Transitions Hospice Expands Midwestern Footprint

Huntley, Ill.-based Transitions Hospice is expanding its geographic footprint with a de novo in Northwest Indiana region, with a second soon to open in the city of Springfield in their home state. 

The hospice already operates a location in Indianapolis, as well as providing services throughout 38 counties in Illinois. Transitions Hospice is a portfolio company of Transitions Group.

“At Transitions, we are truly dedicated to the patient. We’re committed to 24/7 care wherever our patients are most comfortable, and I believe our rapid growth is a reflection of the dedication that our teams bring to each patient they serve,” Transitions Hospice founder and CEO Jim Palazzo said.


Demographic tailwinds are driving rising demand for hospice in Indiana and Illinois.

Within the next few decades the population of people older than 80 in Indiana is expected to more than double, and by 2030 one in every five people in that state will be 65 or older, according to the Indiana Business Research Center.

Hospice utilization in Indiana reached 48.9% among Medicare decedents in 2017, according to the National Hospice & Palliative Care Organization. Utah had the highest rate among the U.S. states that year at 59.4%. In 2018, the most recent year for which data are available, national hospice utilization hit 50%.


Likewise in Illinois, the number of residents age 65 to 74 is expected to rise by 76% by 2030, coupled with an 80% gain in those aged 75 to 84, according to the U.S. Census Bureau. The state expects a 65% increase in the population older than 85.

Nearly 50% of Medicare decedents in Illinois elected hospice in 2017, NHPCO reported.

“We expect to see robust growth in both markets as we move forward,” James Dale, social media and communications manager for Transitions Group told Hospice News. “We have seen a clear demand and need for our services in these regions and expect to see fairly rapid growth because of that.” 

The company expects to continue its growth in the Midwest. Transitions currently has its eyes fixed on the northeastern portion of Indiana, and in Illinois they intend to close a gap in their service area separating their operations in the northern and central areas of the state.

“We believe that our unique model has fueled growth over the last few years, allowing us to continue to expand further into new markets,” Dale said.

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