{
  "study": {
    "slug": "hospice-provider-availability-by-state-2026",
    "title": "Hospice Provider Availability by State: 6,943 Medicare-Certified Providers, 69% For-Profit",
    "url": "https://fonteum.com/research/hospice-provider-availability-by-state-2026",
    "methodology_version": "hospice-availability/v1"
  },
  "data_as_of": "2026-05-25",
  "temporal_coverage": "2026-05-25",
  "sources": [
    {
      "name": "CMS Care Compare Hospice",
      "publisher": "U.S. Centers for Medicare & Medicaid Services",
      "url": "https://data.cms.gov/provider-data/dataset/yc9t-dgbk",
      "release_date": "2026-05-25",
      "retrieved_at": "2026-05-25",
      "license": "U.S. Government Works (17 U.S.C. §105)"
    }
  ],
  "headline": {
    "published": "2026-06-06",
    "total_providers": 6943,
    "states_covered": 51,
    "fifty_states_plus_dc_total": 6894,
    "for_profit_count": 4790,
    "for_profit_pct": 69,
    "non_profit_count": 815,
    "non_profit_pct": 11.7,
    "government_count": 75,
    "government_pct": 1.1,
    "other_unknown_count": 1263,
    "other_unknown_pct": 18.2,
    "top_two_states_pct": 47
  },
  "sections": [
    {
      "id": "ownership",
      "label": "Ownership breakdown (CMS categories)",
      "columns": [
        "ownership",
        "providers",
        "pct_of_national_total"
      ],
      "rows": [
        {
          "ownership": "For-Profit",
          "providers": 4790,
          "pct_of_national_total": 69
        },
        {
          "ownership": "Non-Profit",
          "providers": 815,
          "pct_of_national_total": 11.7
        },
        {
          "ownership": "Other / Not Reported",
          "providers": 452,
          "pct_of_national_total": 6.5
        },
        {
          "ownership": "Government",
          "providers": 75,
          "pct_of_national_total": 1.1
        },
        {
          "ownership": "Combination Gov. & Non-Profit",
          "providers": 28,
          "pct_of_national_total": 0.4
        },
        {
          "ownership": "Unknown (null)",
          "providers": 783,
          "pct_of_national_total": 11.3
        }
      ]
    },
    {
      "id": "by_state",
      "label": "Medicare-certified hospices by state (50 states + DC)",
      "columns": [
        "state",
        "state_name",
        "total_providers",
        "for_profit",
        "non_profit",
        "government",
        "other_unknown",
        "for_profit_pct"
      ],
      "rows": [
        {
          "state": "CA",
          "state_name": "California",
          "total_providers": 2155,
          "for_profit": 1791,
          "non_profit": 51,
          "government": 2,
          "other_unknown": 311,
          "for_profit_pct": 83.1
        },
        {
          "state": "TX",
          "state_name": "Texas",
          "total_providers": 1081,
          "for_profit": 789,
          "non_profit": 29,
          "government": 11,
          "other_unknown": 252,
          "for_profit_pct": 73
        },
        {
          "state": "GA",
          "state_name": "Georgia",
          "total_providers": 259,
          "for_profit": 196,
          "non_profit": 24,
          "government": 1,
          "other_unknown": 38,
          "for_profit_pct": 75.7
        },
        {
          "state": "AZ",
          "state_name": "Arizona",
          "total_providers": 244,
          "for_profit": 180,
          "non_profit": 8,
          "government": 0,
          "other_unknown": 56,
          "for_profit_pct": 73.8
        },
        {
          "state": "PA",
          "state_name": "Pennsylvania",
          "total_providers": 183,
          "for_profit": 119,
          "non_profit": 44,
          "government": 1,
          "other_unknown": 19,
          "for_profit_pct": 65
        },
        {
          "state": "NV",
          "state_name": "Nevada",
          "total_providers": 179,
          "for_profit": 96,
          "non_profit": 2,
          "government": 0,
          "other_unknown": 81,
          "for_profit_pct": 53.6
        },
        {
          "state": "MI",
          "state_name": "Michigan",
          "total_providers": 172,
          "for_profit": 103,
          "non_profit": 29,
          "government": 2,
          "other_unknown": 38,
          "for_profit_pct": 59.9
