The hospice care industry in the US plays a vital role in providing compassionate support to individuals with terminal illnesses. Companies operating in this field offer specialized services tailored to enhance quality of life, including emotional support, pain management, and holistic care solutions. As the population ages and preferences shift towards in-home care, the industry is experiencing substantial growth. In fact, hospice service usage has nearly tripled over the last two decades. This growth has prompted innovative service models and an increasing focus on patient-centered strategies, reflecting the changing landscape of care at the end-of-life stage.


The following list features a compilation of 20 notable hospice care companies in the US, varying in size and specialization. These organizations range from large corporate entities like LHC Group and AccentCare, with a workforce exceeding 30,000, to smaller operators like Heart 'n Home Hospice & Palliative Care. Regions covered by these firms include Texas, Georgia, and California, with many founded in the late 1990s or early 2000s. From personalized in-home services to palliative care, these companies are committed to meeting the complex needs of patients and their families in their final stages of life.


Read on to discover the premier hospice care companies in the US.


Top 20 Hospice Care Companies in the US


1. LHC Group

  • Website: lhcgroup.com
  • Ownership type: Corporate
  • Headquarters: Lafayette, Louisiana, United States (USA)
  • Employee distribution: United States (USA) 100%
  • Latest funding: $5.4B, March 2022
  • Founded year: 1994
  • Headcount: 10001+
  • LinkedIn: lhc-group

LHC Group, founded in 1994 and based in Lafayette, Louisiana, is a prominent healthcare provider specializing in home health care, hospice, and facility-based care services. With over 10,000 employees, the company emphasizes person-centered care, aiming to support individuals and families through health transitions and ongoing medical conditions. LHC Group's hospice services are designed to provide comfort and enhance the quality of life for patients facing life-limiting illnesses. The company operates a comprehensive network of care, ensuring that patients receive tailored support that meets their unique needs. In March 2022, LHC Group secured a substantial funding amount of $5.4 billion, reflecting its strong position in the healthcare market and its ongoing commitment to improving care delivery.


2. AccentCare

  • Website: accentcare.com
  • Ownership type: Private Equity
  • Headquarters: Dallas, Texas, United States (USA)
  • Employee distribution: United States (USA) 100%
  • Latest funding: May 2019
  • Founded year: 1999
  • Headcount: 10001+
  • LinkedIn: accentcare

AccentCare, founded in 1999 and based in Dallas, Texas, is a private equity-owned healthcare provider that specializes in post-acute care services. The company offers a comprehensive suite of services, including personal care, home health, hospice, and palliative care. AccentCare is dedicated to enhancing health outcomes and quality of life for its patients through a team of trained professionals. With a workforce of over 30,000 across more than 250 locations in 32 states, AccentCare serves over 200,000 individuals each year. Their hospice and palliative care services focus on providing comfort and peace of mind, addressing both physical and emotional needs during critical times. AccentCare's innovative approach to care management and partnerships with various health systems further solidify its role in the healthcare industry.


3. Care Hospice, Inc.

  • Website: carehospice.com
  • Ownership type: Private Equity
  • Headquarters: Charlottesville, Virginia, United States (USA)
  • Employee distribution: United States (USA) 100%
  • Latest funding: April 2017
  • Founded year: 2013
  • Headcount: 1001-5000
  • LinkedIn: care-hospice-inc.

Care Hospice, Inc., founded in 2013 and based in Charlottesville, Virginia, is a healthcare service provider specializing in hospice care. The company operates through a network of local agencies across various states, offering a range of services that include patient support, regulatory compliance, and operational management for hospice agencies. Care Hospice aims to combine the passion of local organizations with the operational efficiencies of larger entities, allowing each agency to retain its unique culture and brand strength. The organization is committed to providing compassionate care to patients with terminal illnesses and their families during end-of-life situations. With a workforce of over 1,500 employees, Care Hospice has established a significant presence in the industry, focusing on ethical practices and high standards of care. Their leadership team brings decades of experience in hospice care, further enhancing their credibility and operational effectiveness.


4. PruittHealth

  • Website: pruitthealth.com
  • Ownership type: Family Owned
  • Headquarters: Norcross, Georgia, United States (USA)
  • Employee distribution: United States (USA) 98%, Other 2%
  • Founded year: 1969
  • Headcount: 10001+
  • LinkedIn: pruitthealth

PruittHealth, founded in 1969 and based in Norcross, Georgia, is a family-owned health care provider that specializes in skilled nursing, home health care, hospice, and senior living services. With over 10,000 employees, the company operates across multiple states, primarily in the Southeast, including Florida, Georgia, and the Carolinas. PruittHealth is dedicated to delivering high-quality health care solutions that focus on recovery, chronic condition management, and end-of-life care. Their hospice services are designed to provide comfort and compassion, ensuring that patients and their families receive the support they need during difficult times. The company has developed a reputation for its family-centered approach, which is integral to its hospice care philosophy, involving patients and families in the decision-making process. PruittHealth also engages in community support through initiatives like the PruittCares Foundation, further solidifying its commitment to health care beyond just clinical services.


