Hospices in North Carolina
A fact sheet for reporters, from public CMS data. Free to use with credit to “a HospiceCompare analysis of CMS data”.
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In North Carolina, 76 hospices cared for people with Medicare in 2024, up from 67 in 2014, according to a HospiceCompare analysis of CMS data. Together they served 64,381 Medicare patients in 2024. Of the 76 hospices with an office in North Carolina in the latest CMS enrollment file, 39% are for-profit and 21 have no CMS family survey star rating.
The numbers
* Average of the star ratings CMS published for hospices in the state, computed by HospiceCompare; CMS publishes no average star rating. The “would definitely recommend” averages are CMS’s. CMS publishes a star rating only when enough families answered its survey. Source: HospiceCompare analysis of CMS data (Care Compare hospice data released August 2026; Hospice Enrollments loaded October 20, 2026).
Ownership and growth
| Ownership | 2014 | 2019 | 2024 | Today |
|---|---|---|---|---|
| For-profit | 25 | 28 | 30 | 30 (39%) |
| Nonprofit | 35 | 36 | 39 | 39 (51%) |
| Government | 5 | 5 | 5 | 5 (7%) |
| Other | 2 | 2 | 2 | 2 (3%) |
Years: hospices that billed Medicare, by their ownership as CMS lists it today. Today: hospices with an office in the state. Source: HospiceCompare analysis of CMS data (Medicare Post-Acute Care and Hospice utilization by provider, 2014 to 2024, loaded October 20, 2026).
Hospices and Medicare patients per year
| Year | Hospices that billed Medicare | Medicare patients |
|---|---|---|
| 2014 | 67 | 39,642 |
| 2015 | 67 | 42,312 |
| 2016 | 69 | 44,478 |
| 2017 | 69 | 46,229 |
| 2018 | 70 | 47,695 |
| 2019 | 71 | 50,948 |
| 2020 | 73 | 54,756 |
| 2021 | 74 | 58,587 |
| 2022 | 74 | 59,317 |
| 2023 | 74 | 61,600 |
| 2024 | 76 | 64,381 |
A person cared for by two hospices in a year is counted by both. CMS does not publish counts below 11. Source: HospiceCompare analysis of CMS data (Medicare Post-Acute Care and Hospice utilization by provider, 2014 to 2024, loaded October 20, 2026).
Largest hospices by Medicare patients in 2024
Size is a count of patients, not a measure of quality.
| Hospice | City | Ownership | Medicare patients | CMS star rating |
|---|---|---|---|---|
| Hospice & Palliative Care Charlotte Region | Charlotte | Nonprofit | 4,467 | 4 of 5 |
| Lower Cape Fear Lifecare | Wilmington | Nonprofit | 3,496 | 5 of 5 |
| Four Seasons the Care You Trust | Flat Rock | Nonprofit | 3,252 | 5 of 5 |
| Authoracare Collective | Greensboro | Nonprofit | 3,029 | 4 of 5 |
| Transitions Lifecare | Raleigh | Nonprofit | 2,980 | 5 of 5 |
| Trellis Supportive Care | Winston Salem | Nonprofit | 2,565 | 4 of 5 |
| Gentiva | Fayetteville | For-profit | 2,288 | 4 of 5 |
| Carolina Caring | Newton | Nonprofit | 2,046 | 4 of 5 |
| Amedisys Hospice | Burlington | For-profit | 2,041 | 3 of 5 |
| 3hc | Goldsboro | Nonprofit | 1,669 | 4 of 5 |
Hospice offices by county
Counties by the address of each hospice’s office. Hospices usually care for people at home across several counties, so an office count is not a count of the hospices serving a county.
How to cite
HospiceCompare analysis of CMS data (Care Compare hospice data released August 2026; Medicare hospice utilization 2014 to 2024). https://www.hospicecompare.org/press/north-carolina
Methods and limits of the data: Data and methods. National numbers and charts: Press room. Questions: info@funeralus.com.