Hospice agency changes of ownership: An analysis of publicly available ownership data

Hospice agency changes of ownership: An analysis of publicly available ownership data 
Assistant Secretary for Planning and Evaluation: Office of Behavioral Health, Disability, and Aging Policy; 1/10/25 
Key Points:

• Between 2018 and 2022, the number of hospice agencies in the United States increased by 27%, from 4,619 to 5,861. This growth was driven by an increase in for-profit agencies, with the market share of for-profit agencies growing from 66% in 2018 to 74% in 2022.
• During those same five years, 311 change of ownership (CHOW) transactions occurred among hospice agencies. ...
• Annual rates of CHOW were similar across ownership categories (i.e., for-profit,
• nonprofit/government, or other). However, each study year, for-profit hospices accounted for the largest share of changes of ownership (between 61% and 76%), consistent with for-profit hospices accounting for the largest share of all hospice agencies.
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