What Generations Hospice does

Generations Hospice is a regional hospice care provider headquartered in Fond du Lac, Wisconsin, founded in 2011 to deliver end-of-life care for terminally ill patients with a physician-certified prognosis of six months or less. The company operates as an affiliate of BrightSpring Health Services (Res-Care, Inc.) and is an Adoration Health partner, serving patients across five Wisconsin counties (Columbia, Dodge, Fond du Lac, Green Lake, and Winnebago). Care is delivered by an interdisciplinary team of nurses, nurse aides, social workers, chaplains, physicians, volunteers, and bereavement coordinators at the patient's home, family residence, assisted living facility, nursing home, or skilled nursing facility. The company holds CHAP Provider Accreditation and was recognized as a Top Diversity Employer 2026 through its parent's affiliation with DiversityJobs.com.

The service portfolio spans four Medicare-defined levels of hospice care (Routine, Respite, General Inpatient, and Continuous Care), supplemented by physician services, nursing care with pain and symptom management, personalized personal care, pharmacy and medical equipment coordination, medical social and spiritual services, a 13-month post-death bereavement program, volunteer companionship services, and end-of-life care planning assistance (POLST, DNR, Power of Attorney, Living Will, Advance Directives). Generations Hospice also operates a charitable affiliate, the BrightSpring Hospice Foundation (Generations of Giving), a 501(c)(3) that funds non-hospice needs for qualifying patients and families. The technology footprint is limited to a company website, blog, social media presence, and the 'Hospice at Your Side' mobile app; no proprietary software platforms, AI/ML systems, or algorithmic tools are described.

The revenue model is anchored by Medicare Part A per-diem reimbursement for hospice services, supplemented by Medicaid hospice benefits, individually negotiated private and commercial insurance coverage, and tax-deductible donations to the affiliated foundation. Differentiation rests on a low patient-to-nurse ratio, 24/7/365 in-office nursing availability for rapid emergency response, and an interdisciplinary team-based care model that addresses physical, emotional, spiritual, and bereavement needs. Customer acquisition is driven by healthcare professional referrals (physicians, hospital case managers, skilled nursing facility staff), direct family and caregiver inquiries, community marketing liaison outreach, and a local community presence at events and on social channels.

Name

Generations Hospice

Legal name

Res-Care, Inc., d/b/a BrightSpring Health Services

Website

https://generationshomeandhospice.com

Company type

Private

Founded year

2011

Operating status

Operating

Headcount range

11–50 employees

Short description

Generations Hospice is a regional hospice care provider in Fond du Lac, Wisconsin, serving terminally ill patients across five counties with nursing, medical, social, spiritual, and bereavement services reimbursed primarily through Medicare per-diem rates.

Ownership category

akta.pro rank

Product category

Hospice Care Services

NAICS

Services for the Elderly and Persons with Disabilities (624120), Nursing and Residential Care Facilities (623)

SIC

Services-Home Health Care Services (8082), Services-Health Services (8000)

akta.pro primary industry

Home Hospice (Routine Home Care) (HLADAHAA)

akta.pro secondary industries

Inpatient Hospice (General Inpatient Care) (HLADAHAB), Hospice Care in Nursing Facilities (SNF/NH Hospice) (HLADAHAD), Hospice Care in Assisted Living / Residential Care Facilities (HLADAHAE), Home Hospice Agencies (HLAFAEAC), Routine In-Home Hospice Care (HSABAFAA), In-Home Hospice Physician / Nurse Practitioner Visits (HSABAFAM), Respite Hospice Care (Short-Term Relief) (HSABAFAD)

Keywords

• Hospice care services
• End-of-life care
• Bereavement support
• Palliative nursing care
• Home hospice

