HOSPICES THAT SUCCESSFULLY MET QRP REPORTING REQUIREMENTS FOR FY 2020 APU

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CCN Hospice Name Address City State ZIP 741606 1ST CHOICE HOME HEALTH 10662 VISTA DEL SOL EL PASO TX 79935 671636 1ST CHOICE HOSPICE LLC 3001 OLD HOUSTON ROAD HUNTSVILLE TX 77340 671729 1ST QUALITY HOSPICE LLC 716 WEST BLUFF STREET WOODVILLE TX 75979 751576 24/7 CARE AT HOME - HOSPICE 3237 E GUASTI ROAD SUITE 100 ONTARIO CA 91761 751637 24/7 CARE AT HOME - HOSPICE 1075 YORBA PLACE, SUITE 101 PLACENTIA CA 92870 391691 365 HOSPICE LLC 220 REGENT COURT SUITE E2 STATE COLLEGE PA 16801 391774 365 HOSPICE LLC 119 S MAIN STREET CARROLLTOWN PA 15722 391706 365 HOSPICE LLC - MONROEVILLE 2549 MOSSIDE BOULEVARD MONROEVILLE PA 15146 551505 A & C HEALTH CARE UNLIMITED LLC 1687 ERRINGER ROAD, SUITE #211 SIMI VALLEY CA 93065 751724 A & E HOSPICE CARE, INC. 2920 W OLIVE AVE, SUITE 214 BURBANK CA 91505 741647 A BETTER HOSPICE 6250 WESTPARK DRIVE STE 114 HOUSTON TX 77057 741562 A BLISS HOSPICE CARE 140 E RIDGEWOOD COURT SAN ANTONIO TX 78212 741672 A P HEALTH AND PALLIATIVE CARE INC 6260 WESTPARK DR SUITE 250 HOUSTON TX 77057 921505 A PLUS HOSPICE, INC 4625 FIRST STREET, SUITE 220 PLEASANTON CA 94566 921709 A SPIRIT OF SUPPORT, INC. 1972-B WEST 48TH STREET LOS ANGELES CA 90062 461591 A STEP FORWARD HOSPICE LLC 1649 EAST 1400 SOUTH, SUITE 140 CLEARFIELD UT 84015 451624 A*MED COMMUNITY HOSPICE 8901 EMMETT F LOWRY SUITE B TEXAS CITY TX 77591 671579 A*MED COMMUNITY HOSPICE 1125 CYPRESS STATION DRIVE SUITE D HOUSTON TX 77090 451788 A*MED HOME HEALTH 4903 GOLDEN QUAIL STE 110 SAN ANTONIO TX 78240 451798 A*MED HOME HEALTH 7800 SHOAL CREEK SUITE 145 SOUTH AUSTIN TX 78757 291540 A+ HOSPICE CARE 227 VINE ST RENO NV 89503 751756 A-1 HOSPICE CARE INC 217 E ALAMEDA AVENUE SUITE 306 BURBANK CA 91502 041515 AAA OF WESTERN ARK INC MENA 600 SEVENTH STREET MENA AR 71953 671644 AADVANTAGE HEALTH & HOSPICE CARE SYSTEMS INC 10715 VALLEY HILLS DRIVE STE 101 HOUSTON TX 77071 111530 ABBEY HOSPICE 215 AZALEA COURT SOCIAL CIRCLE GA 30025 421583 ABBEY ROAD HOSPICE, LLC 5429 BUSH RIVER ROAD COLUMBIA SC 29212 751623 ABC HOSPICE CARE, INC 16104 HART ST VAN NUYS CA 91406 011626 ABC HOSPICE, INC 266 INDUSTRIAL DRIVE RAINSVILLE AL 35986 111752 ABERDEEN PLACE HOSPICE 900 OLD ROSWELL LAKES PARKWAY, SUTE 130 ROSWELL GA 30076 131549 ABODE HOSPICE 2090 SOUTH EAGLE ROAD MERIDIAN ID 83642 061588 ABODE HOSPICE OF COLORADO 445 UNION BOULEVARD, SUITE 223 LAKEWOOD CO 80228 061590 ABODE HOSPICE OF COLORADO 5465 MARK DABLING BLVD COLORADO SPRINGS CO 80918 161581 ABOVE & BEYOND HOSPICE 417 EAST 1ST STREET MONTICELLO IA 52310 391700 ABRAMSON HOSPICE 1425 HORSHAM ROAD NORTH WALES PA 19454 751613 ABSOLUTE COMPASSION, LLC 6355 RIVERSIDE BLVD, SUITE T SACRAMENTO CA 95831 741680 ABSOLUTE HOSPICE 700 E 2ND STREET SUITE B LEAGUE CITY TX 77573 921707 ABSOLUTE HOSPICE & PALLIATIVE CARE, INC. 9837 BELMONT ST, SUITE B BELLFLOWER CA 90706 361683 ABSOLUTE HOSPICE INC 339 EAST MAPLE STREET, SUITE 115 NORTH CANTON OH 44720

1 of 83 HOSPICES THAT SUCCESSFULLY MET QRP REPORTING REQUIREMENTS FOR FY 2020 APU

CCN Hospice Name Address City State ZIP 191520 ACADIAN HOSPICE 458 HEYMANN BLVD, BLDG A LAFAYETTE LA 70503 061560 ACCENTCARE HOME HEALTH OF MOUNTAIN VALLEY LLC 4065 ST CLOUD, SUITE 200 LOVELAND CO 80538 921522 ACCENTCARE HOSPICE OF CALIFORNIA INC 2344 SOUTH SECOND, SUITE B EL CENTRO CA 92243 921542 ACCEPTANCE HOSPICE, INC 12062 VALLEY VIEW ST, SUITE 105 GARDEN GROVE CA 92845 261611 ACCESS HOSPICE CARE 1403 W STATE HIGHWAY J OZARK MO 65721 461550 ACCESS HOSPICE CARE 74 WEST 100 NORTH LOGAN UT 84321 451774 ACCOLADE HOSPICE 5201 INDIANA AVE 101 S LUBBOCK TX 79413 451779 ACCOLADE HOSPICE 222 W GRAND AVE YOAKUM TX 77995 671528 ACCOLADE HOSPICE 2800 SHORELINE DR #211 DENTON TX 76210 141650 ACCORD HOSPICE 400 LAKE COOK RD, SUITE 208 DEERFIELD IL 60015 031622 ACCORD HOSPICE OF THE WHITE MOUNTAINS, LLC 5658 HIGHWAY 260, SUITE 9 LAKESIDE AZ 85929 741528 ACCORDPHC 17400 N. DALLAS PARKWAY, SUITE 240 DALLAS TX 75287 751746 ACCREDITED HOSPICE, INC. 5503 CAHUENGA BLVD STE 202 NORTH HOLLYWOOD CA 91606 671725 ACCREDITED HOSPICES OF AMERICA 14520 OLD KATY ROAD, #101 HOUSTON TX 77079 751525 ACCURATE HOSPICE INC. 3925 ROSEMEAD BLVD, STE 201 ROSEMEAD CA 91770 551669 ACE HOME HEALTH CARE & HOSPICE, INC 85 MORAGA WAY, SUITE 100A ORINDA CA 94563 921628 ACE HOSPICE CARE, INC. 4515 EAGLE ROCK BLVD. SUITE 151 LOS ANGELES CA 90041 551598 ACE OF HEARTS HOSPICE, INC 6501 FOOTHILL BLVD, SUITE 204A TUJUNGA CA 91042 131571 ACHS HOSPICE & PALLIATIVE CARE 815 S BRIDGEWAY PLACE STE 122 EAGLE ID 83616 551518 ACTIVE HOSPICE CARE, INC 704 S VICTORY BLVD, SUITE 100 BURBANK CA 91502 461618 ACTIVE HOSPICE, LLC 9138 SOUTH STATE STREET, SUITE 102 SANDY UT 84070 391688 ACTS SIGNATURE HOSPICE 812 NORTH BETHLEHEM PIKE AMBLER PA 19002 741541 ACURA HOSPICE CARE LLC 13017 JESS PIRTLE BLVD SUITE 100 SUGAR LAND TX 77478 461602 ADAGIO HOSPICE LLC 845 SOUTH MAIN STREET, SUITE C6 BOUNTIFUL UT 84010 151623 ADAPTIVE HOSPICE, INC 702 NORTH SHORE DRIVE, STE 201 JEFFERSONVILLE IN 47130 471508 ADDISON CTY HHA HOSPICE PO BOX 754 ROUTE 7 NORTH MIDDLEBURY VT 05753 361591 ADENA HOSPICE 2077 WESTERN AVENUE CHILLICOTHE OH 45601 551507 ADMIRAL HOSPICE CARE, INC 4010 WATSON PLAZA DRIVE SUITE 120 LAKEWOOD CA 90712 441592 ADORATION HOSPICE 545 MAINSTREAM DRIVE SUITE 412 NASHVILLE TN 37228 521521 ADORAY HOSPICE 2231 HIGHWAY 12 SUITE 201 BALDWIN WI 54002 751527 ADVANCE HOSPICE CARE INC. 1209 N CENTRAL AVE SUITE 204 GLENDALE CA 91202 751691 ADVANCE HOSPICE SERVICES INC 876 N MOUNTAIN AVENUE SUITE 200A UPLAND CA 91786 551686 ADVANTAGE HEALTH SYSTEMS 9663 TIERRA GRANDE STREET, SUTIE 204 SAN DIEGO CA 92126 921732 ADVANTAGE HEALTH SYSTEMS 151 KALMUS DRIVE, SUITE D-104 COSTA MESA CA 92626 751696 ADVENT HOPE HOSPICE 1881 COMMERCENTER E SAN BERNARDINO CA 92408 051581 ADVENTIST HEALTH HOME CARE SERVICES 1289 BILLE ROAD PARADISE CA 95969 051609 ADVENTIST HEALTH HOME CARE SERVICES 20100 CEDAR ROAD NORTH SONORA CA 95370 051670 ADVENTIST HEALTH HOME CARE SERVICES 440 GREENFIELD AVENUE SUITE B HANFORD CA 93230 381507 ADVENTIST HEALTH HOSPICE 5835 NE 122ND AVENUE, SUITE 135 PORTLAND OR 97230 551635 ADVENTIST HEALTH HOSPICE 281 HARVEY DRIVE UNIT B GLENDALE CA 91206 141507 ADVENTIST ST THOMAS HOSPICE 119 E OGDEN AVE, STE 111 HINSDALE IL 60521 031656 ADVISACARE HOSPICE, LLC 1757 EAST BASELINE ROAD, SUITE 106 GILBERT AZ 85233 141516 ADVOCATE HOSPICE 2000 SPRINGER DRIVE LOMBARD IL 60148 141567 ADVOCATE HOSPICE 303 N HERSHEY ROAD, SUITE C BLOOMINGTON IL 61704

2 of 83 HOSPICES THAT SUCCESSFULLY MET QRP REPORTING REQUIREMENTS FOR FY 2020 APU

CCN Hospice Name Address City State ZIP 291552 AFFECTIONATE HOSPICE CARE, LLC 1641 E FLAMINGO ROAD STE 8 LAS VEGAS NV 89119 111672 AFFINIS CARTERSVILLE 15 BOWENS COURT, SUITE B CARTERSVILLE GA 30120 111771 AFFINIS HOSPICE LLC 130 CANAL STREET, SUITE 102 & 103 POOLER GA 31322 111781 AFFINIS HOSPICE LLC 248 NE BROAD STREET JESUP GA 31546 111728 AFFINIS HOSPICE LLC- NEWNAN 21 HIGHLAND DRIVE NEWNAN GA 30263 111690 AFFINIS HOSPICE, LLC 507 NORTH JEFFERSON STREET ALBANY GA 31702 111743 AFFINIS HOSPICE, LLC 1612 MARS HILL ROAD, SUITE A WATKINSVILLE GA 30677 111746 AFFINIS HOSPICE, LLC 806 MAPLE DRIVE VIDALIA GA 30474 111748 AFFINIS HOSPICE, LLC 1365 INTERSTATE PARKWAY AUGUSTA GA 30909 111719 AFFINIS HOSPICE, LLC- GAINESVILLE 2565 THOMPSON BRIDGE ROAD SUITE 201 GAINESVILLE GA 30501 671690 AFFINITY HEALTH CARE 2708 S MEDFORD DRIVE LUFKIN TX 75901 521526 AFFINITY VISITING NURSES 816 W WINNECONNE AVE NEENAH WI 54956 461583 AFI HOSPICE, LLC 1133 NORTH MAIN STREET, SUITE 300 LAYTON UT 84041 751693 AGAPE HOSPICE & PALLIATIVE CARE LLC 15456 VENTURA BLVD SUITE 203 SHERMAN OAKS CA 91403 031614 AGAPE HOSPICE & PALLIATIVE CARE, LLC 2980 NORTH SWAN ROAD, SUITE 222 TUCSON AZ 85712 671683 AGAPE HOSPICE CARE 3030 TOWN CENTRE DRIVE SUITE 200 MESQUITE TX 75150 111733 AGAPE HOSPICE CARE OF CARROLLTON, LLC 126 WEST MONTGOMERY STREET VILLA RICA GA 30180 111697 AGAPE HOSPICE OF NORTHEAST GEORGIA 575 OLD NORCROSS ROAD, SUITE A LAWRENCEVILLE GA 30045 421592 AGAPE HOSPICE OF THE LOWCOUNTRY 2680 ELMS PLANTATION BLVD., SUITE 101 CHARLESTON SC 29406 061551 AGAPE HOSPICE SERVICES 6041 S SYRACUSE WAY #220 GREENWOOD VILLAGE CO 80111 521505 AGRACE HOSPICECARE 5395 E CHERYL PKWY MADISON WI 53711 451521 AIM HOSPICE 703 EAST CONCHO ROCKPORT TX 78382 191535 AIME HOSPICE CARE 104 MBL BANK DRIVE MINDEN LA 71055 191541 AIME HOSPICE CARE 510 TRENTON ST SUITE 100 WEST MONROE LA 71291 191579 AIME HOSPICE CARE 3805 HALSEY STREET, SUITE C ALEXANDRIA LA 71301 191596 AIME HOSPICE CARE 8950 EAST KINGS HWY SHREVEPORT LA 71115 011657 ALABAMA HOSPICE CARE OF BIRMINGHAM 5243 OLD SPRINGVILLE ROAD SUITE 101 PINSON AL 35126 011662 ALABAMA HOSPICE CARE OF JASPER 1458 JONES DAIRY ROAD, SUITE 200 JASPER AL 35501 011558 ALABAMA HOSPICE CARE OF MOBILE 4318 DOWNTOWNER LOOP NORTH, SUITE R MOBILE AL 36609 011671 ALABAMA HOSPICE CARE OF OXFORD 1631 HAMRICK DRIVE EAST OXFORD AL 36203 011677 ALABAMA HOSPICE CARE OF TUSCALOOSA 971 FAIRFAX PARK, SUITE A TUSCALOOSA AL 35406 011543 ALACARE HOME HEALTH & HOSPICE 2970A LORNA ROAD HOOVER AL 35209 671540 ALAMO HOSPICE 3201 CHERRY RIDGE ST STE C313 SAN ANTONIO TX 78230 671750 ALAMO HOSPICE 1595 SOUTH MAIN STREET SUITE#101 BOERNE TX 78006 741665 ALAMO HOSPICE 1423 WALNUT AVENUE, SUITE 101 NEW BRAUNFELS TX 78130 671619 ALAMO HOSPICE OF CONROE 2040 NORTH LOOP 336 WEST SUITE 324 CONROE TX 77304 671541 ALAMO HOSPICE OF LIVINGSTON 317 W CHURCH STREET SUITE 112 LIVINGSTON TX 77351 321521 ALAMOGORDO HOME HEALTH CARE & HOSPICE, INC 1859 INDIAN WELLS ROAD ALAMOGORDO NM 88310 341559 ALBEMARLE HOME CARE AND HOSPICE 311 CEDAR STREET ELIZABETH CITY NC 27909 751632 ALDEN HOSPICE 1061 WEST AVENUE M14, SUITE D PALMDALE CA 93551 921523 ALEVE HOSPICE CARE OF LOS ANGELES, INC 9608 VAN NUYS BLVD, SUITE 105 PANORAMA CITY CA 91402 141632 ALEXIAN BROTHERS HOSPICE 1515 EAST LAKE STREET, SUITE 206 HANOVER PARK IL 60133 441501 ALIVE HOSPICE INC 1718 PATTERSON ROAD NASHVILLE TN 37203 391755 ALL AMERICAN HOSPICE LLC 332A BUSTLETON PIKE SUITE 101 FEASTERVILLE PA 19053

3 of 83 HOSPICES THAT SUCCESSFULLY MET QRP REPORTING REQUIREMENTS FOR FY 2020 APU

CCN Hospice Name Address City State ZIP 231637 ALL AMERICANS HOSPICE CARE INC 1397 S LINDEN ROAD, STE D FLINT MI 48532 391592 ALL CARE HOSPICE 474 1/2 SOUTH POPLAR STREET HAZLETON PA 18201 221562 ALL CARE HOSPICE INC 210 MARKET STREET LYNN MA 01901 361662 ALL CARING HOSPICE LLC 6715 TIPPECANOE ROAD CANFIELD OH 44406 671756 ALL COUNTY HOME CARE AND HOSPICE 37131 I H 10 WEST SUITE 400 BOERNE TX 78006 921594 ALL IN ONE HOSPICE CARE INC 6850 VAN NUYS BLVD, SUITE 216 VAN NUYS CA 91405 191677 ALL SAINTS HOSPICE 7406 HIGHWAY 1, SUITE 101 MANSURA LA 71350 751690 ALL SAINTS HOSPICE 7365 CARNELIAN STREET SUITE 240 RANCHO CUCAMONGA CA 91730 191621 ALL SAINTS HOSPICE OF LA 2840 W AIRLINE HWY, UNIT F LA PLACE LA 70068 421625 ALL SEASONS HEALTHCARE, INC 7142 WOODROW STREET IRMO SC 29063 521583 ALLAY HOME AND HOSPICE 325 N CORPORATE DR SUITE 260 BROOKFIELD WI 53045 391685 ALLEGHENY HEALTH NETWORK HEALTHCARE AT HOME HOSPIC 500 COMMONWEALTH DRIVE FIRST FLOOR WARRENDALE PA 15086 751703 ALLEGIANT HOSPICE, INC 27715 JEFFERSON AVENUE TEMECULA CA 92590 321564 ALLIANCE HOME HEALTH CARE, LLC 5981 JEFFERSON ROAD NE ALBUQUERQUE NM 87109 361588 ALLIANCE HOSPICE 2461 WEST STATE STREET, SUITE E ALLIANCE OH 44601 421586 ALLIANCE HOSPICE 802 EAST MARTINTOWN ROAD NORTH AUGUSTA SC 29841 131544 ALLIANCE HOSPICE OF IDAHO 1655 1ST STREET IDAHO FALLS ID 83401 111631 ALLIANCE HOSPICE, LLC 3475 RIVERWATCH PKWY SUITE 310 MARTINEZ GA 30907 391773 ALLIED SERVICES HOSPICE 100 ABINGTON EXECUTIVE PARK CLARKS SUMMIT PA 18411 241513 ALLINA HEALTH HOSPICE & PALLIATIVE CARE 1055 WESTGATE DRIVE SUITE 100 SAINT PAUL MN 55114 671516 ALLSTAR HOSPICE 1032 WEST PIONEER PARKWAY SUITE 200 ARLINGTON TX 76013 671757 ALLSTAR HOSPICE 13515 SOUTHWEST FREEWAY # 215 SUGAR LAND TX 77478 921663 ALLSTATE CARE HOSPICE, INC 5301 LAUREL CANYON BLVD, UNIT 136 VALLEY VILLAGE CA 91607 921518 ALPHA CARE HOSPICE INC 12598 CENTRAL AVENUE SUITE 215 CHINO CA 91710 461596 ALPHA HOMECARE HOSPICE INC 230 NORTH 1680 EAST, SUITE E-1 ST GEORGE UT 84790 551576 ALPHA HOSPICE CARE 373 VAN NESS AVENUE, SUITE 260 TORRANCE CA 90501 371622 ALPHA HOSPICE, INC 7512 NORTH BROADWAY EXTENSION, SUITE 312 OKLAHOMA CITY OK 73116 461568 ALPHA OMEGA HOSPICE LLC 257 SOUTH OREM BLVD OREM UT 84058 371628 ALTERNATIVE HOME HEALTH CARE 20775 292ND STREET POTEAU OK 74953 261613 ALTERNATIVE HOSPICE, LLC 1749 GILSINN LANE FENTON MO 63026 351501 ALTRU'S HOSPICE 1380 S COLUMBIA RD GRAND FORKS ND 58206 671562 ALTUS HOSPICE 11352 SUGAR PARK LANE SUGAR LAND TX 77478 451596 ALTUS HOSPICE OF BEAUMONT LP 3180 COLLEGE STREET BEAUMONT TX 77701 671621 ALTUS HOSPICE OF CORPUS CHRISTI LP 4300 SOUTH PADRE ISLAND DRIVE SUITE 1-1 CORPUS CHRISTI TX 78411 671649 ALTUS HOSPICE OF NORTH HOUSTON, LP 25227 GROGANS MILL SUITE 210 THE WOODLANDS TX 77380 741642 ALTUS HOSPICE OF SAN ANTONIO LP 2700 NE LOOP 410 SUITE 380 SAN ANTONIO TX 78217 671614 ALTUS HOSPICE OF SOUTH TEXAS LP 213 W VILLAGE BLVD STE 3 LAREDO TX 78041 671714 ALTUS HOSPICE OF THE HILLS 100 COLLEGE STREET ROUND ROCK TX 78664 741540 ALWAYS ACCURATE HOME HEALTHCARE AND HOSPICE LLC 1404 SOUTH WASHINGTON STREET KAUFMAN TX 75142 751526 ALWAYS CARE HOSPICE, INC 5252 ORANGE AVE, SUITE 212 CYPRESS CA 90630 751544 ALWAYS TFY HOSPICE, INC 4740 GREEN RIVER ROAD CORONA CA 92880 751792 AMA HOSPICE AND PALLIATIVE CARE, INC 6314 VAN NUYS BLVD, SUITE 222 VAN NUYS CA 91401 751689 AMAVI HOME HEALTH AND HOSPICE CARE SERVICES, INC 50 SAND CREEK ROAD, SUITE 232 BRENTWOOD CA 94513 671635 AMAZING GRACE HOSPICE 5502 4TH STREET KATY TX 77493

4 of 83 HOSPICES THAT SUCCESSFULLY MET QRP REPORTING REQUIREMENTS FOR FY 2020 APU

CCN Hospice Name Address City State ZIP 551653 AMBERCITY HOSPICE, INC 3590 CENTRAL AVENUE, SUITE #207 RIVERSIDE CA 92506 191607 AMEDISYS HOSPICE 3854 AMERICAN WAY, SUITE C BATON ROUGE LA 70816 031501 AMEDISYS HOSPICE 1585 EAST RIVER ROAD, SUITE 201 TUCSON AZ 85718 111718 AMEDISYS HOSPICE 53 ROCK DRIVE TOCCOA GA 30577 151605 AMEDISYS HOSPICE 305 QUARTERMASTER CT JEFFERSONVILLE IN 47130 191533 AMEDISYS HOSPICE 425 ASHLEY RIDGE BLVD SUITE 240 SHREVEPORT LA 71106 191534 AMEDISYS HOSPICE 4017 COMMON STREET LAKE CHARLES LA 70607 191674 AMEDISYS HOSPICE 4021-B AMBASSADOR CAFFERY PARKWAY, SUITE 101 LAFAYETTE LA 70503 341560 AMEDISYS HOSPICE 3320 US 1 HIGHWAY, SUITE C FRANKLINTON NC 27525 361652 AMEDISYS HOSPICE 52171 NATIONAL ROAD EAST, SUITE 1 SAINT CLAIRSVILLE OH 43950 441525 AMEDISYS HOSPICE AN ADVENTA COMPANY 1420 DUTCH VALLEY ROAD, SUITE C KNOXVILLE TN 37918 301507 AMEDISYS HOSPICE CARE 8 COMMERCE DRIVE, SUITE 101 BEDFORD NH 03110 341596 AMEDISYS HOSPICE CARE 56 THREE HUNTS DRIVE BUILDING 3 PEMBROKE NC 28372 341598 AMEDISYS HOSPICE CARE 201 E WATER STREET PLYMOUTH NC 27962 381518 AMEDISYS HOSPICE CARE 1820 NW MULHOLLAND DRIVE ROSEBURG OR 97470 391726 AMEDISYS HOSPICE CARE 240 PULLMAN SQUARE SUITE 255 BUTLER PA 16001 441506 AMEDISYS HOSPICE CARE 6570 STAGE ROAD SUITE 120 BARTLETT TN 38134 491513 AMEDISYS HOSPICE CARE 5221 VALLEY PARK DRIVE SUITE 2 ROANOKE VA 24019 511523 AMEDISYS HOSPICE CARE 5006 MID ATLANTIC DRIVE MORGANTOWN WV 26508 111687 AMEDISYS HOSPICE CARE OF CARTERSVILLE 102 E MAIN STREET CARTERSVILLE GA 30120 111686 AMEDISYS HOSPICE CARE OF KENNESAW 4255 WADE GREEN ROAD NW , BLDG 300 SUITE 320 KENNESAW GA 30144 111685 AMEDISYS HOSPICE CARE OF NEWNAN 1825 HIGHWAY 34 EAST,SUITE 2200 NEWNAN GA 30265 011527 AMEDISYS HOSPICE OF BIRMINGHAM 2204 LAKESHORE DRIVE, SUITE 160 HOMEWOOD AL 35209 511524 AMEDISYS HOSPICE OF BLUEFIELD 545 AIRPORT ROAD, SUITE 201 BLUEFIELD WV 24701 111643 AMEDISYS HOSPICE OF DALTON 1510 NORTH THORNTON AVENUE, SUITE 200 DALTON GA 30720 011669 AMEDISYS HOSPICE OF FLORENCE 412 SOUTH COURT STREET, SUITE 302 FLORENCE AL 35630 211536 AMEDISYS HOSPICE OF GREATER CHESAPEAKE 7106 RIDGE ROAD, SUITE 140 ROSEDALE MD 21237 111665 AMEDISYS HOSPICE OF LAWRENCEVILLE 595 HURRICANE SHOALS ROAD, NW SUITE 201 LAWRENCEVILLE GA 30046 011623 AMEDISYS HOSPICE OF MONTGOMERY 8160 DECKER LANE MONTGOMERY AL 36117 391544 AMEDISYS HOSPICE OF PA 1368 MALL RUN ROAD, SUITE 624 UNIONTOWN PA 15401 451738 AMEDISYS HOSPICE OF SAN ANTONIO 5410 FREDRICKSBURG ROAD STE.310 SAN ANTONIO TX 78229 421555 AMEDISYS HOSPICE OF SOUTH CAROLINA 500 PAMPLICO HIGHWAY, SUITE D FLORENCE SC 29501 511525 AMEDISYS HOSPICE OF VIENNA 2200 GRAND CENTRAL AVENUE, SUITE 102 VIENNA WV 26105 171548 AMEDISYS HOSPICE OF WICHITA 250 W DOUGLAS SUITE 110 WICHITA KS 67202 441533 AMEDISYS HOSPICE, AN ADVENTA COMPANY 7205 LEE HIGHWAY SUITE B CHATTANOOGA TN 37421 441534 AMEDISYS HOSPICE, AN ADVENTA COMPANY 1500 WEST ELK AVENUE SUITE 202 ELIZABETHTON TN 37643 441602 AMEDISYS HOSPICE, AN ADVENTA COMPANY 400 ROYAL PARKWAY NASHVILLE TN 37214 751580 AMENITY HOSPICE CARE OF LOS ANGELES, INC. 3407 WEST 6TH ST UNIT 505 LOS ANGELES CA 90020 191597 AMERACARE FAMILY HOSPICE 303 WEST 21ST AVENUE COVINGTON LA 70433 741651 AMERI HOSPICE 50 BUSINESS PARKWAY SUITE F-2 RICHARDSON TX 75081 751601 AMERICADE PALLIATIVE HEALTH SERVICES, INC. 420 N MONTEBELLO BLVD SUITE 205 & 200 MONTEBELLO CA 90640 551629 AMERICAN CAREQUEST HOSPICE 1426 FILLMORE STREET, SUITE 205 SAN FRANCISCO CA 94115 011608 AMERICAN HOMECARE HOSPICE - SYLACAUGA 3275 OLD SYLACAUGA HWY SYLACAUGA AL 35150 551704 AMERICAN HOSPICE AND HOME HEALTH CARE SERVICE INC 6850 REGIONAL STREET, SUITE 100A DUBLIN CA 94568

