Hillcrest Family Services

What Hillcrest Family Services does

Hillcrest Family Services is a 125+ year old Iowa-based non-profit behavioral health and social services organization headquartered in Dubuque. It operates 30+ programs across four service categories: home and community-based services (behavioral health intervention, assertive community treatment, supported living, in-home psychiatric nursing, vocational supported employment, intensive psychiatric rehabilitation), outpatient services (community mental health centers, the A New Day 24/7 crisis walk-in center, addictions recovery, certified community behavioral health clinic), outreach services (HIV/STI/HEPC prevention, homelessness transition), and residential services (adult group homes, supervised apartment living). The organization also operates Anna B. Lawther Academy, an accredited K-12 day and boarding school for students with emotional and behavioral challenges, using third-party educational tools (BrainWare Safari, IXL).

The organization serves 26,000+ individuals annually with a 500+ person workforce (80% women), accepting all Iowa Medicaid Managed Care Organizations and supporting 80-90% Medicaid recipients. Revenue is derived from four primary streams: Medicaid/Managed Care reimbursement (the dominant stream), charitable donations and fundraising campaigns (Compassion in Action, Building Hope, Mind Matters, Reflections in the Park), program service fees for adoption and educational programs, and state/federal government grants (PATH, WIC, tobacco prevention, HIV/STI prevention). No proprietary technology platform exists; delivery is operations-led through physical sites in Dubuque, Washington, Mt. Pleasant, and Wapello, supplemented by a Mobile Crisis Team and online patient portal.

Growth has been driven by geographic expansion into Southeast Iowa, new residential treatment programs such as Awakenings Academy (2016), capital reinvestment (a $2.4M school and gymnasium in 2012, the Building Hope campaign), and a strong referral network with hospitals, courts, school districts, and public safety agencies. The organization's sole EAGLE accreditation in its regional United Methodist and Presbyterian conference coverage area, combined with 125+ years of community presence, underwrites its position as Dubuque's largest non-profit.

Name

Hillcrest Family Services

Legal name

Hillcrest Family Services

Website

https://hillcrest-fs.org

Company type

Private

Founded year

1914

Operating status

Operating

Headcount range

251–500 employees

Short description

Hillcrest Family Services is a Dubuque, Iowa-based non-profit behavioral health and social services organization operating 30+ programs across mental health treatment, crisis services, residential care, adoption, and education, serving 26,000+ individuals annually with a 500+ person workforce and primary Medicaid reimbursement.

Ownership category

akta.pro rank

Product category

Behavioral Health and Community Mental Health Services

NAICS

Individual and Family Services (6241), Other Individual and Family Services (624190), Child and Youth Services (624110), Services for the Elderly and Persons with Disabilities (624120)

SIC

Services-Social Services (8300), Services-Home Health Care Services (8082), Services-Nursing & Personal Care Facilities (8050)

akta.pro primary industry

Family & Parenting Support Services (BPAGAEAC)

akta.pro secondary industry

Family Resource Centers & Wraparound Support Services (EDACALAH)

Keywords

• Behavioral health services
• Mental health treatment
• Community mental health
• Substance abuse recovery
• Residential group homes

Headquarters

HQ city

Dubuque

HQ country

United States

HQ region

North America

Offices4 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Medicaid / Managed Care Reimbursement: The primary revenue driver is billing Medicaid and Iowa Medicaid Managed Care Organizations for covered behavioral health, mental health, residential, and community-based services. The organization states it supports 80–90% Medicaid recipients.
2. Charitable Donations and Fundraising: Donations from individuals, families, and community members through annual campaigns (Compassion in Action, Building Hope, Mind Matters), event-based fundraising (Reflections in the Park), and planned giving.
3. Program Service Fees: Fees for adoption services, educational programs (Anna B. Lawther Academy day and boarding programs), and specialized services for clients and families.
4. Government Grants and Contracts: Funding from state and federal government sources including HIV/STI/HEPC prevention programs, Projects for Assistance in Transition from Homelessness (PATH), WIC nutrition program, and tobacco prevention grants.

Pricing tiers

Go-to-market motion3 records

Distribution channels7 records

Marketing channels7 records

Core offering

Hillcrest Family Services is a nonprofit behavioral health and social services organization that delivers mental health, substance abuse, residential, education, and community-based services to more than 26,000 individuals annually across Iowa. Its portfolio includes 30+ programs organized into Home & Community-Based Services, Outpatient Services, Outreach Services, and Residential Services, with the K-12 Anna B. Lawther Academy and adoption services as additional standalone offerings.