        },
        {
          "state": "OH",
          "state_name": "Ohio",
          "total_providers": 168,
          "for_profit": 98,
          "non_profit": 52,
          "government": 2,
          "other_unknown": 16,
          "for_profit_pct": 58.3
        },
        {
          "state": "IL",
          "state_name": "Illinois",
          "total_providers": 147,
          "for_profit": 93,
          "non_profit": 29,
          "government": 8,
          "other_unknown": 17,
          "for_profit_pct": 63.3
        },
        {
          "state": "OK",
          "state_name": "Oklahoma",
          "total_providers": 133,
          "for_profit": 86,
          "non_profit": 16,
          "government": 3,
          "other_unknown": 28,
          "for_profit_pct": 64.7
        },
        {
          "state": "MO",
          "state_name": "Missouri",
          "total_providers": 133,
          "for_profit": 76,
          "non_profit": 23,
          "government": 2,
          "other_unknown": 32,
          "for_profit_pct": 57.1
        },
        {
          "state": "LA",
          "state_name": "Louisiana",
          "total_providers": 119,
          "for_profit": 93,
          "non_profit": 6,
          "government": 0,
          "other_unknown": 20,
          "for_profit_pct": 78.2
        },
        {
          "state": "VA",
          "state_name": "Virginia",
          "total_providers": 112,
          "for_profit": 68,
          "non_profit": 25,
          "government": 0,
          "other_unknown": 19,
          "for_profit_pct": 60.7
        },
        {
          "state": "IN",
          "state_name": "Indiana",
          "total_providers": 102,
          "for_profit": 63,
          "non_profit": 18,
          "government": 4,
          "other_unknown": 17,
          "for_profit_pct": 61.8
        },
        {
          "state": "SC",
          "state_name": "South Carolina",
          "total_providers": 91,
          "for_profit": 65,
          "non_profit": 10,
          "government": 2,
          "other_unknown": 14,
          "for_profit_pct": 71.4
        },
        {
          "state": "CO",
          "state_name": "Colorado",
          "total_providers": 87,
          "for_profit": 55,
          "non_profit": 21,
          "government": 3,
          "other_unknown": 8,
          "for_profit_pct": 63.2
        },
        {
          "state": "AL",
          "state_name": "Alabama",
          "total_providers": 85,
          "for_profit": 64,
          "non_profit": 5,
          "government": 4,
          "other_unknown": 12,
          "for_profit_pct": 75.3
        },
        {
          "state": "KS",
          "state_name": "Kansas",
          "total_providers": 85,
          "for_profit": 48,
          "non_profit": 9,
          "government": 7,
          "other_unknown": 21,
          "for_profit_pct": 56.5
        },
        {
          "state": "UT",
          "state_name": "Utah",
          "total_providers": 85,
          "for_profit": 69,
          "non_profit": 6,
          "government": 0,
          "other_unknown": 10,
          "for_profit_pct": 81.2
        },
        {
          "state": "MN",
          "state_name": "Minnesota",
          "total_providers": 84,
          "for_profit": 24,
          "non_profit": 26,
          "government": 3,
          "other_unknown": 31,
          "for_profit_pct": 28.6
        },
        {
          "state": "MS",
          "state_name": "Mississippi",
          "total_providers": 83,
          "for_profit": 61,
          "non_profit": 4,
          "government": 7,
          "other_unknown": 11,
          "for_profit_pct": 73.5
        },
        {
          "state": "WI",
          "state_name": "Wisconsin",
          "total_providers": 83,
          "for_profit": 39,
          "non_profit": 30,
          "government": 2,
          "other_unknown": 12,
          "for_profit_pct": 47
        },
        {
          "state": "MA",
          "state_name": "Massachusetts",
          "total_providers": 77,
          "for_profit": 44,
          "non_profit": 22,
          "government": 0,
          "other_unknown": 11,
          "for_profit_pct": 57.1
        },
        {
          "state": "NC",
          "state_name": "North Carolina",
          "total_providers": 76,
