Macedo Uncovers 200 Hospice Agencies at One Address

A discovery by California Assemblywoman Alexandra Macedo is drawing attention to potential gaps in oversight within the state’s hospice care system.

Macedo recently revealed that nearly 200 hospice agencies appear to be registered at the same building in Los Angeles County, a concentration that has raised serious questions about how these providers are licensed and monitored. The finding has sparked renewed calls for greater transparency and accountability in a healthcare sector responsible for caring for some of the state’s most vulnerable residents.

A Red Flag in the System

Assemblywoman Macedo said the discovery came as she reviewed hospice registration records and noticed a striking anomaly: an unusually high number of agencies tied to a single address.

Hospice care providers typically deliver end-of-life medical services, including pain management, nursing care, and emotional support for patients facing terminal illnesses. Legitimate providers operate from offices that coordinate home visits and other services.

But seeing nearly 200 companies linked to one building raised immediate concerns.

“Something clearly isn’t adding up,” Macedo said in announcing the discovery, noting that such clustering could signal shell companies or entities that exist largely on paper.

Growing Concerns About Hospice Fraud

Macedo’s findings come amid increasing national scrutiny of hospice providers, particularly in Los Angeles County. Federal lawmakers and investigators have previously warned about unusually high numbers of hospice agencies operating in the region.

In some cases, dozens—or even more than 100—providers have been linked to the same address, a pattern experts say may indicate fraudulent activity or attempts to exploit reimbursement systems.

Hospice providers often receive payments through Medicare and other government programs, which makes the industry particularly vulnerable to bad actors seeking to bill for services that were never delivered or for patients who may not qualify for hospice care.

Investigators have reported that improper payments tied to home health and hospice services have reached billions of dollars nationwide, underscoring the scale of the problem.

Why Oversight Matters

For patients and families, hospice care is meant to provide comfort, dignity, and support during one of life’s most difficult chapters. Ensuring that providers are legitimate and properly regulated is critical to maintaining trust in the system.

When questionable operators enter the market, the consequences can extend beyond financial fraud.

Patients may receive inadequate care, families may struggle to find reliable services, and taxpayer-funded healthcare programs may lose resources meant to support legitimate providers.

Macedo says her discovery highlights the need for stronger safeguards to prevent misuse of the licensing system.

Calls for Accountability

The assemblywoman is urging state agencies to investigate how such a large number of hospice providers were able to register under a single address and whether the state’s licensing and verification processes need to be strengthened.

California has already taken steps in recent years to address hospice fraud, including imposing temporary limits on new hospice licenses while regulators review oversight practices.

Still, Macedo believes additional scrutiny is necessary to ensure the system is working as intended.

Protecting Patients and Taxpayers

Ultimately, Macedo says the goal is not to undermine legitimate hospice providers, many of whom deliver essential and compassionate care to patients across California.

Instead, she argues that identifying irregularities like this one is essential to protecting both patients and taxpayers.

“Hospice care should be about compassion and dignity,” Macedo said. “We have to make sure the system isn’t being abused by bad actors.”

As regulators examine the situation further, the discovery of nearly 200 hospice agencies tied to a single building could become a catalyst for broader reforms aimed at strengthening oversight and restoring confidence in California’s hospice care system.