Vanguard Group Inc. holds a significant position in the hospice sector with a strategic presence across various states in the US, based on the latest CMS data. The company affiliates with 437 facilities, all having between 5% and 50% ownership stakes. This network positions Vanguard as a key player in the hospice sector, notably in Texas with 86 facilities.
Facility Distribution and Sector Participation
The distribution of Vanguard’s facilities spans multiple states, with a concentration in Texas (86 facilities), Florida (39 facilities) and Tennessee (21 facilities). Beyond hospice care, Vanguard is present in other healthcare sectors, including 166 facilities in home health, 164 in hospitals and 23 in skilled nursing facilities, according to the latest CMS data.
Peers and Market Position
Vanguard operates in a competitive market landscape along with significant operators like BlackRock and Enhabit, which are active within similar sectors and geographic locations. This shared competitive environment presents both challenges and opportunities within these healthcare verticals, analyzed up to July 2025. The ownership counts reflect the number of facilities affiliated with Vanguard according to the latest CMS data.