          "for_profit": 34,
          "non_profit": 36,
          "government": 4,
          "other_unknown": 2,
          "for_profit_pct": 44.7
        },
        {
          "state": "IA",
          "state_name": "Iowa",
          "total_providers": 70,
          "for_profit": 21,
          "non_profit": 27,
          "government": 11,
          "other_unknown": 11,
          "for_profit_pct": 30
        },
        {
          "state": "OR",
          "state_name": "Oregon",
          "total_providers": 66,
          "for_profit": 30,
          "non_profit": 23,
          "government": 1,
          "other_unknown": 12,
          "for_profit_pct": 45.5
        },
        {
          "state": "NJ",
          "state_name": "New Jersey",
          "total_providers": 61,
          "for_profit": 39,
          "non_profit": 18,
          "government": 0,
          "other_unknown": 4,
          "for_profit_pct": 63.9
        },
        {
          "state": "TN",
          "state_name": "Tennessee",
          "total_providers": 60,
          "for_profit": 42,
          "non_profit": 6,
          "government": 2,
          "other_unknown": 10,
          "for_profit_pct": 70
        },
        {
          "state": "FL",
          "state_name": "Florida",
          "total_providers": 58,
          "for_profit": 25,
          "non_profit": 23,
          "government": 0,
          "other_unknown": 10,
          "for_profit_pct": 43.1
        },
        {
          "state": "ID",
          "state_name": "Idaho",
          "total_providers": 54,
          "for_profit": 35,
          "non_profit": 7,
          "government": 2,
          "other_unknown": 10,
          "for_profit_pct": 64.8
        },
        {
          "state": "NM",
          "state_name": "New Mexico",
          "total_providers": 54,
          "for_profit": 32,
          "non_profit": 7,
          "government": 1,
          "other_unknown": 14,
          "for_profit_pct": 59.3
        },
        {
          "state": "WA",
          "state_name": "Washington",
          "total_providers": 49,
          "for_profit": 19,
          "non_profit": 13,
          "government": 6,
          "other_unknown": 11,
          "for_profit_pct": 38.8
        },
        {
          "state": "AR",
          "state_name": "Arkansas",
          "total_providers": 46,
          "for_profit": 31,
          "non_profit": 12,
          "government": 0,
          "other_unknown": 3,
          "for_profit_pct": 67.4
        },
        {
          "state": "NE",
          "state_name": "Nebraska",
          "total_providers": 42,
          "for_profit": 21,
          "non_profit": 12,
          "government": 1,
          "other_unknown": 8,
          "for_profit_pct": 50
        },
        {
          "state": "NY",
          "state_name": "New York",
          "total_providers": 40,
          "for_profit": 3,
          "non_profit": 27,
          "government": 2,
          "other_unknown": 8,
          "for_profit_pct": 7.5
        },
        {
          "state": "MT",
          "state_name": "Montana",
          "total_providers": 32,
          "for_profit": 13,
          "non_profit": 14,
          "government": 1,
          "other_unknown": 4,
          "for_profit_pct": 40.6
        },
        {
          "state": "CT",
          "state_name": "Connecticut",
          "total_providers": 28,
          "for_profit": 8,
          "non_profit": 11,
          "government": 0,
          "other_unknown": 9,
          "for_profit_pct": 28.6
        },
        {
          "state": "MD",
          "state_name": "Maryland",
          "total_providers": 26,
          "for_profit": 5,
          "non_profit": 14,
          "government": 0,
          "other_unknown": 7,
          "for_profit_pct": 19.2
        },
        {
          "state": "KY",
          "state_name": "Kentucky",
          "total_providers": 23,
          "for_profit": 6,
          "non_profit": 16,
          "government": 0,
          "other_unknown": 1,
          "for_profit_pct": 26.1
        },
        {
          "state": "NH",
          "state_name": "New Hampshire",
          "total_providers": 23,
          "for_profit": 7,
          "non_profit": 7,
          "government": 0,
          "other_unknown": 9,
