Hospice of the Western Reserve

What Hospice of the Western Reserve does

Hospice of the Western Reserve, operating under the consumer-facing brand Reserve Care, is a nonprofit hospice and palliative care organization headquartered in Cleveland, Ohio, with nearly 50 years of continuous service across Northern Ohio. The organization delivers a vertically integrated care continuum that includes hospice care, palliative care, pediatric hospice and palliative care, veteran-specific care, and grief support services. Care is delivered wherever the patient calls home — private residences, nursing facilities, and assisted living communities — supported by a 24/7 clinical intake line and a dedicated healthcare professional referral portal. Following the August 2024 acquisition of Hospice of North Central Ohio, the service footprint was extended to include Ashland, Knox, and Richland counties.

The business model is reimbursement-led. The primary revenue streams are the Medicare Hospice Benefit and Medicaid hospice reimbursement, supplemented by private insurance payments and charitable donations generated through community fundraising (donations, resale shops, warehouse sales, and events such as the Harvest Jamboree and Camp Good Grief). The go-to-market is community-led: patients and families are reached through healthcare professional referrals, community events, social media presence, and a volunteer-driven engagement network rather than direct-to-consumer advertising. HNCO operates as a wholly-owned subsidiary with its brand retained, indicating a platform structure built for incremental regional consolidation.

The organization employs between 1,001 and 5,000 staff, placing it among the larger nonprofit hospice providers in Ohio. Leadership includes President and CEO William E. Finn and Chief Innovations Officer John Mastrojohn III. No proprietary technology platform, AI capabilities, or patents are disclosed in available sources; the organization is positioned as a service-based care provider. Fundraising and resale operations supplement clinical revenue and signal meaningful community embedding within Northern Ohio.

Name

Hospice of the Western Reserve

Legal name

Reserve Care

Website

https://hospicewr.org

Company type

Private

Founded year

1977

Operating status

Operating

Headcount range

1,001–5,000 employees

Short description

Reserve Care (Hospice of the Western Reserve) is a Cleveland-based nonprofit providing hospice, palliative, pediatric, veteran, and grief support services to patients and families across Northern Ohio, funded primarily through Medicare and Medicaid reimbursement.

Ownership category

akta.pro rank

Product category

Hospice and Palliative Care

NAICS

Nursing and Residential Care Facilities (623), Services for the Elderly and Persons with Disabilities (62412)

SIC

Services-Home Health Care Services (8082)

akta.pro primary industry

Home Hospice Agencies (HLAFAEAC)

akta.pro secondary industries

Non-Hospice Serious-Illness / Community-Based Palliative Care (In-Home) (HSABAFAF), Respite Hospice Care (Short-Term Relief) (HSABAFAD), Residential Hospice / Hospice House (Facility-Based) (HLADAHAC)

Keywords

• Hospice care services
• Palliative care
• Grief support services
• Pediatric hospice care
• Veteran hospice care

Headquarters

HQ city

Cleveland

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Medicare Hospice Benefit: As a nonprofit hospice provider, the primary revenue stream is Medicare hospice reimbursement. Medicare covers hospice care for eligible beneficiaries under the Medicare Hospice Benefit program.
2. Medicaid Hospice Benefit: Revenue from Medicaid hospice coverage for eligible patients.
3. Private Insurance Reimbursement: Revenue from private health insurance plans that cover hospice and palliative care services.
4. Charitable Donations: The organization accepts donations through its website and fundraising events to support patient care and community programs.

Go-to-market motion1 record

Distribution channels3 records

Marketing channels5 records

Core offering

Reserve Care provides hospice, palliative, pediatric, veteran, and grief support services for patients and families facing serious illness, end of life, or bereavement across Northern Ohio. Care is delivered wherever patients call home (private residences, nursing homes, assisted living facilities) on a 24/7 basis, with referrals accepted from physicians, nurses, and care teams.

Product overview

Reserve Care (formerly Hospice of the Western Reserve) is a nonprofit hospice and palliative care organization with nearly 50 years of experience serving individuals and families across Northern Ohio. The organization operates as a unified platform offering comprehensive care services that include Hospice Care, Palliative Care, Pediatric Care Services, Grief Support Services, and Veteran Care as its core service offerings. Additional support services include a Volunteer Portal for volunteer management, Resale Stores and Warehouse Sales for community fundraising, and Healthcare Professional Referrals for clinical coordination. All services are designed to provide comfort, symptom management, and emotional well-being throughout serious illness, end of life, and grief, delivered wherever patients call home.

