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Hospice Ownership and Operators

WhoOwnsCare tracks 2,816 Medicare-certified hospices across California, Texas, Florida, Ohio, Illinois, Pennsylvania and New York. The largest resolved operator is HHCS Managers LLC with 37 hospices in 1 of those states.

Ownership is published for 1,001 of these providers. The figures below cover the seven states currently ingested and are not national totals.

CMS ownership and enrollment files 2026-08-19Retrieved 2026-08-20Ownership graph generated 2026-08-20

Largest Hospice Companies in Covered States

Who Owns Hospices?

Ownership of hospices is filed with CMS as a chain of legal entities rather than a single company name. A group running dozens of hospices can appear in the raw files as dozens of unrelated businesses. WhoOwnsCare resolves those entities into corporate families using shared identifiers, officers, declared parents and portfolio overlap, and publishes the resolved family, its confidence classification and source provenance; the detailed supporting evidence is part of WhoOwnsCare’s reports and datasets.

1,741 of these hospices have no company anywhere in the ownership chain — every owner on file is a natural person. That is a structural feature of the sector rather than missing data, and it is why those facilities carry no named owner on this site.

Hospices by State

StateHospicesExplore
California1,249California market
Texas976Texas market
Pennsylvania174Pennsylvania market
Ohio165Ohio market
Illinois153Illinois market
Florida60Florida market
New York39New York market

How Hospices Are Resolved Differently from Nursing Homes

Fact: the CMS affiliation entity field exists only in the skilled nursing enrollment file, and no public change-of-ownership dataset exists for hospices. WhoOwnsCare therefore resolves hospices with a direct-owner Associate-ID resolver with a singleton guard (99.5% precision against the validation set). Pre-tenure ownership history for hospices is not resolved, and only 77.7% of hospices (2189 of 2816) have a FY2024 or FY2025 HCRIS period that can be attributed to the current operator, because most CMS owner records for these provider types carry no association date.

Largest Hospice Operating Families in Covered States

Largest operating families by hospices operated (hospices; current CMS enrollment)
Largest operating families by hospices operated
Categoryhospices
HHCS Managers LLC37
Odyssey Healthcare Inc.29
Vitas Hospice Services, LLC24
Heart To Heart Hospice Holdings LLC23
Cornerstone Healthcare Inc22
Care Hospice, Inc.16
Suncrest Health Services LLC15
Kaiser Foundation Hospitals14
Southerncare Holdings, Inc.12
Three Oaks Hospice, Inc.12

Source: CMS PECOS enrollment, 2026-07; WhoOwnsCare family resolution

Operating familyHospicesStates
HHCS Managers LLC37Texas
Odyssey Healthcare Inc.29California, Florida, Illinois, Ohio, Pennsylvania, Texas
Vitas Hospice Services, LLC24California, Florida, Illinois, Ohio, Pennsylvania, Texas
Heart To Heart Hospice Holdings LLC23California, Texas
Cornerstone Healthcare Inc22California, Texas
Care Hospice, Inc.16California, Florida, Illinois, Ohio, Pennsylvania, Texas
Suncrest Health Services LLC15California, Illinois, Ohio, Pennsylvania, Texas
Kaiser Foundation Hospitals14California
Southerncare Holdings, Inc.12Illinois, Ohio, Pennsylvania
Three Oaks Hospice, Inc.12Illinois, Pennsylvania, Texas

Hospices by State

Limitation: family grouping for these provider types carries lower recall than for nursing homes; an unresolved provider is one whose operating-family relationship is not resolved from the authoritative public sources currently integrated, never one with no parent.

Common Questions

Who Is the Largest Hospice Company?

Across California, Texas, Florida, Ohio, Illinois, Pennsylvania and New York, the largest resolved operator is HHCS Managers LLC, with 37 hospices.

How Many Hospices Are There?

2,816 Medicare-certified hospices across the seven states currently covered.

How Do I Find Out Who Owns a Hospice?

Open the facility's page. It separates the operator, the owner of record, the resolved corporate family and the property owner, and states the confidence behind each.