How to Find a Nonprofit Hospice Near You
To find a nonprofit hospice near you, compare local Medicare-certified providers and filter by ownership type—nonprofit hospices are classified as "voluntary" (versus "proprietary" for-profit or "government"). Confirm the ownership directly with the provider, then judge each one on published quality scores, because nonprofit status alone does not guarantee better care.
What "nonprofit" means in hospice
Hospices fall into three ownership categories: nonprofit (voluntary), for-profit (proprietary), and government. Nonprofit hospices reinvest surplus into services, community programs, and charity care rather than distributing profits. Many families seek them out, but the more important question is how a specific hospice actually performs. For the nuanced answer, read for-profit vs. nonprofit hospice: does it matter and nonprofit vs. for-profit hospice.
How to find and verify nonprofit status
- Compare local providers and look for an ownership or "type of ownership" field; nonprofit appears as voluntary/non-profit. You can compare hospices near you to start a list.
- Verify on Medicare's official tool. Confirm Medicare certification and review ownership and quality data; see how to use Care Compare and how to verify a hospice is Medicare-certified.
- Ask the provider directly. Ownership can change when agencies are bought or sold, so confirm current status rather than relying on an old reputation.
Why ownership can change — and why that matters
A hospice's tax status is not permanent. Nonprofit hospices are sometimes acquired by for-profit chains, and a well-regarded community agency can quietly become part of a national company while keeping its old name and logo. That is why an agency's reputation from five years ago is not proof of its ownership today. When you call, ask plainly: "Are you a nonprofit, for-profit, or government hospice, and has your ownership changed recently?" Cross-check the answer against Care Compare's ownership field. This matters because the research on ownership points to documented differences in some utilization patterns and quality measures — and because rapid growth of certain for-profit chains has been associated with fraud concerns. Ownership is one input, but only a current, verified answer is useful.
Don't stop at ownership—check quality
Whether a hospice is nonprofit or for-profit, compare it on:
- CAHPS family-survey scores—how families rated the care and whether they would recommend it. See how to read CAHPS scores.
- Quality measures and the Hospice Care Index published by CMS — see what is the Hospice Care Index.
- After-hours response and how the hospice handles symptom crises.
Use the structured method in how to choose a hospice provider to weigh these together.
How the three ownership types compare
| Ownership type | Care Compare label | What it means |
|---|---|---|
| Nonprofit | Voluntary / non-profit | Surplus is reinvested in services, community programs, and charity care; often community-rooted |
| For-profit | Proprietary | Operated to generate returns for owners or investors; ranges from excellent to poor, like nonprofits |
| Government | Government | Run by a public entity such as a county, hospital district, or the VA |
None of these labels guarantees the quality of a specific agency. They are a starting signal you confirm and then test against the published scores and your own questions.
What nonprofit status can and can't tell you
It helps to be precise about what ownership predicts. On average, research has documented some differences between nonprofit and for-profit hospices in patterns such as the mix of services provided, the use of certain levels of care, and a few quality measures. Some of the most serious fraud enforcement in recent years has involved rapidly growing for-profit chains. So ownership is a legitimate input. What it cannot do is tell you how a specific agency will perform for your loved one. A community nonprofit can be understaffed or slow to answer the after-hours line; a for-profit can run an excellent inpatient unit with strong family-survey scores. That is why a sensible search uses ownership as a filter to build a list, then ranks that list on the CAHPS family-survey scores, the quality measures, after-hours responsiveness, and the answers you get on the phone. Treat ownership as a tiebreaker between otherwise comparable agencies, not as the deciding factor.
Questions to ask a nonprofit hospice
- Can you confirm your current ownership type, and has it changed in the last few years?
- What does your charity-care or sliding-scale program cover, and how do I apply?
- Who answers your after-hours line, and how quickly can a nurse reach our home?
- How do you handle a symptom crisis — can you arrange General Inpatient (GIP) care, and where?
- What will we owe in our exact setting, including any facility room and board?
The misconception to correct
It's easy to assume "nonprofit always means better, for-profit always means worse." The evidence is more mixed than that. Some nonprofits are excellent and some are mediocre; the same range exists among for-profits. Ownership is one useful signal—especially given documented patterns of fraud among some rapidly growing for-profit chains—but it should sit alongside, not replace, real quality data and your own interviews. The best protection is checking CMS scores and asking direct questions.
Frequently asked questions
Is a nonprofit hospice always cheaper for my family?
Not necessarily. Under the Medicare hospice benefit, covered services cost the same regardless of ownership — typically $0 aside from small copays (up to $5 per prescription and 5% respite coinsurance). What nonprofits more often offer is charity care for the uninsured and donor-funded extras, not lower Medicare-covered costs.
How do I confirm a hospice is really a nonprofit?
Check the ownership field on Medicare's Care Compare (it shows "voluntary/non-profit") and ask the agency directly, since ownership can change after a sale. Don't rely on the name or an old reputation alone.
Does a nonprofit hospice provide better care?
On average there are some documented differences, but quality varies widely within both categories. The most reliable predictors of your experience are the CAHPS family-survey scores, the quality measures, and how the agency answers your questions — not the tax status by itself.
What if no nonprofit serves my area?
Then compare the for-profit and government agencies that do serve you on the published scores and your own interview, using the 10-step method. A strong for-profit can be a better choice than a weak nonprofit; ownership is a tiebreaker, not a gate.
Practical next step
Build a short list of nonprofit hospices serving your area, verify each one's ownership and Medicare certification, and compare their CAHPS scores before choosing. Compare hospices near you to begin, then request a free hospice evaluation from your loved one's physician.
Related guides
More Finding Care & Comparisons guides
- Bilingual and Culturally Sensitive Hospice Care
- Hospice Care in Rural Areas: What to Know
- Hospice vs. Assisted Living: What's the Difference?
- Hospice vs. Nursing Home Care: A Comparison
- How We Rank and Rate Hospices
- How to Find Hospice Care for a Parent
- How to Find Hospice Care for a Spouse
- How to Find the Best Hospice Near You
This guide is for general information and is not medical or legal advice. Coverage rules can change and vary by state and plan — confirm current details with the hospice and Medicare.gov.