5 of 83 HOSPICES THAT SUCCESSFULLY MET QRP REPORTING REQUIREMENTS FOR FY 2020 APU

CCN Hospice Name Address City State ZIP 551770 AMERICAN HOSPICE, INC. 225 E BROADWAY SUITE 105C GLENDALE CA 91205 031665 AMERICAN PREMIER HOSPICE, LLC 4745 NORTH 7TH STREET, SUITE 255 PHOENIX AZ 85014 231608 AMERICANS HOSPICE CARE 2575 NORTH MCLEOD DRIVE, SUITE C SAGINAW MI 48604 031563 AMERICARE HOSPICE AND PALLIATIVE CARE 1212 NORTH SPENCER STREET, SUITE 2 MESA AZ 85203 751562 AMERICARE HOSPICE, INC 4430 SANTA MONICA BLVD SUITE 202 LOS ANGELES CA 90029 921745 AMERICUS HOSPICE, INC 5924 EAST LOS ANGELES AVENUE, SUITE T SIMI VALLEY CA 93063 551733 AMERIHEALTH HOSPICE PROVIDER, INC 1323 WEST COLTON AVENUE, SUITE 200 REDLANDS CA 92374 741551 AMERIPRIME HOSPICE LLC 50 BUSINESS PARKWAY SUITE B RICHARDSON TX 75081 111692 AMITY CARE 161 VILLAGE PARKWAY, BUILDING 7 MARIETTA GA 30067 671707 AMITY HOSPICE 17311 N DALLAS PARKWAY SUITE #125 DALLAS TX 75248 271506 ANACONDA PINTLER HOSPICE 118 E SEVENTH ST STE 1A ANACONDA MT 59711 921503 ANAHEIM HOSPICE, INC 10568 MAGNOLIA AVE, SUITE 109-110 ANAHEIM CA 92804 201513 ANDROSCOGGIN HOME HEALTHCARE & HOSPICE 15 STRAWBERRY AVE LEWISTON ME 04240 671608 ANGEL BRIGHT HOSPICE INC 3213 HOLLY RD CORPUS CHRISTI TX 78415 671675 ANGEL CARE HOSPICE 1701 N GREENVILLE AVE ST #1109 RICHARDSON TX 75081 671638 ANGEL CARE HOSPICE LLC 702 FAIR PARK DRIVE SUITE 102 HENDERSON TX 75654 921572 ANGEL CARE HOSPICE OF ARCADIA, INC 4115 E LIVE OAK AVE, SUITE 10 ARCADIA CA 91006 671597 ANGEL HANDS HOSPICE 8330 LYNDON B JOHNSON FWY STE 280 DALLAS TX 75243 231636 ANGEL HOSPICE 30700 TELEGRAPH ROAD, SUITE 2540 BINGHAM FARMS MI 48025 921525 ANGEL HOSPICE CARE, INC 16114 HART ST VAN NUYS CA 91406 671794 ANGEL HOSPICE CORP 208 W KEARNEY STE 103 MESQUITE TX 75149 751570 ANGEL HOSPICE PROVIDER INC 2980 INLAND EMPIRE BLVD SUITE 111 ONTARIO CA 91764 751680 ANGEL OF GOD HOSPICE AND PALLIATIVE CARE INC 266 MOBIL AVENUE, STE # 203, CAMARILLO CA 93010 751730 ANGEL OF JOY HOSPICE 4702 BROOKS STREET MONTCLAIR CA 91763 741641 ANGEL WINGS HEALTHCARE LLC 1201 N WATSON ROAD STE 165 ARLINGTON TX 76006 231527 ANGELA HOSPICE HOME CARE 14100 NEWBURGH ROAD LIVONIA MI 48154 921713 ANGELIC CARE HOSPICE, INC 7335 VAN NUYS BLVD, SUITE 224 VAN NUYS CA 91403 371591 ANGELIC FAMILY HOSPICE LLC 421 NORTH BEARD STREET SHAWNEE OK 74801 751764 ANGELINO HOSPICE CARE, INC 444 IRVING DR SUITE 102 BURBANK CA 91504 461599 ANGELS CROSSING HOME HOSPICE 2480 SOUTH MAIN STREET, SUITE 200 SALT LAKE CITY UT 84115 141644 ANGELS GRACE HOSPICE 440 QUADRANGLE DRIVE SUITE G BOLINGBROOK IL 60440 751731 ANGELS HAND HOSPICE CARE INC 792 ARROW HIGHWAY SUITE A UPLAND CA 91786 551705 ANGELS HOSPICE CORPORATION 15220 CENTRAL AVENUE UNIT B CHINO CA 91710 551558 ANGELS HOSPICE, LLC 19830 LAKE CHABOT ROAD, UNIT B CASTRO VALLEY CA 94546 051783 ANGELS OF THE VALLEY HOSPICE CARE, LLC 2600 FOOTHILL BLVD, STE 202 LA CRESCENTA CA 91214 551703 ANGELS ON EARTH HOSPICE 4959 PALO VERDE STREET SUITE 202-A MONTCLAIR CA 91763 391715 ANOVA HOSPICE PALLIATIVE CARE SERVICES INC 17 MCKEAN AVENUE, SUITE 1 CHARLEROI PA 15022 751753 ANTHEM HOSPICE PROVIDERS INC 1016 E COOLEY DRIVE UNIT E COLTON CA 92324 751558 A-ONE HOSPICE PROVIDERS, INC 13788 ROSWELL AVENUE CHINO CA 91710 141645 APEX HOSPICE AND PALLIATIVE CARE, INC 2607 W22ND STREET SUITE 40 OAK BROOK IL 60523 461545 A-PLUS HOSPICE 1443 NORTH 1200 WEST OREM UT 84057 361516 APPALACHIAN COMMUNITY VISITING NURSE ASN, HOSP &H 444 WEST UNION STREET, SUITE C ATHENS OH 45701 551557 APREVA HOSPICE 1565 HOTEL CIRCLE SOUTH, SUITE 320 SAN DIEGO CA 92108 751614 ARARAT HOSPICE CARE, INC 1601 NEW STINE ROAD, SUITE 185 BAKERSFIELD CA 93309

6 of 83 HOSPICES THAT SUCCESSFULLY MET QRP REPORTING REQUIREMENTS FOR FY 2020 APU

CCN Hospice Name Address City State ZIP 051531 ARBOR HOSPICE 890 W STETSON AVENUE, STE A HEMET CA 92543 231526 ARBOR HOSPICE 2366 OAK VALLEY DRIVE ANN ARBOR MI 48103 751565 ARBOR VITAE HOSPICE CARE, INC 1780 TOWN AND COUNTRY DRIVE, UNIT 106 NORCO CA 92860 391740 ARCADIA HOSPICE LLC 700 SOUTH STATE STREET SUITE A CLARKS SUMMIT PA 18411 751502 ARCADIA HOSPICE PROVIDER INC 3452 E FOOTHILL BLVD, STE 120 PASADENA CA 91107 111772 ARCADIA HOSPICE, LLC 1010 TENNESSEE STREET, SUITE 114 CARTERSVILLE GA 30120 671603 ARDENT HOSPICE 700 PARKER SQUARE SUITE 105 FLOWER MOUND TX 75028 551767 ARDENT HOSPICE & PALLIATIVE CARE INC 16486 BERNARDO CENTER DRIVE, SUITE 348 SAN DIEGO CA 92128 751750 ARDENT HOSPICE & PALLIATIVE CARE OF FRESNO, INC 2040 N WINERY AVE, SUITE 102 FRESNO CA 93703 751714 ARDENT HOSPICE OF THE DESERT, INC 1750 E ARENAS ROAD SUITE 21 PALM SPRINGS CA 92262 041502 AREA AGENCY ON AGING OF WESTERN ARKANSAS INC 524 GARRISON AVENUE FORT SMITH AR 72902 451773 AREA COMMUNITY HOSPICE INC 4300 OLTON ROAD PLAINVIEW TX 79072 921609 ARGO HOSPICE, INC 10523 BURBANK BLVD, SUITE 115 N HOLLYWOOD CA 91601 751517 ARIA HOSPICE LLC 229 SOUTH 8TH STREET, SUITE A EL CENTRO CA 92243 031593 ARISTA HOSPICE 2312 NORTH ROSEMONT BOULEVARD, SUITE 103 TUCSON AZ 85712 031653 ARIZONA COMPASSIONATE HEARTS HOSPICE 301 EAST BETHANY HOME ROAD, SUITE C-275 PHOENIX AZ 85012 041521 ARKANSAS HOME HOSPICE PROVIDERS 3024 RED WOLF BOULEVARD JONESBORO AR 72401 041564 ARKANSAS HOSPICE INC 14 PARKSTONE CIRCLE NORTH LITTLE ROCK AR 72116 041578 ARKANSAS HOSPICE INC 2233 HARRISON BATESVILLE AR 72501 041518 ARKANSAS HOSPICE RUSSELLVILLE 2405 EAST PARKWAY, SUITE 3 RUSSELLVILLE AR 72802 061515 ARKANSAS VALLEY HOSPICE INC 531 LEWIS AVENUE LA JUNTA CO 81050 321574 ARMADA HOSPICE OF NEW MEXICO, LLC 8814 HORIZON BLVD NE SUITE 300 ALBUQUERQUE NM 87113 751634 ART OF HOSPICE CARE, INC 7710 BALBOA AVENUE, SUITE 329 SAN DIEGO CA 92111 921507 A'S HOSPICE 14125 TELEPHONE AVENUE, SUITE 13 CHINO CA 91710 451700 ASANA HOSPICE 3509 HULEN ST SUITE 116 FORT WORTH TX 76107 171563 ASANA HOSPICE AND PALLIATIVE CARE 13002 STATE LINE ROAD LEAWOOD KS 66209 261618 ASANA HOSPICE AND PALLIATIVE CARE 9001 STATE LINE RD, STE 120 KANSAS CITY MO 64114 361676 ASANA HOSPICE AND PALLIATIVE CARE 885 WEST BAGLEY ROAD BEREA OH 44017 391522 ASANA HOSPICE AND PALLIATIVE CARE 300 JOHNSON AVENUE RIDLEY PARK PA 19078 391745 ASANA HOSPICE AND PALLIATIVE CARE 4813 JONESTOWN ROAD SUITE 201 HARRISBURG PA 17109 381527 ASANTE HOSPICE 2960 DOCTORS PARK DRIVE MEDFORD OR 97504 221566 ASCEND HOSPICE 100 LOCKE DRIVE MARLBORO MA 01752 391643 ASCEND HOSPICE 108 COWPATH ROAD FORT WASHINGTON PA 19034 191675 ASCEND HOSPICE CARE, LLC 4404 OLD STERLINGTON ROAD, SUITE 102 MONROE LA 71203 741648 ASCENSION HOSPICE, INC 12550 FUQUA STREET STE # 300 HOUSTON TX 77034 161532 ASERA CARE HOSPICE 411 EAST BROADWAY COUNCIL BLUFFS IA 51503 491584 ASERA CARE HOSPICE 8001 FRANKLIN FARM DRIVE, RM 116 RICHMOND VA 23229 011561 ASERACARE HOSPICE 482 MCQUEEN SMITH ROAD PRATTVILLE AL 36066 051662 ASERACARE HOSPICE 3203 W MARCH LANE, SUITE 140 STOCKTON CA 95219 111510 ASERACARE HOSPICE 1117 PERIMETER CENTER WEST, SUITE N500 ATLANTA GA 30338 151537 ASERACARE HOSPICE 8910 PURDUE ROAD, SUITE 690 INDIANAPOLIS IN 46268 151590 ASERACARE HOSPICE 1401 PROFESSIONAL BLVD SUITE 201 EVANSVILLE IN 47714 151595 ASERACARE HOSPICE 808 VALE PARK ROAD, SUITE 200 VALPARAISO IN 46383 171581 ASERACARE HOSPICE 411 NORTH IOWA SUITE A LAWRENCE KS 66044

7 of 83 HOSPICES THAT SUCCESSFULLY MET QRP REPORTING REQUIREMENTS FOR FY 2020 APU

CCN Hospice Name Address City State ZIP 221587 ASERACARE HOSPICE 114 TURNPIKE ROAD, SUITE 100 WESTBOROUGH MA 01581 241576 ASERACARE HOSPICE 5001 AMERICAN BOULEVARD, SUITE 655 BLOOMINGTON MN 55437 261555 ASERACARE HOSPICE 301 E. PRICE, SUITE B SAVANNAH MO 64485 281514 ASERACARE HOSPICE 5715 S 34TH STREET, SUITE 100 LINCOLN NE 68516 281526 ASERACARE HOSPICE 8710 FREDERICK, SUITE 100 OMAHA NE 68124 281538 ASERACARE HOSPICE 120 N 27TH STREET, STE. 300 NORFOLK NE 68701 281543 ASERACARE HOSPICE 4111 4TH AVE,, SUITE 50 KEARNEY NE 68845 281544 ASERACARE HOSPICE 401 LINCOLN AVE, SUITE 2 YORK NE 68467 341512 ASERACARE HOSPICE 502 RED BANKS ROAD, SUITE B GREENVILLE NC 27858 361624 ASERACARE HOSPICE 2820 WEST MARKET STREET, SUITE 110 FAIRLAWN OH 44333 391588 ASERACARE HOSPICE 1212 SOUTH ABINGTON ROAD CLARKS SUMMIT PA 18411 391599 ASERACARE HOSPICE 300 PENN CENTER BLVD, SUITE 602 PITTSBURGH PA 15235 391651 ASERACARE HOSPICE 415 EAGLEVIEW BOULEVARD SUITE 108 EXTON PA 19341 391653 ASERACARE HOSPICE 984 LOUCKS ROAD SUITE I YORK PA 17404 391655 ASERACARE HOSPICE 100 CTC DRIVE SUITE 110 JOHNSTOWN PA 15904 391661 ASERACARE HOSPICE 1600 PENINSULA DRIVE SUITE 14 ERIE PA 16505 391662 ASERACARE HOSPICE 280 GRANITE RUN DRIVE SUITE 180 LANCASTER PA 17601 391712 ASERACARE HOSPICE 7660 IMPERIAL WAY SUITE 410 ALLENTOWN PA 18195 431517 ASERACARE HOSPICE 528 NORTH SYCAMORE AVENUE SIOUX FALLS SD 57110 451570 ASERACARE HOSPICE 14205 BURNET ROAD SUITE 470 AUSTIN TX 78728 491626 ASERACARE HOSPICE 1415 ROLKIN COURT SUITE 203 CHARLOTTESVILLE VA 22911 521556 ASERACARE HOSPICE 2204 E MORELAND BLVD SUITE 101 WAUKESHA WI 53186 521575 ASERACARE HOSPICE 2633 DEVELOPMENT DR SUITE 10 BELLEVUE WI 54311 551540 ASERACARE HOSPICE 650 WEST ALLUVIAL AVENUE FRESNO CA 93711 441581 ASERACARE HOSPICE - MCKENZIE 1939 A CEDAR STREET MC KENZIE TN 38201 441527 ASERACARE HOSPICE - NASHVILLE 441 DONELSON PIKE, SUITE 400 NASHVILLE TN 37214 011566 ASERACARE HOSPICE-DECATUR 715 6TH AVENUE SE DECATUR AL 35601 011586 ASERACARE HOSPICE-HAMILTON 1215 MILITARY STREET SOUTH - SUITE B, PO BOX 1357 HAMILTON AL 35570 011562 ASERACARE HOSPICE-JACKSON 4115 COLLEGE AVENUE JACKSON AL 36545 011567 ASERACARE HOSPICE-MONROEVILLE 1979 S HWY 21 BYPASS MONROEVILLE AL 36460 251516 ASERACARE HOSPICE-SENATOBIA 300 NORTHEAST PLAZA SENATOBIA MS 38668 361651 ASHANTI HOSPICE AND PALLIATIVE CARE 4020 INDIAN ROAD, SUITE A TOLEDO OH 43606 051749 ASIAN NETWORK HOSPICE, INC 212 9TH STREET, SUITE 204 OAKLAND CA 94607 131541 ASPEN HOSPICE 3470 WASHINGTON PARKWAY, SUITE B IDAHO FALLS ID 83404 671734 ASPEN HOSPICE CARE INC 314 W MAIN ST STE 700 LEWISVILLE TX 75057 461580 ASPIRE HOSPICE CARE, INC 1020 WEST ATHERTON DRIVE, SUITE 220 TAYLORSVILLE UT 84123 371597 ASPIRE HOSPICE I - PART OF ELARA CARING NETWORK 124 EAST MAIN, SUITE 11 ADA OK 74820 371619 ASPIRE HOSPICE II,A PART OF ELARA CARING NETWORK 328 S 29TH STREET, SUITE 120 CHICKASHA OK 73018 371656 ASPIRE HOSPICE III, PART OF ELARA CARING NETWORK 1610 WEST JACKSON STREET HUGO OK 74743 231560 ASPIRUS AT HOME 311 SIXTH STREET CALUMET MI 49913 521514 ASPIRUS COMFORT CARE AND HOSPICE SERVICES 520 N 32ND AVE WAUSAU WI 54401 051634 ASSISTED HOME HOSPICE 8550 BALBOA BLVD, STE 282 NORTHRIDGE CA 91325 051743 ASSISTED HOME HOSPICE 4450 WESTINGHOUSE STREET, SUITE #103 VENTURA CA 93003 031658 ASSISTED HOSPICE CARE 1420 EAST MISSOURI AVENUE, SUITE 103 PHOENIX AZ 85014

8 of 83 HOSPICES THAT SUCCESSFULLY MET QRP REPORTING REQUIREMENTS FOR FY 2020 APU

CCN Hospice Name Address City State ZIP 051784 ASSURANCE HOSPICE, INC 40 N ALTADENA DRIVE, SUITE 102 PASADENA CA 91107 501512 ASSURED HOME HEALTH, HOSPICE & HOME CARE 1821 COOKS HILL ROAD CENTRALIA WA 98531 501528 ASSURED HOSPICE 1417 SOUTH PIONEER WAY MOSES LAKE WA 98837 231626 ASSURED HOSPICE CARE 25180 LAHSER RD, SUITE 200 SOUTHFIELD MI 48033 111673 ASSURED HOSPICE CARE LLC 9B MEDICAL DRIVE, NE CARTERSVILLE GA 30121 501518 ASTRIA HOME HEALTH 7 SOUTH 10TH AVE YAKIMA WA 98902 461530 AT HOME HOSPICE 45 NORTH 100 WEST SALINA UT 84654 171516 ATCHISON HOSPITAL HOSPICE 1301 N 3RD STREET ATCHISON KS 66002 491619 ATHC - HOSPICE LLC 291 MCLAWS CIRCLE WILLIAMSBURG VA 23185 491606 ATHC-HOSPICE LLC 2922 W MARSHALL STREET RICHMOND VA 23230 071543 ATHENA HOME HEALTH & HOSPICE 135 SOUTH ROAD FARMINGTON CT 06032 111731 ATLANTA FAMILY HOSPICE AND PALLIATIVE CARE II, LLC 5950 LIVE OAK PARKWAY, SUITE 240 NORCROSS GA 30093 311503 ATLANTIC HOME CARE AND HOSPICE 465 SOUTH STREET, SUITE 100 MORRISTOWN NJ 07962 131559 AUBURN CREST HOSPICE 1221 IRONWOOD DR SUITE 102 COEUR D'ALENE ID 83814 061589 AUBURN CREST HOSPICE NORTHERN COLORADO LLC 2680 ABARR DRIVE LOVELAND CO 80538 191684 AUDUBON HOSPICE CARE 9181 INTERLINE AVENUE, SUITE 110 BATON ROUGE LA 70809 361556 AULTMAN HOSPICE 2821 WOODLAWN AVENUE NW CANTON OH 44708 521528 AURORA AT HOME 1155 HONEY CREEK PARKWAY WAUWATOSA WI 53213 521567 AURORA AT HOME 931 DISCOVERY RD GREEN BAY WI 54311 391738 AURORA HOSPICE, INC 524 BUSTLETON PIKE FEASTERVILLE PA 19053 671538 AUSTIN'S GRACE HOSPICE, LLC 7800 SHOAL CREEK BLVD STE 120W AUSTIN TX 78757 671567 AUTUMN WOODS HOSPICE 121 E FRANK STREET GRAND SALINE TX 75140 741698 AUTUMNCARE HOSPICE 3956 BLUEBONNET DRIVE STAFFORD TX 77477 261585 AVALON HOSPICE 2024 MAIDEN LANE, SUITE 202 JOPLIN MO 64804 441545 AVALON HOSPICE 2525 PERIMETER PLACE DRIVE, SUITE 105 NASHVILLE TN 37214 441576 AVALON HOSPICE 7625 HAMILTON PARK DRIVE SUITE 19 CHATTANOOGA TN 37421 051791 AVALON HOSPICE & PALLIATIVE CARE 3914 MURPHY CANYON ROAD, SUITE A226 SAN DIEGO CA 92123 171562 AVALON HOSPICE (PITTSBURG) 2307 SOUTH TUCKER PITTSBURG KS 66762 171546 AVALON HOSPICE (TOPEKA) 5375 SW 7TH STREET SUITE 500 TOPEKA KS 66606 141666 AVALON HOSPICE OF SPRINGFIELD 2815 OLD JACKSONVILLE ROAD, SUITE 202 SPRINGFIELD IL 62704 671692 AVATAR HOME HEALTH CARE AGENCY LLC 25325 BOROUGH PARK DRIVE #100 THE WOODLANDS TX 77380 671595 AVE MARIA HOSPICE 204 S. ADAMS ST., STE A FREDERICKSBURG TX 78624 161501 AVERA AT HOME 826 NORTH EIGHTH STREET ESTHERVILLE IA 51334 431503 AVERA AT HOME 4509 PRINCE OF PEACE PLACE SIOUX FALLS SD 57103 431505 AVERA AT HOME 1115 WEST 9TH ST YANKTON SD 57078 431507 AVERA AT HOME 1115 E 5TH AVE MITCHELL SD 57301 431508 AVERA AT HOME 201 S LLOYD ST STE 210W ABERDEEN SD 57401 431512 AVERA AT HOME 800 EAST DAKOTA AVENUE PIERRE SD 57501 431515 AVERA AT HOME 301 FLYNN DRIVE MILBANK SD 57252 241598 AVERA AT HOME SOUTHWEST MINNESOTA 1104 EAST COLLEGE DRIVE STE B MARSHALL MN 56258 921532 AVIA HOSPICE, INC 6746 VALJEAN AVE, SUITE 102A VAN NUYS CA 91406 061582 AVIANT HOSPICE 7000 EAST BELLEVIEW AVENUE SUITE 370 GREENWOOD VILLAGE CO 80111 291536 AVIANT HOSPICE 1210 S VALLEY VIEW BLD STE 114 LAS VEGAS NV 89102 031582 AVIANT HOSPICE GILA 136 SOUTH BROAD STREET GLOBE AZ 85501

