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Hospices & Palliative Care Centers in the US - Market Research Report (2015-2030)

Lucy Tang Lucy Tang New York, United States Last Updated: November 2025 NAICS OD4952

Revenue

$39.0bn

2025

$39.0bn

Past 5-Year Growth

Profit

$X.Xbn

Employees

618k

Businesses

9,458

Wages

$XX.Xbn

Hospices & Palliative Care Centers in the US industry analysis

Hospice and palliative care centers in the US have experienced steady growth, driven by shifting demographics and heightened awareness of end-of-life care options. The growing share of adults aged 65 and older has driven utilization, particularly among Medicare beneficiaries, thereby intensifying demand for skilled, patient-centered services. Facilities have responded to the mounting volumes and complexity of patient needs by investing in workforce development and digital health capabilities. However, geographic disparities persist, with a far greater concentration of services available in urban regions compared to rural locales. Regulatory activity has increased in parallel with sector growth, spurred by ongoing changes to Medicare reimbursement rates and renewed scrutiny around compliance, quality reporting and ownership trends. Mergers and acquisitions led by major healthcare groups and for-profit organizations have redefined competition and operational models, encouraging consolidation and innovation, while also amplifying regulatory oversight and community expectations. Revenue has grown at a CAGR of 3.4% to $39.0 billion through 2025, including an expected 1.8% climb in 2025.  

Trends and Insights

  • The aging population is encouraging the use of hospice and palliative care. Nearly one in five US residents is 65 or older, driving a surge in hospice demand and compelling providers to adapt services for increasingly complex, chronic conditions. Providers need to rethink their staffing, training and care models to keep pace with shifting demographics and the growing need for coordinated, specialized care.
  • The demand for hospice care is increasing among patients aged 85 and older. This group now accounts for the fastest-growing share of hospice recipients, placing new pressures on providers to offer specialized geriatric care, improved caregiver support and closer collaboration with long-term care partners.
  • Urban areas tend to dominate hospice service availability, while rural regions often remain underserved. That’s because hospice organizations typically cluster in cities for operational efficiency, leaving rural families with limited access and forcing many to travel or go without specialized care.
  • An uptick in consolidation activity is shifting the industry's landscape. Hospice providers are scaling to meet rising capacity for hospice and palliative care as the population ages.
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Industry Statistics and Trends

Market size and recent performance (2015-2030)

Industry revenue has grown at a CAGR of 3.4 % over the past five years, to reach an estimated $39.0bn in 2025.

Trends and Insights

Demographic trends propelled the use of hospices and palliative care

  • The US population aged 65 and older reached a record 61.2 million in 2024, accounting for approximately 18% of the total population, as stated by the US Census. This has led to a steady rise in hospice utilization among Medicare decedents. Greater longevity has extended the need for end-of-life support, challenging providers to maintain service quality as volumes rise.
  • Additional trends and insights available with purchase
Hospices & Palliative Care Centers in the US
Revenue (2015-2030)
IBISWorld Logo Source: IBISWorld

Industry outlook (2025-2030)

Market size is projected to grow over the next five years.

Trends and Insights

Modest Medicare payment complicates hospice sustainability

  • CMS has set a 2.6% payment rate adjustment for fiscal 2026, raising the aggregate cap to $35,361.44. With typical inflation and operational expenses outpacing this update, providers may face tighter profit, prompting organizations to focus on cost control or efficiency measures to remain operational.

Biggest companies in the Hospices & Palliative Care Centers in the US

Company
Market Share (%)
2025
Revenue ($m)
2025
Profit ($m)
2025
Profit Margin (%)
2025
Chemed Corporation
1,688.7
252.5
15.0

To view the market share and analysis for all 1 top companies in this industry, view purchase options.

Products & Services Segmentation

Hospices & Palliative Care Centers in the US
Products & Services
IBISWorld Logo Source: IBISWorld

Industry revenue is measured across several distinct product and services lines, including Home care, Assisted living facility and Skilled nursing facility. Home care is the largest segment of the Hospices & Palliative Care Centers in the US.

Trends and Insights

In-home hospice care balances affordability and patient preference

  • In-home hospice care provides specialized support for patients in their own residences who do not require continuous monitoring. Many older adults prefer to receive end-of-life care at home, contributing to a shift toward in-home services. Providers addressing these personal care preferences tend to support this group, especially as medical costs rise.
  • More insights available in the full report

Table of Contents

About this industry

Industry definition

This industry provides programs that offer symptom relief and pain management for patients with life-terminating illnesses. Hospice care applies to companies that administer care (in terms of comfort rather than cure) to patients with life-limiting illnesses or diseases.

