Literature Review

Hospice M&A sees uptick in Q1 2025Hospice News; by Jim Parker; 4/10/25Hospice acquisitions saw a gentle rebound in Q1 2025. Deal volume is up relative to 2024’s slump, but activity has not reached the boom levels of 2020 and 2021. The M&A market’s rejuvenation extends across a range of home-based care industries, according to a new report from the M&A advisory firm Mertz Taggart. The “tides have turned,” with a total 29 home-based care transactions during Q1, the most active quarter since 2023, the report indicated... Some of the more significant disclosed deals included the following:

A terminally ill man decided to end his life. This is how he spent his last day alivePeople; By Vanessa Etienne; 4/8/25A California man offered a look at his final day of life as he made the decision to die rather than live with a terminal illness. Wayne Hawkins, an 80-year-old from San Diego, was diagnosed with terminal heart failure. He’s also suffered from a slew of other health issues including prostate cancer, liver failure and sepsis. "Some days the pain is almost more than I can handle," he told BBC in an interview published April 3. Hawkins told the outlet that he watched two relatives die "miserable" and "heinous" deaths from heart failure, and knew he didn’t want to die that way. "I hate hospitals, they are miserable. I will die in the street first," he said.Publisher's note: Two considerations: 1) Are there opportunities for hospice in similar situations? 2) This story ran in People magazine...

VNA Hospice NWI celebrates some of its most dedicated volunteers at Volunteer Appreciation Breakfast NWI.LIFE, Valparaiso, IN; by Philip Bolton; 4/7/25 On the morning of Saturday, April 5, VNA Hospice of Northwest Indiana hosted its annual Volunteer Appreciation Breakfast at Christ Lutheran Church in Valparaiso. Volunteers who assist with VNA’s many services, including hospice and palliative care, the Medical Guardian help button program, the We Honor Veterans program, the Phoenix Center for Grief, and VNA Meals on Wheels of Porter County, were recognized. ... Matthew Naillieux, a VNA Hospice NWI volunteer, has proudly worked with the organization for 20 years. “Everything VNA Hospice NWI does is good for the community,” Naillieux said. ... "Usually, we’re volunteering at different locations at different times, and we aren’t able to get together like this very often." ... During the award presentation segment of the event, volunteers were recognized for milestone achievements. These included awards for achievements like 5, 10, 15, 20, and 25 years of service ... [Continue reading ...]Editor's note: Reminder that April is National Volunteer Month; April 20-26, 2025 is National Volunteer Week.

Hospices ‘tapping brakes’ on M&A in uncertain economy Hospice News; by Holly Vossel; 4/8/25 Predictions of a hospice M&A rebound have fizzled as a volatile regulatory and economic climate threatens to curb transaction activity in 2025 and beyond. ... 

How housing instability complicates end-of-life take care of growing old unhoused populations Health Medicine Network; by Pilar Ingle; 4/8/25 Research estimates that one-third or more of the unhoused inhabitants within the U.S. is age 50 or older. Unhoused individuals of all ages face high rates of ... severe sickness. They additionally die at younger ages in contrast with people who find themselves not unhoused. Yet, there are few choices for palliative and end-of-life care for unhoused individuals. ... As a health care and aging researcher, ... I interviewed 17 well being care and social service suppliers in Colorado to grasp how they attempt to deal with palliative and end-of-life wants for his or her unhoused shoppers.

Transitions Hospice opens new location to expand service WIFR News, Rockford, IL; by Anna Sieg; 4/4/25 Transitions Hospice cuts the ribbon on a new location as they expand their service area to Freeport, DeKalb and Sycamore. The new location was officially opened with a ribbon-cutting ceremony April 3 ... Transitions Hospice offers Palliative Care for patients with chronic illness in a home-based setting, and End of Life Care, to ensure “no one transitions alone,” according to their website. ... Transitions has five other locations, serving residents across Illinois. The expansion focuses on getting their services to rural residents who may not have hospice care as easily accessible, ...  [Continue reading ...]

Most people pursue a toxic type of purpose in life—but if you do this instead, ‘there is no way to fail’ CNBC Make It; by Dr. Joran Grumet, contributor/hospice medical director; 4/4/25 It took me many years and quite a bit of emotional heartache to realize a life-changing fact: When it comes to purpose, bigger is not better. Most of our anxiety stems from what I call “big P” Purpose, which is overly focused on the outcome or destination. ... [Dr. Grumet describes what he calls "big P" Purpose vs. "little P" Purpose.] I’ve found that most people end up pursuing the former, toxic type of purpose. It’s the easiest kind to choose, because it means meeting society’s expectations and following in the footsteps of the herd. The harder decision by far is to do the internal work to discover what really lights you up — and find a way to pursue it in the world. This all takes effort, but it’s worth it. ... Little P purpose embraces an abundance mentality. There is room for everyone — I mean everyone — to pursue that which brings them inner joy and happiness. This pursuit will never rely on whether someone else is succeeding or failing. ... [Continue reading ...]