9 of 83 HOSPICES THAT SUCCESSFULLY MET QRP REPORTING REQUIREMENTS FOR FY 2020 APU

CCN Hospice Name Address City State ZIP 031591 AVIANT HOSPICE PHOENIX 1400 NORTH GILBERT ROAD, SUITE H GILBERT AZ 85234 031583 AVIANT HOSPICE YAVAPAI 1756 EAST VILLA DRIVE, SUITE C17 COTTONWOOD AZ 86326 101528 AVOW HOSPICE INC 1095 WHIPPOORWILL LANE NAPLES FL 34105 371689 A-VOW HOSPICE, INC 2400 NORTH HEMLOCK CIRCLE BROKEN ARROW OK 74012 751684 B & D HOSPICE SERVICES 21757 DEVONSHIRE ST, STE 9 CHATSWORTH CA 91311 061530 BACA COUNTY HOSPICE 200 EAST 10TH AVENUE SPRINGFIELD CO 81073 551744 BAKERSFIELD COMMUNITY HOSPICE, INC 3400 CALLOWAY, BUILDING 100 BAKERSFIELD CA 93312 031520 BANNER HOSPICE 275 EAST GERMANN ROAD, SUITE 110N GILBERT AZ 85297 181527 BAPTIST HEALTH HOSPICE 418 NORTH SCOTT STREET MADISONVILLE KY 42431 041520 BAPTIST HEALTH HOSPICE LITTLE ROCK 11900 COLONEL GLENN RD, SUITE 2300 LITTLE ROCK AR 72210 251523 BAPTIST HOME CARE & HOSPICE-NORTH MISSISSIPPI 548 HIGHWAY 6 EAST BATESVILLE MS 38606 441577 BAPTIST HOSPICE UNION CITY 1201 BISHOP STREET UNION CITY TN 38261 251504 BAPTIST HOSPICE-GOLDEN TRIANGLE 2309 BLUECUTT ROAD, SUITE B COLUMBUS MS 39705 251676 BAPTIST HOSPICE-YAZOO CITY 732 EAST FIFTEENTH STREET YAZOO CITY MS 39194 441575 BAPTIST MEMORIAL HOME CARE & HOSPICE 631 R B WILSON DRIVE HUNTINGDON TN 38344 441536 BAPTIST TRINITY HOME CARE AND HOSPICE 6141 WALNUT GROVE ROAD MEMPHIS TN 38120 231586 BARAGA COUNTY HOME CARE & HOSPICE 510 MEMORIAL STREET, SUITE A L ANSE MI 49946 311507 BARNABAS HEALTH HOME CARE AND HOSPICE 80 MAIN STREET, SECOND FLOOR, SUITE 300 WEST ORANGE NJ 07052 271520 BARRETT MEMORIAL HOSPICE 30 MT HWY 91 S DILLON MT 59725 051711 BARTON HEALTHCARE SYSTEM HOSPICE 2092 LAKE TAHOE BLVD SUITE 500 SOUTH LAKE TAHOE CA 96150 321548 BASIN HOSPICE 200 NORTH ORCHARD AVENUE FARMINGTON NM 87401 311576 BAYADA AT INSPIRA, HOME HEALTH AND HOSPICE 603 N BROAD STREET, SUITE 301 WOODBURY NJ 08096 311580 BAYADA HOSPICE 299 GRAND STREET JERSEY CITY NJ 07302 391741 BAYADA HOSPICE 1400 N PROVIDENCE ROAD SUITE 200 MEDIA PA 19063 391779 BAYADA HOSPICE 529 SEVEN BRIDGE ROAD SUITE 214 EAST STROUDSBURG PA 18301 471510 BAYADA HOSPICE 316 MAIN STREET UNIT EH-6 NORWICH VT 05055 221521 BAYSTATE VNA AND HOSPICE 50 MAPLE STREET, P O BOX 9058 SPRINGFIELD MA 01102 751732 BEACON HOSPICE CARE 4774 RIVERSIDE DRIVE, SUITE H CHINO CA 91710 071537 BEACON HOSPICE LLC 111 FOUNDERS PLAZA, SUITE 1803 EAST HARTFORD CT 06108 201516 BEACON HOSPICE, AN AMEDISYS COMPANY 40 ATLANTIC PLACE, SUITE 40 SO PORTLAND ME 04106 201517 BEACON HOSPICE, AN AMEDISYS COMPANY 245 CENTER STREET, SUITE 10A AUBURN ME 04210 201520 BEACON HOSPICE, AN AMEDISYS COMPANY 289 STATE STREET, SUITE B BANGOR ME 04401 221544 BEACON HOSPICE, AN AMEDISYS COMPANY 529 MAIN STREET, SUITE 126 CHARLESTOWN MA 02129 221580 BEACON HOSPICE, AN AMEDISYS COMPANY 36 WILLIAM STREET LEOMINSTER MA 01453 301526 BEACON HOSPICE, AN AMEDISYS COMPANY 25 NEW HAMPSHIRE AVENUE, SUITE 272 PORTSMOUTH NH 03801 411510 BEACON HOSPICE, AN AMEDISYS COMPANY 1 CATAMORE BOULEVARD EAST PROVIDENCE RI 02914 221573 BEACON HOSPICE, AN AMYEDISYS COMPANY 815 WORCESTER STREET SPRINGFIELD MA 01151 031607 BEACON OF HOPE HOSPICE 500 NORTH LAKE HAVASU AVENUE, SUITE B104 & B106 LAKE HAVASU AZ 86403 031610 BEACON OF HOPE HOSPICE 3550 NORTH LANE, SUITES 102,104,106 &108 BULLHEAD CITY AZ 86442 161552 BEACON OF HOPE HOSPICE 1020 WEST 35TH STREET DAVENPORT IA 52806 291508 BEACON OF HOPE HOSPICE 8 SUNSET WAY, SUITE 101 HENDERSON NV 89014 141663 BEACON OF HOPE HOSPICE OF ILLINOIS 102 E MAIN ST A GALESBURG IL 61401 261663 BEACON OF HOPE HOSPICE OF MISSOURI, INC 1201-C SOUTH BROADWAY OAK GROVE MO 64075 271516 BEAR PAW HOSPICE 30 W 13TH ST HAVRE MT 59501

10 of 83 HOSPICES THAT SUCCESSFULLY MET QRP REPORTING REQUIREMENTS FOR FY 2020 APU

CCN Hospice Name Address City State ZIP 271521 BEARTOOTH BILLINGS CLINIC HOSPICE 2525 N BROADWAY RED LODGE MT 59068 281504 BEATRICE COMMUNITY HOSPITAL HOSPICE 1110 JACKSON STREET BEATRICE NE 68310 231574 BEAUMONT HOSPICE 1410 EAST FOURTEEN MILE RD MADISON HEIGHTS MI 48071 461544 BEAVER VALLEY HOSPICE 1109 NORTH 100 WEST, SUITE 102 BEAVER UT 84713 741522 BEE FIRST PRIMARY HOME CARE 2809 SOUTH EXPRESSWAY 83 HARLINGEN TX 78550 361646 BELLA CARE HOSPICE 2215 CITYGATE DRIVE, SUITE E COLUMBUS OH 43219 521525 BELOIT REGIONAL HOSPICE 655 THIRD ST SUITE 200 BELOIT WI 53511 361561 BERGER HOSPICE 1170 NORTH COURT STREET CIRCLEVILLE OH 43113 061594 BERKLEY PALLIATIVE CARE & HOSPICE LLC 10697 E DARTMOUTH AVE AURORA CO 80014 391536 BERKS VISITING NURSE ASSOCIATION 1170 BERKSHIRE BLVD WYOMISSING PA 19610 751674 BEST GOLDEN CARE HOSPICE, INC 11745 EDINGER AVENUE FOUNTAIN VALLEY CA 92708 531522 BEST HOME HEALTH & HOSPICE 105 YELLOW CREEK ROAD EVANSTON WY 82930 671717 BEST HOSPICE CARE OF TEXAS 350 PINE STREET SUITE 1422 BEAUMONT TX 77701 921629 BEST HOSPICE, INC 21757 DEVONSHIRE STREET CHATSWORTH CA 91311 111587 BETHANY HOSPICE AND PALLIATIVE CARE 2700 NORTH OAKS STREET BUILDING B VALDOSTA GA 31602 111658 BETHANY HOSPICE AND PALLIATIVE CARE OF COASTAL GA 109 SOUTH DUVAL STREET CLAXTON GA 30417 391664 BETHANY HOSPICE OF WESTERN PENNSYLVANIA SIX PARKWAY CENTER 875 GREENTREE RD SUITE 100 PITTSBURGH PA 15220 671672 BETHEL HOSPICE OF HOUSTON INC 1110 KINGWOOD DRIVE SUITE 265 KINGWOOD TX 77339 671777 BEYONDFAITH HOSPICE LLC 604 OAK STREET SUITE 105 GRAHAM TX 76450 741656 BEYONDFAITH HOSPICE OF WICHITA FALLS LLC 1702 KELL BLVD WICHITA FALLS TX 76301 101523 BIG BEND HOSPICE INC 1723 MAHAN CENTER BLVD TALLAHASSEE FL 32308 141637 BJC HOSPICE ONE PROFESSIONAL DRIVE SUITE 180 ALTON IL 62002 261511 BJC HOSPICE 1935 BELTWAY DRIVE SAINT LOUIS MO 63114 521570 BLACK RIVER HOSPICE 311 COUNTY HIGHWAY A SUITE 1 BLACK RIVER FALLS WI 54615 751749 BLENDSHIP, INC 876 N MOUNTAIN AVE SUITE 200F UPLAND CA 91786 141501 BLESSING HOSPICE AND PALLIATIVE CARE 936 BROADWAY , PO BOX 7005 QUINCY IL 62305 441526 BLOUNT MEMORIAL HOSPITAL HOSPICE 1095 EAST LAMAR ALEXANDER PARKWAY MARYVILLE TN 37804 671713 BLUE BONNET PALLIATIVE CARE PLLC 12111 RANCH RD 12 SPACE 114 WIMBERLEY TX 78676 751593 BLUE BUTTERFLY HOSPICE, INC 21021 DEVONSHIRE STREET, STE 201 CHATSWORTH CA 91311 381552 BLUE MOUNTAIN HOSPICE 422 WEST MAIN STREET JOHN DAY OR 97845 421609 BLUE RIDGE HOSPICE, INC 1370 BROWNING ROAD, SUITE 120 COLUMBIA SC 29210 491508 BLUE RIDGE HOSPICE, INC 333 WEST CORK ST, SUITE 405 WINCHESTER VA 22601 231543 BLUE WATER HOSPICE 1430 MILITARY, SUITE A PORT HURON MI 48060 671670 BLUEBONNET HOME HEALTH & HOSPICE COMPANY 304 EAST 11TH FRIONA TX 79035 671544 BLUEBONNET HOSPICE OF EAST TEXAS INC 1101 RIDGE ROAD SUITE 203 ROCKWALL TX 75087 491503 BON SECOURS HOSPICE 7007 HARBOUR VIEW BLVD - SUITE 114 SUFFOLK VA 23435 491514 BON SECOURS HOSPICE AND PALLIATIVE CARE 8580 MAGELLAN PARKWAY - BUILDING IV RICHMOND VA 23227 131514 BONNER COMMUNITY HOSPICE 520 NORTH THIRD AVENUE SANDPOINT ID 83864 261565 BOONE HOSPITAL HOME CARE & HOSPICE 1605 E BROADWAY, STE 250 COLUMBIA MO 65201 391594 BRANDYWINE RIVER VALLEY HOSPICE 121 BELL TOWER LANE OXFORD PA 19363 141659 BREEZE HOSPICE LLC 1909 DUBLIN BLVD SUITE A BELLEVILLE IL 62221 261671 BREEZE HOSPICE OF MISSOURI, LLC 3535 S JEFFERSON, SUITE 118 SAINT LOUIS MO 63118 921626 BREEZE OF LIFE, INC 28001 SMYTH DR, SUITE #108 SANTA CLARITA CA 91355 361505 BRIDGE HOME HEALTH AND HOSPICE 15100 BIRCHAVEN LANE FINDLAY OH 45840

11 of 83 HOSPICES THAT SUCCESSFULLY MET QRP REPORTING REQUIREMENTS FOR FY 2020 APU

CCN Hospice Name Address City State ZIP 551606 BRIDGE HOSPICE BAY AREA 3909 WASHINGTON BOULEVARD, SUITE 206A FREMONT CA 94538 111762 BRIDGE WAY HOSPICE 1395 SOUTH MARIETTA PKWY SE, BLDG 400, SUITE 116 MARIETTA GA 30067 031672 BRIDGES HEALTH SERVICES, INC 1815 WEST MISSOURI AVENUE, SUITE 101B PHOENIX AZ 85015 391734 BRIDGES HOSPICE, INC 515 PLEASANT VALLEY ROAD FLOOR 2 TRAFFORD PA 15085 061599 BRIDGES HOSPICE/BRIDGES HOSPICE AND PALLIATIVE CA 3895 UPHAM STREET, SUITE 150 WHEAT RIDGE CO 80033 191539 BRIDGEWAY HEALTHCARE & HOSPICE 13702 COURSEY BLVD BLDG 5, STE B BATON ROUGE LA 70817 191666 BRIDGEWAY HEALTHCARE AND HOSPICE OF ACADIANA 2014 W PINHOOK DRIVE, SUITE 604 LAFAYETTE LA 70508 111676 BRIDGEWAY HOSPICE 1731 MERIWEATHER DRIVE STE 101 WATKINSVILLE GA 30677 111734 BRIDGEWAY HOSPICE 200 BUSINESS CENTER DRIVE STOCKBRIDGE GA 30281 111780 BRIDGEWAY HOSPICE 2000 RIVERSIDE PARKWAY, SUITE 107 LAWRENCEVILLE GA 30043 551775 BRIGHT HAVEN HOSPICE 9631 BUSINESS CENTER DRIVE SUITE C RANCHO CUCAMONGA CA 91730 551588 BRIGHT HORIZON HOSPICE SERVICES 3649 WEST BEECHWOOD AVENUE SUITE 106A FRESNO CA 93710 551760 BRIGHT SKY HOSPICE CARE INC 414 TENNESSE STREET SUITE D REDLANDS CA 92373 111618 BRIGHTMOOR HOSPICE 3247 NEWNAN ROAD GRIFFIN GA 30223 191627 BRIGHTON BRIDGE 213-B N FIRST STREET OBERLIN LA 70655 381565 BRIGHTON HOSPICE 12725 SW 66TH AVENUE, SUITE 107 TIGARD OR 97223 461595 BRIGHTON HOSPICE 1106 EAST 6600 SOUTH, SUITE 100 MURRAY UT 84121 551673 BRIO HOSPICE 14712 PIPELINE AVENUE STE C CHINO CA 91709 121508 BRISTOL HOSPICE - HAWAII, LLC 500 ALA MOANA BOULEVARD, SUITE 4-545 AND 547 HONOLULU HI 96813 451743 BRISTOL HOSPICE - PATHWAYS LLC 115 PARK PLACE BOULEVARD SUITE 100 WAXAHACHIE TX 75165 551538 BRISTOL HOSPICE - SACRAMENTO, LLC 2140 PROFESSIONAL DRIVE, SUITE 210 ROSEVILLE CA 95661 751508 BRISTOL HOSPICE - STOCKTON, LLC 5757 PACIFIC AVENUE, SUITE 228 STOCKTON CA 95207 671708 BRISTOL HOSPICE - TEXAS, LLC 2002 TIMBERLOCH PLACE SUITE 150 THE WOODLANDS TX 77380 461566 BRISTOL HOSPICE - UTAH, LLC 1638 NORTH WASHINGTON BOULEVARD OGDEN UT 84404 111711 BRISTOL HOSPICE GEORGIA, LLC 2849 PACES FERRY ROAD, SUITE 380 ATLANTA GA 30339 381559 BRISTOL HOSPICE OREGON, LLC 10365 SE SUNNYSIDE RD, SUITE 340 CLACKAMAS OR 97015 551501 BRISTOL HOSPICE-CALIFORNIA, LLC 374 EAST YOSEMITE AVENUE, SUITE 200 MERCED CA 95340 071517 BRISTOL HOSPITAL HOME CARE AGENCY 222 MAIN STREET BRISTOL CT 06010 221559 BROAD REACH HOSPICE 390 ORLEANS ROAD NORTH CHATHAM MA 02650 031618 BROOKDALE HOSPICE 8222 SOUTH 48TH STREET, SUITE 105 PHOENIX AZ 85044 141665 BROOKDALE HOSPICE 8975 W GOLD ROAD, SUITE 201 NILES IL 60714 151617 BROOKDALE HOSPICE 9100 PURDUE ROAD, SUITE 100 INDIANAPOLIS IN 46268 391716 BROOKDALE HOSPICE 995 OLD EAGLE SCHOOL ROAD, SUITE 315 WAYNE PA 19087 551777 BROOKDALE HOSPICE 701 KIMBERLY AVE STE # 120 PLACENTIA CA 92870 671752 BROOKDALE HOSPICE AUSTIN 3636 EXECUTIVE CENTER DR. BLD 8 STE 210 AUSTIN TX 78731 361658 BROOKDALE HOSPICE CLEVELAND 3380 BRECKSVILLE ROAD, SUITE 101 RICHFIELD OH 44286 061585 BROOKDALE HOSPICE COLORADO SPRINGS 7222 COMMERCE CENTER DRIVE, SUITE 100 COLORADO SPRINGS CO 80919 361681 BROOKDALE HOSPICE COLUMBUS 450 ALKYRE DRIVE, SUITE 250 WESTERVILLE OH 43082 361672 BROOKDALE HOSPICE DAYTON 2621 DRYDEN ROAD, SUITE 204 MORAINE OH 45439 061573 BROOKDALE HOSPICE DENVER 5600 S QUEBEC STREET, STE 375C GREENWOOD VILLAGE CO 80111 671785 BROOKDALE HOSPICE DFW 2415 AVENUE J STE 112 ARLINGTON TX 76006 421627 BROOKDALE HOSPICE GREENVILLE 25 WOODS LAKE ROAD, STE 405 GREENVILLE SC 29607 671663 BROOKDALE HOSPICE HOUSTON 15425 NORTH FREEWAY SUITE 160 HOUSTON TX 77090 241593 BROOKDALE HOSPICE MINNESOTA 7801 EAST BUSH LAKE ROAD, SUITE 230 BLOOMINGTON MN 55438

12 of 83 HOSPICES THAT SUCCESSFULLY MET QRP REPORTING REQUIREMENTS FOR FY 2020 APU

CCN Hospice Name Address City State ZIP 261654 BROOKDALE HOSPICE MISSOURI 3131 S STATE ROUTE 291, STE C INDEPENDENCE MO 64057 171580 BROOKDALE HOSPICE OVERLAND PARK 5401 COLLEGE BLVD STE 112 OVERLAND PARK KS 66211 671700 BROOKDALE HOSPICE SAN ANTONIO 140 HEIMER ROAD STE 120B SAN ANTONIO TX 78232 221586 BROOKHAVEN HOSPICE 6 BEECH STREET FRAMINGHAM MA 01702 301532 BROOKHAVEN HOSPICE OF NEW HAMPSHIRE LLC 2 BEDFORD FARMS SUITE 105 BEDFORD NH 03110 431509 BROOKINGS HOSPITAL HOSPICE 300 22ND AVENUE BROOKINGS SD 57006 671501 BSA HOSPICE OF THE SOUTHWEST 5211 SW 9TH AVENUE AMARILLO TX 79106 671624 BST HOME HEALTH AND HOSPICE 12455 FREEDOM WAY SAN ANTONIO TX 78245 051787 BUENA VISTA HOSPICE 143 TRIUNFO CANYON RD STE 103 WESTLAKE VILLAGE CA 91361 551620 BUENA VISTA VALLEY HOSPICE 16909 PARTHENIA ST, SUITE 102-B NORTH HILLS CA 91343 551568 BURBANK HOSPICE CARE, INC 217 E ALAMEDA AVE, SUITE 304 BURBANK CA 91502 161539 BURGESS HOSPICE 1600 DIAMOND STREET ONAWA IA 51040 341516 BURKE HOSPICE AND PALLIATIVE CARE INC 1721 ENON ROAD VALDESE NC 28690 051524 BUTTE HOME HEALTH HOSPICE 10 CONSTITUTION DRIVE CHICO CA 95926 751707 BVA HOSPICE CARE, INC 315 ARDEN AVE SUITE 25 GLENDALE CA 91203 751586 C V HOSPICE CARE INC 12140 ARTESIA BLVD SUITE 214 ARTESIA CA 90701 551697 CADENCE HOSPICE 882 W TOWN AND COUNTRY RD ORANGE CA 92868 551719 CALCARE HOME HEALTH CARE & HOSPICE, INC. 455 HICKEY BOULEVARD, STE 505 A DALY CITY CA 94015 751557 CALCARE HOSPICE, INC 9140 HAVEN AVENUE SUITE 120 RANCHO CUCAMONGA CA 91730 341504 CALDWELL HOSPICE AND PALLIATIVE CARE INC 902 KIRKWOOD STREET, NW LENOIR NC 28645 471502 CALEDONIA HOME HEALTH CARE 161 SHERMAN DRIVE SAINT JOHNSBURY VT 05819 741536 CALIDAD HOME HEALTH 1600 E EXPRESSWAY 83 LA FERIA TX 78559 551690 CALIFORNIA HOSPICE CORP. 905 SOUTH LAKE ST., SUITE #202 BURBANK CA 91502 551774 CALIFORNIA MISSION HOSPICE, LLC 23441 SOUTH POINTE DRIVE SUITE 245 LAGUNA HILLS CA 92653 751775 CALIFORNIA'S BEST HOSPICE SERVICES, INC 2495 E ORANGETHORPE AVE STE 100 FULLERTON CA 92831 551772 CALM CARE, INC 6850 LINCOLN AVE, SUITE 202 BUENA PARK CA 90620 921600 CALSTRO HOSPICE INC 4959 PALO VERDE MONTCLAIR CA 91763 331562 CALVARY HOME HEALTH AGENCY AND HOSPICE CARE 1740 EASTCHESTER RD BRONX NY 10461 211521 CALVERT HOSPICE 238 MERRIMAC COURT, P O BOX 838 PRINCE FREDERICK MD 20678 551717 CAMBRIDGE HOSPICE 9229 UTICA AVE, SUITE 100 RANCHO CUCAMONGA CA 91730 251585 CAMELLIA HOME HEALTH AND HOSPICE 133 MAYFAIR ROAD HATTIESBURG MS 39402 251615 CAMELLIA HOSPICE OF CENTRAL MISSISSIPPI, LLC 225 KATHERINE DRIVE FLOWOOD MS 39232 251652 CAMELLIA HOSPICE OF THE GULF COAST, LLC 11703 HIGHLAND CIRCLE GULFPORT MS 39503 401558 CAMINO DE LUZ HOSPICE CARE CARR NUM 670 KM 1 8 BO COTTO NORTE INTERIOR MANATI PR 00674 191555 CANON HEALTHCARE, LLC 3600 PRYTANIA STREET, SUITE 46 NEW ORLEANS LA 70115 191644 CANON HOSPICE 19374 3RD ST, STE B COVINGTON LA 70433 251627 CANON HOSPICE, LLC 1520 BROAD AVENUE, STE 500 GULFPORT MS 39501 131577 CANYON HOME CARE & HOSPICE 929 NW 16TH STREET FRUITLAND ID 83619 291557 CANYON HOME CARE & HOSPICE 3305 W SPRING MOUNTAIN RD STE 53 LAS VEGAS NV 89102 461600 CANYON HOSPICE 450 SOUTH 900 EAST, SUITE 100 SALT LAKE CITY UT 84102 461603 CANYON HOSPICE OF SOUTHERN UTAH 1240 EAST 100 SOUTH BUILDING 22 SUITE 119 ST GEORGE UT 84770 341562 CAPE FEAR VALLEY HOSPICE AND PALLIATIVE CARE 3400 WALSH PARKWAY SUITE 100 FAYETTEVILLE NC 28311 361693 CAPITAL HEALTH HOSPICE 275 REGENCY RIDGE DRIVE DAYTON OH 45459 091501 CAPITAL HOSPICE 50 F STREET, NW SUITE 3300 WASHINGTON DC 20001

13 of 83 HOSPICES THAT SUCCESSFULLY MET QRP REPORTING REQUIREMENTS FOR FY 2020 APU

CCN Hospice Name Address City State ZIP 211541 CAPITAL HOSPICE 1801 MCCORMICK DRIVE, SUITE 180 LARGO MD 20774 491500 CAPITAL HOSPICE 2900 TELESTAR COURT FALLS CHURCH VA 22042 141661 CAPITAL HOSPICE & PALLIATIVE CARE LLC 900 JORIE BLVD, SUITE 20 OAK BROOK IL 60523 741607 CAPITOL HOSPICE 9015 MOUNTAIN RIDGE DR STE #210B AUSTIN TX 78759 111774 CAPSTONE HOSPICE LLC 5672 PEACHTREE PARKWAY, SUITE J NORCROSS GA 30092 191645 CARDINAL HOSPICE 8280 YMCA PLAZA DRIVE , BLDG 3 STE A BATON ROUGE LA 70810 361550 CARE AT HOME BY GREEN HILLS, LLC 701 SOUTH MAIN STREET BELLEFONTAINE OH 43311 061598 CARE AT HOME DENVER LLC 720 S COLORADO BLVD #1328 DENVER CO 80246 221522 CARE DIMENSIONS, INC 75 SYLVAN STREET, SUITE B-102 DANVERS MA 01923 011514 CARE FIRST HOSPICE 1400 URBAN CENTER DRIVE, SUITE 240 BIRMINGHAM AL 35242 921679 CARE FIRST HOSPICE SERVICES, INC 500 WEST BONITA AVENUE, SUITE #21 & #28 SAN DIMAS CA 91773 921599 CARE GIVERS HOSPICE, INC 10970 ARROW ROUTE, SUITE 207 RANCHO CUCAMONGA CA 91730 221535 CARE GROUP PARMENTER HOME CARE & HOSPICE, INC 1 ARSENAL MARKETPLACE WATERTOWN MA 02472 151620 CARE HOSPICE SERVICES, LLC 6100 N KEYSTONE AVENUE, SUITE 369 INDIANAPOLIS IN 46220 161596 CARE INITIATIVES HOSPICE - ALBIA 4 SOUTH MAIN STREET ALBIA IA 52531 161593 CARE INITIATIVES HOSPICE - CEDAR FALLS 6915 CHANCELLOR DRIVE SUITE A CEDAR FALLS IA 50613 161597 CARE INITIATIVES HOSPICE - CEDAR RAPIDS 3720 QUEEN COURT SW, SUITE 9 CEDAR RAPIDS IA 52404 161595 CARE INITIATIVES HOSPICE - GREENFIELD 122 PUBLIC SQUARE GREENFIELD IA 50849 161592 CARE INITIATIVES HOSPICE - SIOUX CITY 4301 SERGEANT ROAD, SUITE 110 SIOUX CITY IA 51106 161594 CARE INITIATIVES HOSPICE - WEST DES MOINES 7055 VISTA DRIVE WEST DES MOINES IA 50266 551664 CARE ONE HOSPICE 18520 BURBANK BLVD, SUITE 103 TARZANA CA 91356 381510 CARE PARTNERS 1600 NW COMPTON DRIVE, SUITE 210 BEAVERTON OR 97006 551749 CARE PLUS HOSPICE 22931 TRITON WAY, SUITE 131 LAGUNA HILLS CA 92653 751694 CARE UNLIMITED HOSPICE SERVICES, INC. 1025 W ARROW HWY, STE 104 GLENDORA CA 91740 551529 CARECHOICES HOSPICE AND PALLIATIVE SERVICES, INC 5 CORPORATE PARK DRIVE, SUITE 100 IRVINE CA 92606 331513 CAREFIRST / SOUTHERN TIER HOSPICE AND PALLIATIVE 3805 MEADS CREEK ROAD PAINTED POST NY 14870 461564 CAREGIVER SUPPORT NETWORK HOSPICE 570 NORTH MAIN STREET KAYSVILLE UT 84037 551753 CARELINK HOSPICE, INC 187 E WILBUR ROAD, SUITE #7 THOUSAND OAKS CA 91360 341548 CAREPARTNERS HOME CARE & HOSPICE 1266 ASHEVILLE HWY, SUITE 5 BREVARD NC 28712 341571 CAREPARTNERS HOME CARE & HOSPICE 170 CHURCH STREET FRANKLIN NC 28734 341573 CAREPARTNERS HOSPICE & PALLIATIVE CARE MCDOWELL 575 AIRPORT ROAD MARION NC 28752 341501 CAREPARTNERS HOSPICE & PALLIATIVE CARE SERVICES 21 BELVEDERE ROAD ASHEVILLE NC 28802 491614 CAREPEOPLE HOME HEALTH AND HOSPICE 1952 GALLOWS ROAD SUITE 305 VIENNA VA 22182 751704 CAREWISE HOSPICE, INC 141 SOUTH A STREET, SUITE #103 OXNARD CA 93030 491507 CARILION HOSPICE SERVICES NEW RIVER VALLEY 701 RANDOLPH STREET SUITE 110 RADFORD VA 24141 491515 CARILION HOSPICE SERVICES OF ROANOKE 1615 FRANKLIN ROAD SW ROANOKE VA 24016 491520 CARILION HOSPICE SVCS OF FRANKLIN COUNTY 390 SOUTH MAIN STREET, SUITE 303 ROCKY MOUNT VA 24151 061543 CARING HANDS HOSPICE 286 16TH STREET BURLINGTON CO 80807 041574 CARING HANDS HOSPICE, INC 2000 HARRISON STREET - SUITE E BATESVILLE AR 72501 921536 CARING HANDS HOSPICE, INC 11030 ARROW ROUTE, UNIT 207 RANCHO CUCAMONGA CA 91730 451793 CARING HEARTS HOSPICE 1837 W MAIN GUN BARREL CITY TX 75156 391616 CARING HOSPICE SERVICES 400 COMMERCE DRIVE SUITE C FORT WASHINGTON PA 19034 391724 CARING HOSPICE SERVICES 118 FOX PLAN ROAD, SUITE 1 MONROEVILLE PA 15146 391735 CARING HOSPICE SERVICES 101 GOOD DRIVE, 1ST FLOOR LANCASTER PA 17603