Differentiator

Problem solved

Functional benefit

Products and services

• Hospice Care Expert, compassionate end-of-life care that surrounds patients with comfort, dignity, and support in life's final chapter, delivered wherever patients call home across Northern Ohio.
• Palliative Care Specialized care focused on relieving pain and symptoms while helping patients live as fully and comfortably as possible during serious illness.
• Pediatric Care Services Gentle, family-centered hospice and palliative care that honors children's specific needs throughout illness and end-of-life care.
• Grief Support Services Ongoing grief support providing understanding and guidance for families and individuals after loss, including support groups and counseling.
• Veteran Care Respectful veteran care recognizing military service and sacrifice, providing specialized support for veterans and their families.

Quantifiable outcome

• Expanded service area to include four additional counties in Northern Ohio

Segments5 records

Ideal customer profiles3 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.

• Hospice of North Central OhiocoreStrategic or Co-development Partner · 1 August 2024Hospice of the Western Reserve completed its acquisition of Hospice of North Central Ohio effective August 1, 2024. The acquisition includes integration of staff, expansion of service areas including Ashland, Knox, and Richland counties, and aims to increase access to end-of-life care across a broader region in Northern Ohio.

Scale indicators2 records

Recent moves3 records

Expansion highlights5 records

Direct peers

• Amedisys: Major home health and hospice operator with significant hospice census; comparable to Reserve Care in delivering hospice services reimbursed primarily by Medicare, with overlapping referral-driven GTM and 24/7 clinical operations.
• Addus HomeCare: Provider of personal care, hospice, and home health services with a heavy Medicaid/Medicare payer mix; comparable to Reserve Care in clinical home-based service delivery and mission-driven care for elderly and seriously ill populations.
• Compassus: Large multi-state hospice, palliative, and home health provider with community-based delivery model similar to Reserve Care; competes for the same patient population and healthcare-professional referral pipelines.
• VITAS Healthcare (Chemed): The largest hospice provider in the United States, offering hospice and palliative care services across multiple states. Highly comparable to Hospice of the Western Reserve in core hospice service delivery, patient population, and reimbursement model, though operating at national scale versus regional.
• Gentiva: National hospice and home health provider spun out from Kindred, focused on serious-illness and end-of-life care. Directly comparable in service mix (hospice, palliative, grief) and Medicare-reimbursement-led business model.

Broad incumbents

• LHC Group: National home health, hospice, and home-based care provider; comparable in hospice service delivery and post-acute care focus, though operates as part of a broader post-acute platform rather than a hospice specialist.
• BrightSpring Health Services: Diversified home and community-based health services platform including hospice (via subsidiaries) and pharmacy; broader portfolio than Reserve Care, but overlapping hospice service line and patient population.

Regional players

• Cleveland Clinic Hospice (via Cleveland Clinic): Health-system-affiliated hospice services in the same Northern Ohio geography; competes directly with Reserve Care for referrals from shared hospital systems and physicians, and represents a key referral source/competitor dynamic.
• Hospice of the Valley (Arizona): Large nonprofit community-based hospice serving a single metro region (Phoenix area); highly comparable in nonprofit mission, regional concentration, volunteer-driven model, and broad care continuum including grief support.

Others

• National Hospice and Palliative Care Organization (NHPCO): Industry trade association representing hospice and palliative care providers; not a direct competitor but a key ecosystem body that sets standards, advocacy, and benchmarking Reserve Care likely participates in.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat5 records

Key risks6 records

Key highlights6 records

Customer concentration

• Facebookfacebook.com/hospicewr
• LinkedInlinkedin.com/company/reserve-care
• Instagraminstagram.com/reserve_care
• Xx.com/hospicewr

Revenue estimate

Valuation estimate

Number of profiles

Profiles2 records

Subsidiaries1 record

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A1 record

Investments

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

Frequently asked questions about Hospice of the Western Reserve