Care Initiatives Hospice

What Care Initiatives Hospice does

Care Initiatives Hospice is the hospice care division of Care Initiatives, a non-profit organization identified as Iowa's largest non-profit operator of skilled nursing facilities. The organization delivers comprehensive end-of-life care to patients with serious illness and to their families across Iowa and Nebraska, operating 10 dedicated hospice locations in Albia, Cedar Rapids, Des Moines, Dubuque, Manchester, Muscatine, Sioux City, and Waterloo in Iowa, plus Omaha in Nebraska, with corporate headquarters in West Des Moines, Iowa. Services are provided wherever a patient calls home — personal residences, skilled nursing facilities, assisted living communities, hospitals, and independent senior living facilities — through a multidisciplinary team of physicians, counselors, spiritual care providers, therapists, and volunteers available via a 24/7 response system.

The service offering centers on a single core product — coordinated hospice care — organized around individualized care plans that include medication management, medical equipment and supplies, physical, occupational and speech therapy, spiritual and bereavement support, respite care, and customized programming such as We Honor Veterans, pet therapy, massage therapy, and music therapy. The underlying operational backbone is a care coordination platform that schedules and manages multidisciplinary visits, tracks patient assessments, and supports round-the-clock clinical response. There is no disclosed proprietary software, AI/ML capability, or technology partnership; the platform is positioned as standard clinical workflow tooling rather than a technology product.

Care Initiatives Hospice generates revenue through reimbursable hospice care services billed primarily under the Medicare Hospice benefit, with secondary coverage from Medicaid and private health insurance at industry-standard per-diem rates. Go-to-market is sales-led and referral-driven, with patient acquisition flowing from physicians, hospitals, and healthcare systems, complemented by community outreach through veteran programs and volunteer engagement. The organization is privately held as a non-profit with no disclosed parent company, no funding rounds, and no M&A activity, operating as a regional, mission-driven provider rather than a venture-backed or technology-led entrant.

Name

Care Initiatives Hospice

Legal name

Care Initiatives

Website

https://careinitiativeshospice.org

Company type

Private

Operating status

Operating

Short description

Care Initiatives Hospice, the hospice division of Iowa's largest non-profit skilled nursing operator, provides coordinated end-of-life care to patients with serious illness and their families across 10 locations in Iowa and Nebraska, reimbursed primarily through Medicare.

Ownership category

akta.pro rank

Product category

Hospice Care Services

NAICS

Home Health Care Services (62161), Home Health Care Services (6216), Services for the Elderly and Persons with Disabilities (624120), Services for the Elderly and Persons with Disabilities (62412)

SIC

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

akta.pro primary industry

Home Hospice (Routine Home Care) (HLADAHAA)

akta.pro secondary industries

Hospice Care in Nursing Facilities (SNF/NH Hospice) (HLADAHAD), Hospice Care in Assisted Living / Residential Care Facilities (HLADAHAE), Routine In-Home Hospice Care (HSABAFAA), In-Home Hospice Nursing Visits (RN/LPN) (HSABAFAL)

Keywords

• Hospice care services
• End-of-life care
• Palliative care support
• Bereavement counseling
• Respite care services

Headquarters

HQ city

West Des Moines

HQ country

United States

HQ region

North America

Offices10 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Supply Chain, Infrastructure, Marketing or Sales

Revenue model

1. Hospice Care Reimbursement: Healthcare services are primarily reimbursed through Medicare Hospice benefit, Medicaid, and private health insurance coverage. This is a recurring revenue model based on per-diem rates for hospice services provided to eligible patients.

Pricing tiers

Go-to-market motion1 record

Distribution channels2 records

Marketing channels3 records

Core offering

Care Initiatives Hospice provides comprehensive end-of-life hospice care services to patients with serious illness and their families across Iowa and Nebraska. Services include 24/7 care coordination, personalized care plans with medication management and medical equipment, physical/occupational/speech therapy, spiritual and bereavement support, respite care, and customized programming such as pet, massage, and music therapy. Care is delivered wherever patients call home, including personal residences, skilled nursing facilities, assisted living, hospitals, and independent senior living communities.