14 of 83 HOSPICES THAT SUCCESSFULLY MET QRP REPORTING REQUIREMENTS FOR FY 2020 APU

CCN Hospice Name Address City State ZIP 311554 CARING HOSPICE SERVICES OF CENTRAL JERSEY 1090 KING GEORGES POST ROAD #703 EDISON NJ 08837 071501 CARING HOSPICE SERVICES OF CONNECTICUT LLC 456 GLENBROOK ROAD, SUITE 2 STAMFORD CT 06906 331563 CARING HOSPICE SERVICES OF NEW YORK, LLC 3039 AVENUE U BROOKLYN NY 11229 751794 CARING LIKE FAMILY HOSPICE 4223 GLENCOE AVE SUITE B - 115 MARINA DEL REY CA 90292 111777 CARIS HEALTHCARE 127 BATTLEFIELD CROSSSING COURT RINGGOLD GA 30736 261655 CARIS HEALTHCARE 13995 CLAYTON RD TOWN AND COUNTRY MO 63017 441584 CARIS HEALTHCARE 242 HERITAGE PARK DRIVE SUITE 101 MURFREESBORO TN 37129 441585 CARIS HEALTHCARE 10651 COWARD MILL RD SUITE B KNOXVILLE TN 37931 441586 CARIS HEALTHCARE 2525 PERIMETER PLACE DRIVE SUITE 131 NASHVILLE TN 37214 441587 CARIS HEALTHCARE 110 A WEST SPRINGBROOK DR STE A JOHNSON CITY TN 37604 441590 CARIS HEALTHCARE 5959 SHALLOWFORD ROAD SUITE 551 CHATTANOOGA TN 37421 441593 CARIS HEALTHCARE 17410 HIGHWAY 64 SOMERVILLE TN 38068 441594 CARIS HEALTHCARE 2308A MEMORIAL BLVD SPRINGFIELD TN 37172 441595 CARIS HEALTHCARE 421 OLD RICEVILLE ROAD, SUITE 3 ATHENS TN 37303 421584 CARIS HEALTHCARE, GREENVILLE 111 SMITH HINES ROAD, SUITE D GREENVILLE SC 29607 261659 CARIS HEALTHCARE, KANSAS CITY 3980 SOUTH JACKSON DRIVE INDEPENDENCE MO 64057 491601 CARIS HEALTHCARE, LP - BRISTOL 1701 EUCLID AVE, SUITE H BRISTOL VA 24201 141526 CARLE HOSPICE 1813 W KIRBY AVE CHAMPAIGN IL 61821 551617 CARLUZA HOSPICE, INC 11712 MOORPARK ST, UNIT 202 STUDIO CITY CA 91604 241517 CARRIS HEALTH - REDWOOD, LLC 1110 EAST BRIDGE STREET REDWOOD FALLS MN 56283 241509 CARRIS HEALTH LLC 301 BECKER AVENUE SOUTHWEST WILLMAR MN 56201 211522 CARROLL HOSPICE, INC 292 STONER AVENUE WESTMINSTER MD 21157 171596 CARTER HEALTHCARE AND HOSPICE 6376 COLLEGE BLVD OVERLAND PARK KS 66211 371532 CARTER HEALTHCARE HOSPICE OF CENTRAL OKLAHOMA, LLC 3104 SOUTH LAKESIDE DRIVE OKLAHOMA CITY OK 73119 371616 CARTER HEALTHCARE HOSPICE OF EAST OKLAHOMA, LLC 200 E HARRIS CIRCLE, SUITE A TAHLEQUAH OK 74464 371643 CARTER HEALTHCARE HOSPICE OF NORTH OKLAHOMA, LLC 1103 EAST 13TH STREET, SUITE C GROVE OK 74344 371580 CARTER HEALTHCARE HOSPICE OF NORTHEAST OKLAHOMA, L 2846 E 101ST STREET TULSA OK 74137 371646 CARTER HEALTHCARE HOSPICE OF NORTHWEST OKLAHOMA, L 2324 WEST OWEN K GARRIOTT ENID OK 73701 031547 CASA DE LA LUZ HOSPICE 7740 NORTH ORACLE ROAD TUCSON AZ 85704 031529 CASA DE LA PAZ HOSPICE 210 EL CAMINO REAL SIERRA VISTA AZ 85635 381501 CASCADE HEALTH SOLUTIONS 2650 SUZANNE WAY SUITE 200 EUGENE OR 97408 141571 CASS-SCHUYLER AREA HOSPICE 331 S MAIN ST VIRGINIA IL 62691 341535 CATAWBA REGIONAL HOSPICE 3967 ROBINSON ROAD NEWTON NC 28658 171540 CATHOLIC COMM HOSPICE 9740 WEST 87TH STREET OVERLAND PARK KS 66212 261644 CATHOLIC COMMUNITY HOSPICE 425 WEST 85TH STREET KANSAS CITY MO 64114 391697 CATHOLIC HOSPICE 2606 NICHOLSON ROAD, SUITE 3240 SEWICKLEY PA 15143 101530 CATHOLIC HOSPICE INC 14875 NW 77TH AVE STE 100 MIAMI LAKES FL 33014 331524 CATSKILL AREA HOSPICE AND PALLIATIVE CARE INC 297 RIVER STREET SERVICE ROAD ONEONTA NY 13820 751628 CB HOMECARE HOSPICE 512 EAST WILSON AVE, SUITE 204 GLENDALE CA 91206 521573 CEDAR COMMUNITY HOSPICE 5595 COUNTY ROAD Z WEST BEND WI 53095 451565 CEDAR LAKE HOME HEALTH AND HOSPICE 104 SOUTH TERRY STREET MALAKOFF TX 75148 161504 CEDAR VALLEY HOSPICE 2101 KIMBALL AVENUE, SUITE 401 WATERLOO IA 50704 031640 CELEBRITY HOME HEALTH & HOSPICE 2510 SOUTH RURAL ROAD, SUITE 101 TEMPE AZ 85282 751781 CELESTIAL HOSPICE, INC 370 ORANGE SHOW LANE SAN BERNARDINO CA 92408

15 of 83 HOSPICES THAT SUCCESSFULLY MET QRP REPORTING REQUIREMENTS FOR FY 2020 APU

CCN Hospice Name Address City State ZIP 291549 CENTENNIAL HOSPICE 4535 W. SAHARA AVE, #108 LAS VEGAS NV 89102 311505 CENTER FOR HOPE HOSPICE AND PALLIATIVE CARE 1900 RARITAN ROAD SCOTCH PLAINS NJ 07076 151501 CENTER FOR HOSPICE AND PALLIATIVE CARE INC, THE 111 SUNNYBROOK CT SOUTH BEND IN 46637 071506 CENTER FOR HOSPICE CARE SOUTHEAST CONNECTICUT INC 227 DUNHAM STREET NORWICH CT 06360 491552 CENTRA BEDFORD HOSPICE 1621 WHITEFIELD DRIVE, SUITE C BEDFORD VA 24523 491519 CENTRA HEALTH, HOSPICE OF THE HILLS 2097 LANGHORNE ROAD LYNCHBURG VA 24501 491608 CENTRA HOSPICE FARMVILLE 1705 EAST 3RD STREET FARMVILLE VA 23901 241500 CENTRACARE HEALTH HOSPICE 2035 15TH STREET NORTH SUITE 110 SAINT CLOUD MN 56303 551604 CENTRAL COAST HOME HEALTH, INC 253 GRANADA DRIVE, SUITE D SAN LUIS OBISPO CA 93401 051713 CENTRAL COAST VNA & HOSPICE, INC 45 PLAZA CIRCLE SALINAS CA 93901 221595 CENTRAL MA HOSPICE 191 PAKACHOAG STREET AUBURN MA 01501 301508 CENTRAL NEW HAMPSHIRE VNA & HOSPICE 780 NORTH MAIN STREET LACONIA NH 03246 281516 CENTRAL PLAINS HOSPICE 835 MERIDIAN AVENUE COZAD NE 69130 451548 CENTRAL TEXAS MEDICAL CENTER HOSPICE 1315 IH 35 NORTH SAN MARCOS TX 78666 461526 CENTRAL VALLEY HOSPICE 152 WEST 1500 NORTH NEPHI UT 84648 471505 CENTRAL VERMONT HOME HEALTH & HOSPICE 600 GRANGER ROAD BARRE VT 05641 501516 CENTRAL WASHINGTON HOSPITAL HOMECARE SERVICES 1020 N WENATCHEE AVENUE WENATCHEE WA 98801 531501 CENTRAL WYOMING HOSPICE PROGRAM 319 SOUTH WILSON STREET CASPER WY 82601 391518 CENTRE CROSSINGS HOSPICE 2437 COMMERCIAL BOULEVARD, SUITE 6 STATE COLLEGE PA 16801 371702 CENTRIC HOSPICE 1605 N WASHINGTON DURANT OK 74701 281521 CHADRON COMMUNITY HOSPITAL HOSPICE 825 CENTENNIAL DRIVE CHADRON NE 69337 391502 CHANDLER HALL HEALTH SERVICES 99 BARCLAY STREET NEWTOWN PA 18940 201501 CHANS HOSPICE CARE 60 BARIBEAU DRIVE BRUNSWICK ME 04011 741592 CHARIS HOSPICE 4501 MERLOT AVENUE STE 200 GRAPEVINE TX 76051 361630 CHARITY HOSPICE, INC 500 LURAY DRIVE WINTERSVILLE OH 43953 031551 CHARLES WM. LEIGHTON, JR. HOSPICE, INC. 524 WEST MALEY PLACE WILLCOX AZ 85643 551734 CHARTER HIGH DESERT HEALTH CARE GROUP LLC 19015 TOWN CENTER DRIVE APPLE VALLEY CA 92308 051799 CHARTER HOSPICE 1012 EAST COOLEY DRIVE, SUITE G COLTON CA 92324 751642 CHARTER HOSPICE OF THE DESERT, LLC 72855 FRED WARING DRIVE, SUITE #A-5 PALM DESERT CA 92260 551799 CHARTER HOSPICE OF THE SAN GABRIEL VALLEY, LLC 970 S VILLAGE OAKS DR, STE 106 COVINA CA 91724 331554 CHAUTAUQUA HOSPICE AND PALLIATIVE CARE 20 WEST FAIRMOUNT AVENUE LAKEWOOD NY 14750 221584 CHELSEA JEWISH HOSPICE AND PALLIATIVE CARE 123 CAPTAIN'S ROW CHELSEA MA 02150 551559 CHERISH HOSPICE 2340 PLAZA DEL AMO, SUITE 230 TORRANCE CA 90501 161537 CHEROKEE REGIONAL MEDICAL CENTER 1000 SOUTH SECOND STREET-PRACTICE LOCATION CHEROKEE IA 51012 531502 CHEYENNE REGIONAL DAVIS HOSPICE CENTER 6000 SYCAMORE ROAD CHEYENNE WY 82009 241510 CHI HEALTH AT HOME 1110 HIGHWAY 75 NORTH SUITE A BRECKENRIDGE MN 56520 241542 CHI HEALTH AT HOME 815 SOUTHEAST SECOND STREET LITTLE FALLS MN 56345 241599 CHI HEALTH AT HOME 131 8TH STREET SOUTH #1 ALBANY MN 56307 351505 CHI HEALTH AT HOME 1301 15TH AVE W WILLISTON ND 58801 351506 CHI HEALTH AT HOME 1212 E MAIN AVE BISMARCK ND 58501 351507 CHI HEALTH AT HOME 986 2ND AVE W DICKINSON ND 58601 351511 CHI HEALTH AT HOME 367 2ND ST SW VALLEY CITY ND 58072 281507 CHI HEALTH AT HOME - LINCOLN 245 SOUTH 84, SUITE 300 LINCOLN NE 68510 281500 CHI HEALTH AT HOME - OMAHA 7415 CEDAR STREET OMAHA NE 68124

16 of 83 HOSPICES THAT SUCCESSFULLY MET QRP REPORTING REQUIREMENTS FOR FY 2020 APU

CCN Hospice Name Address City State ZIP 141667 CHICAGO HOPE & PALLIATIVE HEALTHCARE INC 9944 S ROBERTS ROAD SUITE 101 PALOS HILLS IL 60465 451658 CHILDRESS REGIONAL MEDICAL CENTER HOSPICE 901 HIGHWAY 83 NORTH CHILDRESS TX 79201 371553 CHISHOLM TRAIL HOSPICE 2000 W ELK AVENUE DUNCAN OK 73533 671666 CHOICE HOSPICE OF TEXAS 5858 GATEWAY EAST BLVD EL PASO TX 79905 671548 CHRISTIAN CARE HOME HEALTH & HOSPICE 1000 WIGGINS PARKWAY MESQUITE TX 75150 191519 CHRISTUS HOSPICE & PALLIATIVE CARE ST FRANCES CABR 4801 JACKSON STREET EXT SUITE B ALEXANDRIA LA 71303 191604 CHRISTUS HOSPICE & PALLIATIVE CARE ST PATRICK 4444 LAKE STREET LAKE CHARLES LA 70605 191504 CHRISTUS HOSPICE & PALLIATIVE CARE-SCHUMPERT 1700 BUCKNER SQUARE, SUITE 200 SHREVEPORT LA 71101 451502 CHRISTUS HOSPICE AND PALLIATIVE CARE SPOHN 6200 SARATOGA BLVD SUITE 104 CORPUS CHRISTI TX 78414 451514 CHRISTUS VNA HOSPICE AND PALLIATIVE CARE SAN ANTON 5253 PRUE ROAD, SUITE 315C SAN ANTONIO TX 78240 361687 CHS HOSPICE & PALLIATIVE CARE SERVICES LLC 856 SOUTH RIVERSIDE DRIVE SUITE 101 MC CONNELSVILLE OH 43756 451612 CIMA HOSPICE 1425 WELLINGTON CIRCLE BEAUMONT TX 77706 671556 CIMA HOSPICE 6600 MONTANA AVENUE, SUITE G EL PASO TX 79925 671650 CIMA HOSPICE 300 LANDA NEW BRAUNFELS TX 78130 671759 CIMA HOSPICE 3505 SUMMERHILL ROAD SUITE 4 TEXARKANA TX 75503 741524 CIMA HOSPICE 8000 CENTRE PARK DR STE 160 AUSTIN TX 78754 741664 CIMA HOSPICE 4444 CORONA DR STE 234 CORPUS CHRISTI TX 78411 371560 CIMA HOSPICE OF SALLISAW 103 NORTH WALNUT SALLISAW OK 74955 451765 CIMA HOSPICE OF SAN ANTONIO LP 12400 NETWORK BLVD. SAN ANTONIO TX 78249 671558 CIMA HOSPICE OF THE VALLEY LP 3524 W ALBERTA ROAD EDINBURG TX 78539 371638 CIMA HOSPICE PART OF THE ELARA CARING NETWORK 4815 S HARVARD, SUITE 400 TULSA OK 74135 221516 CIRCLE HOME INC 847 ROGERS STREET, SUITE 201 LOWELL MA 01852 111757 CIRCLE OF FRIENDS HOSPICE 5835 LIVE OAK PARKWAY, SUITE C NORCROSS GA 30093 041529 CIRCLE OF LIFE HOSPICE 901 JONES ROAD SPRINGDALE AR 72762 161571 CIRCLE OF LIFE HOSPICE 220 NORTHWESTERN AVENUE CHARITON IA 50049 291509 CIRCLE OF LIFE HOSPICE 1575 DELUCCHI LANE, SUITE 214 RENO NV 89502 751796 CITI CARE CORPORATION 4335 E AIRPORT DRIVE, SUITE 112 ONTARIO CA 91761 011683 CITIZENS BAPTIST HOSPICE 403 MEDICAL OFFICE PARK TALLADEGA AL 35160 261508 CITIZENS MEMORIAL HOSPICE 1500 NORTH OAKLAND BOLIVAR MO 65613 051529 CITRUS VALLEY HOSPICE 820 N PHILLIPS AVE WEST COVINA CA 91791 741689 CITY HOSPICE INC 3939 US 80 E HIGHWAY SUITE 239 B MESQUITE TX 75150 391576 CLARION FOREST VNA HOSPICE 271 PERKINS ROAD CLARION PA 16214 191660 CLARITY HOSPICE OF BATON ROUGE 9191 BLUEBONNET BLVD, SUITE B BATON ROUGE LA 70810 271524 CLARK FORK VALLEY HOSPITAL HOSPICE 10 KRUGER RD PLAINS MT 59859 361685 CLEARPATH HOSPICE LLC 475 WOLF LEDGES PARKWAY AKRON OH 44311 241577 CLEARWATER HOSPICE 212 MAIN AVENUE NORTH BAGLEY MN 56621 361554 CLEVELAND CLINIC HOSPICE 6801 BRECKSVILLE ROAD, SUITE 10 INDEPENDENCE OH 44131 221592 CLIFTON HOSPICE SERVICES, LLC 391 HANOVER STREET FALL RIVER MA 02720 231661 CLM ENTERPRISES 1971 EAST BELTLINE AVENUE, NE GRAND RAPIDS MI 49525 461553 CNS COMMUNITY HOSPICE - PROVIDENCE 221 NORTH GATEWAY DRIVE, SUITE G PROVIDENCE UT 84332 461557 CNS COMMUNITY HOSPICE - PRICE 480 SOUTH CARBON AVENUE PRICE UT 84501 461584 CNS COMMUNITY HOSPICE - ST GEORGE 720 SOUTH RIVER ROAD, SUITE E101 ST GEORGE UT 84790 211505 COASTAL HOSPICE INC 2604 OLD OCEAN CITY ROAD SALISBURY MD 21804 531505 CODY REG HEALTH HH & SPIRIT MOUNTAIN HOSPICE 1021 9TH STREET CODY WY 82414

17 of 83 HOSPICES THAT SUCCESSFULLY MET QRP REPORTING REQUIREMENTS FOR FY 2020 APU

CCN Hospice Name Address City State ZIP 051537 COLLABRIA CARE 414 SOUTH JEFFERSON STREET NAPA CA 94559 061526 COLORADO VNA HOSPICE & PALLIATIVE CARE 6750 WEST 52ND AVENUE ARVADA CO 80002 111542 COLQUITT REGIONAL HOSPICE 415 ROWLAND DRIVE MOULTRIE GA 31768 011612 COLUMBUS HOSPICE OF ALABAMA 1521 FIFTH AVENUE PHENIX CITY AL 36867 111512 COLUMBUS HOSPICE, INC. 7020 MOON ROAD COLUMBUS GA 31909 371713 COMANCHE CO MEM HOSPITAL HOSPICE AND SUPPORTIVE CA 3126 NW ARLINGTON LAWTON OK 73505 011643 COMFORT CARE HOSPICE OF CULLMAN 1910 CHEROKEE AVENUE, SW CULLMAN AL 35055 011502 COMFORT CARE COASTAL HOSPICE - BALDWIN 22502 US HIGHWAY 98 FAIR HOPE AL 36532 491546 COMFORT CARE HOME HEALTH AND HOSPICE 667 KINGSBOROUGH SQUARE SUITE 300 CHESAPEAKE VA 23320 111720 COMFORT CARE HOSPICE 88 HERITAGE STREET BAXLEY GA 31513 191624 COMFORT CARE HOSPICE 23675 CHURCH STREET PLAQUEMINE LA 70764 261542 COMFORT CARE HOSPICE 1005 WEST THIRD STREET, SUITE 4 CAMERON MO 64429 011576 COMFORT CARE HOSPICE LLC 547 U.S. HIGHWAY 80 WEST, SUITE 2 DEMOPOLIS AL 36732 011597 COMFORT CARE HOSPICE OF ANDALUSIA 820 SOUTH THREE NOTCH STREET, SUITE C ANDALUSIA AL 36420 011640 COMFORT CARE HOSPICE OF BREWTON 215 BELLEVILLE AVENUE, SUITE A BREWTON AL 36426 011654 COMFORT CARE HOSPICE OF DECATUR 2424 DANVILLE ROAD, SUITE M DECATUR AL 35603 011668 COMFORT CARE HOSPICE OF GADSDEN 500 SOUTH 5TH STREET, SUITES 1100 & 1110 GADSDEN AL 35901 011582 COMFORT CARE HOSPICE OF GREENVILLE 23 JAMESON LANE GREENVILLE AL 36037 011673 COMFORT CARE HOSPICE OF MONTGOMERY 315 SAINT LUKES DRIVE MONTGOMERY AL 36117 011607 COMFORT CARE HOSPICE OF PELHAM 245 CAHABA VALLEY PKWY, SUITE 110 PELHAM AL 35124 011635 COMFORT CARE HOSPICE OF SCOTTSBORO 23730 JOHN T REID PKWY, SUITE A SCOTTSBORO AL 35768 011617 COMFORT CARE HOSPICE OF TALLADEGA 702 EAST BATTLE STREET SUITE C TALLADEGA AL 35160 031651 COMFORT CARE HOSPICE, INC. 4530 EAST SHEA BOULEVARD, SUITE 160 PHOENIX AZ 85028 551740 COMFORT CHOICE HOSPICE CARE 6222 WILSHIRE BLVD, SUITE 230 LOS ANGELES CA 90048 261652 COMFORT HOSPICE 8706 MANCHESTER RD - SUITE 102 SAINT LOUIS MO 63144 671633 COMFORT HOSPICE 4545 FULLER DRIVE, SUITE #330 IRVING TX 75038 141647 COMFORT HOSPICE AND PALLIATIVE CARE LLC 1S660 MIDWEST ROAD SUITE 308 OAKBROOK TER IL 60181 381558 COMFORT HOSPICE AND PALLIATIVE CARE LLC 6400 SE LAKE ROAD, SUITE 400 PORTLAND OR 97222 291520 COMFORT HOSPICE CARE 6655 W SAHARA AVE, SUITE B-200 LAS VEGAS NV 89146 551593 COMFORT HOSPICE CARE, INC 12900 GARDEN GROVE BLVD, SUITE 130 GARDEN GROVE CA 92843 921574 COMFORT HOSPICE, INC 2025 N GLENOAKS BLVD, SUITE 201B BURBANK CA 91504 141641 COMFORT PLUS HOSPICE INC 612 W JACKSON STREET MORTON IL 61550 461615 COMFORT WORX HOSPICE OF UTAH, LLC 375 NORTH MAIN STREET, SUITE 103 KAYSVILLE UT 84037 251512 COMFORTCARE HOSPICE 2260 HIGHWAY 15 NORTH/MAIL- PO BOX 607 39441 LAUREL MS 39440 751652 COMFORTING CARE SERVICES 16600 SHERMAN WAY SUITE178 VAN NUYS CA 91406 921652 COMMITTED HOSPICE CARE, INC. 12062 VALLEY VIEW ST, SUITE # 235 GARDEN GROVE CA 92845 491517 COMMONWEALTH HOME NURSING & HOSPICE, INC 159 EXECUTIVE DRIVE - SUITE H DANVILLE VA 24541 491605 COMMONWEALTH HOSPICE 159 EXECTUIVE DRIVE SUITE H DANVILLE VA 24541 391636 COMMONWEALTH HOSPICE OF BERWICK 109 WEST 9TH STREET SUITE 102 BERWICK PA 18603 751729 COMMUNITY CARE AND HOSPICE, LLC 4000 CALLE TECATE, SUITE 114 CAMARILLO CA 93012 011592 COMMUNITY CARE HOSPICE 115 HELTON COURT FLORENCE AL 35630 191633 COMMUNITY CARE HOSPICE 1007 W THOMAS, SUITE A HAMMOND LA 70403 311530 COMMUNITY CARE HOSPICE 110 WEST END AVENUE SOMERVILLE NJ 08876 361622 COMMUNITY CARE HOSPICE 1669 ROMBACH AVE WILMINGTON OH 45177