5. Traditions Health

  • Website: traditionshealth.com
  • Ownership type: Private Equity
  • Headquarters: Franklin, Tennessee, United States (USA)
  • Employee distribution: United States (USA) 100%
  • Latest funding: April 2011
  • Founded year: 2008
  • Headcount: 1001-5000
  • LinkedIn: traditions-healthcare

Traditions Health, founded in 2008 and based in Franklin, Tennessee, is a private equity-backed healthcare provider specializing in home health, palliative, and hospice care services. The company operates across 18 states, with over 120 locations, and employs approximately 3,100 professionals dedicated to enhancing the quality of life for patients facing serious illnesses. Traditions Health prioritizes compassionate, individualized care, ensuring that patients receive the necessary support in their homes. Their hospice services are designed to provide comfort and dignity during end-of-life care, while their palliative care team focuses on symptom management and emotional support for patients still pursuing curative treatments. Traditions Health also actively engages with veterans, offering tailored services to meet their unique needs. The company has not reported any recent funding, indicating a stable operational model since its last funding round in 2011.


6. Elara Caring

  • Website: elara.com
  • Ownership type: Private Equity
  • Headquarters: Dallas, Texas, United States (USA)
  • Employee distribution: United States (USA) 100%
  • Latest funding: January 2019
  • Founded year: 1994
  • Headcount: 10001+
  • LinkedIn: elara-caring

Elara Caring, founded in 1994 and based in Dallas, Texas, is a prominent home health care provider that offers a wide range of services, including skilled home health, hospice care, personal care services, behavioral health, and palliative care. The company is dedicated to delivering compassionate and holistic care to individuals and families who require assistance with health management and daily living activities. Elara Caring operates with a significant workforce of over 4,800 employees, ensuring a strong presence in the home health care sector. Their hospice care program is designed to support patients and their families through a focus on comfort, pain relief, and quality of life. The company also emphasizes community involvement through initiatives like the Elara Caring Hospice Foundation, which aims to enhance the quality of care provided to patients. With a commitment to high standards of care, Elara Caring has received recognition for its quality and patient satisfaction, further solidifying its position in the hospice care industry.


7. Agape Care Group

  • Website: agapecaregroup.com
  • Ownership type: Private Equity
  • Headquarters: Spartanburg, South Carolina, United States (USA)
  • Employee distribution: United States (USA) 98%, Other 2%
  • Latest funding: October 2021
  • Founded year: 1997
  • Headcount: 1001-5000
  • LinkedIn: hospice-care-of-sc

Agape Care Group, based in Spartanburg, South Carolina, is a healthcare service provider specializing in hospice and palliative care. Since its inception in 1997, the company has focused on delivering compassionate support to patients and families facing end-of-life challenges. Agape Care Group offers a range of services, including grief support and pediatric care, ensuring that they address the unique needs of their patients. Their dedicated team of professionals works tirelessly to provide high-quality care across various locations, demonstrating a commitment to excellence in the hospice care sector. The company has garnered positive feedback from families, reflecting their effectiveness and compassion in care delivery. With a workforce of over 700 employees, Agape Care Group continues to play a significant role in the hospice care industry, serving communities throughout the United States.


8. Heart of Hospice

  • Website: heartofhospice.net
  • Ownership type: Private
  • Headquarters: Charleston, South Carolina, United States (USA)
  • Employee distribution: United States (USA) 100%
  • Founded year: 2007
  • Headcount: 501-1000
  • LinkedIn: heart-of-hospice

Heart of Hospice, part of LHC Group, is a healthcare provider based in Charleston, South Carolina, specializing in hospice care, home health care, and palliative care services. Founded in 2007, the company has established a network of locations across several states, including Louisiana, Mississippi, and Arkansas. Heart of Hospice is dedicated to delivering compassionate care tailored to the needs of individuals and families facing life-limiting illnesses. Their approach emphasizes comfort and quality of life, ensuring that patients receive the support they need during challenging times. The company operates under the broader umbrella of LHC Group, which is recognized for its commitment to high-quality healthcare services. Heart of Hospice's focus on person-centered care and its operational footprint in the hospice sector position it as a relevant player in the industry.