Product overview

Hillcrest Family Services operates as a comprehensive behavioral health and community services organization offering a portfolio of over 20 distinct programs. The core offerings include Home and Community-Based Services (Behavioral Health Intervention Services, Assertive Community Treatment, Supported Living Program, In-Home Psychiatric Nursing Services, Vocational Supported Employment Program, Intensive Psychiatric Rehabilitation Program, and Hillcrest Wellness Center); Outpatient Services (A New Day Crisis Walk-In Center, Community Mental Health Centers, Certified Community Behavioral Health Clinic, and Addictions Recovery Program); Outreach Services (HIV/STI/HEPC Prevention and Projects for Assistance in Transition from Homelessness); and Residential Services (Adult Group Homes and Supervised Apartment Living Program). Additional programs include the Anna B. Lawther Academy (K-12 accredited school for students with mental health/behavioral issues), Mentor Dubuque (youth mentoring), Hillcrest WIC (nutrition program), and Chaplain Services (spiritual support). Educational technology tools such as BrainWare Safari (cognitive skills development) and IXL (math assessment) support the Anna B. Lawther Academy.

Differentiator

Problem solved

Functional benefit

Brands

• A New Day – Crisis Walk-In Center: Crisis walk-in center providing immediate mental health support.
• Dubuque Mental Health Center
• Washington Mental Health Center
• Anna B. Lawther Academy
• Mentor Dubuque
• Hillcrest Wellness Center
• Gary Gansemer Center

Products and services

• Behavioral Health Intervention Services Home and community-based behavioral health intervention services providing therapeutic support for individuals with mental health needs.
• Assertive Community Treatment Team-based mental health service delivery model providing comprehensive, community-based treatment for individuals with serious mental illness.
• Supported Living Program Residential support services helping individuals with mental illness live independently in community settings.
• In-Home Psychiatric Nursing Services Psychiatric nursing care delivered in the patient's home environment.
• Vocational Supported Employment Program Employment assistance program helping individuals with mental health conditions obtain and maintain competitive jobs.
• Intensive Psychiatric Rehabilitation Program Comprehensive rehabilitation services focused on developing skills for independent living and community integration.
• Hillcrest Wellness Center Wellness-focused services promoting overall health and well-being for clients.
• A New Day – Crisis Walk-In Center Immediate crisis intervention and walk-in services for individuals experiencing mental health emergencies.
• Community Mental Health Centers Outpatient mental health centers providing counseling, therapy, and psychiatric services to community members across Dubuque, Washington, Mt. Pleasant, and Wapello, Iowa.
• Certified Community Behavioral Health Clinic Federally certified behavioral health clinic providing comprehensive mental health and substance abuse services.
• Addictions Recovery Program Substance abuse treatment and recovery services for individuals struggling with addiction.
• HIV/STI/HEPC Prevention Prevention education and services for HIV, sexually transmitted infections, and Hepatitis C.
• Projects for Assistance in Transition from Homelessness (PATH) Outreach and support services helping homeless individuals transition to stable housing.
• Adult Group Homes Supervised residential living environments for adults requiring structured support.
• Supervised Apartment Living (SAL) Program Independent living program with supervisory support for adults transitioning to self-sufficiency.
• Anna B. Lawther Academy Accredited K-12 school serving students with mental health issues, emotional/behavioral problems, offering both day and residential/boarding programs; 17 certified teachers, most with master's degrees in special education, supported by 50 associates.
• Adoption Services Adoption placement services, adoption counseling for birth parents, foster-to-adopt pathways, and post-adoption support for prospective adoptive parents and birth parents in Iowa.
• Mentor Dubuque Youth mentoring program creating one-to-one mentoring relationships between youth facing challenges and caring adults.
• Hillcrest WIC Women, Infants, and Children nutrition program providing breastfeeding support and nutritional guidance.
• Chaplain Services Spiritual support and counseling services provided by chaplains across various programs, integrating body-mind-spirit wellness with clinical care.
• Awakenings Academy Residential Treatment Residential Treatment program announced as a new addition to Hillcrest's continuum of care for youth.

Quantifiable outcome

• 26,000+ individuals served annually across 30+ programs
• +3 more outcomes

Named customers4 records

Segments6 records

Ideal customer profiles6 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature2 records

Partnerships

Seven partnerships are on record, tiered core and minor.