18 of 83 HOSPICES THAT SUCCESSFULLY MET QRP REPORTING REQUIREMENTS FOR FY 2020 APU

CCN Hospice Name Address City State ZIP 451594 COMMUNITY CARE SERVICES HOSPICE 118 EAST LIVEOAK STE 104 DUBLIN TX 76446 201514 COMMUNITY HEALTH & COUNSELING SERVICES 42 CEDAR STREET BANGOR ME 04401 281531 COMMUNITY HEALTH CARE & HOSPICE 711 EAST 11TH STREET SUITE A MCCOOK NE 69001 231584 COMMUNITY HEALTH CENTER OF BRANCH COUNTY HOSPICE 300 EAST CHICAGO STREET COLDWATER MI 49036 341576 COMMUNITY HOME CARE & HOSPICE 2800 BREEZEWOOD AVENUE, SUITE 100 FAYETTEVILLE NC 28303 341585 COMMUNITY HOME CARE & HOSPICE 2841 DAISY LANE, SUITE E WILSON NC 27896 341589 COMMUNITY HOME CARE OF VANCE COUNTY 152 ZEB ROBINSON ROAD HENDERSON NC 27536 151554 COMMUNITY HOME HEALTH 9894 E 121ST ST FISHERS IN 46037 501504 COMMUNITY HOME HEALTH / HOSPICE 1035 ELEVENTH AVE LONGVIEW WA 98632 111576 COMMUNITY HOSPICE 904 MOUNT VERNON ROAD VIDALIA GA 30474 181501 COMMUNITY HOSPICE 1480 CARTER AVENUE ASHLAND KY 41101 361528 COMMUNITY HOSPICE 716 COMMERCIAL AVENUE SW NEW PHILADELPHIA OH 44663 011583 COMMUNITY HOSPICE CARE 1526 GILMER AVENUE TALLASSEE AL 36078 361510 COMMUNITY HOSPICE CARE 181 EAST PERRY STREET TIFFIN OH 44883 551727 COMMUNITY HOSPICE CARE, LLC 17141 VENTURA BLVD, SUITE 204 ENCINO CA 91316 341586 COMMUNITY HOSPICE LLC 1423 SOUTH GLENBURNIE ROAD NEW BERN NC 28562 011546 COMMUNITY HOSPICE OF BALDWIN COUNTY 1450 N MCKENZIE STREET FOLEY AL 36535 011628 COMMUNITY HOSPICE OF DALE MEDICAL CENTER 368 JAMES STREET OZARK AL 36360 191628 COMMUNITY HOSPICE OF LAFAYETTE 5750 JOHNSTON ST STE 204 LAFAYETTE LA 70503 101500 COMMUNITY HOSPICE OF NORTHEAST FLORIDA INC 4266 SUNBEAM ROAD JACKSONVILLE FL 32257 361653 COMMUNITY HOSPICE OF SOUTHERN OHIO 2029 SOUTH THIRD STREET IRONTON OH 45638 451501 COMMUNITY HOSPICE OF TEXAS 6100 WESTERN PLACE SUITE 105 FORT WORTH TX 76107 451622 COMMUNITY HOSPICE OF TEXAS 1341 W MOCKINGBIRD LANE # 210E DALLAS TX 75247 051708 COMMUNITY HOSPICE OF VICTOR VALLEY 16147 KAMANA ROAD APPLE VALLEY CA 92307 091500 COMMUNITY HOSPICE OF WASHINGTON DC 3720 UPTON STREET NW WASHINGTON DC 20016 051543 COMMUNITY HOSPICE, INC - HOSPICE 4368 SPYRES WAY MODESTO CA 95356 331501 COMMUNITY HOSPICE, INC, THE 445 NEW KARNER ROAD ALBANY NY 12205 261594 COMMUNITY LOVING CARE HOSPICE 251 EAST PEARCE BLVD WENTZVILLE MO 63385 221542 COMMUNITY NURSE HOME CARE, INC 62 CENTER STREET FAIRHAVEN MA 02719 391645 COMMUNITY NURSING SERVICES OF NORTH EAST 7 PARK STREET NORTH EAST PA 16428 751682 COMMUNITY PROFESSIONAL HOSPICE CARE, LLC 7311 VAN NUYS BLVD, SUITE 8 VAN NUYS CA 91405 221527 COMMUNITY VNA 10 EMORY STREET ATTLEBORO MA 02703 051637 COMPANION HOSPICE 2041 W ORANGEWOOD AVENUE ORANGE CA 92868 551590 COMPANION HOSPICE & PALLIATIVE CARE OF THE VALLEY 2700 E FOOTHILL BLVD, SUITE 200 PASADENA CA 91107 551594 COMPANION HOSPICE AND PALLIATIVE CARE LLC 3605 ALAMO ST STE 340 SIMI VALLEY CA 93063 031608 COMPANION HOSPICE AND PALLIATIVE CARE OF MARICOPA 1930 SOUTH ALMA SCHOOL ROAD, SUITE A103 MESA AZ 85210 741599 COMPANION HOSPICE AND PALLIATIVE CARE OF SOUTH TEX 5410 FREDERICKSBURG RD BLD A SUITE 114 SAN ANTONIO TX 78229 751631 COMPANION HOSPICE AND PALLIATIVE CARE SERVICES, LL 6133 BRISTOL PKWY SUITE 110 CULVER CITY CA 90230 051750 COMPANION HOSPICE CARE, LLC 8130 FLORENCE AVE, SUITE 200 DOWNEY CA 90240 371613 COMPANION HOSPICE, L L C 1314 EAST OKLAHOMA AVE GUTHRIE OK 73044 051797 COMPANION HOSPICE, LLC 4199 FLAT ROCK DRIVE, SUITE 200 RIVERSIDE CA 92505 451696 COMPASS HOSPICE LLC 3001 W ILLINOIS AVENUE SUITE 3A MIDLAND TX 79701 671547 COMPASS HOSPICE OF EAST TEXAS LLC 1111 IDEL STREET TYLER TX 75701 671604 COMPASS HOSPICE OF SAN ANTONIO 140 HEIMER ROAD, SUITE 750 SAN ANTONIO TX 78232

19 of 83 HOSPICES THAT SUCCESSFULLY MET QRP REPORTING REQUIREMENTS FOR FY 2020 APU

CCN Hospice Name Address City State ZIP 211529 COMPASS REGIONAL HOSPICE, INC 160 COURSEVALL DRIVE CENTREVILLE MD 21617 671637 COMPASSION HOSPICE 3775 MILAM STREET BEAUMONT TX 77701 921546 COMPASSION HOSPICE 791 MARYLIND AVE, BUILDING 2 CLAREMONT CA 91711 921537 COMPASSION HOSPICE & PALLIATIVE CARE 1016 E COOLEY DRIVE, UNIT D COLTON CA 92324 081504 COMPASSIONATE CARE HOSPICE 405 EAST MARSH LANE SUITE 4 NEWPORT DE 19804 141649 COMPASSIONATE CARE HOSPICE 200 N HAMMES AVENUE, SUITE 3 JOLIET IL 60435 191673 COMPASSIONATE CARE HOSPICE 5417 JACKSON STREET, SUITE B ALEXANDRIA LA 71303 221582 COMPASSIONATE CARE HOSPICE 800 CUMMINGS PARK, SUITE 3100 WOBURN MA 01801 241583 COMPASSIONATE CARE HOSPICE 31361 STATE HIGHWAY 266 WORTHINGTON MN 56187 261649 COMPASSIONATE CARE HOSPICE 14500 E 42ND STREET, STE 232 INDEPENDENCE MO 64055 281535 COMPASSIONATE CARE HOSPICE 7253 GROVER STREET OMAHA NE 68124 301531 COMPASSIONATE CARE HOSPICE 18 ORCHARD VIEW DRIVE UNIT 4 LONDONDERRY NH 03053 311542 COMPASSIONATE CARE HOSPICE 1373 BROAD STREET, SUITE 306 CLIFTON NJ 07013 361669 COMPASSIONATE CARE HOSPICE 300 NORTH CLEVELAND MASSILLON RD, STE 103 AKRON OH 44333 391667 COMPASSIONATE CARE HOSPICE 366 N MAIN STREET, FIRST FLOOR TAYLOR PA 18517 421606 COMPASSIONATE CARE HOSPICE 455 ST ANDREWS ROAD BLDG D, SUITE 1 COLUMBIA SC 29210 431516 COMPASSIONATE CARE HOSPICE 6009 W 41ST ST, SUITE 4 SIOUX FALLS SD 57106 451735 COMPASSIONATE CARE HOSPICE 2040 NORTH LOOP WEST SUITE 320 HOUSTON TX 77018 491600 COMPASSIONATE CARE HOSPICE 816 GREENBRIER CIRCLE SUITE 205 CHESAPEAKE VA 23320 521589 COMPASSIONATE CARE HOSPICE 16655 W BLUEMOUND RD SUITE 275 BROOKFIELD WI 53005 671647 COMPASSIONATE CARE HOSPICE 903C HILLCREST DRIVE CONROE TX 77301 671679 COMPASSIONATE CARE HOSPICE 3833 S TEXAS AVE STE 200 BRYAN TX 77802 101553 COMPASSIONATE CARE HOSPICE OF CENTRAL FLORIDA INC 2525 DRANE FIELD RD STE 4 LAKELAND FL 33811 111705 COMPASSIONATE CARE HOSPICE OF CENTRAL GEORGIA, LLC 305 SMITHVILLE, CHURCH ROAD, SUITE A&C WARNER ROBINS GA 31088 671753 COMPASSIONATE CARE HOSPICE OF CENTRAL TEXAS LLC 102 WONDER WORLD DRIVE, SUITE#306 SAN MARCOS TX 78666 171574 COMPASSIONATE CARE HOSPICE OF KANSAS CITY LLC 8725 ROSEHILL ROAD SUITE 380 LENEXA KS 66215 101556 COMPASSIONATE CARE HOSPICE OF LAKE AND SUMTER INC 900 MAIN ST STE 208 THE VILLAGES FL 32159 101554 COMPASSIONATE CARE HOSPICE OF MIAMI-DADE AND THE F 1840 W 49TH ST STE 224 HIALEAH FL 33012 231616 COMPASSIONATE CARE HOSPICE OF MICHIGAN 5730 N LILLEY RD, SUITE A&B CANTON MI 48187 331564 COMPASSIONATE CARE HOSPICE OF NEW YORK, LLC 369 EAST 148TH STREET BRONX NY 10455 671674 COMPASSIONATE CARE HOSPICE OF NORTH TEXAS LLC 13612 MIDWAY RD STE 294 DALLAS TX 75244 111708 COMPASSIONATE CARE HOSPICE OF NORTHERN GA, LLC 2340 PRINCE AVENUE SUITE A ATHENS GA 30606 311573 COMPASSIONATE CARE HOSPICE OF NORTHERN NJ LLC 350 SPARTA AVENUE, BUILDING B, SUITE 2 SPARTA NJ 07871 391728 COMPASSIONATE CARE HOSPICE OF PITTSBURGH LLC 1725 WASHINGTON ROAD, SUITE 509 PITTSBURGH PA 15241 111702 COMPASSIONATE CARE HOSPICE OF SAVANNAH, LLC 138 CANAL STREET SUITES 304/305 POOLER GA 31322 221593 COMPASSIONATE CARE HOSPICE OF SOUTHEASTERN MASS LL 100 MYLES STANDISH BOULEVARD, SUITE 103 TAUNTON MA 02780 391597 COMPASSIONATE CARE HOSPICE OF SOUTHEASTERN PA 3331 STREET ROAD, SUITE 410 BENSALEM PA 19020 551797 COMPASSIONATE CARE HOSPICE OF SOUTHERN CALIFORNIA 230 N MARYLAND AVE, SUITE 300 GLENDALE CA 91206 251689 COMPASSIONATE CARE HOSPICE OF SOUTHERN MS, LLC 208 A HIGHWAY 51 SOUTH BROOKHAVEN MS 39601 081509 COMPASSIONATE CARE HOSPICE OF THE DELMAR PENINSULA 20165 OFFICE CIRCLE UNIT 2 GEORGETOWN DE 19947 391589 COMPASSIONATE CARE HOSPICE, INC. 1513 CEDAR CLIFF DRIVE, SUITE 100 CAMP HILL PA 17011 311537 COMPASSIONATE CARE HOSPICE, LLC 261 CONNECTICUT DRIVE, SUITE 1 BURLINGTON NJ 08016 921560 COMPASSIONATE CARE HOSPICE, LLC 1811 WEST KATELLA, SUITE 147 ANAHEIM CA 92804 921526 COMPASSIONATE HEALTH HOSPICE, INC 9872 CHAPMAN AVE, SUITE 118 GARDEN GROVE CA 92841

20 of 83 HOSPICES THAT SUCCESSFULLY MET QRP REPORTING REQUIREMENTS FOR FY 2020 APU

CCN Hospice Name Address City State ZIP 751658 COMPASSIONATE HEARTS HOSPICE, INC 554 E FOOTHILL BLVD, STE 101 SAN DIMAS CA 91773 061569 COMPASSIONATE HOSPICE CARE LLC 11935 QUAY STREET BROOMFIELD CO 80020 551639 COMPASSIONATE HOSPICE CARE, INC. 3512 W VICTORY BLVD BURBANK CA 91505 291516 COMPASSIONCARE HOSPICE 7842 W SAHARA AVE LAS VEGAS NV 89117 391659 COMPASSUS - ALLENTOWN 7248 TILGHMAN STREET SUITE 160 ALLENTOWN PA 18106 231596 COMPASSUS - BAY CITY 5889 BAY ROAD, SUITE 103 SAGINAW MI 48604 231605 COMPASSUS - CASS CITY 5986 CASS CITY ROAD CASS CITY MI 48726 221568 COMPASSUS - GREATER BOSTON 241-243 KING STREET, SUITES #237 & #239 NORTHAMPTON MA 01060 071536 COMPASSUS - GREATER CONNECTICUT 109 BOSTON POST ROAD, SUITE 202-203 ORANGE CT 06477 201519 COMPASSUS - GREATER MAINE 163 US ROUTE ONE SCARBOROUGH ME 04074 301528 COMPASSUS - GREATER MANCHESTER 170 SOUTH RIVER ROAD BEDFORD NH 03110 361598 COMPASSUS - GREATER OHIO 6000 LOMBARDO CENTRE, SUITE 140 SEVEN HILLS OH 44131 391649 COMPASSUS - GREATER PHILADELPHIA 601 OFFICE CENTER DRIVE SUITE 125 FORT WASHINGTON PA 19034 221560 COMPASSUS - GREATER WESTERN MASSACHUSETTS 15 MIDSTATE DRIVE AUBURN MA 01501 251625 COMPASSUS - HATTIESBURG 517 WEST SCOOBA STREET, UNITS 20 & 30 HATTIESBURG MS 39401 131546 COMPASSUS HOSPICE 680 S PROGRESS AVENUE, SUITE 2A MERIDIAN ID 83642 151560 COMPASSUS - INDIANAPOLIS 3640 N BRIARWOOD LN STE 1 MUNCIE IN 47304 231599 COMPASSUS - LANSING 801 SOUTH WAVERLY ROAD SUITE 200 LANSING MI 48917 051661 COMPASSUS - LOS ANGELES 3637 MOTOR AVE STE 360 LOS ANGELES CA 90034 251656 COMPASSUS - MEMPHIS 919 FERNCLIFF COVE SUITE I SOUTHAVEN MS 38671 231600 COMPASSUS - NORTHERN MICHIGAN 3217 WEST M-55, SUITE B WEST BRANCH MI 48661 051617 COMPASSUS - ORANGE COUNTY 2401 E KATELLA AVE SUITE 8 ANAHEIM CA 92806 371677 COMPASSUS - OWASSO 8551 NORTH 125TH EAST AVE, SUITE 250 OWASSO OK 74055 031555 COMPASSUS - PHOENIX 120 NORTH 44TH STREET, SUITE 150 PHOENIX AZ 85034 491551 COMPASSUS - RESTON 14900 CONFERENCE CENTER DRIVE SUITE 170 CHANTILLY VA 20151 671550 COMPASSUS - SAN ANTONIO 4242 PIEDRAS DRIVE EAST, SUITE 200 SAN ANTONIO TX 78228 321557 COMPASSUS - SANTA FE 130 SIRINGO ROAD, SUITE 203 SANTA FE NM 87505 221555 COMPASSUS - SOUTHERN MASSACHUSETTS 100 RIVER RIDGE DRIVE, SUITE 302 NORWOOD MA 02062 371603 COMPASSUS - VINITA 35904 SOUTH HIGHWAY 82 VINITA OK 74301 361633 COMPASSUS - WESTERN OHIO 11311 CORNELLPARK DRIVE, SUITE 200 BLUE ASH OH 45242 061553 COMPASSUS GREATER COLORADO SPRINGS 5475 TECH CENTER DR, STE 105 COLORADO SPRINGS CO 80919 521595 COMPASSUS GREEN BAY 3237 RIVERSIDE DRIVE GREEN BAY WI 54301 321556 COMPASSUS HOSPICE ALBUQUERQUE SOUTH 4801 LANG AVE NE STE 100 ALBUQUERQUE NM 87109 391695 COMPASSUS HOSPICE AND PALLIATIVE CARE - PHILA 2101 OREGON PIKE SUITE 301 KING OF PRUSSIA PA 19406 111648 COMPASSUS HOSPICE AND PALLIATIVE CARE-ATLANTA 100 CRESCENT CENTRE PARKWAY, SUITE 220 TUCKER GA 30084 011664 COMPASSUS HOSPICE AND PALLIATIVE CARE-BIRMINGHAM 1400 URBAN CENTER DRIVE, SUITE 100 VESTAVIA HILLS AL 35242 111671 COMPASSUS HOSPICE AND PALLIATIVE CARE-MACON 1100 NORTHSIDE DRIVE MACON GA 31210 271528 COMPASSUS HOSPICE BILLINGS 2110 OVERLAND AVE STE 111 BILLINGS MT 59102 051767 COMPASSUS HOSPICE COLTON 1461 EAST COOLEY DRIVE, #220 COLTON CA 92324 271530 COMPASSUS HOSPICE HELENA 19 DISCOVERY DR BUTTE MT 59701 521576 COMPASSUS MILWAUKEE 1026 SOUTH TAYLOR DR SHEBOYGAN WI 53081 111651 COMPASSUS-ATHENS 2470 DANIELS BRIDGE ROAD SUITE 171 ATHENS GA 30606 011528 COMPASSUS-AUBURN 665 OPELIKA ROAD, SUITE 200 AUBURN AL 36830 421593 COMPASSUS-CHARLESTON 10911 NORTH JACOB SMART BLVD, SUITE B RIDGELAND SC 29936

21 of 83 HOSPICES THAT SUCCESSFULLY MET QRP REPORTING REQUIREMENTS FOR FY 2020 APU

CCN Hospice Name Address City State ZIP 141623 COMPASSUS-CHICAGO 4371 VENTURE DRIVE, SUITE 4373 PERU IL 61354 111649 COMPASSUS-FAYETTEVILLE 145 HOWARD LANE FAYETTEVILLE GA 30215 011678 COMPASSUS-FLORENCE 507 E DR HICKS BOULEVARD FLORENCE AL 35634 011579 COMPASSUS-GADSDEN 1735 HIGHWAY 77 SOUTHSIDE AL 35907 061558 COMPASSUS-GREATER DENVER 2420 W 26TH AVENUE SUITE 200-D DENVER CO 80211 301529 COMPASSUS-GREATER HAMPTON 65 LAFAYETTE RD SUITE 302 N HAMPTON NH 03862 311571 COMPASSUS-GREATER NEW JERSEY 200 CAMPBELL DRIVE, SUITE 106 WILLINGBORO NJ 08046 251586 COMPASSUS-JACKSON 3010 LAKELAND COVE, SUITE Z-1 FLOWOOD MS 39232 261605 COMPASSUS-KANSAS CITY 38A WESTWOOD DRIVE LIBERTY MO 64068 111627 COMPASSUS-KENNESAW 300 CHASTAIN CENTER BLVD SUITE 345 KENNESAW GA 30144 261622 COMPASSUS-LEE'S SUMMIT 220 NORTH STATE ROUTE 7 PLEASANT HILL MO 64080 441579 COMPASSUS-MEMPHIS 5796 SHELBY OAKS DRIVE SUITE 6 MEMPHIS TN 38134 251637 COMPASSUS-MID-MISSISSIPPI 120 WEST CHEROKEE STREET BROOKHAVEN MS 39601 371678 COMPASSUS-MUSKOGEE 2913 AZALEA PARK DRIVE MUSKOGEE OK 74401 111506 COMPASSUS-NORTH GEORGIA 189 PROFESSIONAL COURT, SUITE 300 CALHOUN GA 30701 111682 COMPASSUS-NORTH GEORGIA II 583 HIGHLAND CROSSING, SUITE 120 ELLIJAY GA 30540 191593 COMPASSUS-RUSTON 100 SOUTH TRENTON STREET RUSTON LA 71270 111698 COMPASSUS-SAVANNAH 107 SOUTHEREN BLVD SUITE 2003 SAVANNAH GA 31405 011636 COMPASSUS-TROY 199 US HWY 231 NORTH TROY AL 36081 131572 COMPLETE HOSPICE CARE OF BOISE, LLC 250 W BOBWHITE CT SUITE 130 BOISE ID 83706 031638 COMPLETE HOSPICE CARE OF PHOENIX, LLC 1819 EAST MORTEN AVENUE, SUITE 240 PHOENIX AZ 85020 741504 COMPLETECARE HOME HEALTH AND HOSPICE 1112 BLANCO RD SAN ANTONIO TX 78212 751700 COMPREHENSIVE HOME HEALTH CARE & HOSPICE, INC 127 HOSPITAL DRIVE, SUITE 202 A VALLEJO CA 94589 751520 COMPREHENSIVE HOSPICE 5775 E LOS ANGELES AVENUE, SUITE 226 SIMI VALLEY CA 93063 751529 COMPREHENSIVE HOSPICE CARE, INC 12500 RIVERSIDE DR, SUITE 205 STUDIO CITY CA 91607 191589 CONCERNED CARE HOSPICE 3621 RIDGELAKE DRIVE, SUITE 303 METAIRIE LA 70002 741628 CONCORD HOSPICE LLC 3700 STANDRIDGE DRIVE SUITE 108 THE COLONY TX 75056 301500 CONCORD REGIONAL VNA - HOSPICE 30 PILLSBURY STREET CONCORD NH 03301 391519 CONCORDIA HOSPICE OF WASHINGTON 10 LEET STREET WASHINGTON PA 15301 401521 CONDADO HOSPICE PROGRAM INC CALLE JUAN P DUARTE 186 SAN JUAN PR 00917 391565 CONEMAUGH REGIONAL HOSPICE 315 LOCUST STREET, SUITE 5E JOHNSTOWN PA 15901 381563 CONNECTED HOSPICE 7515 NE AMBASSADOR PLACE, SUITE C PORTLAND OR 97220 071500 CONNECTICUT HOSPICE INC, THE 100 DOUBLE BEACH ROAD BRANFORD CT 06405 071542 CONSTELLATION HOSPICE 240 INDIAN RIVER ROAD ORANGE CT 06477 221600 CONSTELLATION HOSPICE 180 LOW STREET NEWBURYPORT MA 01950 271535 CONSUMER DIRECT CARE NET MT-HOME HEALTH & HOSPICE 100 CONSUMER DIRECT WAY MISSOULA MT 59808 251603 CONTINUE CARE HOME HEALTH HOSPICE I I 803 EAST SUNFLOWER ROAD CLEVELAND MS 38732 251602 CONTINUE CARE HOSPICE 15359 HIGHWAY 49, SUITE 3 YAZOO CITY MS 39194 361644 CONTINUUM CARE HOSPICE 12380 PLAZA DRIVE, SUITE 102 PARMA OH 44130 751626 CONTINUUM CARE HOSPICE LLC 2300 CLAYTON ROAD, SUITE 1220 CONCORD CA 94520 411512 CONTINUUM CARE OF RHODE ISLAND LLC 1350 DIVISION ROAD SUITE 205 WEST WARWICK RI 02893 341582 CONTINUUM HOME CARE & HOSPICE 3886 HENDERSON DRIVE JACKSONVILLE NC 28546 341594 CONTINUUM HOME CARE & HOSPICE OF LENIOR COUNTY 704 M PLAZA BOULEVARD KINSTON NC 28501 671531 COON MEMORIAL HOSPITAL HOME CARE 1422 DENVER AVENUE DALHART TX 79022

