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Differing from most long term care options, hospice provides a very specific function in end-of-life care in providing support and comfort to patients who generally have six or less months to live. This list highlights the top 25 hospices based on total Medicare charges and also includes total Medicare payments as well as total Medicare claims.

The top 25 represent over $3.3 billion in charges and over $1.9 billion in payments for the 2018 fiscal year. VITAS Hospice Office - Brevard in Florida tops the list with $792,527,007 in Medicare charges and 124,558 total medicare claims— figures that are 127% and 141% higher, respectively, than the next appearing hospice on the list, Cornerstone Hospice & Palliative Care - Lake County. The figures from VITA Hospice Office represent nearly 24% of total Medicare charges for the Top 25 list as well as over 26% of total medicare claims on the list.

The state of Florida is disproportionately represented in the list with nearly 50% of the top 25 located in the Sunshine State — along with 60% of the top 10 hospices. Total Medicare charges from Florida-based hospices account for over 62% of the total charges from the top 25 list.

The only other state to appear more than once on the list is Ohio with three hospices, comprising under 10% of the listed charges.

Top 25 Hospices by Total Medicare Charges

  Hospice Name Definitive ID State Total Medicare Charges Total Medicare Payments Total Medicare Claims

1.

VITAS Hospice Office - Brevard

800223

FL

$792,527,007

$553,060,429

124,558

2.

Mid County Community Service Center

799359

FL

$195,872,891

$79,366,361

20,696

3.

Charles W Gerstenberg Hospice Center

799430

FL

$144,314,303

$72,732,451

18,212

4.

Hospice of the Western Reserve Inc

799846

OH

$128,650,547

$65,688,695

17,225

5.

Chapters Health - Lifepath Hospice South

Tampa

799358

FL

$128,288,963

$77,867,948

19,826

6.

The Pepper Family Hospice Care Center

798990

IL

$127,852,977

$77,321,163

19,453

7.

Hope Hospice and Community Services Inc

799434

FL

$127,253,172

$60,355,365

14,998

8.

EvergreenHealth Hospice Care

799457

WA

$114,076,081

$33,537,710

8,251

9.

Tidewell Hospice - Sarasota Hospice House

799438

FL

$107,264,875

$67,356,840

18,839

10.

Hospice of Cincinnati - Margret J Thomas Inpa­tient Care Center

799941

OH

$107,034,925

$44,842,082

11,746

11.

Community Hospice of Northeast Florida Inc

799951

FL

$105,058,242

$75,070,877

19,402

12.

Cornerstone Hospice & Palliative Care - Lake County

799499

FL

$101,852,659

$77,473,302

21,450

13.

Catholic Hospice - Miami Lakes

799504

FL

$101,125,571

$34,017,639

7,351

14.

Care Dimensions Inc

797798

MA

$99,208,499

$54,339,725

12,593

15.

Gilchrist Hospice Hunt Valley

797361

MD

$97,443,795

$53,011,885

14,459

16.

Seasons Hospice & Palliative Care of Southern Florida - Miami Jewish Health Systems Inpatient Center

799420

FL

$93,482,086

$43,099,046

9,228

17.

Hosparus Health - Louisville

796841

KY

$91,169,925

$57,253,013

16,335

18.

Visiting Nurse Service of New York Hospice Care

797883

NY

$86,684,257

$72,401,235

16,083

19.

Ohios Hospice of Dayton

799844

OH

$84,558,150

$56,935,729

13,983

20.

TrustBridge Hospice of Boca Raton

799357

FL

$84,425,325

$49,822,455

11,898

21.

Agrace Hospice - Madison

798671

WI

$83,737,366

$48,368,307

11,438

22.

Kindred Hospice Miami

800224

FL

$82,122,730

$49,834,997

12,505

23.

The Denver Hospice Inpatient Care Center

796624

CO

$81,611,756

$28,413,391

7,320

24.

Avalon Hospice - Nashville

798827

TN

$79,989,953

$56,782,762

16,596

25.

Allina Health Home Care Services

799026

MN

$78,648,238

$48,792,163

12,0

Fig 1. Financial data for hospice cost report period ending 12/31/2018. Data is from October 2019 Medicare Cost Report release; the next scheduled Medicare Cost Report release is January 2020.