Addison County Home Health & Hospice

What Addison County Home Health & Hospice does

Addison County Home Health & Hospice (ACHHH) is a 501(c)(3) nonprofit home health and hospice agency founded in 1968 and headquartered at 254 Ethan Allen Highway, New Haven, Vermont. The organization delivers Medicare-certified home care services exclusively to residents of Addison County, Vermont, regardless of ability to pay, making more than 60,000 visits to over 1,500 patients annually. Its service portfolio spans skilled nursing, rehabilitative services (physical, occupational, and speech therapy), medical social work, home health aides, hospice and palliative care, maternal and child health, long-term care under Vermont's Choices for Care Medicaid Waiver, and a tele-health/remote patient monitoring program for chronic conditions including congestive heart failure, lung disease, and hypertension.

ACHHH's go-to-market is hybrid: clinical referrals flow from physicians, UVM Health Network/Porter Medical Center, and nursing homes, while grassroots community channels — free foot care clinics at senior meal sites (operated for over 30 years), Rotary and civic presentations, the annual Buster Brush Golf Tournament, and Mother's Day Gala fundraising — drive awareness, donations, and direct self-referrals. Revenue is generated through Medicare/Medicaid/insurance billing for skilled services, fee-for-service private duty caregiving at $20/hour, private nursing and therapy case management, and a fundraising stream that includes charitable donations, planned giving, bequests, and the Addison Home Fund capital campaign. The organization is currently expanding into facility-based care through the Addison Home Fund, a Level Three residential care home for up to eight medically frail adults in East Middlebury, planned to open in late spring 2026 with a $500,000 renovation fundraising target.

Name

Addison County Home Health & Hospice

Legal name

Addison County Home Health and Hospice, Inc.

Website

https://achhh.org

Company type

Private

Founded year

1968

Operating status

Operating

Headcount range

11–50 employees

Short description

Addison County Home Health & Hospice is a 1968-founded Vermont 501(c)(3) nonprofit delivering Medicare-certified home health, hospice, rehabilitation, and tele-monitoring services to Addison County residents of all ages, regardless of ability to pay.

Ownership category

akta.pro rank

NAICS

Home Health Care Services (6216), Nursing Care Facilities (Skilled Nursing Facilities) (62311), Other Residential Care Facilities (6239), Services for the Elderly and Persons with Disabilities (624120)

SIC

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

akta.pro primary industry

Home Hospice Agencies (HLAFAEAC)

akta.pro secondary industries

Residential Hospice / Hospice House (Facility-Based) (HLADAHAC), Home Hospice (Routine Home Care) (HLADAHAA), Non-Hospice Serious-Illness / Community-Based Palliative Care (In-Home) (HSABAFAF), In-Home Hospice Nursing Visits (RN/LPN) (HSABAFAL), End-of-Life 24/7 In-Home Care (Hospice Support) (HSABAHAG)

Keywords

• Home health care
• Hospice services
• Skilled nursing
• Maternal child health
• Private duty care

Headquarters

HQ city

New Haven

HQ country

United States

HQ region

North America

Offices3 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Insurance Billing: Direct billing to Medicare, Medicaid, and various insurance plans for skilled care services. The nonprofit agency provides care regardless of ability to pay.
2. Private Duty Services: Fee-for-service private caregiving, nursing, and therapy services including personal care, meal preparation, companionship, respite care, medication management, and therapy case management.
3. Donations and Fundraising: Charitable donations, memorial gifts, planned giving, bequests, and event fundraising (golf tournament, Mother's Day Gala) to support charity care and community programs.

Pricing tiers

Go-to-market motion2 records

Distribution channels3 records

Marketing channels6 records

Core offering

Addison County Home Health & Hospice provides in-home skilled nursing, hospice, bereavement, maternal and child health, and long-term care services to Addison County, Vermont residents. The organization also offers fee-for-service private caregiving, nursing, and therapy, community foot care clinics, a tele-monitoring program, and operates a planned residential care home for medically frail seniors.

Product overview

Addison County Home Health & Hospice is a nonprofit home health and hospice agency providing comprehensive, patient-centered community healthcare regardless of ability to pay. Founded in 1968, the organization operates a unified service model centered on home-based care delivery. The core portfolio includes Home Care Services (skilled nursing, rehabilitative services, medical social work, home health aides, and tele-health/telemonitoring), the Hospice and Palliative Care Program, Maternal Child Health services, and Long Term Care through the Choices for Care Program. Supplementary offerings include Private Duty Services (caregiving, nursing, and therapy services), Community Outreach programs including free foot care clinics, and Community Education. A significant new initiative is the Addison Home Fund—a five-bedroom residential care home for eight medically frail seniors opening in 2026, representing the organization's expansion into residential care facilities.

Differentiator

Problem solved

Functional benefit

Brands

• Addison Home Fund: A fundraising initiative to support the renovation and establishment of a Level Three care home for up to eight medically frail adults at 427 E. Main Street in East Middlebury, Vermont. The campaign aims to raise $500,000 for renovations providing safety, compliance with state regulations, and comfort.

Products and services

• Skilled Home Health
• Hospice Care
• Bereavement Support
• Maternal and Child Health
• Long Term Care Services
• Private Duty Services
• Community Foot Care
• Tele-monitoring Program
• Addison Home Residential Care Home
• Addison Community Trust Fund

Quantifiable outcome

• More than 60,000 home visits annually to over 1,500 patients
• +2 more outcomes

Named customers1 record

Segments3 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature1 record

Partnerships

Twelve partnerships are on record, tiered core and minor.