22 of 83 HOSPICES THAT SUCCESSFULLY MET QRP REPORTING REQUIREMENTS FOR FY 2020 APU

CCN Hospice Name Address City State ZIP 011661 COOSA VALLEY HOSPICE 315 WEST HICKORY STREET SYLACAUGA AL 35150 461606 CORNERSTONE HOSPICE 1385 WEST 2200 SOUTH, SUITE 202 WEST VALLEY CITY UT 84119 051614 COVENANT CARE HOSPICE 125 N BROADWAY STE 1A TURLOCK CA 95380 441542 COVENANT HOSPICE 3001 LAKE BROOK BLVD SUITE 101 KNOXVILLE TN 37909 551780 COVENANT HOSPICE 7872 WALKER ST, SUITE 240 LA PALMA CA 90623 451791 COVENANT HOSPICE CARE LLC 2630 WEST FREEWAY SUITE 130 FORT WORTH TX 76102 101513 COVENANT HOSPICE INC 5041 N 12TH AVE PENSACOLA FL 32504 011577 COVENANT HOSPICE INC - DOTHAN 1512 WEST MAIN STREET DOTHAN AL 36301 231516 COVENANT VISITING NURSE ASSOCIATION 500 SOUTH HAMILTON, SUITE C SAGINAW MI 48602 141639 COVENANTCARE HOSPICE 3755 EAST MAIN STREET, SUITE 165 SAINT CHARLES IL 60174 221520 CRANBERRY HOSPICE 36 CORDAGE PARK CIRCLE, SUITE 326 PLYMOUTH MA 02360 491532 CRATER COMMUNITY HOSPICE, INC 3916 SOUTH CRATER ROAD PETERSBURG VA 23805 341545 CRAVEN COUNTY HOSPICE 2818 NEUSE BLVD NEW BERN NC 28560 161561 CRAWFORD COUNTY HOME HEALTH & HOSPICE 105 NORTH MAIN STREET DENISON IA 51442 461586 CREEKSIDE HOSPICE 3920 SOUTH 1100 EAST, SUITE 250 SALT LAKE CITY UT 84124 131557 CREST HOME HEALTH AND HOSPICE, LLC 700 IRONWOOD DRIVE, SUITE 255 COEUR D'ALENE ID 83814 371547 CROSS TIMBERS HOSPICE INC 207 C STREET NORTHWEST ARDMORE OK 73401 521513 CROSSING RIVERS HEALTH HOSPICE 37868 US HIGHWAY 18 PRAIRIE DU CHIEN WI 53821 391566 CROSSINGS HOSPICE 21 WEST INDEPENDENCE STREET SHAMOKIN PA 17872 391606 CROSSINGS HOSPICE OF THE VNA 3315 DERRY STREET HARRISBURG PA 17111 051689 CROSSROADS HOME HEALTH & HOSPICE 1109 VICENTE STREET, SUITE 101 SAN FRANCISCO CA 94116 111607 CROSSROADS HOSPICE OF ATLANTA, LLC 1957 LAKESIDE PARKWAY, SUITE 500 TUCKER GA 30084 361614 CROSSROADS HOSPICE OF CINCINNATI, LLC 4380 GLENDALE MILFORD ROAD CINCINNATI OH 45242 361656 CROSSROADS HOSPICE OF CLEVELAND, LLC 9775 ROCKSIDE ROAD, SUITE 270 VALLEY VIEW OH 44125 361654 CROSSROADS HOSPICE OF DAYTON, LLC 8069 WASHINGTON VILLAGE DRIVE DAYTON OH 45458 261581 CROSSROADS HOSPICE OF KANSAS CITY, L C 14310 EAST 42ND STREET SOUTH, UNIT 600 INDEPENDENCE MO 64055 171578 CROSSROADS HOSPICE OF KANSAS LLC 11150 THOMPSON AVENUE LENEXA KS 66219 361625 CROSSROADS HOSPICE OF NORTHEAST OHIO, LLC 3743 BOETTLER OAKS DRIVE, SUITE E UNIONTOWN OH 44685 371601 CROSSROADS HOSPICE OF OKLAHOMA CITY, LLC 1301 SE 59TH STREET, SUITE 100 OKLAHOMA CITY OK 73129 391679 CROSSROADS HOSPICE OF PHILADELPHIA 523 PLYMOUTH ROAD SUITE 225 PLYMOUTH MEETING PA 19462 261645 CROSSROADS HOSPICE OF SAINT LOUIS, LLC 15450 SOUTH OUTER FORTY DRIVE, SUITE 100 CHESTERFIELD MO 63017 441573 CROSSROADS HOSPICE OF TENNESSE 1669 SHELBY OAKS DRIVE SUITE 106 MEMPHIS TN 38134 671581 CROWN HOSPICE LLC 1101 SALEM ROAD SUITE #A #B #C #D VICTORIA TX 77904 261625 CROWN HOSPICE, INC 2858 PROFESSIONAL COURT CAPE GIRARDEAU MO 63703 391567 CROZER KEYSTONE HOSPICE 200 WEST SPROUL ROAD SPRINGFIELD PA 19064 491592 CUIDADO CASERO HOME CARE OF VIRGINIA, INC 4815 CARR DRIVE FREDERICKSBURG VA 22408 451772 CUIDADO CASERO HOME HEALTH & HOSPICE 833 W EULESS BLVD. EULESS TX 76040 671610 CUIDADO CASERO HOME HEALTH LUBBOCK 2118 BROADWAY LUBBOCK TX 79401 671618 CUIDADO CASERO HOME HEALTH OF EL PASO INC 1617 E MISSOURI EL PASO TX 79902 401512 CUIDADO CASERO HOSPICE INC 580 AVE DE DIEGO SAN JUAN PR 00921 371652 CURA-HPC, LLC 4510 EAST 31ST STREET TULSA OK 74135 451635 CUSTOM CARE HOSPICE 6606 LBJ FREEWAY SUITE 110 DALLAS TX 75240 231638 CUSTOM HOSPICE 888 WEST BIG BEAVER ROAD, SUITE 900 TROY MI 48084 361686 CYPRESS HOSPICE LLC 2 BEREA COMMONS, SUITE 1 BEREA OH 44017

23 of 83 HOSPICES THAT SUCCESSFULLY MET QRP REPORTING REQUIREMENTS FOR FY 2020 APU

CCN Hospice Name Address City State ZIP 341584 DARE HOME HEALTH AND HOSPICE 109 EXETER STREET MANTEO NC 27954 011603 DAYSPRING HOSPICE, LLC 1275 JAMES DR. ST. A ENTERPRISE AL 36331 251535 DEACONESS HOSPICE 128 SOUTH 11TH AVENUE LAUREL MS 39440 251696 DEACONESS HOSPICE 2556 MARCIA COURT, SUITE 101 BILOXI MS 39531 151518 DEACONESS VNA 610 E WALNUT ST EVANSVILLE IN 47734 151531 DEARBORN COUNTY HOSPITAL HOME HEALTH & HOSPICE 370 BIELBY RD LAWRENCEBURG IN 47025 751515 DEDICATED HOSPICE CARE, INC 14542 VENTURA BLVD, STE 202 SHERMAN OAKS CA 91403 141602 DEKALB COUNTY HOSPICE INC 2727 SYCAMORE ROAD, SUITE 1B DEKALB IL 60115 151559 DEKALB HEALTH HOSPICE 1700 E. 7TH ST AUBURN IN 46706 321565 DEL CORAZON HOSPICE 811 ST MICHAELS DRIVE, SUITE 207 SANTA FE NM 87505 081500 DELAWARE HOSPICE - NORTH DIVISION 16 POLLY DRUMMOND CENTER SECOND FLOOR NEWARK DE 19711 081502 DELAWARE HOSPICE CENTRAL DIV 911 S DUPONT HWY DOVER DE 19901 391747 DELAWARE HOSPICE, INC 1786 WILMINGTON WEST CHESTER PIKE SUITE 200A GLEN MILLS PA 19342 081503 DELAWARE HOSPICE, INC SOUTHERN DIVISION 100 PATRIOTS WAY MILFORD DE 19963 061504 DENVER HOSPICE THE 501 S CHERRY STREET #700 DENVER CO 80246 031642 DESERT HARMONY HOSPICE OF TUCSON 1200 NORTH EL DORADO PLACE, SUITE B200 TUCSON AZ 85715 551670 DESTINY HOSPICE CARE INC 12364 PERRIS BLVD MORENO VALLEY CA 92557 921731 DESTINY HOSPICE OF THE DESERT 35400 BOB HOPE DRIVE SUITE 213 RANCHO MIRAGE CA 92270 741532 DEVINITY HOSPICE 9102 ASPEN TRACE LN HUMBLE TX 77338 041572 DIERKSEN MEMORIAL HOSPICE 4313 PARKWAY DRIVE, SUITE 20 TEXARKANA AR 71854 051592 DIGNITY HEALTH HOSPICE 124 SOUTH COLLEGE DRIVE, SUITE B SANTA MARIA CA 93454 741529 DIGNITY HOSPICE 13601 PRESTON ROAD, SUITE E200 DALLAS TX 75240 061578 DIGNITY HOSPICE OF COLORADO LLC 14707 E 2ND AVENUE SUITE 220 AURORA CO 80011 511517 DIGNITY HOSPICE OF SOUTHERN WEST VIRGINIA, INC 557 MAIN STREET CHAPMANVILLE WV 25508 461601 DIGNITY HOSPICE OF UTAH, LLC 831 EAST 340 SOUTH, SUITE 230 AMERICAN FORK UT 84003 671697 DIRECT HEALTH CARE INC 7402 UNIVERSITY AVE LUBBOCK TX 79423 241597 DIVINE HOSPICE CARE 322 2ND STREET SOUTHWEST WILLMAR MN 56201 291532 DIVINE HOSPICE, LLC 5000 W OAKEY BLVD STE A-7 LAS VEGAS NV 89146 421632 DIVINE HOSPICE, LLC 115 WHITEHALL ROAD ANDERSON SC 29625 291544 DIVINE MERCY HOSPICE SERVICES 3750 S JONES BLVD STE 130 LAS VEGAS NV 89103 461589 DIXIE HOSPICE CARE 352 EAST RIVERSIDE DRIVE, SUITE B3 ST GEORGE UT 84790 141517 DMH HOME HEALTH SERVICES - HOSPICE 2870 N MAIN ST DECATUR IL 62526 131575 DOCTORS HOSPICE OF IDAHO 1552 N CRESTMONT DR STE B MERIDIAN ID 83642 391546 DOYLESTOWN HOSPITAL HOSPICE 4259 WEST SWAMP ROAD SUITE 204 DOYLESTOWN PA 18902 521509 DR KATE HOSPICE 1571 HIGHWAY 51 NORTH SUITE C ARBOR VITAE WI 54568 341507 DUKE HOSPICE 4023 NORTH ROXBORO ROAD DURHAM NC 27704 111633 DYNAMIC HOSPICE 2799 LAWRENCEVILLE HWY, SUITE 106 DECATUR GA 30033 031578 EAST VALLEY HOSPICE, PLC 1311 WEST CHANDLER BOULEVARD, SUITE 200 CHANDLER AZ 85224 241557 ECUMEN HOSPICE 7541 9TH STREET NORTH #200 OAKDALE MN 55128 921595 ED & AR HOSPICE CARE, INC 10315 WOODLEY AVE, SUITE 206 GRANADA HILLS CA 91344 291515 EDEN HOSPICE 907 MOUNTAIN ST CARSON CITY NV 89703 191668 EGAN HOSPICE SERVICES OF THE NORTHSHORE, LLC 523 W PINE STREET PONCHATOULA LA 70454 391573 EINSTEIN MONTGOMERY HOSPICE 1330 POWELL STREET, SUITE 100 NORRISTOWN PA 19401 061592 ELEVATION HOSPICE OF COLORADO 80 GARDEN CENTER SUITE 108 BROOMFIELD CO 80020

24 of 83 HOSPICES THAT SUCCESSFULLY MET QRP REPORTING REQUIREMENTS FOR FY 2020 APU

CCN Hospice Name Address City State ZIP 461609 ELEVATION HOSPICE OF UTAH LLC 21 EAST 100 NORTH, SUITE 105 AMERICAN FORK UT 84003 501533 ELITE HOSPICE 1370 BRIDGE STREET CLARKSTON WA 99403 751686 ELITE HOSPICE CARE, INC 12631 IMPERIAL HWY STE F118 SANTA FE SPRINGS CA 90670 921717 ELIXIR HOSPICE CARE 1420 W KETTLEMAN LANE, SUITE S1 LODI CA 95242 051528 ELIZABETH HOSPICE 500 LA TERRAZA BLVD SUITE 130 ESCONDIDO CA 92025 371698 ELK CITY COMFORTING HANDS HOSPICE LLC 401 EAST 3RD STREET ELK CITY OK 73644 921687 ELKA HOSPICE CARE, INC 11755 VICTORY BLVD, SUITE 213 N HOLLYWOOD CA 91606 671613 ELYSIAN HOSPICE LLC 16750 WESTGROVE, STE 100 ADDISON TX 75001 671786 ELYSIAN HOSPICE 11104 WEST AIRPORT BOULEVARD SUITE 255B STAFFORD TX 77477 141695 ELYSIAN HOSPICE 111 WEST WASHINGTON ST STE 310 EAST PEORIA IL 61611 031624 EMBLEM HEALTHCARE, INC. 7225 NORTH ORACLE ROAD, SUITE 202 TUCSON AZ 85704 031595 EMBLEM HOSPICE 3205 WEST RAY ROAD, SUITE 2A CHANDLER AZ 85226 111695 EMBRACE HOSPICE 1585 OLD NORCROSS ROAD SUITE 205 LAWRENCEVILLE GA 30046 751620 EMBRACE HEALTHCARE 4511 DENNY AVE N HOLLYWOOD CA 91602 421590 EMBRACE HOSPICE 1831 W EVANS STREET FLORENCE SC 29501 671676 EMBRACE HOSPICE LLC 5835 CALLAGHAN RD SUITE 500 SAN ANTONIO TX 78228 311556 EMBRACING HOSPICE CARE OF NEW JERSEY 3349 ROUTE 138, BUILDING D, SUITE F WALL NJ 07719 101537 EMERALD COAST HOSPICE 421 OAK AVE PANAMA CITY FL 32401 371707 EMERALD HOSPICE I 925 NW 164TH STREET, SUITE B EDMOND OK 73013 371697 EMERALD HOSPICE II 102 S YORKSHIRE BLVD WAGONER OK 74467 921501 EMINENT HOSPICE CARE, INC 13758 VICTORY BLVD, SUITE 207 VAN NUYS CA 91401 231629 EMMANUEL HOSPICE 2161 LEONARD ST GRAND RAPIDS MI 49504 751741 EMPIRE HOSPICE CARE, INC 3171 LOS FELIZ BLVD, SUITE #216 LOS ANGELES CA 90039 111732 ENCOMPASS HEALTH HOSPICE 4128 MADELINE DRIVE, SUITE B AUGUSTA GA 30909 491613 ENCOMPASS HEALTH HOSPICE 100 GATEWAY CENTRE PARKWAY SUITE 205B RICHMOND VA 23235 041525 ENCOMPASS HEALTH HOSPICE 210 NORTH STATE LINE AVENUE, SUITE 301 TEXARKANA AR 71854 041573 ENCOMPASS HEALTH HOSPICE 128 NORTH WASHINGTON MAGNOLIA AR 71753 061584 ENCOMPASS HEALTH HOSPICE 1355 S COLORADO BLVD, SUITE 604 DENVER CO 80222 111704 ENCOMPASS HEALTH HOSPICE 1000 COBB PLACE BLVD NW SUITE 310 KENNESAW GA 30144 111763 ENCOMPASS HEALTH HOSPICE 1760 BASS RD SUITE 202 MACON GA 31210 321544 ENCOMPASS HEALTH HOSPICE 1096 MECHEM DRIVE, SUITE 302B RUIDOSO NM 88345 461528 ENCOMPASS HEALTH HOSPICE 990 WEST BELLWOOD LANE MURRAY UT 84123 671746 ENCOMPASS HEALTH HOSPICE 14800 SAN PEDRO AVENUE SUITE 216 SAN ANTONIO TX 78232 011682 ENCOMPASS HEALTH HOSPICE - HUNTSVILLE 415-E CHURCH STREET, SUITE 3 HUNTSVILLE AL 35801 011600 ENCOMPASS HEALTH HOSPICE - PRATTVILLE 1307 HWY 80 WEST DEMOPOLIS AL 36732 011670 ENCOMPASS HEALTH HOSPICE - RAINBOW CITY 101 CHURCH STREET RAINBOW CITY AL 35906 191605 ENCOMPASS HEALTH HOSPICE OF BOGALUSA 1616 SOUTH COLUMBIA STREET, SUITE F1 BOGALUSA LA 70427 131550 ENCOMPASS HEALTH HOSPICE OF EASTERN IDAHO 1479 BENCH ROAD SUITE C POCATELLO ID 83201 131540 ENCOMPASS HEALTH HOSPICE OF IDAHO 16151 N BRINSON STREET NAMPA ID 83687 461522 ENCOMPASS HEALTH HOSPICE OF SOUTHERN UTAH 640 EAST 700 SOUTH, SUITE 303B ST GEORGE UT 84770 191571 ENCOMPASS HEALTH HOSPICE OF VIDALIA 1653 CARTER STREET VIDALIA LA 71373 251591 ENCOMPASS HEALTH-HOSPICE OF NORTH MS 2166 SOUTH LAMAR BLVD OXFORD MS 38655 251618 ENCOMPASS HEALTH-HOSPICE OF NORTHEAST MISSISSIPPI 499 GLOSTER CREEK VILLAGE, SUITE 1-7 TUPELO MS 38801 251653 ENCOMPASS HEALTH-HOSPICE OF SOUTHWEST MISS 1405 ASHTON AVENUE MCCOMB MS 39648

25 of 83 HOSPICES THAT SUCCESSFULLY MET QRP REPORTING REQUIREMENTS FOR FY 2020 APU

CCN Hospice Name Address City State ZIP 741638 ENCOMPASS HOSPICE OF AUSTIN 7901 E RIVERSIDE DRIVE BLDG 2 SUITE 120 AUSTIN TX 78744 671738 ENCOMPASS HOSPICE OF BRYAN/COLLEGE STATION 3600 HIGHWAY 6 SOUTH SUITE 100 COLLEGE STATION TX 77840 671733 ENCOMPASS HOSPICE OF DFW 901 W ROSEDALE ST SUITE 250 FORT WORTH TX 76104 671703 ENCOMPASS HOSPICE OF HOUSTON 701 NORTH POST OAK ROAD SUITE 101 HOUSTON TX 77024 321545 ENCOMPASS HOSPICE OF NEW MEXICO 220 S CANAL STREET, SUITE B CARLSBAD NM 88220 421623 ENCOMPASS HOSPICE OF SOUTH CAROLINA 410 UNIVERSITY PARKWAY, STE 2000 AIKEN SC 29801 441598 ENCOMPASS HOSPICE OF TENNESSEE 828 ROYAL PARKWAY SUITE 113 NASHVILLE TN 37214 451785 ENCOMPASS HOSPICE OF TEXARKANA 2900 ST. MICHAEL DRIVE, SUITE #400B TEXARKANA TX 75503 741634 ENCOMPASS HOSPICE OF THE PANHANDLE 2505 LAKEVIEW DRIVE SUITE 104 AMARILLO TX 79109 551715 ENCORE HOSPICE, INC. 271 WEST ALAMEDA AVE BURBANK CA 91502 051666 ENLOE MEDICAL CENTER HOSPICE 1390 E LASSEN AVE CHICO CA 95973 461573 ENVISION HOSPICE 9140 SOUTH STATE STREET, SUITE 101 SANDY UT 84070 671500 ENVISION HOSPICE 8929 VISCOUNT UPPER LEVEL EL PASO TX 79925 671623 ENVOY HOSPICE 400 SOUTH ZANG BLVD STE 1220 DALLAS TX 75208 671712 ENVOY HOSPICE 1412 W MAGNOLIA AVENUE SUITE 100 FORT WORTH TX 76104 741627 ENVOY HOSPICE NORTH LLC 860 HEBRON PARKWAY SUITES 1203 & 1204 LEWISVILLE TX 75057 371685 EPWORTH AT HOME, LLC 14901 N PENNSYVANIA AVE OKLAHOMA CITY OK 73134 231609 ERIE WEST HOSPICE AND PALLIATIVE CARE 1070 N MONROE STREET SUITE B MONROE MI 48162 391675 ERWINE'S HOME HEALTH AND HOSPICE 270 PIERCE STREET SUITE 101 KINGSTON PA 18704 161580 ESSENCE OF LIFE HOSPICE 3207 220TH TRAIL AMANA IA 52203 241564 ESSENTIA HEALTH HOSPICE WEST 900 HILLIGOSS BLVD SOUTHEAST FOSSTON MN 56542 241521 ESSENTIA HEALTH ST MARYS HOSPICE & PALLIATIVE CARE 330 EAST 2ND STREET DULUTH MN 55805 921642 ESSENTIAL CARE GROUP, INC 224 E OLIVE AVE, STE 217 BURBANK CA 91502 741572 ESSENTIAL HOSPICE AND PALLIATIVE SERVICES, LLC. 1002 GEMINI STREET, SUITE 116 HOUSTON TX 77058 111691 ETERNAL HOPE HOSPICE 123 N. 18TH STREET GRIFFIN GA 30223 751657 ETERNALLY YOURS HOSPICE, INC. 2550 EAST AMAR RD STE A1-G WEST COVINA CA 91792 031667 ETERNITY HOSPICE & PALLIATIVE CARE 14122 WEST MCDOWELL ROAD, SUITE 204 GOODYEAR AZ 85395 551761 EVE HOSPICE, INC 16921 PARTHENIA STREET, SUITE 303 NORTHRIDGE CA 91343 921641 EVEREST HOSPICE INC 6047 TAMPA AVE, STE 203 TARZANA CA 91356 501523 EVERGREEN HEALTH HOSPICE CARE 11800 NE 128TH STREET SUITE 200 KIRKLAND WA 98034 231647 EVERGREEN HOSPICE 6510 TOWN CENTER DRIVE, SUITE F CLARKSTON MI 48346 551530 EVERGREEN HOSPICE CARE, INC 17215 STUDEBAKER ROAD, SUITE 100 CERRITOS CA 90703 371644 EVERGREEN HOSPICE, L L C 9902 EAST 43RD STREET, SUITE A TULSA OK 74146 751772 EVERLASTING HOSPICE, INC 7400 VAN NUYS BLVD, STE 113B VAN NUYS CA 91405 161500 EVERYSTEP 3000 EASTON BLVD DES MOINES IA 50317 161563 EVERYSTEP 118 N MAIN STREET MOUNT PLEASANT IA 52641 161574 EVERYSTEP 300 WEST BROADWAY, SUITE 114 CO BLUFFS IA 51503 391617 EXCELA HEALTH HOME CARE & HOSPICE 501 WEST OTTERMAN STREET GREENSBURG PA 15601 921702 EXCELCARE HOSPICE INC 937 VIA LATA SUITE 200 COLTON CA 92324 371610 EXCELL HOSPICE 1200 SW 104TH STREET, SUITE D OKLAHOMA CITY OK 73139 921737 EXCELL HOSPICE CARE, INC 6747 ODESSA AVENUE, SUITE 201 VAN NUYS CA 91406 751547 EXCELLENCE HOSPICE CARE, INC 21133 VICTORY BLVD, STE 215 CANOGA PARK CA 91303 751633 EXCELLENCE HOSPICE PROVIDERS INC 11760 CENTRAL AVENUE SUITE 201 CHINO CA 91710 261563 EXCELSIOR SPRINGS HOSPITAL HOME HEALTH/HOSPICE 1006 N JESSE JAMES RD EXCELSIOR SPRINGS MO 64024

26 of 83 HOSPICES THAT SUCCESSFULLY MET QRP REPORTING REQUIREMENTS FOR FY 2020 APU

CCN Hospice Name Address City State ZIP 451734 EXCLUSIVE HOME HEALTH AND HOSPICE INC 202 N ST MARY'S STREET BEEVILLE TX 78102 011638 EXPECT CARE HOSPICE 1220 20TH STREET SOUTH BIRMINGHAM AL 35205 921587 EZ COMFORT HOSPICE CARE 2650 JONES WAY, SUITE 25B SIMI VALLEY CA 93065 021507 FAIRBANKS MEMORIAL HOSPITAL HOSPICE SERVICES 2001 GILLAM WAY FAIRBANKS AK 99701 361504 FAIRHOPE HOSPICE & PALLIATIVE CARE, INC 282 SELLS ROAD LANCASTER OH 43130 241514 FAIRVIEW HOSPICE 2450 26TH AVENUE SOUTH MINNEAPOLIS MN 55406 551573 FAITH & HOPE HOSPICE CARE, INC 144 S 1ST STREET, SUITE 200 BURBANK CA 91502 551535 FAITH CARE HOSPICE INC 599 S BARRANCA AVE SUITE 222 COVINA CA 91723 451787 FAITH COMMUNITY HOSPICE LLC 4721 GARTH RD SUITE H BAYTOWN TX 77521 191547 FAITH FOUNDATION HOSPICE, INC 3503 PARLIAMENT COURT ALEXANDRIA LA 71303 031588 FAITH HOSPICE 426 NORTH 44TH STREET, SUITE 405 PHOENIX AZ 85008 231570 FAITH HOSPICE 2100 RAYBROOK STREET SE, SUITE 300 GRAND RAPIDS MI 49546 371600 FAITH HOSPICE OF EASTERN OKLAHOMA 921 NW 164TH STREET, SUITE B EDMOND OK 73013 371630 FAITH HOSPICE OF OKLAHOMA , INC 921 NW 164 STREET,SUITE B EDMOND OK 73013 371669 FAITH HOSPICE OF SOUTHERN OKLAHOMA, LLC 1611 MAIN STREET, SUITE 204 WOODWARD OK 73801 371587 FAITH HOSPICE OF SW OKLAHOMA 1836 NW 52ND STREET, SUITE B LAWTON OK 73505 261665 FAITH HOSPICE OF THE OZARKS, LLC 123 JOHNSTON DRIVE ROGERSVILLE MO 65742 371583 FAITH HOSPICE OF WESTERN OKLAHOMA 222 WEST 3RD STREET ELK CITY OK 73644 551716 FAITH IN ANGELS HOSPICE 120 S VICTORY BLVD SUITE 203 BURBANK CA 91502 451754 FAITH PRESBYTERIAN HOSPICE 12477 MERIT DR DALLAS TX 75251 281509 FAITH REGIONAL HEALTH SERVICES HOSPICE 1500 KOENIGSTEIN NORFOLK NE 68701 141622 FAMILY CENTERED HOSPICE 2171 EXECUTIVE DRIVE ADDISON IL 60101 551666 FAMILY CHOICE HOSPICE, INC 2230 WEST CHAPMAN AVE, SUITE 135 ORANGE CA 92868 371710 FAMILY CHOICE HOSPICE, LLC 1429 SOUTH 69TH EAST AVE TULSA OK 74112 391739 FAMILY HOME MEDICAL HOSPICE INC 50 S OAK STREET MOUNT CARMEL PA 17851 391505 FAMILY HOSPICE AND PALLIATIVE CARE 6680 TOWN CENTER BLVD HUNTINGDON PA 16652 391644 FAMILY HOSPICE AND PALLIATIVE CARE 3124 WILMINGTON ROAD SUITE 305 NEW CASTLE PA 16105 551691 FAMILY HOSPICE CARE INC 255 E RINCON STREET, SUITE #315-A CORONA CA 92879 051798 FAMILY HOSPICE CARE LLC 255 NORTH EL CIELO ROAD, SUITE #300 PALM SPRINGS CA 92262 141544 FAMILY HOSPICE OF BELLEVILLE A 5110 WEST MAIN STREET BELLEVILLE IL 62226 071515 FARMINGTON VALLEY VNA INC 8 OLD MILL LANE SIMBURY CT 06070 141607 FAYETTE COUNTY HEALTH DEPARTMENT HOSPICE 416 W EDWARDS STREET VANDALIA IL 62471 391556 FAYETTE HOME CARE HOSPICE 110 YOUNGSTOWN ROAD LEMONT FURNACE PA 15456 141560 FHN HOSPICE 773 WEST LINCOLN BLVD STE 403 FREEPORT IL 61032 051721 FIRST CALL HOME CARE - HOSPICE 6929 SUNRISE BLVD, SUITE 180 CITRUS HEIGHTS CA 95610 131563 FIRST CHOICE HOME HEALTH & HOSPICE 12400 WEST OVERLAND ROAD, SUITE 100 BOISE ID 83709 011656 FIRST CHOICE HOSPICE 966 NORTH CLAXTON AVENUE ELBA AL 36323 461549 FIRST CHOICE HOSPICE 560 WEST 800 NORTH, #204 OREM UT 84057 491620 FIRST CHOICE HOSPICE 1819 VIRGINIA AVENUE HARRISONBURG VA 22802 011681 FIRST CHOICE HOSPICE ANDALUSIA 1015 S THREE NOTCH ST ANDALUSIA AL 36420 921697 FIRST CHOICE HOSPICE, INC 14328 VICTORY BLVD, SUITE 208 VAN NUYS CA 91401 011680 FIRST CHOICE HOSPICE-OZARK 1864 ANDREWS AVENUE SUITE A OZARK AL 36360 751566 FIRST SERENITY HOSPICE, INC. 10350 SANTA MONICA BLVD SUITE 210 LOS ANGELES CA 90025 231634 FIRST STATE HOSPICE CARE INC 3901 FORTUNE BLVD SAGINAW MI 48603

