SAMPLE — ILLUSTRATIVE TEST DATA, NOT A REAL STATE
Hospice · Metrics
State report
the State of Example
USPS XX
52 hospices operating in this state appear in the current CMS provider release. This state is described only against the nation, never against another state.
Prepared as: Neutral reference
A structured, denominator-anchored reference of this state's hospices' publicly reported metrics and public ownership and survey records.
How to read this report. Provenance-labeled throughout, denominators on every rate, caveats stated. Presented without advocacy for any party.
This report compiles and visualizes publicly available CMS data. It is not legal advice or legal strategy, and it is not a substitute for an attorney licensed in your jurisdiction. All derived metrics should be independently verified before submission to any administrative or judicial proceeding.
CMS-PUBLISHED read directly from a CMS file
PRODUCT-COMPUTED derived here from public sources, shown with its denominator
What this report does not establish
This report is built only from the CMS files named in the methodology section. The list below states what those files cannot show, so that the figures in this report are read for what they are. Each entry points to the section that covers it in full.
- That any patient was enrolled improperly, or that any care was poor
- This report makes no causal claim and asserts nothing about the eligibility of any individual patient. It is not a determination of wrongdoing.
- That a high live-discharge rate means poor clinical care
- The discharge rate measures how enrollments ended. The inspection record measures regulatory compliance. They are near-independent, and neither substitutes for the other.
- That a suppressed or absent figure is a zero
- Where CMS published nothing, this report says so and stops. A value shown as not published is unknown, not low and not zero.
- That an absent inspection record means a clean one
- If a subject does not appear in the survey export, its inspection record is not established here. Absence of a survey row is not a finding of zero citations.
- Any ranking, score or composite of this product's own making
- Every figure is either published by CMS or is a stated arithmetic operation on published figures. This report applies no flag rule and assigns no direction of its own.
- That the state's gap to national is a score see 02
- The gap is one measured quantity, disclosed as one. Nothing is weighted and no state is ranked against another.
- That the two counts behind the rate are the same kind of thing see 02
- CMS publishes live discharges as a count of discharges and decedents as a count of beneficiaries. They are added here because that is how the two published figures combine into a rate, and a beneficiary dies once, so the two nearly coincide -- but a beneficiary can be discharged alive more than once in a window. The rate is close to, not exactly, live discharges over all discharges.
- That co-owning entities shown separately are separate businesses see 09
- CMS records one corporate family under several associate IDs, so the same footprint can appear on more than one row.
- That a change of ownership is a finding see 08
- Change-of-ownership records are events CMS publishes with effective dates. An event is a fact, not a finding.
01
The state
CMS-PUBLISHED
Hospices in this state (in the provider release)
52
With at least one published measure
46
Measure-suppressed on everything (still counted, not zeroed)
6
Proprietary (for-profit) / non-profit / not published
30 / 18 / 4
Incorporated out of state (of 52 with a published incorporation state)
8
Owner entities of record on these hospices
34
Every hospice CMS lists in the state is counted; those without published numeric measures are named and excluded from the rates below, never zeroed. Profit status is CMS-published ownership type.
02
Live-discharge rate
PRODUCT-COMPUTED
17.80% pooled
national pooled 16.08% · gap +1.72 · on 41,900 discharges from 44 hospices
16.20% middle hospice
national middle hospice 19.91% · gap -3.71 · across 44 hospices with a rate
The rate above is computed over 44 of the 46 hospices that have published measures. CMS suppressed the discharge denominators for the other 2, so those hospices have no computable rate and are left out rather than counted as zero. A suppressed value is unknown, not low.
A state rate above national is descriptive, not a finding: state case mix, rurality and referral patterns move it. Read the gap, not the raw line.
The state pooled rate combines every live discharge and decedent in the state; the facility median weights each hospice equally. Both are shown against the national figure computed the same way.
Medicare-FFS-scoped; 8-quarter rolling window; computed from CMS-published denominators, with no external provider-level reconciliation available. An immediate transfer to another hospice is not counted as a live discharge, because CMS's measure denominator excludes it
03
Medicare dollars
PRODUCT-COMPUTED
$15,100 per beneficiary (pooled)
national $15,760 · $1,283,500,000 total across 46 of 46 hospices · 01/01/2023-12/31/2024
Total Medicare dollars is a measure of the state's Medicare hospice size, not of conduct; per-beneficiary spending is shown against the national pooled figure.
