chicago area. Provides integrated hospice and palliative care to oncology patients since May 2021.
- Prime Care PhysicianscoreHome-visiting medical practice offering 24/7 in-home check-ups, palliative care, podiatry, wound care, and transitional care management. Roshani Patel, CEO of Prime Care Physicians, also became COO of Transitions Home Medical Group (THMG).
- Cottages of Fox Lake (Charter Senior Living)minorAssisted living and memory care community partnership providing Alzheimer and dementia training resources and collaborative care for shared residents.
- Addolorata Villa (Franciscan Communities)minorFaith-based senior living community offering independent apartments, assisted living, memory support, and skilled nursing services. Partnership for coordinated senior care services.
- Accolade Healthcare of Paxton Senior LivingminorSenior living facility partnership during COVID-19 pandemic showcasing collaborative approaches to resident care and safety protocols.
- We Honor VeteransminorNational awareness program collaboration recognizing and honoring veterans in hospice care.
- CHAP (Community Health Accreditation Partner)minorAccreditation organization partnership ensuring Transitions meets quality standards for hospice care.
Scale indicators3 records
Recent moves12 records
Expansion highlights6 records
Transitions competitors and assessment
Company assessmentDirect peers
- Compassus: National hospice, palliative, and home health provider with strong presence across multiple regions. Closely matches Transitions' integrated hospice + palliative model, interdisciplinary team approach, and value-based care partnerships.
- Aveanna Healthcare: Home health and hospice provider operating across multiple states. Comparable to Transitions on hospice service model, in-home care delivery, and payer mix; competes in overlapping Midwest and Mid-Atlantic referral networks.
- BrightSpring Health Services: Home and community-based health services provider with hospice, palliative, and home health offerings. Compares to Transitions on integrated hospice/palliative service model and value-based care positioning across multiple states.
- Addus HomeCare: Home and community-based services provider with hospice and personal care divisions. Compares to Transitions as a multi-state, hospice-focused provider with similar referral-driven GTM and Medicaid/Medicare payer mix.
- Heartland Hospice (HCR ManorCare/ProMedica): Multi-state hospice provider with strong Midwest presence. Directly comparable to Transitions on hospice service delivery, four levels of care, and partnership with senior living communities and hospitals.
Broad incumbents
- Amedisys: National home health and hospice operator with hospice services across the U.S. Compares to Transitions as a hospice and home health provider serving Medicare populations, but at far greater scale and broader geographic footprint.
- Encompass Health: Large post-acute care provider with hospice and home health segments. Compares to Transitions on home-based hospice care delivery and hospital/SNF referral relationships, though much larger and broader in scope.
- VITAS Healthcare (Chemed): Largest U.S. hospice operator, owned by Chemed. Directly comparable to Transitions as a hospice-focused provider; competes in similar referral channels but with national reach and significantly larger daily census.
- Gentiva (formerly Kindred at Home hospice): Large national hospice and palliative care provider spun out of Kindred at Home. Directly comparable to Transitions on hospice service model and Medicare-reimbursed care delivery, with national scale.
Regional players
- National HealthCare Corporation: Operator of skilled nursing and assisted living facilities with affiliated hospice services. Compares to Transitions on hospice care delivery tied to senior living and SNF referral channels, though anchored in the Southeast.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat5 records
Key risks6 records
Key highlights7 records
Customer concentration
Transitions social profiles
Digital presenceTransitions compliance and trust
Trust signalCompliance3 records
Transitions financial estimates
Financial estimateRevenue estimate
Valuation estimate
Transitions leadership team
Management profileNumber of profiles
Profiles14 records
Transitions subsidiaries and ownership
Company hierarchySubsidiaries10 records
Transitions funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Transitions M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about Transitions
What does Transitions do?
Transitions Care is a multi-state hospice and palliative care provider that delivers end-of-life care, symptom management, and primary care to terminally and chronically ill patients in their homes, assisted living facilities, skilled nursing facilities, and hospitals. Services are rendered by 24/7 interdisciplinary clinical teams and supported by ancillary programs including life enrichment, bereavement support, telehealth with remote physiologic monitoring, and durable medical equipment through AdvaCare. The company operates across Illinois, Indiana, Michigan, Pennsylvania, and Ohio, accepting referrals from hospitals, physicians, oncology practices, and direct patient/family inquiries, with billing handled primarily through Medicare, Medicaid, VA benefits, and private insurance.
Is Transitions a public or private company?
Transitions is a private company. It is classified as founder individual operated bootstrapped and is currently operating.
When was Transitions founded?
Transitions was founded in 2007. It employs 501 to 1,000 people.
Where is Transitions based?
Transitions is headquartered in Naperville, United States, in the North America region.
How does Transitions make money?
Five revenue lines are on record. Medicare Part A Hospice Benefit is the primary driver. The others are medicaid, private Insurance, VA Benefits and medicare Part B.
Who are Transitions's main competitors?
Direct peers on record are Compassus, Aveanna Healthcare, BrightSpring Health Services, Addus HomeCare and Heartland Hospice (HCR ManorCare/ProMedica). Broad incumbents are Amedisys, Encompass Health, VITAS Healthcare (Chemed) and Gentiva (formerly Kindred at Home hospice). National HealthCare Corporation is listed as a regional player.
Does Transitions have an API?
No public API is recorded for Transitions.
What industry is Transitions in?
Transitions's product category is Hospice and Palliative Care Services. Its primary akta.pro industry code is HSABAFAA, Routine In-Home Hospice Care, with a secondary code of HLAFAEAC, Home Hospice Agencies. Its NAICS code is 62161 and its SIC code is 8082.