Opportunities and barriers to artificial intelligence adoption in palliative/hospice care for underrepresented groups: A technology acceptance model-based review Journal of Hospice & Palliative Nursing; by Tuzhen Xu and Gloria M Rose; 4/2/25 Underrepresented groups (URGs) in the United States, including African Americans, Latino/Hispanic Americans, Asian Pacific Islanders, and Native Americans, face significant barriers to accessing hospice and palliative care. ... Findings suggest that AI has the potential to improve decision-making, enhance timely palliative care referrals, and bridge language and cultural gaps. Artificial intelligence tools were found to improve predictive accuracy, support serious illness communication, and assist in addressing language barriers, thus promoting equitable care for URGs. However, barriers such as limited generalizability, biases in data, and challenges in infrastructure were noted, hindering the full adoption of AI in hospice settings. Artificial intelligence has transformative potential to improve hospice care for URGs by enhancing cultural sensitivity, improving communication, and enabling more timely interventions. However, to fully realize its potential, AI solutions must address data biases, infrastructure limitations, and cultural nuances. Future research should prioritize developing culturally competent AI tools that are transparent, explainable, and scalable to ensure equitable access to hospice and palliative care services for all populations. [Continue reading ...]

2 key trends shaping the hospice workforce in 2025 Hospice News; by Holly Vossel; 4/4/25 Hospice providers have unveiled two key themes that are impacting the ability to sustain and grow their workforce. Staffing shortages have long topped the concerns of hospice executives nationwide. Rising demand for hospice care has been outpacing the supply of clinical resources for several years running. Labor strains have also mounted among nonclinical and back-office administrative, billing and IT roles. ...

Agrace named preferred hospice provider to Oakwood Village Communities Agrace, Madison, WI; Press release; 4/2/25 Two pillars of Madison’s healthcare community are partnering to deliver exceptional care to patients and families: Oakwood and Agrace. Residents of Oakwood Village Communities who are in the final months of life now have a preferred partner for high-quality hospice care. Agrace, Wisconsin’s largest nonprofit hospice, has entered into a Preferred Partner Agreement with Oakwood for the care of its residents, effective immediately. “Agrace is honored to be named Oakwood’s Preferred Partner for delivering hospice care,” said Lynne Sexten, Agrace President & CEO. [Continue reading ...]

Duke University Health System CEO: 7 lessons learned from a complex transformation Becker's Hospital Review; by Craig T. Albanese, MD, CEO of Duke University Health System; 4/3/25 Change management is both the art and science of preparing, supporting and equipping individuals, teams and an organization to adopt and adapt to new beginnings. ... Unifying our organization over the past 21 months, as with most mergers, has been challenging and we are far from finished. ... Lessons Learned:

Moffitt Cancer Center to offer inpatient hospice Becker's Hospital Review, Tampa, FL; by Elizabeth Gregerson; 3/31/25 Tampa, Fla.-based Moffitt Cancer Center has partnered with Clearwater, Fla.-based Empath Health to offer inpatient hospice services. Moffitt care teams will continue to care for patients while nurses from Suncoast Hospice of Hillsborough in Tampa, part of Empath Health, will ensure inpatient hospice care criteria is met. Moffitt’s palliative medicine team will also “collaborate closely” with the hospice care team ... Moffitt CEO Patrik Hwu, MD, prioritized partnering with a hospice agency two years ago, the release said. “One of the biggest benefits of this partnership is the option for patients and their loved ones to transition from curative treatment to receiving compassionate end-of-life care while they continue maintaining relationships with their care team at Moffitt,” Kerry Hoerner, BSN, RN, senior vice president of Empath Health’s hospice division, said in the release. 

Voices of Inspiration at the Dignity Health Arena NBC KGET-17, Bakersfield, CA; by Joshua Eyraud; 3/31/25 Hoffmann Hospice is celebrating its 30th anniversary in 2025, and on Thursday night they brought in some star power. Hoffmann held its annual Voices of Inspiration dinner at the convention center in downtown Bakersfield on March 27. It featured a very special guest speaker – Third generation Nascar driver Dale Earnhardt, Jr. who retired in 2017, was the special guest speaker for the evening. ... Beth Hoffmann says it’s easy to see why Earnhardt Jr. was the perfect fit for this event. “We are a Nascar community, so that was kind of easy. I read his book and and that was phenomenal,” said Hoffman. “He’s just a man that perseveres, he’s committed to his goals, his mom had hospice and he was voted like 15 times the favorite of drivers, the most friendly.”