What's included in this industry?

Products and services covered in the Hospices & Palliative Care Centers industry in the United States include Providing continuous home care, Care in assisted living facility and Care in a skilled nursing facility.

Companies

Companies covered in the Hospices & Palliative Care Centers industry in the United States include Chemed Corporation.

Purchase this report to view all 1 major companies in this industry.

Related Terms

Related terms covered in the Hospices & Palliative Care Centers industry in the United States include hospice, medicare and palliative care.

Industry Code

NAICS 2017

NAICS 623110 - Hospices & Palliative Care Centers in the US

Performance

Get an indication of the industry's health through historical, current and forward-looking trends in the performance indicators that make or break businesses.

Analyst insights

The aging population is encouraging the use of hospice and palliative care. Nearly one in five US residents is 65 or older, driving a surge in hospice demand and compelling p...

In this chapter (4)

  • Current Performance
  • Outlook
  • Volatility
  • Life Cycle

Key metrics

  • Annual Revenue, Recent Growth, Forecast, Revenue Volatility
  • Number of Employees, Recent Growth, Forecast, Employees per Business, Revenue per Employee
  • Number of Businesses, Recent Growth, Forecast, Employees per Business, Revenue per Business
  • Total Profit, Profit Margin, Profit per Business

Charts

  • Revenue, including historical (2015-2024) and forecast (2025-2030)
  • Employees, including historical (2015-2024) and forecast (2025-2030)
  • Businesses, including historical (2015-2024) and forecast (2025-2030)
  • Profit, including historical (2015-2025)
  • Industry Volatility vs. Revenue Growth
  • Industry Life Cycle

Detailed analysis

  • Trends in supply, demand and current events that are driving current industry performance
  • Expected trends, economic factors and ongoing events that drive the industry's outlook
  • Key success factors for businesses to overcome volatility
  • How contribution to GDP, industry saturation, innovation, consolidation, and technology and systems influence the industry's life cycle phase.

Products and Markets

Learn about an industry's products and services, markets and trends in international trade.

Analyst insight

The demand for hospice care is increasing among patients aged 85 and older. This group now accounts for the fastest-growing share of hospice recipients, placing new pressures...

In this chapter

  • Products & Services
  • Major Markets

Key metrics

  • Largest market segment and value in 2025
  • Product innovation level

Charts

  • Products & services segmentation in 2025
  • Major market segmentation in 2025

Detailed analysis

  • Trends impacting the recent performance of the industry's various segments
  • Innovations in the industry's product or service offering, specialization or delivery method
  • Key factors that successful businesses consider in their offerings
  • Buying segments and key trends influencing demand for industry products and services

Geographic Breakdown

Discover where business activity is most concentrated in an industry and the factors driving these trends to find opportunities and conduct regional benchmarking.

Analyst insights

Urban areas tend to dominate hospice service availability, while rural regions often remain underserved. That’s because hospice organizations typically cluster in cities for ...

In this chapter (1)

  • Business Locations

Charts

  • Share of revenue, establishment, wages and employment in each state
  • Share of population compared to establishments in each region in 2025

Tables

  • Number and share of establishments in each state in 2025
  • Number and share of revenue each state accounts for in 2025
  • Number and share of wages each state accounts for in 2025
  • Number and share of employees in each state in 2025

Detailed analysis

  • Geographic spread of the industry across North America, and trends associated with changes in the business landscape
  • Key success factors for businesses to use location to their advantage

Competitive Forces

Get data and insights on what's driving competition in an industry and the challenges industry operators and new entrants may face, with analysis built around Porter's Five Forces framework.

Analyst insights

An uptick in consolidation activity is shifting the industry's landscape. Hospice providers are scaling to meet rising capacity for hospice and palliative care as the populat...