• University of Vermont Health Network Porter Medical CentercoreStrategic or Co-development PartnerNonprofit critical access hospital and medical system in Middlebury, VT. ACHHH collaborates with this local hospital for patient care coordination and is within easy driving distance of physicians' offices and Porter Medical Center for the new care home facility.
• Champlain Valley Area Agency on AgingcoreStrategic or Co-development PartnerProvides foot care clinics at senior meal sites operated by the agency. Resource for older people and family caregivers regardless of financial status.
• United Way of Addison CountycoreStrategic or Co-development PartnerACHHH is a United Way agency, receiving support through United Way funding to help provide community health services.
• Middlebury RotarycoreGTM or Marketing PartnerCo-hosts the annual Buster Brush Golf Tournament with ACHHH. Donated $7,000 with Rotary Foundation matching for free foot care clinics. Middlebury Rotary is a civic organization that donates more than $60,000 annually to area non-profits.
• Salamander ConstructioncoreImplementation/ SI/ Consulting PartnerWell-regarded local builder with extensive renovation experience engaged to complete renovations at the care home property to make it eligible for Level Three care home credentialing.
• Vermont Department of HealthminorStrategic or Co-development PartnerACHHH collaborates with the department on maternal and child health services and other public health initiatives.
• Vermont Department of Disabilities, Aging and Independent Living (DAIL)minorStrategic or Co-development PartnerState agency providing services to Vermonters over 60 or with disabilities. ACHHH participates in programs like Choices for Care under state guidelines.
• Counseling Service of Addison CountyminorStrategic or Co-development PartnerNonprofit mental health and developmental services agency serving Addison County residents.
• End of Life Services, Inc. (Hospice Volunteer Services)minorStrategic or Co-development PartnerNonprofit agency providing volunteer support services to hospice patients, families, and community members.
• VNAs of VermontminorStrategic or Co-development PartnerProfessional association for not-for-profit home health and hospice agencies and Visiting Nurse Associations in Vermont.
• Parent Child CenterminorStrategic or Co-development PartnerCollaborates with ACHHH on supportive and preventive services for families with newborns and young children at risk.
• Elderly Services, Inc.minorStrategic or Co-development PartnerProvides creative, high quality programs to help elders live safe and satisfying lives in their own homes and communities.

Scale indicators3 records

Recent moves8 records

Expansion highlights5 records

Direct peers

• VNAs of Vermont: Statewide professional association of not-for-profit home health and hospice agencies and Visiting Nurse Associations in Vermont. ACHHH is a member; VNAs of Vermont represents the closest peer set of similarly sized Vermont-based nonprofit home health and hospice agencies.
• Bayada Home Health Care: Large nonprofit home health, hospice, and personal care provider operating across multiple U.S. states. Directly comparable in service mix (skilled nursing, therapy, hospice, adult/pediatric care) and nonprofit/community orientation, though at vastly greater scale than ACHHH.
• Addus HomeCare: Provider of home and community-based services including personal care, hospice, and home health, with a strong focus on Medicaid waiver and dual-eligible populations. Closely comparable to ACHHH in payer mix, personal care/home health combination, and Choices-for-Care-style waiver services.
• Help at Home: Personal care and home health provider focused on Medicaid waiver populations and aging/disabled individuals who want to remain at home. Directly comparable to ACHHH's private duty, home health aide, and long-term care waiver offerings.

Broad incumbents

• Amedisys: National home health, hospice, and high-acuity care provider. Overlaps with ACHHH across home health and hospice service lines and reimbursement models (Medicare/Medicaid), but operates at national scale across hundreds of locations.
• Visiting Nurse Service of New York (VNSNY): Largest nonprofit home- and community-based health care organization in the U.S., offering home health, hospice, and personal care. Comparable nonprofit governance and full-continuum home-based service model, though at dramatically larger scale.
• Enhabit Inc. National home health and hospice provider operating across 30+ states. Comparable service lines (skilled nursing, therapy, hospice) and Medicare/Medicaid reimbursement exposure, though at materially larger scale than ACHHH.
• BrightSpring Health Services: Diversified home and community-based health services platform spanning home health, hospice, pharmacy, and home care for complex populations. Comparable breadth across hospice, home health, and personal care, but operates nationally across many service lines.

Regional players

• Central Vermont Home Health & Hospice: Nonprofit home health and hospice agency serving central Vermont. Same organizational model (501(c)(3), Medicare-certified, VNAs of Vermont member), adjacent service area, and identical service mix, making it the closest geographic peer to ACHHH.
• UVM Health Network Home Health & Hospice (formerly VNA of Chittenden & Grand Isle): Hospital-affiliated home health and hospice provider within the UVM Health Network, the same regional hospital system ACHHH partners with. Closely comparable service lines and Vermont nonprofit home-health model, and a likely referral/collaboration partner or competitor depending on county boundaries.

Market position

Strengths5 records

Weaknesses4 records

Competitive moat4 records

Key risks6 records

Key highlights7 records

Customer concentration

• Facebookfacebook.com/AddisonCountyHomeHealthHospice
• LinkedInlinkedin.com/company/addison-county-home-health-and-hospice

Compliance4 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles5 records

Funding overview

Funding rounds1 record

Investors1 record

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 Addison County Home Health & Hospice