04
Trajectory — signals over time
PRODUCT-COMPUTED
Live-discharge rate PRODUCT-COMPUTED
national basis: pooled (patients)
| Release | Value | National | Gap | Denominator | CMS window |
|---|
| 2023-05-24 |
16.20% |
14.77% |
+1.43 |
39,800 patients |
04/01/2019-12/31/2019; 07/01/2020-09/30/2021 |
| 2024-05-22 |
16.90% |
14.87% |
+2.03 |
40,600 patients |
01/01/2021-12/31/2022 |
| 2025-05-21 |
17.40% |
15.34% |
+2.06 |
41,200 patients |
01/01/2022-12/31/2023 |
| 2026-05-20 |
17.80% |
16.08% |
+1.72 |
41,900 patients |
01/01/2023-12/31/2024 |
Medicare $ per beneficiary PRODUCT-COMPUTED
national basis: pooled (dollars / beneficiaries)
| Release | Value | National | Gap | Denominator | CMS window |
|---|
| 2023-05-24 |
$13,900 |
$13,249 |
+651 |
81,000 beneficiaries |
04/01/2019-12/31/2019; 07/01/2020-09/30/2021 |
| 2024-05-22 |
$14,300 |
$14,288 |
+12 |
82,500 beneficiaries |
01/01/2021-12/31/2022 |
| 2025-05-21 |
$14,700 |
$14,849 |
-149 |
83,800 beneficiaries |
01/01/2022-12/31/2023 |
| 2026-05-20 |
$15,100 |
$15,760 |
-660 |
85,000 beneficiaries |
01/01/2023-12/31/2024 |
Hospice Care Index composite PRODUCT-COMPUTED
national basis: median across hospices (computed here, not CMS's published national)
| Release | Value | National | Gap | Denominator | CMS window |
|---|
| 2023-05-24 |
8.5 / 10 |
9.0 |
-0.5 |
46 hospices |
04/01/2019-12/31/2019; 07/01/2020-09/30/2021 |
| 2024-05-22 |
8.6 / 10 |
9.0 |
-0.4 |
46 hospices |
01/01/2021-12/31/2022 |
| 2025-05-21 |
8.8 / 10 |
9.0 |
-0.2 |
46 hospices |
01/01/2022-12/31/2023 |
| 2026-05-20 |
8.9 / 10 |
9.0 |
-0.1 |
46 hospices |
01/01/2023-12/31/2024 |
Citations per survey PRODUCT-COMPUTED
national basis: pooled (citations / surveys)
| Release | Value | National | Gap | Denominator | CMS window |
|---|
| 2026-03-01 |
2.69 |
4.38 |
-1.69 |
190 surveys |
2021-10-01 to 2026-03-26 |
The store holds a single CMS survey export (one cumulative file), so citations per survey is a single point, not a trend; it will become a series as further exports are ingested. A suppressed period elsewhere is shown as a gap, never a zero and never interpolated.
Descriptive only. Each signal is shown beside the national figure counted the same way, with the gap to it; read the gap, not the raw line, because the national rate moves across these releases too. Nothing here attributes a change to conduct, and no signal is combined with another.
Each release measures a different multi-year CMS window and consecutive windows overlap (the 8-quarter rolling window), so a run of rising values is partly the windows sharing quarters, not four independent years. Read the gap to national.
Presented as a trend. 8-quarter rolling windows overlap across annual snapshots, inflating run-lengths; trends are descriptive.
05
Hospice Care Index (CMS composite)
CMS-PUBLISHED
8.9 / 10 median
range 5.5–10.0 across 46 of 52 hospices · national median 9.0 · CMS published national 8.8 (unweighted mean across hospices (CMS-published)) · CMS state baseline 8.9 CMS-PUBLISHED
The median across this subject's hospices is shown against the national MEDIAN, counted the same way. CMS's published national figure is an unweighted mean across hospices, so it is labeled separately and the two are never subtracted from one another: a median and a mean of the same left-skewed distribution differ by construction, not by performance.
The Hospice Care Index is CMS's own monitoring score. It is not a figure this product calculates. CMS builds it from ten indicators drawn from Medicare claims. A hospice earns one point for each indicator on which it does NOT fall in the worst-performing category, giving a score out of 10. A higher score therefore means fewer indicators in that category. This panel shows CMS's score with the national benchmark beside it.
06
Case mix & setting
CMS-PUBLISHED
| Diagnosis | State mean | National mean | z | CMS state baseline | Hospices |
|---|
| Dementia |
27.9% |
26.1% |
+0.21 |
27.4% |
46 |
| Cancer |
22.0% |
19.8% |
+0.26 |
22.6% |
46 |
| Circulatory / heart disease |
22.4% |
23.3% |
-0.11 |
22.8% |
46 |
| Setting | State mean | National mean | z | CMS state baseline | Hospices |
|---|
| Home |
68.1% |
66.3% |
+0.19 |
67.4% |
46 |
| Assisted living |
17.2% |
18.4% |
-0.14 |
17.9% |
46 |
| Nursing facility |
10.3% |
9.5% |
+0.12 |
10.0% |
46 |
Means are hospice-level averages across the state's reporting hospices, shown as a z against the national facility mean. This is context for the rate above, not a significance test.
07
Inspection record (CMS Form 2567 surveys)
CMS-PUBLISHED
2.69 citations / survey
national 4.38 · gap -1.69 · 512 citations over 190 surveys · 38 hospices cited
Comparison set: all hospices nationally with a valid CCN and at least one survey in this CMS survey export, regardless of quality-release listing status; the national count excludes 1,611 citations across 275 surveys that CMS published under a placeholder CCN (PENDING), together with a further 79 placeholder surveys that recorded no citations, which cannot be attributed to any hospice and are counted in no figure here.
