What Home & Community Options does

Home & Community Options, Inc. (HCO) is a 501(c)(3) nonprofit organization founded in 1975 and headquartered at 66 East Third Street, Winona, Minnesota. It provides residential, in-home, and community-based services to adults and children with developmental disabilities in the Winona/SE Minnesota region. The service portfolio includes 24/7 residential group homes, in-home support, the Iverson Court and Winhaven apartment programs, ORC-based employment support, Resource Homes, the CLS (Community Living Services) program, the 1031 day program, the Saehler Drive children's program, respite care, and a Grassroots Advocacy Taskforce. Educational offerings include the Northam Scholar Program and HCO Scholars, both paid practicum pipelines with Winona State University.

The operating model is government-funded service delivery. HCO's primary revenue stream is Minnesota state disability waiver reimbursement (Medicaid waiver programs), supplemented by individual donations and grants (e.g., Winona Community Foundation). Pricing is not publicly disclosed because rates are set by the state waiver framework; the company is paid per service delivered to enrolled waiver consumers. Customer acquisition flows through county social services and healthcare referrals, with no traditional sales motion. HCO employs between 251 and 500 staff, led by Executive Director Suzanne Horstman, and is governed by an independent Board of Directors. The organization is governed by a single-payer concentration risk: the 2025 Minnesota legislative session produced adverse outcomes for DD waiver funding, directly threatening the revenue base.

Name

Home & Community Options

Legal name

Home & Community Options, Inc.

Website

https://hco.org

Company type

Private

Founded year

1975

Operating status

Operating

Headcount range

251–500 employees

Ownership category

akta.pro rank

Product category

Disability Support Services

NAICS

Residential Intellectual and Developmental Disability Facilities (62321), Residential Intellectual and Developmental Disability, Mental Health, and Substance Abuse Facilities (6232), Services for the Elderly and Persons with Disabilities (62412), Other Residential Care Facilities (6239)

SIC

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

akta.pro primary industry

Specialized Assisted Living for Developmental/Intellectual Disabilities (Adult) (HLADABAJ)

akta.pro secondary industries

Housing Transition & Supported Living Navigation (EDAKANAK), Affordable Housing & Community Development (Housing, Community Land Trusts) (BPAGALAC)

Keywords

• Developmental disability services
• Disability support programs
• Community living services
• Residential disability care
• Disability advocacy

Headquarters

HQ city

Winona

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Others

Revenue model

1. Government Disability Waiver Services: HCO receives funding through Minnesota disability waiver programs to provide residential, in-home, and community support services to individuals with developmental disabilities. Revenue comes from government contracts and Medicaid waivers.
2. Donations: HCO accepts charitable donations from individuals and organizations to support programs and services.

Go-to-market motion1 record

Distribution channels1 record

Marketing channels6 records

Core offering

Home & Community Options is a 501(c)(3) nonprofit organization based in Winona, Minnesota that has provided developmental disability services since 1975. The organization operates multiple standalone service programs supporting individuals with developmental disabilities in community-based living arrangements, funded through government disability waivers and charitable donations.

Product overview

Home & Community Options (HCO) is a nonprofit organization providing a comprehensive portfolio of residential, in-home, and community-based services for individuals with developmental disabilities. The organization operates on a core service model centered around residential group homes, independent apartment living at Iverson Court, in-home support services, and employment programs through ORC. Additional services include children's programs and respite care, the CLS (Community Living Services) program, Resource Homes, and day programs including the 1031 Program. HCO also operates the Grassroots Advocacy Taskforce for civic engagement and offers educational opportunities through the Northam Scholar Program and HCO Scholars internship programs. The organization was founded approximately 50 years ago and serves the Winona, Minnesota area.

Differentiator

Problem solved

Functional benefit

Named customers4 records

Segments1 record

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Partnerships

Four partnerships are on record, tiered core and minor.

• Winona State UniversitycoreStrategic or Co-development PartnerHCO partners with WSU's Exercise Science Program to create internship opportunities for students. Students gain hands-on experience supporting individuals with developmental disabilities in community activities. The partnership has included multiple intern cohorts.
• Minnesota Council of Nonprofits (MCN)minorStrategic or Co-development PartnerHCO leaders attend the annual MCN Conference for professional development, attending sessions on leadership, communication, and nonprofit management.
• The Wild InstituteminorStrategic or Co-development PartnerChris Heeter from The Wild Institute conducted leadership training for HCO staff and Board members, using wilderness metaphors and sled dog team analogies for leadership development.
• ARRMminorStrategic or Co-development PartnerHCO works with ARRM (the statewide association for residential services) for advocacy and policy representation at the Minnesota State Capitol.

Scale indicators2 records

Recent moves7 records

Expansion highlights4 records

Direct peers

• Opportunity Partners: Minnesota nonprofit providing residential, employment, and day services to individuals with developmental disabilities. Direct competitor for state waiver funding, county referrals, and supported-employment contracts in overlapping Minnesota markets.
• LifeWorks Services: Minnesota-based nonprofit providing residential, employment, and day services to individuals with developmental disabilities. Direct competitor for state waiver contracts and county referrals in the Twin Cities metro and surrounding regions.
• Accessible Space Inc. National nonprofit providing accessible, affordable housing and supported living services for individuals with disabilities, including developmental disabilities. Comparable service model combining owned housing with personal-care support.
• REM Minnesota (a Sevita company): Minnesota-based residential and community services provider for individuals with developmental disabilities, directly competing for the same state waiver funding pool as HCO in overlapping Minnesota geographies. Operates group homes, supported living, and in-home services.
• L'Arche USA: Nonprofit operating intentional community homes and supported living programs for people with intellectual and developmental disabilities nationwide. Shares HCO's person-centered, community-integration mission and reliance on donations plus government funding.

Broad incumbents

• BrightSpring Health Services: Publicly traded provider of home- and community-based services including residential, behavioral health, and pharmacy services for individuals with intellectual and developmental disabilities. Operates a substantially similar service portfolio to HCO at national scale.
• Sevita Health (formerly The MENTOR Network): Largest U.S. provider of home- and community-based services for individuals with intellectual and developmental disabilities, operating residential group homes, in-home support, and day programs across dozens of states. Directly comparable service mix to HCO at significantly greater scale.
• Volunteers of America Minnesota: Large nonprofit operating housing, residential, and human services programs across Minnesota, including services for individuals with developmental disabilities. Comparable funding mix of government contracts and donations at substantially larger scale.
• Easterseals Minnesota: Affiliated with the Easterseals national network, providing disability services including residential support, employment programs, and case management. Overlapping service lines with HCO and competing for similar state funding sources.

Emerging players

• The Arc Minnesota: Minnesota chapter of The Arc, providing advocacy, case management, and some direct services to individuals with developmental disabilities. Competes for similar advocacy influence and overlap with HCO on transition and family-support services.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights6 records

Customer concentration

• Facebookfacebook.com/hco.inc
• Instagraminstagram.com/homeandcommunityoptions
• Xx.com/hcotweeter

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

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 Home & Community Options