• Iowa Medicaid Managed Care OrganizationscoreOthersHillcrest Family Services accepts all Iowa Medicaid Managed Care Organizations as payers, with 80–90% of clients relying on Medicaid. This is the primary reimbursement relationship underpinning the organization's service delivery model.
• Iowa and Wisconsin Annual Conferences of the United Methodist ChurchcoreStrategic or Co-development PartnerHillcrest has a faith connection with the Iowa and Wisconsin Annual Conferences of the United Methodist Church, with the organization having been in covenant with the Iowa Conference since 1914. The organization integrates spirituality throughout its programs and is EAGLE accredited through the United Methodist Association.
• Synod of Lakes and Prairies, Presbyterian Church (U.S.A.)coreStrategic or Co-development PartnerHillcrest has a faith connection with the Synod of Lakes and Prairies of the Presbyterian Church (U.S.A.), one of only a handful of organizations in the five-state region covered by the Synod. The organization has been in partnership since 1968.
• Dubuque County Health DepartmentminorStrategic or Co-development PartnerHillcrest works in conjunction with the Dubuque County Health Department to administer a Tobacco Partnership Grant aimed at preventing youth tobacco initiation, promoting cessation in adults and youth, eliminating secondhand smoke exposure, and maintaining a tobacco control community coalition through the Dubuque Area Substance Abuse Coalition.
• Dubuque and Western Dubuque School DistrictsminorStrategic or Co-development PartnerDay students at Anna B. Lawther Academy come primarily through Western Dubuque and Dubuque school districts. The school districts provide funding while Hillcrest provides the education services.
• Enoble Manor, VNA, Goodwill HAB ServicesminorStrategic or Co-development PartnerHillcrest's Intensive Health Home services coordinate with Enoble Manor (assisted living), VNA (home health), and Goodwill HAB services (habitational support) to facilitate discharge planning and ongoing care for clients transitioning from nursing facilities into community living.
• Junior Achievement of Northeast IowaminorStrategic or Co-development PartnerJunior Achievement delivered a work-readiness and financial literacy curriculum to Anna B. Lawther Academy high school students, teaching real-world skills including cost of living, career planning, and financial decision-making.

Scale indicators8 records

Recent moves12 records

Expansion highlights5 records

Emerging players

• Hope Network: Michigan-based nonprofit providing mental health, behavioral health, and developmental disability services including residential and community-based care — overlapping adult mental-health + supported living model.

Direct peers

• Boys Town: National nonprofit operating residential, behavioral health, and educational programs for at-risk youth, closely paralleling Hillcrest's combined residential + Anna B. Lawther Academy model.
• Tanager Place: Cedar Rapids, Iowa nonprofit providing mental health, behavioral, and educational programs for children and families, materially overlapping Hillcrest's service mix within the same state.
• Catholic Charities of the Archdiocese of Dubuque: Faith-based nonprofit serving the same Dubuque and surrounding counties with counseling, family services, and behavioral health — operating a directly comparable mission and geography.
• Four Oaks: Iowa-based nonprofit providing child welfare, behavioral health, and juvenile justice services across Cedar Rapids and eastern Iowa — overlapping foster care, mental health, and residential offerings with Hillcrest.
• Orchard Place: Des Moines-based nonprofit delivering child and adolescent mental health, residential treatment, and outpatient services — directly comparable child-focused behavioral health continuum.

Broad incumbents

• Seneca Family of Agencies: California nonprofit providing wraparound behavioral health, child welfare, and community-based services to children and families — comparable integrated continuum strategy to Hillcrest's.
• Maryhaven: Ohio-based nonprofit delivering behavioral health, addiction, and recovery services including crisis stabilization and residential care — comparable outpatient + residential + crisis model.
• Devereux Advanced Behavioral Health: Large national nonprofit operating residential treatment, foster care, and special education programs across many states — same continuum model as Hillcrest but at significantly greater scale.
• Lutheran Services in America: National network of Lutheran-affiliated health and human services agencies; Hillcrest's faith-based model (United Methodist/Presbyterian) and EAGLE-style accreditation map closely to this network's positioning.

Market position

Strengths5 records

Weaknesses4 records

Competitive moat5 records

Key risks5 records

Key highlights6 records

Customer concentration

• Facebookfacebook.com/HillcrestFS
• LinkedInlinkedin.com/company/hillcrest-family-services

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles18 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 Hillcrest Family Services