9. Ambercare

  • Website: ambercare.com
  • Ownership type: Corporate
  • Headquarters: Albuquerque, New Mexico, United States (USA)
  • Employee distribution: United States (USA) 98%, Other 2%
  • Latest funding: $40.0M, February 2018
  • Founded year: 1979
  • Headcount: 1001-5000
  • LinkedIn: ambercare

Ambercare is a healthcare provider based in Albuquerque, New Mexico, specializing in home health, hospice, and personal care services. Established in 1979, the company has grown to become a prominent provider in the region, focusing on delivering compassionate care to individuals and families, particularly those with elderly, disabled, or chronically ill members. Ambercare operates by providing services directly in patients' homes, ensuring comfort and quality of life during challenging times. The company is part of the Addus Family of Companies, which enhances its operational capabilities and resources. Ambercare offers a comprehensive range of hospice services, including nursing visits, personal care, and emotional support, all tailored to meet the unique needs of each patient. Their commitment to quality care is reflected in their various specialized programs, such as the Peaceful Passing Program, which aims to create a supportive environment for patients and families during the final stages of life. With a workforce of over 500 employees, Ambercare is dedicated to maintaining high standards of care and support for its patients.


10. Hospice Care Options

  • Website: hcoga.com
  • Ownership type: Family Owned
  • Headquarters: Macon, Georgia, United States (USA)
  • Employee distribution: United States (USA) 100%
  • Founded year: 1997
  • Headcount: 51-200
  • LinkedIn: hospice-care-options1

Hospice Care Options, based in Macon, Georgia, has been a dedicated provider of hospice and palliative care since its establishment in 1997. The company specializes in offering a comprehensive suite of services designed to support patients and their families during challenging times. Their offerings include home health aides, pain and symptom management, long-term hospice care, and grief counseling. With a focus on compassionate care, they ensure that patients receive the necessary support in various settings, whether at home, in a skilled nursing facility, or in a hospital. The company operates in over 49 counties across Georgia, demonstrating a significant reach within the state. Their family-owned structure allows for a personalized approach to care, with decisions made locally to better meet the needs of the community they serve. Hospice Care Options also emphasizes the importance of collaboration with patients and their families, ensuring that care decisions are made together, fostering a supportive environment during end-of-life transitions.


11. Comfort Care Hospice

  • Website: comfortcarehospice.com
  • Ownership type: Private
  • Headquarters: Pelham, Alabama, United States (USA)
  • Employee distribution: United States (USA) 97%, United Kingdom (UK) 3%
  • Founded year: 1999
  • Headcount: 51-200
  • LinkedIn: comfort-care-hospice

Comfort Care Hospice, now known as Aveanna Hospice, is a private hospice care provider based in Pelham, Alabama. Founded in 1999, the company has built a reputation for delivering compassionate care to patients with life-limiting illnesses. As part of Aveanna Healthcare, Comfort Care Hospice offers a comprehensive suite of services, including pain management, emotional support, and bereavement assistance. Their team consists of skilled professionals, including physicians, nurses, social workers, and chaplains, who work collaboratively to ensure that patients and their families receive the necessary support during challenging times. With a focus on enhancing the quality of life for patients, Comfort Care Hospice emphasizes the importance of comfort and dignity in end-of-life care. They operate across multiple states, providing services to a wide range of patients and families, and are committed to maintaining high standards of care and support.


12. Intrepid USA Healthcare Services


Intrepid USA Healthcare Services, founded in 1990 and based in Carrollton, Texas, is a private healthcare service provider that specializes in at-home healthcare and hospice care. The company offers a range of personalized services, including personal care, healthcare at home, palliative care, and hospice care. Intrepid USA is dedicated to ensuring that patients receive quality care in the comfort of their own homes. They collaborate closely with patients, families, and healthcare providers to create tailored care plans that address individual needs. With a workforce of over 700 employees, Intrepid USA has established itself as a significant provider in the home healthcare sector, delivering services to more than 29,000 patients each year. Their commitment to enhancing the quality of life for patients with terminal illnesses is evident in their hospice care offerings, which focus on pain management and emotional support for both patients and their families.