27 of 83 HOSPICES THAT SUCCESSFULLY MET QRP REPORTING REQUIREMENTS FOR FY 2020 APU

CCN Hospice Name Address City State ZIP 341534 FIRSTHEALTH HOSPICE 251 CAMPGROUND ROAD WEST END NC 27376 261536 FITZGIBBON MARY MONTGOMERY HOSPICE 2305 SOUTH HIGHWAY 65 - PO BOX 250 MARSHALL MO 65340 551631 FIVE STAR HOME HOSPICE 1028 N LAKE AVE, SUITE 106 PASADENA CA 91104 521557 FLAMBEAU HOME HEALTH AND HOSPICE 133 N LAKE AVE PHILLIPS WI 54555 101539 FLORIDA HOSPITAL HOSPICECARE 770 W GRANADA BLVD STE 304 ORMOND BEACH FL 32174 111524 FLOYD HEYMAN HOSPICE CARE 420 EAST SECOND AVENUE, SUITE 105 ROME GA 30161 071523 FOOTHILLS VISITING NURSE AND H 32 UNION STREET WINSTED CT 06098 921521 FOREVER HOSPICE, INC 7220 WOODMAN AVE, SUITE 204 VAN NUYS CA 91405 251519 FORREST GENERAL HOME CARE AND HOSPICE 304 SOUTH 40TH AVENUE HATTIESBURG MS 39402 451745 FORT DUNCAN HOME HEALTH AND HOSPICE CARE 2557 NORTH VETERANS BLVD EAGLE PASS TX 78852 551736 FOUNTAIN HOSPICE 2542 W 3RD ST, SUITE B LOS ANGELES CA 90057 341530 FOUR SEASONS COMPASSION FOR LIFE 571 SOUTH ALLEN ROAD FLAT ROCK NC 28731 071530 FRANCISCAN FAMILY CARE CENTER, 267 FINCH AVENUE MERIDEN CT 06451 501526 FRANCISCAN HOSPICE 2901 BRIDGEPORT WAY UNIVERSITY PLACE WA 98466 151523 FRANCISCAN HOSPICE CARE 8414 FRANCISCAN LANE INDIANAPOLIS IN 46237 151563 FRANCISCAN HOSPICE CARE 1415 SALEM ST STE 202W LAFAYETTE IN 47904 471501 FRANKLIN COUNTY HOME HEALTH & HOSPICE 3 HOME HEALTH CIRCLE SUITE 1 SAINT ALBANS VT 05478 301527 FRANKLIN VNA & HOSPICE 75 CHESTNUT STREET FRANKLIN NH 03235 921632 FREE SPIRIT HOSPICE, INC 5924 EAST LOS ANGELES AVENUE, SUITE R SIMI VALLEY CA 93063 751735 FREEDOM HOME HEALTH AND HOSPICE CARE SERVICES, INC 825 9TH ST, SUITE B MARYSVILLE CA 95901 671527 FREEDOM HOSPICE 9001 AIRPORT FREEWAY SUITE 570 NORTH RICHLAND HILLS TX 76180 061562 FREMONT REGIONAL HOSPICE 1439 MAIN STREET CANON CITY CO 81212 071541 FRIEDMAN HOME CARE AND CHAPUEZ FAMILY HOSPICE 4200 PARK AVENUE BRIDGEPORT CT 06604 061561 FRONT RANGE HOSPICE & PALLIATIVE CARE 3770 PURITAN WY, STE E FREDERICK CO 80530 021508 FRONTIER HOME HEALTH AND HOSPICE 3909 ARCTIC BLVD SUITE 102 ANCHORAGE AK 99503 271514 FRONTIER HOME HEALTH AND HOSPICE 800 FRONT ST HELENA MT 59601 501536 FRONTIER HOME HEALTH AND HOSPICE 800 JASMINE STREET, SUITE 2 OMAK WA 98841 531507 FRONTIER HOME HEALTH AND HOSPICE 230 N FIRST STREET LANDER WY 82520 531508 FRONTIER HOME HEALTH AND HOSPICE 907 N POPLAR STREET, SUITE 277 CASPER WY 82601 371570 FRONTIER HOSPICE 221 NORTH SERVICES ROAD, SUITE D MOORE OK 73160 061554 FRONTIER HOSPICE, LLC 4718 N ELIZABETH ST, SUITE A PUEBLO CO 81008 291546 GALAXY HOSPICE, INC 4055 SPENCER STREET #217 LAS VEGAS NV 89119 391778 GALLAGHER HOSPICE, LLC 1370 WASHINGTON AVENUE, 401B BRIDGEVILLE PA 15017 671589 GARDENDALE HOSPICE LLC 753 W 2ND AVE CORSICANA TX 75110 361688 GARDENS OF WESTERN RESERVE HOSPICE 3792 STATE ROAD CUYAHOGA FALLS OH 44223 161556 GATEWAY HOSPICE 103 2ND AVENUE NE CLARION IA 50525 391660 GATEWAY HOSPICE 9380 MCKNIGHT ROAD, SUITE 201 PITTSBURGH PA 15237 391533 GEISINGER HOME HEALTH & HOSPICE 410 GLENN AVE SUITE 200 BLOOMSBURG PA 17815 921622 GENERATION CARE, INC 516 PENNSFIELD PLACE, SUITE #109 THOUSAND OAKS CA 91360 361645 GENERATION HOSPICE, LLC 1435A WEST MAIN STREET NEWARK OH 43055 741706 GENERATIONS HEALTH CARE INC 2819 NW LOOP 410 SUITE B SAN ANTONIO TX 78230 521590 GENERATIONS HOSPICE 1028 S MAIN ST SUITE C FOND DU LAC WI 54935 741510 GENERATIONS HOSPICE CARE, INC. 2819 NW LOOP 410 SUITE C SAN ANTONIO TX 78230 741575 GENEROUS HOME CARE MANAGEMENT, LLC 8600 WURZBACH RD STE. 802 SAN ANTONIO TX 78240

28 of 83 HOSPICES THAT SUCCESSFULLY MET QRP REPORTING REQUIREMENTS FOR FY 2020 APU

CCN Hospice Name Address City State ZIP 161520 GENESIS HOSPICE 2546 TECH DRIVE BETTENDORF IA 52722 361521 GENESIS HOSPICE AND PALLIATIVE CARE 713 FOREST AVENUE ZANESVILLE OH 43701 451657 GENESIS HOSPICECARE 201 ST THOMAS ATHENS TX 75751 051593 GENTIVA HOSPICE 735 CARNEGIE DRIVE SUITE 240 SAN BERNARDINO CA 92408 051693 GENTIVA HOSPICE 2055 GATEWAY PLACE, SUITE 600 SAN JOSE CA 95110 051740 GENTIVA HOSPICE 5001 EAST COMMERCE CENTER DRIVE, SUITE 140 BAKERSFIELD CA 93309 111544 GENTIVA HOSPICE 1303 HIGHTOWER TRAIL, SUITE 100 ATLANTA GA 30350 161586 GENTIVA HOSPICE 1370 LAKE STREET SPIRIT LAKE IA 51360 251536 GENTIVA HOSPICE 962 TOMMY MUNRO DRIVE SUITE D & E BILOXI MS 39532 421534 GENTIVA HOSPICE 15 BRENDAN WAY SUITE 100 GREENVILLE SC 29615 451563 GENTIVA HOSPICE 1222 N. MAIN AVENUE STE 600 SAN ANTONIO TX 78212 451667 GENTIVA HOSPICE 410-A N. ED CAREY DRIVE HARLINGEN TX 78550 451682 GENTIVA HOSPICE 4440 S PIEDRAS DRIVE SUITE 125 SAN ANTONIO TX 78228 451715 GENTIVA HOSPICE 3307 NORTHLAND DRIVE SUITE 300 AUSTIN TX 78731 501534 GENTIVA HOSPICE 22820 EAST APPLEWAY AVE LIBERTY LAKE WA 99019 491527 GENTLE SHEPHERD HOSPICE INC 6045 PETERS CREEK ROAD ROANOKE VA 24019 751621 GENTLE TOUCH HOSPICE CARE, INC 6338 COLDWATER CANYON AVE N HOLLYWOOD CA 91606 741709 GENTLE TRANSITIONS HOSPICE 18683 ELM CREEK ROAD MOODY TX 76557 671682 GENUS PATRIS HOSPICE 5315 BISSONNET STREET, SUITE A BELLAIRE TX 77401 111760 GEORGIA HOSPICE CARE 141 SOUTH MACON STREET JESUP GA 31545 111532 GEORGIA MOUNTAIN HOSPICE, INC. 70 CARING WAY JASPER GA 30143 551502 GERINET HEALTHCARE 12620 ERICKSON AVENUE, SUITE A DOWNEY CA 90242 551546 GERINET HEALTHCARE 2025 N GLENOAKS BLVD, SUITE 100 BURBANK CA 91504 421508 GHS HOSPICE OF THE FOOTHILLS 390 KEOWEE SCHOOL ROAD SENECA SC 29672 211526 GILCHRIST HOSPICE CARE - JOSEPH RICHEY HOUSE 11311 MCCORMICK ROAD, STE 350 HUNT VALLEY MD 21031 551782 GL HOSPICE CARE, INC 4730 WOODMAN AVE, STE 460 SHERMAN OAKS CA 91423 241502 GLACIAL RIDGE HOSPICE 219 1ST STREET SE GLENWOOD MN 56334 271517 GLENDIVE MEDICAL CENTER HOSPICE 1221 E AMES AVE GLENDIVE MT 59330 921696 GLENOAKS HOSPICE, INC 2003 WEST BURBANK BLVD BURBANK CA 91506 921637 GLOBAL HOME HOSPICE SERVICE, INC 529 N CURTIS AVE COVINA CA 91723 671519 GLOBAL HOSPICE CARE INC 1817 WYOMING AVENUE SUITE A EL PASO TX 79903 741681 GLOBAL HOSPICE CARE INC 10920 COMPOSITE DRIVE SUITE A DALLAS TX 75220 111715 GLORY HOSPICE AND PALLIATIVE CARE 114 ENTERPRISE COURT COLUMBUS GA 31904 921584 GOLD CARE HOSPICE, INC 6454 VAN NUYS BLVD, SUITE 214 VAN NUYS CA 91401 751733 GOLDEN ANGEL HOSPICE INC 280 N BENSON AVENUE SUITE 11 UPLAND CA 91786 751798 GOLDSTAR HOSPICE, INC 4629 VAN NUYS BLVD SUITE G SHERMAN OAKS CA 91403 921610 GOOD CARE HOSPICE, INC 7311 VAN NUYS BLVD, SUITE 6 VAN NUYS CA 91405 371660 GOOD JOURNEY HOSPICE LLC 14106C ACME ROAD SHAWNEE OK 74804 371692 GOOD NEIGHBOR HOSPICE 1122 N MAIN STE B MUSKOGEE OK 74401 141640 GOOD SAMARITAN HOSPICE 11190 COUNTRY CLUB RD LAWRENCEVILLE IL 62439 151526 GOOD SAMARITAN HOSPICE 520 S 7TH ST VINCENNES IN 47591 921631 GOOD SAMARITAN HOSPICE & PALLIATIVE CARE, INC 725 S GLENDALE AVENUE, STE M GLENDALE CA 91205 491510 GOOD SAMARITAN HOSPICE INC 2408 ELECTRIC ROAD SW ROANOKE VA 24018 011676 GOOD SAMARITAN HOSPICE OF MADISON 540 HUGHES ROAD, SUITE 12 MADISON AL 35758

29 of 83 HOSPICES THAT SUCCESSFULLY MET QRP REPORTING REQUIREMENTS FOR FY 2020 APU

CCN Hospice Name Address City State ZIP 391629 GOOD SAMARITAN HOSPICE OF PITTSBURGH 116 BROWNS HILL ROAD SUITE 100 VALENCIA PA 16059 161591 GOOD SAMARITAN SOCIETY HOME CARE AND HOSPICE 1111 NORTH QUINCY AVENUE, SUITE 127 OTTUMWA IA 52501 031584 GOOD SAMARITAN SOCIETY PRESCOTT HOSPICE 1065 RUTH STREET, SUITE 108-109 PRESCOTT AZ 86301 221500 GOOD SHEPHERD COMMUNITY CARE 90 WELLS AVENUE NEWTON MA 02459 341554 GOOD SHEPHERD HOME HLTH & HOSP 125 MEDICAL PARK LANE SUITE H MURPHY NC 28906 101550 GOOD SHEPHERD HOSPICE 3470 LAKELAND HILLS BLVD LAKELAND FL 33805 171561 GOOD SHEPHERD HOSPICE 7829 E ROCKHILL STE 403 WICHITA KS 67206 241540 GOOD SHEPHERD HOSPICE 503 EAST LINCOLN STREET HENDRICKS MN 56136 331544 GOOD SHEPHERD HOSPICE 110 BI-COUNTY BOULEVARD, SUITE 114 FARMINGDALE NY 11735 371575 GOOD SHEPHERD HOSPICE 4343 SOUTH 118TH EAST AVE, SUITE 160 TULSA OK 74146 461560 GOOD SHEPHERD HOSPICE - VERNAL 266 WEST 100 NORTH, SUITE 2 VERNAL UT 84078 451799 GOOD SHEPHERD HOSPICE OF DALLAS LLC 7920 BELT LINE ROAD SUITE 760 DALLAS TX 75254 671783 GOOD SHEPHERD HOSPICE OF HOUSTON LLC 14511 FALLING CREEK DR SUITE 204 HOUSTON TX 77014 171582 GOOD SHEPHERD HOSPICE OF MID AMERICA INC 11267 STRANGE LINE ROAD LENEXA KS 66215 261595 GOOD SHEPHERD HOSPICE OF MID AMERICA INC 123 WEST KANSAS AVENUE INDEPENDENCE MO 64050 671793 GOOD SHEPHERD HOSPICE OF SAN ANTONIO, L.L.C. 4241 PIEDRAS DR. STE. 171 SAN ANTONIO TX 78228 261638 GOOD SHEPHERD HOSPICE OF SPRINGFIELD, LLC 3250 SOUTH NATIONAL AVENUE SPRINGFIELD MO 65807 371538 GOOD SHEPHERD HOSPICE, INC 4350 WILL ROGERS PARKWAY, SUITE 400 OKLAHOMA CITY OK 73108 371574 GOOD SHEPHERD HOSPICE, INC 1120 NEO LOOP GROVE OK 74344 491553 GOODWIN HOUSE PALLIATIVE CARE AND HOSPICE 3440 SOUTH JEFFERSON STREET FALLS CHURCH VA 22041 151527 GOSHEN HOME CARE AND HOSPICE 1721 S MAIN ST PO BOX 723 GOSHEN IN 46526 251641 GRACE COMMUNITY HOSPICE 808 EAST SUNFLOWER ROAD CLEVELAND MS 38732 311563 GRACE HEALTHCARE SERVICES LLC 105 FIELDCREST AVENUE, SUITE 402 EDISON NJ 08837 151607 GRACE HOSPICE 5838 WEST BRICK RD, SUITE 101 SOUTH BEND IN 46628 231611 GRACE HOSPICE 500 KIRTS BLVD, SUITE 250 TROY MI 48084 231628 GRACE HOSPICE 3355 EAGLE PARK DRIVE NE, SUITE 102 GRAND RAPIDS MI 49525 231643 GRACE HOSPICE 2725 AIRVIEW BLVD, STE 101 PORTAGE MI 49002 241595 GRACE HOSPICE 1015 4TH AVENUE NORTH STE 206 MINNEAPOLIS MN 55405 491609 GRACE HOSPICE 7447 BUSINESS PARK DRIVE, SUITE 102 NORFOLK VA 23513 521598 GRACE HOSPICE 2514 S 102ND ST SUITE 276 WEST ALLIS WI 53227 361701 GRACE HOSPICE 7206 MARKET STREET SUITE B YOUNGSTOWN OH 44512 251693 GRACE HOSPICE ( BATESVILLE) 510 HIGHWAY 51 SOUTH, SUITE 4 BATESVILLE MS 38606 191653 GRACE HOSPICE AND PALLIATIVE CARE, LLC 217 RUE LOUIS XIV, SUITE 100 LAFAYETTE LA 70508 361621 GRACE HOSPICE OF OHIO 355 EAST CAMPUS VIEW BLVD, SUITE 270 COLUMBUS OH 43235 371595 GRACE HOSPICE OF OKLAHOMA, L L C 6218 SOUTH LEWIS AVE, SUITE 1000 TULSA OK 74136 451755 GRACE HOSPICE OF TEXAS 2325 TIMBER SHADOWS DR SUITE B KINGWOOD TX 77339 431520 GRACE OF THE PINES HOSPICE LLC 646 JENNINGS AVE, SUITE 18 HOT SPRINGS SD 57747 751779 GRACEFUL CARE HOSPICE, INC 2082 NEWBURY ROAD, SUITE #12 NEWBURY PARK CA 91320 551644 GRACEFUL PALMS HOSPICE AND PALLIATIVE CARE CORP. 40015 SIERRA HIGHWAY, SUITE B280 PALMDALE CA 93550 551748 GRACELAND HOSPICE CARE 360 WEST CERRITOS AVENUE ANAHEIM CA 92805 671659 GRACIA HOSPICE CARE 717 EAST ESPERANZA AVENUE MCALLEN TX 78501 551647 GRACIOUS HOSPICE, LLC 434 S EUCLID STEET, SUITE 188 ANAHEIM CA 92802 461518 GRAND COUNTY HOSPICE 450 WEST WILLIAMS WAY MOAB UT 84532 361636 GRAND LAKE HOSPICE 1122 EAST SPRING STREET SAINT MARYS OH 45885

30 of 83 HOSPICES THAT SUCCESSFULLY MET QRP REPORTING REQUIREMENTS FOR FY 2020 APU

CCN Hospice Name Address City State ZIP 751748 GRAND TERRACE HOSPICE 22737 BARTON ROAD SUITE 11 GRAND TERRACE CA 92313 391557 GRAND VIEW HOSPICE 700 LAWN AVENUE SELLERSVILLE PA 18960 381541 GRANDE RONDE HOSPITAL HOSPICE 909 ADAMS AVENUE LA GRANDE OR 97850 391674 GRANE HOSPICE CARE 260 ALPHA DRIVE SUITE 100 PITTSBURGH PA 15238 391732 GRANE HOSPICE CARE 1200 CAMP HILL BYPASS, SUITE 205 CAMP HILL PA 17011 391693 GRANE HOSPICE CARE INC 115 UNION AVENUE ALTOONA PA 16602 391765 GRANE HOSPICE CARE, INC 1012 WEST 9TH AVENUE, SUITE 120 KING OF PRUSSIA PA 19406 521540 GRANT COUNTY HOSPICE 111 S JEFFERSON ST FLOOR 2 LANCASTER WI 53813 511519 GRANT MEMORIAL HOSPICE 100 HOSPITAL DRIVE, SUITE 2 PETERSBURG WV 26847 221602 GREAT LAKES CARE 12 KENT WAY, SUITE 210 BYFIELD MA 01922 171536 GREAT LAKES CARING 3715 SW 29TH ST STE 100 TOPEKA KS 66614 361634 GREAT LAKES CARING 1530 WEST MARKET STREET AKRON OH 44313 231646 GREAT LAKES CARING HOSPICE E MI 19176 HALL ROAD, SUITE 130 CLINTON TOWNSHIP MI 48038 261596 GREAT LAKES CARING, A PART OF ELARA 9233 WARD PARKWAY SUITE 201 KANSAS CITY MO 64114 231581 GREAT LAKES CARING, A PART OF ELARA CARING NETWORK 900 COOPER STREET JACKSON MI 49202 141596 GREAT LAKES CARING, A PART OF THE ELARA CARING NET 1400 EAST TOUHY AVENUE SUITE 160 DES PLAINES IL 60018 141692 GREAT LAKES CARING, A PART OF THE ELARA CARING NET 924 CLOCKTOWER DRIVE SUITE B SPRINGFIELD IL 62704 151591 GREAT LAKES CARING, A PART OF THE ELARA CARING NET 2751 ALBRIGHT RD KOKOMO IN 46902 151616 GREAT LAKES CARING, A PART OF THE ELARA CARING NET 1620 HAWTHORNE DR, SUITE 500 PLAINFIELD IN 46168 231579 GREAT LAKES CARING, A PART OF THE ELARA CARING NET 30400 TELEGRAPH RD, SUITE 334 BINGHAM FARMS MI 48025 231644 GREAT LAKES CARING, A PART OF THE ELARA CARING NET 203 SOUTH STATE STREET BIG RAPIDS MI 49307 391605 GREAT LAKES HOSPICE 1700 PEACH STREET SUITE 244 ERIE PA 16501 281515 GREAT PLAINS HEALTH HOME HEALTH & HOSPICE 601 WEST LEOTA ST NORTH PLATTE NE 69101 161567 GREAT RIVER HOSPICE 1306 SOUTH WASHINGTON ROAD WEST BURLINGTON IA 52655 221588 GREATER MEDFORD VISITING NURSE & COMMUNITY HLTH 37 BROADWAY, 2ND FLOOR ARLINGTON MA 02474 671629 GREATER VALLEY HOSPICE ALLIANCE LP 605 MACO DRIVE HARLINGEN TX 78550 741636 GREEN HILLS HOSPICE LLC 2665 VILLA CREEK DRIVE SUITE 254 DALLAS TX 75234 921604 GREEN VALLEY HOSPICE & PALLIATIVE CARE, INC 19031 HIGHWAY 18, SUITE 160 APPLE VALLEY CA 92307 751795 GREEN VALLEY HOSPICE CARE, INC 1720 E GARRY AVE, SUITE 120 SANTA ANA CA 92705 751536 GREENTREE HOSPICE CARE 215 N STATE COLLEGE BLVD, SUITE D ANAHEIM CA 92806 921509 GRIGMAR HOSPICE AND PALLIATIVE CARE, INC. 14640 VICTORY BLVD., SUITE 208 VAN NUYS CA 91411 161541 GRINNELL REGIONAL HOSPICE 306 4TH AVENUE, SUITE A GRINNELL IA 50112 421601 GROVE PARK PHARMACY HOSPICE 1324 CHESTNUT STREET ORANGEBURG SC 29115 921666 GSR HOSPICE, INC 837 N LA CADENA DRIVE, SUITE B COLTON CA 92324 361673 GUARDIAN ANGEL HOME CARE HOSPICE SERVICES INC 2641 SOUTH ARLINGTON ROAD AKRON OH 44319 231615 GUARDIAN ANGEL HOME HEALTH, HOSPICE DIVISION 1715 NORTHFIELD DRIVE ROCHESTER MI 48309 191575 GUARDIAN ANGEL HOSPICE 825 LITTLE FARMS, AVE, STE D METAIRIE LA 70003 151577 GUARDIAN ANGEL HOSPICE INC 513 W LINCOLN RD KOKOMO IN 46902 241578 GUARDIAN ANGELS ELIM HOSPICE 403 MAIN STREET ELK RIVER MN 55330 671652 GUARDIAN HOSPICE 2009 INDEPENDENCE DR SUITE 100 SHERMAN TX 75090 191637 GUARDIAN HOSPICE CARE,LLC 5212 RUE VERDUN ALEXANDRIA LA 71303 441591 GUARDIAN HOSPICE OF NASHVILLE, LLC 741 COOL SPRINGS BOULEVARD, SUITE 102 FRANKLIN TN 37067 371712 GUARDIAN HOSPICE OF OKLAHOMA 1055 NORTH SERVICE ROAD CALERA OK 74730 741557 GUIDING HOSPICE INC. 2681 GATTIS SCHOOL ROAD, SUITE 180 ROUND ROCK TX 78664

31 of 83 HOSPICES THAT SUCCESSFULLY MET QRP REPORTING REQUIREMENTS FOR FY 2020 APU

CCN Hospice Name Address City State ZIP 101532 GULFSIDE HOSPICE 2061 COLLIER PKWY LAND O LAKES FL 34639 521572 GUNDERSEN LUTHERAN MEDICAL CENTER 1910 SOUTH AVE EB0-002 LA CROSSE WI 54601 161521 GUNDERSEN PALMER LUTHERAN HOSP AND CLINICS-HOSPICE 200 JEFFERSON STREET WEST UNION IA 52175 061537 GUNNISON VALLEY HEALTH HOSPICE AND PALLIATIVE CARE 120 NORTH BOULEVARD GUNNISON CO 81230 461521 GUNNISON VALLEY HOSPICE 45 EAST 100 NORTH GUNNISON UT 84634 391564 GUTHRIE HOSPICE 421 TOMAHAWK ROAD TOWANDA PA 18848 221529 GVNA HEALTHCARE INC 34 PEARLY LANE GARDNER MA 01440 551520 H & A HOSPICE INC 4511 ALAMO STREET SIMI VALLEY CA 93063 311533 HACKENSACK MERIDIAN HEALTH HOSPICE 1340 CAMPUS PARKWAY, SUITE A3 NEPTUNE NJ 07753 551671 HAGA HOSPICE, INC 5627 SEPULVEDA BLVD., SUITE 230 VAN NUYS CA 91411 741538 HALCYON HOME LLC 8133 MESA DR STE 200 AUSTIN TX 78759 111624 HALCYON HOSPICE 2295 PARKLAKE DRIVE NE, SUITE 190 ATLANTA GA 30345 111632 HALCYON HOSPICE 515 NORTH SAINT AUGUSTINE ROAD, SUITE D VALDOSTA GA 31601 111634 HALCYON HOSPICE 102 MARY ALICE PARK ROAD, SUITE 101 CUMMING GA 30040 111700 HALCYON HOSPICE 327 WESTVIEW DRIVE VILLA RICA GA 30180 421596 HALCYON HOSPICE 140 STONERIDGE DRIVE, SUITE 630 COLUMBIA SC 29210 061564 HALCYON HOSPICE AND PALLIATIVE CARE 209 MAIN STREET SUITE B MEAD CO 80542 251595 HALCYON HOSPICE- BATESVILLE 270 POWER DRIVE BATESVILLE MS 38606 251661 HALCYON HOSPICE- HATTIESBURG 1 LINCOLN PARKWAY, SUITE 303 HATTIESBURG MS 39402 421597 HALCYON HOSPICE OF AIKEN 225 BARNWELL AVE NW AIKEN SC 29801 251677 HALCYON HOSPICE- PHILADELPHIA 1012 EAST MAIN STREET PHILADELPHIA MS 39350 101522 HALIFAX HEALTH HOSPICE 3800 WOODBRIAR TRAIL PORT ORANGE FL 32129 221537 HALLMARK HEALTH VNA AND HOSPICE, INC 178 SAVIN STREET, SUITE 300 MALDEN MA 02148 371655 HALO HOSPICE 314 EAST MAIN ADA OK 74820 111500 HAMILTON MEDICAL CENTER- HOSPICE 517 BENJAMIN WAY, SUITE 400 DALTON GA 30720 921531 HAMPTON HOSPICE CARE, INC 6560 VAN BUREN BLVD, SUITE G RIVERSIDE CA 92503 151547 HANCOCK REGIONAL HOSPICE 801 N STATE STREET GREENFIELD IN 46140 171518 HAND IN HAND HOSPICE 1201 W 12TH AVE EMPORIA KS 66801 671518 HAND IN HAND HOSPICE 208 SOUTH 31ST STREET CORSICANA TX 75110 131547 HANDS OF HOPE HOSPICE 1379 EAST 17TH STREET IDAHO FALLS ID 83401 451550 HANSFORD HOSPICE 712 SOUTH ROLAND SPEARMAN TX 79081 111621 HARBOR GRACE HOSPICE, INC 500 LANIER AVENUE WEST, SUITE 401 FAYETTEVILLE GA 30214 231508 HARBOR HOSPICE 1050 WEST WESTERN AVENUE, SUITE 400 MUSKEGON MI 49441 741705 HARBOR HOSPICE OF HARLINGEN LP 6521 NORTH 10TH STREET, SUITE E2 MCALLEN TX 78504 741550 HARBOR HOSPICE OF NORTH DALLAS - FORT WORTH, LP 2617 BOLTON BOONE DRIVE SUITE C1 DESOTO TX 75115 741555 HARBOR HOSPICE OF NORTH SAN ANTONIO LP 18838 STONE OAK PKWY STE 204 A SAN ANTONIO TX 78258 741501 HARBOR HOSPICE OF SOUTH HOUSTON, LP 1011 SOUTH HIGHWAY 6 SUITE 216 HOUSTON TX 77077 671774 HARBOR HOSPICE OF SOUTHEAST HOUSTON LP 11990 KIRBY DRIVE HOUSTON TX 77045 741574 HARBOR HOSPICE OF WEST DALLAS FORT WORTH LP 4070 SANDSHELL DR SUITE A FORT WORTH TX 76137 141569 HARBOR LIGHT HOSPICE 800 ROOSEVELT ROAD BLDG C STE 206 GLEN ELLYN IL 60137 151544 HARBOR LIGHT HOSPICE 1229 ARROWHEAD COURT CROWN POINT IN 46307 361602 HARBOR LIGHT HOSPICE 677 H ALPHA DRIVE HIGHLAND HEIGHTS OH 44143 501525 HARBORS HOME HEALTH AND HOSPICE 201 7TH STREET HOQUIAM WA 98550 301534 HARBORSIDE HOSPICE LLC 23 ATKINSON DEPOT RD STE 105 PLAISTOW NH 03865

