How Hospice Valuations Are Shaping Up in 2024

When it comes to hospice acquisitions, buyers’ and sellers’ expectations on price tags are becoming more aligned. A surge of deals in 2021 and 2022 led to record-high valuations in the space with multiples reaching in excess of 30x in some instances. While many buyers were willing to pay that premium, some stepped out of […]

NHPCO: CMS Did Not Account for Full Burden of Implementing HOPE Tool

The U.S. Centers for Medicare & Medicaid Services (CMS) may not have accounted for the financial and administrative burdens associated with its implementation of the Hospice Outcomes and Patient Evaluation (HOPE) Tool. In comments on the 2025 proposed hospice rule, the National Hospice and Palliative Care Organization (NHPCO) voiced concerns that the agency’s regulatory impact […]

Thyme Care Secures ‘Milestone’ Investment from Echo, CVS Health Ventures

Nashville-headquartered Thyme Care recently secured an investment from Echo Health Ventures and CVS Health Ventures (NYSE: CVS) to scale its value-based oncology care model. The dollar amount was undisclosed. CVS and Echo’s investment adds weight to Thyme Care’s $60 million funding round secured last year to grow its health services for cancer patients. Through the […]

NHPCO Speaks Out on 2025 Proposed Medicare Hospice Rates

The proposed 2.6% payment increase for hospices is insufficient in today’s economic climate, the National Hospice and Palliative Care Organization (NHPCO) indicated in comments on the 2025 proposed payment rule. The U.S. Centers for Medicare & Medicaid Services (CMS) in March issued its 2025 proposed hospice rule, which if finalized would include a 2.6% increase […]

Early Talks About Governance Essential for Nonprofit Hospice Affiliations

Nonprofit hospices can combine their businesses in a number of ways, including traditional acquisitions, board member substitutions and other types of affiliations. However, member substitutions are becoming more common, according to Meg Pekarske, partner at the law firm Husch Blackwell. While this model offers benefits it can also become a political minefield that can sink […]

The State of the Hospice Nursing Workforce 

Honing clinical scheduling and onboarding models is key to sustaining the hospice nurse workforce as demand for these clinicians rises and wages lag compared to those in other settings. Future generations of health care clinicians may be woefully unprepared to address both the quantity and and the complexity of emotional, physical and spiritual needs among […]

Publicly Traded Hospice Companies Poised for Deals

The nation’s publicly traded hospice companies are primed for more acquisitions after a 2023 slump, fueled by census and growth. Transaction volume declined in the hospice and home-based care space in 2023, following the two record-breaking prior years. Many expect a rebound in 2024, and stirrings in the public company space signal that may come […]

Enhabit Elaborates on Decision to Remain a Standalone Company

Dallas-headquartered Enhabit Inc. (NYSE: EHAB) has provided a wider view into its decision to remain a standalone business. On Thursday, the company filed a preliminary proxy statement with the U.S. Securities and Exchange Commission (SEC), part of completing its recent strategic review process. The statement detailed the company’s recent decision not to pursue a sale, […]

Thanacare CEO Michael Madison: Increased ACP Could Change the Health Care System

If more patients were to document their end-of-life wishes, it could effectively transform aspects of the nation’s health care system, generating cost savings and better outcomes, according to Minnesota-based physician Dr. Michael Madison. Madison is a neurovascular surgeon whose practice has focused on treating stroke and brain aneurysm. He is also the founder of the advance […]

Hospice M&A Looking Dim in 2024

Hospice merger and acquisition (M&A) activity tapered off in 2023 and early 2024 compared to the flurry of prior years, due in part to regulatory and economic pressures. Hospice deal volume and valuations have trended down from record-high levels during 2019 through 2022. The cool down began last year as hospice transaction activity lulled. This […]