Product overview

Care Initiatives Hospice offers a unified hospice care service as its core product. The service is organized around customized programming including therapy services (pet, massage, music), comprehensive care coordination with 24/7 availability, personalized care plans with medication management and medical equipment, therapeutic and daily living support (physical, occupational, speech therapy), spiritual and bereavement support, and respite care for family caregivers. All services are delivered across Iowa and Nebraska locations and can be administered at the patient's home, skilled nursing facility, assisted living, hospital, or independent senior living.

Differentiator

Problem solved

Functional benefit

Products and services

• Hospice Care Services Comprehensive end-of-life hospice care services providing coordinated physical, emotional, and spiritual support to patients with serious illness and their families. Services include 24/7 care coordination, personalized care plans with medication management and medical equipment, physical/occupational/speech therapy, spiritual and bereavement support, respite care, and customized programming such as We Honor Veterans, pet therapy, massage therapy, and music therapy. Care is delivered wherever patients call home, including personal residences, skilled nursing facilities, assisted living, hospitals, and independent senior living communities across Iowa and Nebraska.

Segments3 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature3 records

Partnerships

Two partnerships are on record, tiered core.

• We Honor VeteranscoreStrategic or Co-development PartnerWe Honor Veterans is a program that recognizes and honors veterans during their hospice care journey. Care Initiatives Hospice has integrated this program into their customized programming to provide specialized support and recognition for veteran patients.
• Iowa Health Care Association (IHCA)coreStrategic or Co-development PartnerIHCA Foundation awards scholarships to Care Initiatives team members to further their healthcare education, indicating a commitment to workforce development and professional growth within the organization.

Scale indicators2 records

Recent moves1 record

Expansion highlights4 records

Broad incumbents

• Gentiva (formerly Kindred at Home): Gentiva is one of the largest U.S. hospice and home health operators with a national footprint. It is comparable as a direct hospice service provider serving patients across home, SNF, and facility settings, but operates at significantly greater scale than Care Initiatives Hospice.
• Amedisys: Amedisys is a major home health and hospice provider with multi-state operations and Medicare-reimbursed hospice services. It is comparable in service mix (hospice, nursing, therapy in the home) but at national scale versus Care Initiatives' two-state regional presence.
• VITAS Healthcare: VITAS is the largest U.S. hospice provider, operating across dozens of states with intensive hospice and palliative programs. It is comparable in core service offering (routine home hospice, facility-based hospice, 24/7 support) but at significantly larger scale and broader geographic reach.
• LHC Group: LHC Group operates home health, hospice, and facility-based services across many states, with Medicare-reimbursed hospice programs. It is comparable in service model and reimbursement profile but as a national, publicly held incumbent rather than a regional non-profit.
• BrightSpring Health Services: BrightSpring operates home health, hospice, and pharmacy services serving Medicare and Medicaid populations across many states. It is comparable in hospice service delivery and reimbursement model but is a much larger diversified home and community-based services platform.

Direct peers

• Compassus: Compassus is a hospice, palliative, and home health provider operating across multiple states with a multi-site delivery model and 24/7 clinical support. It is a strong direct peer given overlapping service lines, reimbursement profile, and emphasis on coordinated home-based end-of-life care.
• St. Croix Hospice: St. Croix Hospice is a regional multi-site hospice operator emphasizing 24/7 availability, personalized care plans, and community-based service delivery in the upper Midwest and surrounding states. It is a strong direct peer given overlapping geography, service model, and focus on routine home hospice.

Emerging players

• Aveanna Healthcare: Aveanna provides home health and hospice services with a multi-state footprint and Medicare-reimbursed hospice programs. It is comparable as a hospice/home health provider but with a broader pediatric and adult home care portfolio beyond end-of-life services.

Regional players

• Iowa Hospice (regional Midwestern operators): Iowa Hospice and similar small Midwest-based non-profit hospices operate within Iowa, providing routine home hospice, grief support, and volunteer programs. It is comparable as a regional non-profit hospice peer serving overlapping Iowa geography with similar service model.
• EveryStep Hospice (formerly HCI Hospice): EveryStep is a non-profit hospice provider serving Iowa and surrounding Midwestern states with home-based hospice and bereavement services. It is comparable as a regional non-profit hospice peer with overlapping Iowa service area and similar reimbursement and care delivery model.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat4 records

Key risks6 records

Key highlights7 records

Customer concentration

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 Care Initiatives Hospice