Headquarters

HQ city

Fond Du Lac

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Marketing or Sales, Others

Revenue model

1. Medicare Hospice Benefit (Medicare Part A): The primary revenue stream is Medicare Part A reimbursement at a daily per-diem rate for hospice services. Medicare covers all hospice-related medications, medical equipment, supplies, nursing visits, home health aide visits, social work, chaplain services, volunteer services, and bereavement support for eligible patients with a terminal illness and a physician-certified prognosis of six months or less.
2. Medicaid Hospice Benefit: State-funded Medicaid program provides hospice coverage for persons meeting financial eligibility requirements and hospice care eligibility criteria. Reimbursed at state-defined daily rates.
3. Private/Commercial Health Insurance: Generations Hospice verifies and negotiates coverage with private and commercial health insurance providers. Deductibles and co-payments may apply. If coverage cannot be negotiated, patients are referred to an in-network hospice provider.
4. Donations / BrightSpring Hospice Foundation (Generations of Giving): Tax-deductible donations to the Generations of Giving 501(c)(3) foundation support non-hospice items for patients and families unable to afford them. Donations fund comfort care/personal items, final arrangement assistance, home care sitting services, and other expenses beyond hospice scope.

Pricing tiers

Go-to-market motion2 records

Distribution channels3 records

Marketing channels6 records

Core offering

Generations Hospice provides home-based hospice care services to terminally ill patients with a physician-certified prognosis of six months or less. Care is delivered by an interdisciplinary team including nurses, nurse aides, physicians, social workers, chaplains, volunteers, and bereavement coordinators, covering pain and symptom management, personal care, medication and equipment coordination, emotional and spiritual support, and up to 13 months of post-death bereavement services.

Product overview

Generations Hospice is a hospice care provider offering a unified suite of clinical and supportive services for terminally ill patients. The core offering is Hospice Care Services, which integrates Physician Services, Nursing Care with Pain & Symptom Management, Personalized Hospice Care, and Pharmacy/Medical Equipment support. This is complemented by Medical Social and Spiritual Services, a Bereavement Program offering up to 13 months of post-death support, and Hospice Volunteer Services. Care is delivered across four Levels of Hospice Care (Routine, Respite, General Inpatient, and Continuous Care), with End of Life Care Planning assistance for advance directives. The company also operates BrightSpring Hospice Foundation (Generations of Giving) as a charitable arm providing financial support to patients in need.

Differentiator

Problem solved

Functional benefit

Products and services

• Hospice Care Services A comprehensive hospice care program providing team-based medical, social, emotional, and spiritual support for terminally ill patients, delivered through an interdisciplinary team including nursing, physician services, personal care, bereavement support, and volunteer services.
• Physician Services Physician services including admission and eligibility decisions, in-home visits for hospice patients, and coordination with the patient's Primary Care Physician as the director of care, overseen by a hospice medical director.
• Nursing Care, Pain & Symptom Management In-home nursing visits with 24/7 availability providing pain management, symptom control (anxiety, breathing, nausea), and medication coordination to keep terminally ill patients comfortable.
• Personalized Hospice Care Individualized personal care plans provided by nurses and nurse aides including bathing, feeding, personal hygiene, and specialized care demands, delivered with a personal touch that treats patients as individuals.
• Bereavement Program Grief and bereavement support services provided to families and loved ones for up to 13 months following a patient's passing, including phone calls, visits, support groups, yearly memorial services, and educational materials.
• Medical Social and Spiritual Services Counseling and support services helping patients and families through emotional, financial, and spiritual processes, including assistance with advanced directives, care coordination, funeral arrangements, and pastoral care from interfaith ministers.
• Hospice Volunteer Services Compassionate volunteer support providing companionship, errands, light duties, reading, singing, and journaling assistance to patients and families through trained volunteers.
• Pharmacy, Medical Equipment & Medical Supplies Coordination and delivery of medications related to terminal diagnosis, along with medical equipment (hospital beds, wheelchairs, oxygen) and supplies needed for patient comfort and care.
• Levels of Hospice Care Four distinct levels of hospice care: Routine Care (standard home-based care), Respite Care (up to 5 days in a licensed nursing facility for caregiver relief), General Inpatient Care (crisis management in Medicare-approved SNF), and Continuous Care (24-hour crisis management in the home setting).
• End of Life Care Planning Assistance with important documents including POLST (Physician Order for Life-Sustaining Treatment), DNR (Do Not Resuscitate), Power of Attorney, Living Will, and Advance Directives to help patients communicate their healthcare wishes.
• BrightSpring Hospice Foundation / Generations of Giving A 501(c)(3) non-profit foundation providing essential non-hospice support and financial assistance to hospice patients and families who cannot otherwise afford assistance, including comfort items, final arrangements, and home care support.