In this chapter (4)

  • Concentration
  • Barriers to Entry
  • Substitutes
  • Buyer & Supplier Analysis

Key metrics

  • Industry concentration level
  • Industry competition level and trend
  • Barriers to entry level and trend
  • Substitutes level and trend
  • Buyer power level and trend
  • Supplier power level and trend

Charts

  • Market share concentration among the top 4 suppliers from 2020-2025
  • Supply chain including upstream supplying industries and downstream buying industries, flow chart

Detailed analysis

  • Factors impacting the industry’s level of concentration, such as business distribution, new entrants, or merger and acquisition activity.
  • Key success factors for businesses to manage the competitive environment of the industry.
  • Challenges that potential industry entrants face such as legal, start-up costs, differentiation, labor/capital intensity and capital expenses.
  • Key success factors for potential entrants to overcome barriers to entry.
  • Competitive threats from potential substitutes for the industry’s own products and services.
  • Key success factors for how successful businesses can compete with substitutes.
  • Advantages that buyers have to keep favorable purchasing conditions.
  • Advantages that suppliers have to maintain favorable selling conditions.
  • Key success factors for how businesses can navigate buyer and supplier power.

Companies

Learn about the performance of the top companies in the industry.

Analyst insights

Vitas Healthcare, owned by CHEMED Corporation, is a leading provider of hospice and palliative care in the US. Vitas is a hospice provider with a market share exceeding 4% an...

In this chapter

  • Market Share Concentration
  • Companies
  • Company Spotlights

Charts

  • Industry market share by company in 2021 through 2025
  • Major companies in the industry, including market share, revenue, profit and profit margin in 2025
  • Overview of Chemed Corporation's performance by revenue, market share and profit margin from 2019 through 2025

Detailed analysis

  • Description and key data for Chemed Corporation, and factors influencing its performance in the industry

External Environment

Understand the demographic, economic and regulatory factors that shape how businesses in an industry perform.   

Analyst insights

Hospice providers work closely with the Centers for Medicare and Medicaid Services. As they treat a growing number of Medicare beneficiaries, they must navigate increasingly ...

In this chapter

  • External Drivers
  • Regulation & Policy
  • Assistance

Key metrics

  • Regulation & policy level and trend
  • Assistance level and trend

Charts

  • Regulation & Policy historical data and forecast (2015-2030) 
  • Assistance historical data and forecast (2015-2030) 

Detailed analysis

  • Demographic and macroeconomic factors influencing the industry, including Regulation & Policy and Assistance
  • Major types of regulations, regulatory bodies, industry standards or specific regulations impacting requirements for industry operators
  • Key governmental and non-governmental groups or policies that may provide some relief for industry operators.

Financial Benchmarks

View average costs for industry operators and compare financial data against an industry's financial benchmarks over time. 

Analyst insights

Profit is highly influenced by reimbursement rates and location factors. Centers in urban areas often face higher rent and staffing costs, which can squeeze profit if not mat...

In this chapter

  • Cost Structure
  • Financial Ratios
  • Key Ratios

Key metrics

  • Profit margin, and how it compares to the sector-wide margin
  • Average wages, and how it compares to the sector-wide average wage
  • Largest cost component as a percentage of revenue
  • Industry average ratios for days' receivables, industry coverage and debt-to-net-worth ratio

Charts

  • Average industry operating costs as a share of revenue, including purchases, wages, depreciation, utilities, rent, other costs and profit in 2025
  • Average sector operating costs as a share of revenue, including purchases, wages, depreciation, utilities, rent, other costs and profit in 2025
  • Investment vs. share of economy

Data tables

  • Industry Multiples (2018-2023)
  • Industry Tax Structure (2018-2023)
  • Income Statement (2018-2023)
  • Balance Sheet (2018-2023)
  • Liquidity Ratios (2018-2023)
  • Coverage Ratios (2018-2023)
  • Leverage Ratios  (2018-2023)
  • Operating Ratios (2018-2023)
  • Cash Flow & Debt Service Ratios (2015-2030)
  • Revenue per Employee (2015-2030)
  • Revenue per Enterprise (2015-2030)
  • Employees per Establishment (2015-2030)
  • Employees per Enterprise (2015-2030)
  • Average Wage (2015-2030)
  • Wages/Revenue (2015-2030)
  • Establishments per Enterprise (2015-2030)
  • IVA/Revenue (2015-2030)
  • Imports/Demand (2015-2030)
  • Exports/Revenue (2015-2030)

Detailed analysis

  • Trends in the cost component for industry operators and their impact on industry costs and profitability 

Key Statistics

Industry Data

Data Tables

Including values and annual change:

  • Revenue (2015-2030)
  • IVA (2015-2030)
  • Establishments (2015-2030)
  • Enterprises (2015-2030)
  • Employment (2015-2030)
  • Exports (2015-2030)
  • Imports (2015-2030)
  • Wages (2015-2030)

Top Questions Answered

Unlock comprehensive answers and precise data upon purchase. View purchase options.

