04/27/2026
Not all hospice care is built the same.
When families are making one of the most emotional decisions of their lives, they deserve to know who is caring for them, what values guide that care, and whether the organization is rooted in service — or driven by profit.
Recent national reporting and research have raised serious concerns about the growth of for-profit hospice care and the impact it can have on patients and families. A RAND/JAMA Internal Medicine study found that family caregivers reported worse care experiences in for-profit hospices than in nonprofit hospices across all measured areas, including help for pain and symptoms, timely care, communication, and overall willingness to recommend the hospice. The study also found that caregivers of patients served by for-profit hospices were nearly 5 percentage points less likely to say they would definitely recommend that hospice.
That matters.
Hospice is not just a service. It is trust. It is comfort. It is a nurse answering the phone when symptoms change. It is a social worker helping a family process what is happening. It is a chaplain, volunteer, bereavement support, medication guidance, caregiver teaching, and a team that shows up when people are scared, overwhelmed, and grieving.
Community-grown nonprofit hospice care is different because the mission comes first. Nonprofit hospices are accountable to the people and communities they serve. Dollars are reinvested into care, staffing, education, bereavement, charity support, and services that help families beyond what is simply billable.
When choosing a hospice, families have a right to ask questions.
Things to look for:
• Look up the hospice on Medicare Care Compare / Hospice Compare
• Review quality scores and family caregiver survey results
• Ask how often nurses, aides, social workers, chaplains, and volunteers visit
• Ask what support is available after hours, on weekends, and during a crisis
• Ask whether the hospice is nonprofit, for-profit, private-equity owned, or part of a large chain
• Look up nonprofit Form 990s to see how community dollars are used
• Read reviews, but also ask trusted local providers and families about their experiences
• Ask what bereavement, caregiver support, and community education are offered
• Ask whether the organization is truly local and how long it has served the community
At Lumina Hospice & Palliative Care, we believe hospice should be about care — not profit. We are proud to be an independent, community-grown nonprofit hospice rooted in this community for nearly 45 years.
Your care is your choice. Always.
And when the time comes to choose hospice, you deserve clear information, compassionate support, and a team whose mission is centered on dignity, comfort, and the people we serve.