Quantifiable outcome

• 13-month bereavement support provided to all families following patient death
• +2 more outcomes

Named customers1 record

Segments3 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Partnerships

Three partnerships are on record, tiered core and minor.

• Adoration HealthcoreStrategic or Co-development PartnerGenerations Hospice is an Adoration Health partner. This affiliation with Adoration Health, a national company offering Home Health, Hospice, Palliative Care, and Private Duty Nursing services nationwide, strengthens clinical offerings and expands the organization's ability to serve more individuals in need of care. The partnership enhances Generations Hospice's reach in the Fond du Lac area through Adoration Health's broader network.
• BrightSpring Health ServicescoreStrategic or Co-development PartnerGenerations Hospice is a member of the BrightSpring Health Services family of Health and Human Services brands. BrightSpring Health Services is the parent company operating hospice, home health, behavioral health, and other health services across the United States. BrightSpring provides corporate infrastructure, compliance frameworks, HR resources, and a shared brand platform. BrightSpring is headquartered at 805 N. Whittington Parkway, Louisville, KY 40222.
• BrightSpring Hospice Foundation (Generations of Giving)minorStrategic or Co-development PartnerThe BrightSpring Hospice Foundation operates as Generations of Giving, a 501(c)(3) not-for-profit organization that provides hospice patients and their families with essential non-hospice support they are unable to afford. The foundation covers comfort care items, final arrangement assistance, home care/sitting services, and other expenses beyond standard hospice scope. Donations may be tax-deductible.

Scale indicators6 records

Recent moves6 records

Expansion highlights3 records

Direct peers

• Amedisys Hospice: Large multi-state hospice provider with the same per-diem Medicare reimbursement model, interdisciplinary clinical teams, and home-based service delivery as Generations Hospice.
• Compassus Hospice: National hospice and palliative care provider operating across multiple U.S. states with a comparable interdisciplinary care model, Medicare/Medicaid reimbursement mix, and home-based delivery approach.
• Interim HealthCare Hospice: Franchised home health and hospice provider with multiple U.S. locations offering the same interdisciplinary hospice model, bereavement services, and Medicare per-diem reimbursement structure.
• BrightSpring Health Services Hospice Affiliates: Parent BrightSpring Health Services operates a portfolio of hospice affiliates across multiple states under the same brand platform. Generations Hospice shares the BrightSpring compliance, HR, and clinical infrastructure, making sibling hospice brands the closest operational peers.
• VITAS Healthcare (Chemed): Largest U.S. hospice provider, operating all four levels of hospice care (routine, continuous, inpatient, respite) under the same Medicare hospice benefit framework that Generations Hospice operates within.
• Adoration Health: Sister brand and explicit strategic partner of Generations Hospice, providing home health, hospice, palliative care, and private duty nursing services nationwide. Operates with the same BrightSpring-affiliated care model and overlapping clinical service lines.
• Gentiva Hospice: National hospice operator offering routine home care, respite, continuous, and general inpatient hospice levels — directly comparable service portfolio to Generations Hospice.

Regional players

• SSM Health at Home Hospice: Wisconsin/Midwest-affiliated health system with hospice operations overlapping Generations Hospice's Fond du Lac service area. Competes for similar patient referrals and skilled nursing facility partnerships in the same counties.

Broad incumbents

• ProMedica Hospice (formerly HCR ManorCare): Multi-state hospice provider operating alongside a broader senior care portfolio with comparable interdisciplinary clinical staffing and home-based hospice delivery.
• Encompass Health: Large post-acute care operator with a hospice segment providing routine and continuous home hospice care under Medicare per-diem reimbursement; broader portfolio than Generations Hospice but overlapping clinical and revenue model.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks5 records

Key highlights6 records

Customer concentration

• Facebookfacebook.com/generationshomeandhospice
• LinkedInlinkedin.com/company/generations-home-and-hospice

Revenue estimate

Valuation estimate

Number of profiles

Subsidiaries1 record

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 Generations Hospice