To Affiliate or Acquire: Trends in Nonprofit Hospice Consolidation

Recent years have seen an uptick in consolidation activity among nonprofits in the hospice space. Increasingly, nonprofits are pursuing acquisitions and affiliations, as well as forming regional collaboratives. To achieve these kinds of growth, hospices must consider whether they should affiliate or buy another company outright. Each approach comes with benefits and risks. Rising operating […]

Deaths at Home Rose Globally During COVID Pandemic

Globally, the COVID-19 pandemic precipitated a surge of deaths in the home as opposed to a facility. Researchers examined data on the place of death among adults in 47 countries that took place between January 2012 and December 2021, according to a new study in the Lancet. The study focused on cancer and dementia patients. […]

Care Planning Issues Top Lists of Hospice Survey Deficiencies

Amid rising regulatory scrutiny, issues related to care planning continue to top lists of the most common survey deficiencies among hospices. The most frequently cited deficiency is the requirement that each patient should have a customized care plan developed by the interdisciplinary team with involvement from a physician as well as the patient and family, […]

BrightSpring Launches $1B IPO

BrightSpring Health Services is pursuing an initial public offering (IPO) and expects to begin trading on the NASDAQ. The company, which does not yet have a stock symbol, seeks to raise $1 billion through the IPO. The company indicated its intent to go public on Tuesday in a U.S. Securities and Exchange Commission filing. The […]

Investigating Medicare Hospice Overpayments

As auditing activity by regulators continues to spike, hospices need to know how to conduct internal investigations to identify any potential improper payments. Audits by Medicare Administrative Contractors (MACs) have proliferated during the past two years, including Targeted Probe and Educate (TPE) audits, as well as those by Unified Program Integrity Contractors (UPIC), Supplemental Medical […]

The Public Hospice Companies Most Likely to Acquire in 2024

After a rocky year for M&A, two of the publicly traded hospice providers are poised to pursue more deals in 2024. Based on 2023 earnings trends, The Pennant Group (NASDAQ: PNTG) and Addus HomeCare Cop. (NASDAQ: ADUS) are well-positioned to buy, according to an analysis by the M&A advisory firm Mertz Taggart. While the majority […]

Key to the Continuum: Hospice Providers Eye Primary Care Businesses

As hospice providers build out a larger continuum of health care services, some are taking a close look at the primary care space. The term “upstream” has become a watchword in hospice. Operators are increasingly realizing the benefits of creating longitudinal relationships with patients that begin well before a six-month terminal prognosis. Consequently, many have […]

[UPDATED] Brookdale Sells 20% Stake in Hospice, Home Health JV with HCA

For $27 million, HCA Healthcare (NYSE: HCA) has acquired Brookdale Senior Living’s (NYSE: BKD) 20% stake in a hospice, home health and therapy joint venture between the two companies. HCA now owns 100% of the business. The joint venture formed in 2021 when the senior housing operator sold an 80% stake in its health care […]

Why Hospice M&A Could Rebound in 2024

After a 2023 slump, health care dealmakers are voicing optimism for a 2024 rebound. Transaction volume declined in the hospice and home-based care space in 2023, following the two record-breaking prior years. Only three hospice deals took place in the third quarter of this year compared to 11 in Q3 2022 and 18 in the […]

NAHC, NHPCO Name Transition Board to Guide 2024 Merger

Two of the nation’s largest hospice and home-based care industry organizations are merging and have announced a combined board that will guide the transition. The National Association for Home Care & Hospice (NAHC) and the National Hospice and Palliative Care Organization (NHPCO) floated the possibility of a combination in March in light of their existing, […]