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We are one of the largest providers of hospice care in the United States in
terms of both patient census and number of Medicare-certified hospice programs.
We started in 1996 with a single hospice program; at year-end 2007 we provided
care from 72 Medicare-certified hospice programs in 29 states. On March 6, 2008
we completed our acquisition of VistaCare, Inc (“VistaCare”). After the
completion of the VistaCare acquisition we now serve approximately 12,000
patients and their families each day through approximately 110
Medicare-certified hospice locations in 30 states.
Hospice services are designed to provide a wide range of care and services to
terminally ill patients and their families. The first hospice in the United
States opened in 1974. In 1982, Congress enacted legislation to create the
Medicare hospice benefit, and hospice care became a covered Medicare benefit in
1983. We are highly dependent on the Medicare program.