          "for_profit_pct": 30.4
        },
        {
          "state": "WY",
          "state_name": "Wyoming",
          "total_providers": 21,
          "for_profit": 9,
          "non_profit": 3,
          "government": 6,
          "other_unknown": 3,
          "for_profit_pct": 42.9
        },
        {
          "state": "WV",
          "state_name": "West Virginia",
          "total_providers": 18,
          "for_profit": 8,
          "non_profit": 9,
          "government": 0,
          "other_unknown": 1,
          "for_profit_pct": 44.4
        },
        {
          "state": "ME",
          "state_name": "Maine",
          "total_providers": 17,
          "for_profit": 8,
          "non_profit": 3,
          "government": 0,
          "other_unknown": 6,
          "for_profit_pct": 47.1
        },
        {
          "state": "SD",
          "state_name": "South Dakota",
          "total_providers": 17,
          "for_profit": 7,
          "non_profit": 4,
          "government": 1,
          "other_unknown": 5,
          "for_profit_pct": 41.2
        },
        {
          "state": "ND",
          "state_name": "North Dakota",
          "total_providers": 13,
          "for_profit": 6,
          "non_profit": 6,
          "government": 0,
          "other_unknown": 1,
          "for_profit_pct": 46.2
        },
        {
          "state": "RI",
          "state_name": "Rhode Island",
          "total_providers": 11,
          "for_profit": 5,
          "non_profit": 2,
          "government": 0,
          "other_unknown": 4,
          "for_profit_pct": 45.5
        },
        {
          "state": "HI",
          "state_name": "Hawaii",
          "total_providers": 11,
          "for_profit": 4,
          "non_profit": 6,
          "government": 0,
          "other_unknown": 1,
          "for_profit_pct": 36.4
        },
        {
          "state": "DE",
          "state_name": "Delaware",
          "total_providers": 11,
          "for_profit": 6,
          "non_profit": 4,
          "government": 0,
          "other_unknown": 1,
          "for_profit_pct": 54.5
        },
        {
          "state": "VT",
          "state_name": "Vermont",
          "total_providers": 9,
          "for_profit": 3,
          "non_profit": 4,
          "government": 0,
          "other_unknown": 2,
          "for_profit_pct": 33.3
        },
        {
          "state": "AK",
          "state_name": "Alaska",
          "total_providers": 6,
          "for_profit": 3,
          "non_profit": 1,
          "government": 1,
          "other_unknown": 1,
          "for_profit_pct": 50
        },
        {
          "state": "DC",
          "state_name": "District of Columbia",
          "total_providers": 5,
          "for_profit": 3,
          "non_profit": 1,
          "government": 0,
          "other_unknown": 1,
          "for_profit_pct": 60
        }
      ]
    }
  ],
  "limitations": [
    "Certification is not the same as active operations. A Medicare certification does not guarantee a provider is actively enrolling patients; CMS revocation data is updated separately and is not joined here.",
    "1263 records (18.2%) carry an ownership classification of \"Other / Not Reported\" or null and are excluded from the for-profit percentage, so the reported percentages are a floor computed on a subset.",
    "No quality outcomes. This file counts certifications and classifies ownership type; it carries no patient-level quality measures, star ratings, or HQRP scores.",
    "Single snapshot. Figures reflect the 2026-05-25 CMS snapshot; certifications change as hospices are approved, terminated, or revoked.",
    "Territories excluded from the state analysis. The 50-states-plus-DC total is 6894; the remaining 49 territory providers bring the full national file to 6943.",
    "Fonteum does not rate, rank, score, or recommend any individual hospice provider. This study describes market structure at the state level using federal data."
  ],
  "reproducible_sql": null,
  "license": "U.S. Government Works (17 U.S.C. §105)",
  "generated_by": "Fonteum — https://fonteum.com",
  "notes": "Aggregate, source-traced figures frozen to the as-of date above. Re-derive by running the published query against the named source file; no per-person records are included."
}