What is the market size of the Hospices & Palliative Care Centers industry in the United States in 2025?

The market size of the Hospices & Palliative Care Centers industry in the United States is $39.0bn in 2025.

How many businesses are there in the Hospices & Palliative Care Centers industry in the United States in 2025?

There are 9,458 businesses in the Hospices & Palliative Care Centers industry in the United States, which has grown at a CAGR of 8.0 % between 2020 and 2025.

How may import tariffs affect the Hospices & Palliative Care Centers industry in the United States?

The Hospices & Palliative Care Centers industry in the United States is unlikely to be materially impacted by import tariffs with imports accounting for a low share of industry revenue.

How may export tariffs affect the Hospices & Palliative Care Centers industry in the United States?

The Hospices & Palliative Care Centers industry in the United States is unlikely to be materially impacted by export tariffs with exports accounting for a low share of industry revenue.

Has the Hospices & Palliative Care Centers industry in the United States grown or declined over the past 5 years?

The market size of the Hospices & Palliative Care Centers industry in the United States has been growing at a CAGR of 3.4 % between 2020 and 2025.

What is the forecast growth of the Hospices & Palliative Care Centers industry in the United States over the next 5 years?

Over the next five years, the Hospices & Palliative Care Centers industry in the United States is expected to grow.

What are the biggest companies in the Hospices & Palliative Care Centers industry in the United States?

The biggest company operating in the Hospices & Palliative Care Centers industry in the United States is Chemed Corporation

What does the Hospices & Palliative Care Centers industry in the United States include?

Providing continuous home care and Care in assisted living facility are part of the Hospices & Palliative Care Centers industry in the United States.

Which companies have the highest market share in the Hospices & Palliative Care Centers industry in the United States?

The company holding the most market share in the Hospices & Palliative Care Centers industry in the United States is Chemed Corporation.

How competitive is the Hospices & Palliative Care Centers industry in the United States?

The level of competition is moderate and increasing in the Hospices & Palliative Care Centers industry in the United States.

Methodology

How are IBISWorld reports created?

IBISWorld has been a leading provider of trusted industry research for over 50 years to the most successful companies worldwide. With offices in Australia, the United States, the United Kingdom, Germany and China, we are proud to have local teams of analysts that conduct research, data analysis and forecasting to produce data-driven industry reports.

Our analysts start with official, verified and publicly available sources of data to build the most accurate picture of each industry. Analysts then leverage their expertise and knowledge of the local markets to synthesize trends into digestible content for IBISWorld readers. Finally, each report is reviewed by one of IBISWorld’s editors, who provide quality assurance to ensure accuracy and readability.

IBISWorld relies on human-verified data and human-written analysis to compile each standard industry report. We do not use generative AI tools to write insights, although members can choose to leverage AI-based tools within the platform to generate additional analysis formats.

What data sources do IBISWorld analysts use?

Each industry report incorporates data and research from government databases, industry-specific sources, industry contacts, and our own proprietary database of statistics and analysis to provide balanced, independent and accurate insights.

Key data sources in the US include: 

  • US Census Bureau
  • US Bureau of Labor Statistics
  • US International Trade Commission

Analysts also use industry specific sources to complement catch-all sources, although their perspective may focus on a particular organization or representative body, rather than a clear overview of all industry operations. However, when balanced against other perspectives, industry-specific sources provide insights into industry trends.

These sources include:

  • Industry and trade associations
  • Industry federations or regulators
  • Major industry players annual or quarterly filings

Finally, IBISWorld’s global data scientists maintain a proprietary database of macroeconomic and demand drivers, which our analysts use to help inform industry data and trends. They also maintain a database of statistics and analysis on thousands of industries, which has been built over our more than 50-year history and offers comprehensive insights into long-term trends.

How does IBISWorld forecast its data?

IBISWorld’s analysts and data scientists use the sources above to create forecasts for our proprietary datasets and industry statistics. Depending on the dataset, they may use regression analysis, multivariate analysis, time-series analysis or exponential smoothing techniques to project future data for the industry or driver. Additionally, analysts will leverage their local knowledge of industry operating and regulatory conditions to impart their best judgment on the forecast model.

IBISWorld prides itself on being a trusted, independent source of data, with over 50 years of experience building and maintaining rich datasets and forecasting tools. We are proud to be the keystone source of industry information for thousands of companies across the world.

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