13. Envision Home Health and Hospice


Envision Home Health and Hospice, founded in 2005 and based in Orem, Utah, specializes in hospice and home health care services. The company operates in Colorado and Washington, providing a range of services designed to support terminally ill patients and their families. Their offerings include pain management, emotional support, and in-home care, all aimed at enhancing the quality of life for patients during their final stages. Envision is committed to a patient-first philosophy, treating individuals not merely as patients but as family members. They have received ACHC accreditation, reflecting their adherence to high standards of care and operational excellence. The company emphasizes the importance of personalized care plans, which are developed in collaboration with patients and their families, ensuring that each individual’s unique needs are met. Envision also actively engages volunteers to support their mission, further enriching the care experience for patients.


14. Heart 'n Home Hospice & Palliative Care, LLC


Heart 'n Home Hospice & Palliative Care, LLC, based in Fruitland, Idaho, is a healthcare provider dedicated to hospice and palliative care services. Established in 2004, the company has built a reputation for delivering compassionate care to individuals and families facing life-limiting illnesses. Their services include home healthcare, hospice care, and palliative care, all aimed at enhancing the quality of life for patients during challenging times. With a workforce of 121 employees, Heart 'n Home emphasizes a person-centered approach, ensuring that care is tailored to meet the unique needs of each patient. The company is committed to providing support not only to patients but also to their families, fostering a holistic environment of care. Their focus on ethical practices and compliance further underscores their dedication to maintaining high standards in the healthcare industry.


15. Uni Care 24/7

  • Website: unicare247.com
  • Ownership type: Private
  • Headquarters: Escondido, California, United States (USA)
  • Employee distribution: United States (USA) 100%
  • Founded year: 2007
  • Headcount: 51-200
  • LinkedIn: unicare-home-health

Uni Care 24/7, founded in 2007 and based in Escondido, California, is a private healthcare provider that specializes in home health care, hospice, and palliative care services. The company operates in California and Arizona, offering a range of healthcare services designed to meet the unique needs of patients and their families. With a workforce of approximately 51-200 employees, Uni Care emphasizes compassionate support during serious illnesses and end-of-life situations. They are recognized as a 4.5-star Medicare agency, reflecting their commitment to high-quality care. Uni Care also participates in the We Honor Veterans program, which underscores their dedication to providing tailored care for veterans and their families. Their services include nursing care, social services, spiritual support, and bereavement support, all aimed at enhancing the quality of life for patients in hospice care.


16. Optimal Hospice Care

  • Website: optimalhospice.com
  • Ownership type: Private
  • Headquarters: Denver, Colorado, United States (USA)
  • Employee distribution: United States (USA) 100%
  • Founded year: 2019
  • Headcount: 11-50
  • LinkedIn: optimal-hospice-care

Optimal Hospice Care, established in 2019, is a private healthcare provider based in Denver, Colorado, specializing in hospice care. The company offers a comprehensive range of services, including skilled nursing, therapy, and social work, aimed at supporting patients with terminal illnesses and their families. They operate primarily in home settings and assisted living environments, ensuring that care is delivered in a familiar and comfortable atmosphere. Optimal Hospice Care is certified by Medicare and Medicaid and holds accreditation from the Joint Commission on Accreditation of Healthcare Organizations (JCAHO). Their team consists of seasoned hospice professionals dedicated to providing personalized care that respects the dignity and wishes of patients. The organization emphasizes the importance of an individualized care plan developed by an interdisciplinary team, which includes medical directors, nurses, social workers, and chaplains. This holistic approach not only addresses the physical needs of patients but also their emotional and spiritual well-being, making Optimal Hospice Care a significant contributor to the hospice care industry in Colorado.


17. Integrated Home Healthcare Services Inc


Integrated Home Healthcare Services Inc, operating under the name Integrated Hospice, is a private healthcare provider based in Libertyville, Illinois. Founded in 2006, the company specializes in hospice and home health care services, catering to patients with serious illnesses. Their offerings include skilled nursing, palliative care, and emotional support for both patients and their families. Integrated Hospice is dedicated to enhancing the quality of life for individuals, whether they are receiving care in their homes or at their state-of-the-art residential hospice facility. The company serves clients primarily in Lake County, Cook County, and McHenry County, emphasizing a community-focused approach. Their team, comprised of experienced healthcare professionals, is committed to providing compassionate care that respects the dignity and autonomy of each patient. Integrated Hospice also offers bereavement support and spiritual services, recognizing the holistic needs of patients and their families during challenging times.