Citations are shown per survey, never as a bare count, so survey volume is visible. A higher-than-national rate is descriptive, not a finding.
Survey data is exported on QCOR's own cycle, so its window differs from the provider-measure window used elsewhere in this report.
Counts include standard and complaint surveys; revisit-only surveys are excluded.
08
Change-of-ownership activity
CMS-PUBLISHED
Official transactions touching this state
7
Change of ownership
5
Consolidation
1
Acquisition/merger
1
| Effective | Type | Buyer | Seller | In latest file |
|---|
| 2024-02-01 |
Change of ownership |
EXAMPLE ACQUIRER ONE, LLC (000021) |
EXAMPLE SELLER ONE, INC (000021) |
yes |
| 2023-09-15 |
Change of ownership |
EXAMPLE ACQUIRER TWO, LLC (000022) |
EXAMPLE SELLER TWO, LLC (000022) |
yes |
Changes of ownership are CMS-recorded events for hospices in the state; an event is a fact, not a finding. Buyer and seller names are CMS-published.
09
Operators of record in the state
CMS-PUBLISHED
| Associate ID | Owner entity | In-state hospices | In-state pooled LD | Discharges | vs nat'l pooled |
|---|
| 0000000000 |
EXAMPLE HOSPICE HOLDINGS, LLC |
7 |
42.38% |
1,713 |
+26.30 |
| 0000000010 |
EXAMPLE REGIONAL CARE, INC |
6 |
15.20% |
1,120 |
-0.88 |
| 0000000011 |
EXAMPLE COMMUNITY HOSPICE |
3 (0 rated) |
no rate |
not published |
not computable |
The 3 organizational operators with the largest in-state footprint are shown, of 21 organizations of record in the state (individual owners are ownership detail carried in a facility or operator report, not here). Rows are ordered by the gap between the organization's in-state pooled live-discharge rate and the national pooled rate. That gap is a single measured quantity, and it is disclosed as one. It is not a score: nothing is weighted, combined, or ranked into one number, and a suppressed rate is shown as such, never as zero. Entities that co-own the same hospices show the same footprint and rate. CMS records one corporate family under several associate IDs, so it appears as several rows, each a genuine owner of record on those hospices. Read every rate against the discharge count beside it. Rows are ordered by the gap alone, with no minimum denominator, so an operator holding one hospice can sit above one holding twenty on a small number of discharges.
10
Methodology & provenance
Why facility counts differ
Different sections count different things, so their facility totals differ on purpose. Each one is the set of hospices that actually had the figure being described: the live-discharge quartiles count hospices with BOTH discharge denominators published; the national facility median counts only hospices whose own rate is computable; the care-setting and incorporation figures count hospices that published those particular fields; the survey comparison set counts every hospice with a valid CCN and at least one survey in the CMS survey export, which is a different file with a different release date. A hospice missing from one of these counts is missing from that measure only. None of these totals is the "right" one and none is a correction of another; each figure names the count it was computed over so the two can always be read together.
Signals stand alone
Measure, inspection and ownership data come from independent CMS files; no figure is combined with another into a score.
Pooled vs median
The pooled state rate is size-weighted; the facility median weights each hospice equally. Both are shown against the national figure computed the same way.
State vs nation only
This report is scoped to hospices operating in the state as CMS records them; a multi-state operator's out-of-state facilities are not included.
Small states
In a small state the pooled rate can be dominated by one or two large hospices; the facility median is shown alongside for that reason.
Operators table is not a score
Operators and hospices are never ranked or scored; every ordering here is by a single measured quantity, disclosed as such.
Survey release cycle
CMS publishes survey (Form 2567) data on its own release cycle, independent of the provider-measures release; this report always shows the most recent survey export available as of the generation date above.
Reproducibility: this report is a pure function of the CMS releases listed in its manifest, the code version, and the template version. CMS-PUBLISHED figures come straight from a CMS file; PRODUCT-COMPUTED figures are computed by this product from those files, always with the denominator shown.
Reproducibility manifest. Illustrative sample. A real state report lists the exact CMS releases used, with checksums, and is a pure function of those inputs.
| Family | Release date | Checksum |
|---|
| pdc_provider | 2026-05-20 | sample |
| ownership_all_owners | 2026-04-01 | sample |
| ownership_enrollments | 2026-01-02 | sample |
| qcor_2567 | 2026-03-01 | sample |
| cahps | 2026-05-20 | sample |
| chow | 2026-04-01 | sample |
| baseline_national | 2026-05-20 | sample |
| baseline_state | 2026-05-20 | sample |
| zip_service_area | 2026-05-20 | sample |
Code version sample · template state.html.j2/1 · generated 2026-08-19T01:57:05+00:00