18. Hospice Select

  • Website: hospiceselect.com
  • Ownership type: Corporate
  • Headquarters: Dallas, Texas, United States (USA)
  • Employee distribution: United States (USA) 100%
  • Latest funding: April 2022
  • Founded year: 2012
  • Headcount: 51-200
  • LinkedIn: hospice-select

Hospice Select, known as Bristol Hospice, is a hospice care provider based in Dallas, Texas. Founded in 2012, the company specializes in offering compassionate in-home care for patients facing terminal illnesses. Their services are designed to ensure comfort during the end-of-life process, focusing on enhancing the quality of life for patients and providing essential support for families. Bristol Hospice offers various programs, including Bristol AIM, Sweet Dreams, We Honor Veterans, and bereavement resources, which reflect their commitment to holistic care. The company operates multiple locations across the United States, demonstrating a broad reach in the hospice care industry. They have not reported any funding, indicating a self-sustaining operational model.


19. Varco Home Health, Hospice and Homecare

  • Website: varcohospice.com
  • Ownership type: Family Owned
  • Headquarters: Houston, Texas, United States (USA)
  • Employee distribution: United States (USA) 100%
  • Founded year: 2017
  • Headcount: 51-200
  • LinkedIn: varco-hospice

Varco Home Health, Hospice and Homecare, based in Houston, Texas, specializes in providing hospice and palliative care services. Founded in 2017, this family-owned company has quickly made a name for itself by focusing on compassionate, in-home care for patients facing life-limiting illnesses. Their services include in-home hospice care, palliative care, grief support, and various therapies tailored to meet the needs of patients and their families. Varco's team consists of dedicated clinicians, social workers, chaplains, aides, and therapists, all committed to ensuring comfort and dignity during end-of-life journeys. The company is licensed by the state of Texas and certified by the federal Medicare program, reflecting their compliance with national standards for quality care. Varco also emphasizes community engagement and support, making them a valuable resource for families in need of hospice services.


20. Calstro Hospice, Inc.

  • Website: calstrohospiceinc.com
  • Ownership type: Private
  • Headquarters: Montclair, California, United States (USA)
  • Employee distribution: United States (USA) 100%
  • Founded year: 2015
  • Headcount: 51-200
  • LinkedIn: calstro-hospice

Calstro Hospice, Inc. is a private healthcare service provider based in Montclair, California, specializing in hospice care for patients facing life-limiting illnesses. Established in 2015 by registered nurses Alex Castro and Oscar Caldera, the company was born out of a desire to improve the quality of care for terminally ill patients. Calstro Hospice offers a comprehensive range of services, including skilled nursing, spiritual counseling, and bereavement support, all aimed at providing compassionate care during the end-of-life journey. With a team of well-trained professionals, the company operates across several locations in Southern California, including the Inland Empire, San Diego, Los Angeles, and Orange County. Their approach emphasizes continuity of care and strong communication with families, ensuring that each patient receives personalized support tailored to their unique needs. Calstro Hospice is committed to maintaining a community-based presence and prioritizes the well-being of both patients and their families throughout the hospice experience.



Hospice Care Insights: Key Companies in the US


CompanyHeadquarterSizeFoundedOwnership
LHC GroupLafayette, Louisiana, United States (USA)10001+1994Corporate
AccentCareDallas, Texas, United States (USA)10001+1999Private Equity
Care Hospice, Inc.Charlottesville, Virginia, United States (USA)1001-50002013Private Equity
PruittHealthNorcross, Georgia, United States (USA)10001+1969Family Owned
Traditions HealthFranklin, Tennessee, United States (USA)1001-50002008Private Equity
Elara CaringDallas, Texas, United States (USA)10001+1994Private Equity
Agape Care GroupSpartanburg, South Carolina, United States (USA)1001-50001997Private Equity
Heart of HospiceCharleston, South Carolina, United States (USA)501-10002007Private
AmbercareAlbuquerque, New Mexico, United States (USA)1001-50001979Corporate
Hospice Care OptionsMacon, Georgia, United States (USA)51-2001997Family Owned
Comfort Care HospicePelham, Alabama, United States (USA)51-2001999Private
Intrepid USA Healthcare ServicesCarrollton, Texas, United States (USA)1001-50001990Private
Envision Home Health and HospiceOrem, Utah, United States (USA)51-2002005Private
Heart 'n Home Hospice & Palliative Care, LLCFruitland, Idaho, United States (USA)51-2002004Corporate
Uni Care 24/7Escondido, California, United States (USA)51-2002007Private
Optimal Hospice CareDenver, Colorado, United States (USA)11-502019Private
Integrated Home Healthcare Services IncLibertyville, Illinois, United States (USA)1-102006Private
Hospice SelectDallas, Texas, United States (USA)51-2002012Corporate
Varco Home Health, Hospice and HomecareHouston, Texas, United States (USA)51-2002017Family Owned
Calstro Hospice, Inc.Montclair, California, United States (USA)51-2002015Private


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