32 of 83 HOSPICES THAT SUCCESSFULLY MET QRP REPORTING REQUIREMENTS FOR FY 2020 APU

CCN Hospice Name Address City State ZIP 221606 HARBORSIDE HOSPICE OF MASSACHUSETTS, LLC 241 WINTER STREET, SUITE 201, P O BOX 930 HAVERHILL MA 01831 671593 HARBOUR HOSPICE 12915 JONES MALTSBERGER SUITE #501 SAN ANTONIO TX 78247 321555 HARMONY HOME HEALTH SERVICES, LLC 5700 HARPER DRIVE NE, SUITE 280 ALBUQUERQUE NM 87109 111739 HARMONY HOSPICE 110 HARMONY CROSSING, SUITE 1 EATONTON GA 31024 291514 HARMONY HOSPICE 6090 S FORT APACHE RD STE 130 LAS VEGAS NV 89148 461519 HARMONY HOSPICE 5650 GREEN STREET MURRAY UT 84123 751541 HARMONY HOSPICE CARE, INC 6422 BELLINGHAM AVE, STE 205 N HOLLYWOOD CA 91606 031661 HARMONY HOSPICE OF ARIZONA 1740 EAST BEVERLY AVENUE, SUITE B KINGMAN AZ 86409 191663 HARMONY HOSPICE, LLC 3621 RIDELAKE DRIVE, SUITE 200 METAIRIE LA 70002 381525 HARNEY COUNTY HOSPICE 415 NORTH FAIRVIEW AVE BURNS OR 97720 251569 HARPERS HOSPICE CARE INC 1703 24TH AVENUE MERIDIAN MS 39301 451777 HARRIS HOSPICE INC 522 S EDMONDS LANE SUITE 103 LEWISVILLE TX 75067 341549 HARRIS PALLIATIVE CARE AND HOSPICE 81 MEDICAL PARK LOOP, SUITE 204 SYLVA NC 28779 261541 HARRISON COUNTY HOSPICE PO BOX 425 BETHANY MO 64424 131553 HARRISON'S HOPE 3137 S MERIDIAN RD, SUITE 120 MERIDIAN ID 83642 131564 HARRISON'S HOPE TWIN FALLS 401 GOODINGS ST N SUITE 107 TWIN FALLS ID 83301 171500 HARRY HYNES MEMORIAL HOSPICE 313 S MARKET STREET WICHITA KS 67202 071507 HARTFORD HEALTHCARE AT HOME 1 NORTHWESTERN DRIVE, SUITE 101 BLOOMFIELD CT 06002 551721 HAVEN HEALTH 2895 TEMPLE AVE SIGNAL HILL CA 90755 101515 HAVEN HOSPICE 4200 NW 90TH BLVD GAINESVILLE FL 32606 261662 HAVEN HOSPICE 850 NORTH 25TH STREET OZARK MO 65721 191576 HAYDEL MEMORIAL HOSPICE 1297 ST CHARLES STREET, SUITE H HOUMA LA 70360 341550 HAYWOOD HOSPICE AND PALLIATIVE CARE 127 SUNSET RIDGE ROAD CLYDE NC 28721 921621 HEALING ANGELS HOSPICE 116 E BROADWAY, SUITE 202 GLENDALE CA 91205 751514 HEALING CARE HOSPICE, INC 8255 FIRESTONE BLVD SUITE 403 DOWNEY CA 90241 551788 HEALING HANDS CARE, INC 220 N GLENOAKS BLVD SUITE C BURBANK CA 91502 371545 HEALTH WATCH HOSPICE OF GUYMON,LLC 1106-1110 NORTH ELLISON STREET GUYMON OK 73942 221524 HEALTH ALLIANCE HOME HEALTH AND HOSPICE 60 HOSPITAL ROAD LEOMINSTER MA 01453 191665 HEALTH CARE OPTIONS HOSPICE OF LAFAYETTE, INC 128 NORTH DEMANADE BLVD, SUITE 207 LAFAYETTE LA 70503 551630 HEALTH ESSENTIALS LLC 8765 AERO DRIVE, SUITE 226 SAN DIEGO CA 92123 551692 HEALTH ESSENTIALS LLC 560 E HOSPITALITY LANE, SUITE 300 SAN BERNARDINO CA 92408 551784 HEALTH FIRST HOSPICE, INC 12158 HAMLIN STREET, STE 6 N HOLLYWOOD CA 91606 241504 HEALTHEAST HOSPICE 1700 UNIVERSITY AVENUE SAINT PAUL MN 55104 341541 HEALTHKEEPERZ, INC 4155 FERNCREEK DRIVE, SUITE 201 FAYETTEVILLE NC 28314 241520 HEALTHPARTNERS HOSPICE AND PALLIATIVE CARE 8170 33 RD AVENUE SOUTH MAIL STP 26602A BLOOMINGTON MN 55425 201500 HEALTHREACH HOMECARE & HOSPICE 10 WATER STREET SUITE 307 WATERVILLE ME 04901 921719 HEALTHY CHOICE HOSPICE INC 14827 VENTURA BLVD, SUITE 226 SHERMAN OAKS CA 91403 171597 HEART & SOUL HOSPICE 2414 NORTH WOODLAWN BLVD WICHITA KS 67220 261614 HEART & SOUL HOSPICE 412 CAYCEE FARMINGTON MO 63640 131545 HEART N HOME HOSPICE & PALLIATIVE CARE 1107 NW 11TH STREET FRUITLAND ID 83619 381539 HEART 'N HOME HOSPICE & PALLIATIVE CARE, LLC 51681 HUNTINGTON ROAD LA PINE OR 97739 351509 HEART OF AMERICA HOSPICE 800 MAIN AVE S RUGBY ND 58368 111511 HEART OF GEORGIA HOSPICE, INC 103 WESTRIDGE DRIVE WARNER ROBINS GA 31088 921603 HEART OF GOLD HOSPICE, INC 4110 EDISON AVENUE, SUITE 200A CHINO CA 91710

33 of 83 HOSPICES THAT SUCCESSFULLY MET QRP REPORTING REQUIREMENTS FOR FY 2020 APU

CCN Hospice Name Address City State ZIP 921684 HEART OF HOPE ASIAN AMERICAN HOSPICE CARE, A NONPR 1922 THE ALAMEDA, SUITE 215 SAN JOSE CA 95126 191515 HEART OF HOSPICE 1001 BAYOU PLACE ALEXANDRIA LA 71303 191588 HEART OF HOSPICE 15781 PROFESSIONAL PLAZA HAMMOND LA 70403 191611 HEART OF HOSPICE 14777 HWY 90 FRONTAGE ROAD FRANKLIN LA 70538 191642 HEART OF HOSPICE 750 BAYOU PINES EAST SUITE A LAKE CHARLES LA 70601 191649 HEART OF HOSPICE 1700 BELLE CHASSE HWY, BLDG B STE 230 GRETNA LA 70056 381554 HEART OF HOSPICE 2621 WASCO STREET HOOD RIVER OR 97031 041547 HEART OF HOSPICE, LLC 2910 JENNY LIND # 4 FORT SMITH AR 72901 191622 HEART OF HOSPICE, LLC 1816 GLENMAR AVENUE, SUITE 2 MONROE LA 71201 191638 HEART OF HOSPICE, LLC 1100 BERTRAND DRIVE LAFAYETTE LA 70506 371554 HEART OF HOSPICE, LLC 2703 NORTH BROADWAY POTEAU OK 74953 251703 HEART OF HOSPICE, LLC - DELTA 810 EAST SUNFLOWER ROAD, SUITE 100-C CLEVELAND MS 38732 251706 HEART OF HOSPICE, LLC - SOUTHERN 12 MELODY LANE COLLINS MS 39428 451712 HEART OF TEXAS HOSPICE 18568 FORTY SIX PARKWAY SUITE 3001A SPRING BRANCH TX 78070 741715 HEART OF TEXAS HOSPICE 18568 FORTY SIX PARKWAY SUITE 3001B SPRING BRANCH TX 78070 231625 HEART TO HEART HOSPICE 30600 TELEGRAPH RD, SUITE 1131 BINGHAM FARMS MI 48025 671529 HEART TO HEART HOSPICE OF AUSTIN LTD 4009 BANISTER LANE SUITE 100 AUSTIN TX 78704 151587 HEART TO HEART HOSPICE OF CENTRAL INDIANA LLC 1385 N BALDWIN AVE MARION IN 46952 741531 HEART TO HEART HOSPICE OF DALLAS 118 E 12TH STREET SUITE B-1 DALLAS TX 75203 671591 HEART TO HEART HOSPICE OF EAST TEXAS LLC 100 WEST HAWKINS PKWY SUITE A LONGVIEW TX 75605 231617 HEART TO HEART HOSPICE OF FLINT 2029 S ELMS ROAD SWARTZ CREEK MI 48473 671505 HEART TO HEART HOSPICE OF FORT WORTH LLC 5608 MALVEY AVE STE 200 FORT WORTH TX 76107 671542 HEART TO HEART HOSPICE OF GREATER HOUSTON LLC 12929 GULF FREEWAY SUITE 300 HOUSTON TX 77034 671660 HEART TO HEART HOSPICE OF HOUSTON, LLC. 719 SAWDUST ROAD, SUITE #210 THE WOODLANDS TX 77380 151597 HEART TO HEART HOSPICE OF INDIANAPOLIS LLC 2611 WATERFRONT PARKWAY EAST DRIVE INDIANAPOLIS IN 46214 671601 HEART TO HEART HOSPICE OF LUFKIN LLC 209 CHRISTIE STREET LUFKIN TX 75904 671730 HEART TO HEART HOSPICE OF NORTH TEXAS LLC 600 EAST TAYLOR STREET SUITE 3005 SHERMAN TX 75090 151608 HEART TO HEART HOSPICE OF NORTHERN INDIANA LLC 620 W EDISON ROAD, SUITE 122 MISHAWAKA IN 46545 671533 HEART TO HEART HOSPICE OF SAN ANTONIO LLC 1000 CENTRAL PARKWAY NORTH, SUITE 110 SAN ANTONIO TX 78231 741661 HEART TO HEART HOSPICE OF SAN MARCOS LLC 1340 WONDER WORLD DRIVE SUITE 4202 SAN MARCOS TX 78666 231620 HEART TO HEART HOSPICE OF SOUTHGATE, LLC 1 HERITAGE PLACE, SUITE 107 SOUTHGATE MI 48195 151514 HEART TO HEART HOSPICE OF SOUTHWEST INDIANA LLC 415 E 6TH STREET JASPER IN 47546 151612 HEART TO HEART HOSPICE OF TERRE HAUTE, LLC 4529 SOUTH SEVENTH STREET TERRE HAUTE IN 47802 451741 HEART TO HEART HOSPICE OF TEXAS LTD 1406 HALSEY WAY STE 110 CARROLLTON TX 75007 741527 HEART TO HEART HOSPICE OF THE BAY AREA 1200 W HENDERSON STREET SUITE I CLEBURNE TX 76033 671577 HEART TO HEART HOSPICE OF THE GULF COAST, LLC. 550 FANNIN, STE 1200 BEAUMONT TX 77701 451756 HEART TO HEART HOSPICE OF TYLER LTD 7925 S BROADWAY AVENUE SUITE 1140 TYLER TX 75703 741624 HEART TO HEART HOSPICE OF WEST HOUSTON 12345 JONES ROAD SUITE 190 HOUSTON TX 77070 111513 HEARTH HOSPICE 2636 BATTLEFIELD PKWY, SUITE 101 FORT OGLETHORPE GA 30742 441600 HEARTH HOSPICE 1800A ROSSVILLE AVE SUITE 114 CHATTANOOGA TN 37408 521568 HEARTLAND HHC AND HOSPICE 1233 N MAYFAIR RD SUITE 100 MILWAUKEE WI 53226 521569 HEARTLAND HHC AND HOSPICE 1145 W MAIN AVE SUITE 205 DE PERE WI 54115 521579 HEARTLAND HHC AND HOSPICE N6650 ROLLING MEADOWS DR SUITE 1 FOND DU LAC WI 54937 341587 HEARTLAND HOME HEALTH AND HOSPICE 4505 FALLS OF NEUSE ROAD, SUITE 650 RALEIGH NC 27609

34 of 83 HOSPICES THAT SUCCESSFULLY MET QRP REPORTING REQUIREMENTS FOR FY 2020 APU

CCN Hospice Name Address City State ZIP 361589 HEARTLAND HOME HEALTH CARE & HOSPICE 580 LINCOLN PARK BLVD, SUITE 320 KETTERING OH 45429 361595 HEARTLAND HOME HEALTH CARE & HOSPICE 905-907 WEST STATE STREET FREMONT OH 43420 361610 HEARTLAND HOME HEALTH CARE & HOSPICE 205 NORTH STREET LUCASVILLE OH 45648 361620 HEARTLAND HOME HEALTH CARE & HOSPICE 6500 BUSCH BLVD, SUITE 210 COLUMBUS OH 43229 491545 HEARTLAND HOME HEALTH CARE & HOSPICE 5041 CORPORATE WOODS DRIVE, SUITE 200 VIRGINIA BEACH VA 23462 051741 HEARTLAND HOME HEALTH CARE AND HOSPICE 725 W TOWN & COUNTRY ROAD, SUITE 130 ORANGE CA 92868 101549 HEARTLAND HOME HEALTH CARE AND HOSPICE 8130 BAYMEADOWS WAY W STE 201 JACKSONVILLE FL 32256 141586 HEARTLAND HOME HEALTH CARE AND HOSPICE 2100 SANDERS ROAD STE 100 NORTHBROOK IL 60062 141636 HEARTLAND HOME HEALTH CARE AND HOSPICE 333 SALEM PLACE, SUITE 165 FAIRVIEW HEIGHTS IL 62208 151521 HEARTLAND HOME HEALTH CARE AND HOSPICE 1315 DIRECTORS ROW STE 210 FORT WAYNE IN 46808 231550 HEARTLAND HOME HEALTH CARE AND HOSPICE 1426 STRAITS DRIVE BAY CITY MI 48706 231569 HEARTLAND HOME HEALTH CARE AND HOSPICE 26211 CENTRAL PARK BLVD, SUITE 600 SOUTHFIELD MI 48076 231572 HEARTLAND HOME HEALTH CARE AND HOSPICE 3840 PACKARD ROAD, SUITE 260 ANN ARBOR MI 48108 231576 HEARTLAND HOME HEALTH CARE AND HOSPICE 564 PROGRESS STREET WEST BRANCH MI 48661 231582 HEARTLAND HOME HEALTH CARE AND HOSPICE 3230 EAGLE PARK DRIVE NE, SUITE 200 GRAND RAPIDS MI 49525 231588 HEARTLAND HOME HEALTH CARE AND HOSPICE 865 SOUTH CEDAR STREET MASON MI 48854 231589 HEARTLAND HOME HEALTH CARE AND HOSPICE 6211 TAYLOR DRIVE FLINT MI 48507 241554 HEARTLAND HOME HEALTH CARE AND HOSPICE 2685 LONG LAKE ROAD, SUITE 105 ROSEVILLE MN 55113 241579 HEARTLAND HOME HEALTH CARE AND HOSPICE 821 3RD AVE SE STE 15 ROCHESTER MN 55904 261572 HEARTLAND HOME HEALTH CARE AND HOSPICE 1001 EAST 101ST TERRACE, SUITE 180 KANSAS CITY MO 64131 361584 HEARTLAND HOME HEALTH CARE AND HOSPICE 4807 ROCKSIDE ROAD, SUITE 110 INDEPENDENCE OH 44131 391532 HEARTLAND HOME HEALTH CARE AND HOSPICE 613 BALTIMORE DRIVE SUITE 3 WILKES-BARRE PA 18702 391570 HEARTLAND HOME HEALTH CARE AND HOSPICE 460 NORRISTOWN ROAD SUITE 101 BLUE BELL PA 19422 391610 HEARTLAND HOME HEALTH CARE AND HOSPICE 750 HOLIDAY DR FOSTER PLAZA 9 STE 110 PITTSBURGH PA 15220 391638 HEARTLAND HOME HEALTH CARE AND HOSPICE 3417C CONCORD ROAD YORK PA 17402 391684 HEARTLAND HOME HEALTH CARE AND HOSPICE 5 CHRISTY DRIVE SUITE 103 CHADDS FORD PA 19317 491617 HEARTLAND HOME HEALTH CARE AND HOSPICE 2800 ELECTRIC ROAD SOUTHWEST SUITE 105 C ROANOKE VA 24018 241575 HEARTLAND HOME HLTH C & HOSPICE 1257 2ND STREET NORTH SAUK RAPIDS MN 56379 171534 HEARTLAND HOME HLTH CARE & HOSPICE 2231 SW WANAMAKER RD STE 202 TOPEKA KS 66614 171528 HEARTLAND HOME HLTH CARE/HOSPI 2872 N RIDGE ROAD SUITE 122 WICHITA KS 67205 141619 HEARTLAND HOSPICE 20960 S FRANKFORT SQUARE ROAD, UNIT C FRANKFORT IL 60423 031548 HEARTLAND HOSPICE SERVICES 3112 NORTH SWAN ROAD TUCSON AZ 85712 051690 HEARTLAND HOSPICE SERVICES 2005 DE LA CRUZ BOULEVARD, SUITE 271 SANTA CLARA CA 95050 051692 HEARTLAND HOSPICE SERVICES 2511 GARDEN ROAD, SUITE A-250 MONTEREY CA 93940 051696 HEARTLAND HOSPICE SERVICES 3700 OLD REDWOOD HWY, SUITE 103 SANTA ROSA CA 95403 101502 HEARTLAND HOSPICE SERVICES 150 S PINE ISLAND RD STE 540 PLANTATION FL 33324 111568 HEARTLAND HOSPICE SERVICES 2711 IRWIN WAY, SUITE 201 DECATUR GA 30030 141506 HEARTLAND HOSPICE SERVICES 1010 EXECUTIVE DR STE 200 WESTMONT IL 60559 151573 HEARTLAND HOSPICE SERVICES 931 E 86TH ST STE 208 INDIANAPOLIS IN 46240 161568 HEARTLAND HOSPICE SERVICES 4340 EAST 53RD STREET DAVENPORT IA 52807 211533 HEARTLAND HOSPICE SERVICES 7001 JOHNNYCAKE RD STE 204 WINDSOR MILL MD 21244 211542 HEARTLAND HOSPICE SERVICES 12304 BALTIMORE AVENUE, SUITE A BELTSVILLE MD 20705 261574 HEARTLAND HOSPICE SERVICES 12101 WOODCREST EXECUTIVE DRIVE, SUITE 102 SAINT LOUIS MO 63141 311550 HEARTLAND HOSPICE SERVICES 1385 CHEWS LAND-CLEM ROAD, UNIT 4 LAUREL SPRINGS NJ 08021

35 of 83 HOSPICES THAT SUCCESSFULLY MET QRP REPORTING REQUIREMENTS FOR FY 2020 APU

CCN Hospice Name Address City State ZIP 321547 HEARTLAND HOSPICE SERVICES 4001 INDIAN SCHOOL NE, SUITE 300 ALBUQUERQUE NM 87110 361560 HEARTLAND HOSPICE SERVICES 3960 RED BANK ROAD, SUITE 140 CINCINNATI OH 45227 371514 HEARTLAND HOSPICE SERVICES 2802 NORTH KICKAPOO STREET SHAWNEE OK 74804 371625 HEARTLAND HOSPICE SERVICES 318 E CHOCTAW AVENUE MCALESTER OK 74501 371641 HEARTLAND HOSPICE SERVICES 1300 SOUTH MERIDIAN AVE, SUITE 105 OKLAHOMA CITY OK 73108 391637 HEARTLAND HOSPICE SERVICES 881 MARCON BLVD SUITE 3700 ALLENTOWN PA 18109 391676 HEARTLAND HOSPICE SERVICES 719 INDIANA DRIVE ERIE PA 16505 421545 HEARTLAND HOSPICE SERVICES 2411 NORTH OAK STREET #108 MYRTLE BEACH SC 29577 421546 HEARTLAND HOSPICE SERVICES 1470 TOBIAS GADSON BLVD, SUITE 203 CHARLESTON SC 29407 451642 HEARTLAND HOSPICE SERVICES 1845 PRECINCT LINE ROAD HURST TX 76054 451651 HEARTLAND HOSPICE SERVICES 5368 FREDERICKSBURG RD SUITE 200 SAN ANTONIO TX 78229 491567 HEARTLAND HOSPICE SERVICES 10800 MIDLOTHIAN TURNPIKE SUITE 303 NORTH CHESTERFIELD VA 23235 491575 HEARTLAND HOSPICE SERVICES 41 OLD OYSTER POINT ROAD UNIT D NEWPORT NEWS VA 23602 521592 HEARTLAND HOSPICE SERVICES 2810 CROSSROADS DR SUITE 1900 MADISON WI 53718 491565 HEARTLAND HOSPICE SERVICES - FAIRFAX 3900 JERMANTOWN RD STE 460 FAIRFAX VA 22030 421558 HEARTLAND HOSPICE SERVICES - GREENVILLE 421 SE MAIN STREET SIMPSONVILLE SC 29681 111644 HEARTLAND HOSPICE SERVICES- BRUNSWICK 664 SCANTON ROAD SUITE 103 BRUNSWICK GA 31520 111590 HEARTLAND HOSPICE SERVICES- CARTERSVILLE 4900 IVEY ROAD, SUITE 825 ACWORTH GA 30101 111603 HEARTLAND HOSPICE SERVICES- MACON 3312 NORTHSIDE DRIVE, SUITE D250 MACON GA 31210 111610 HEARTLAND HOSPICE SERVICES- N AUGUSTA 153 DAVIS ROAD AUGUSTA GA 30907 141617 HEARTLAND HOSPICE SERVICES, INC 6000 E STATE STREET, 1ST FLOOR ROCKFORD IL 61108 081506 HEARTLAND HOSPICE SERVICES, LLC 256 CHAPMAN ROAD, SUITE 102 NEWARK DE 19702 501519 HEARTLINKS HOSPICE AND PALLATIVE CARE 3920 OUTLOOK ROAD SUNNYSIDE WA 98944 011634 HEARTLITE HOSPICE 111 EAST LAUREL STREET SCOTTSBORO AL 35768 111652 HEARTLITE HOSPICE 1008 PROFESSIONAL BLVD SUITE 4A DALTON GA 30720 111703 HEARTLITE HOSPICE 772 MADDOX DRIVE, SUITE 112 ELLIJAY GA 30540 461531 HEARTS FOR HOSPICE 677 QUALITY DRIVE, SUITE 201 AMERICAN FORK UT 84003 461541 HEARTS FOR HOSPICE 4905 SOUTH 1500 WEST, SUITE 210 RIVERDALE UT 84405 421588 HEARTSTRINGS HOSPICE 115 BLARNEY DRIVE SUITE 202A COLUMBIA SC 29223 451579 HEARTSWAY HOSPICE OF NORTHEAST TEXAS 4351 MCCANN RD LONGVIEW TX 75605 461542 HEARTWOOD HOSPICE 6671 SOUTH REDWOOD ROAD, SUITE 101 WEST JORDAN UT 84084 371623 HEAVEN AND EARTH HOSPICE, LLC 410 EAST ILLINOIS VINITA OK 74301 921677 HEAVENLY HOSPICE CARE, INC 19725 SHERMAN WAY, SUITE 295 WINNETKA CA 91306 221596 HEBREW SENIORLIFE HOSPICE CARE, INC 80 NEWBRIDGE WAY DEDHAM MA 02026 531523 HELP FOR HEALTH HOSPICE 1240 COLLEGE VIEW DR RIVERTON WY 82501 551763 HELPING ANGELES HOSPICE 3600 WILSHIRE BLVD SUITE 428 LOS ANGELES CA 90010 321530 HELPING HAND HOSPICE 624 SOUTH 2ND STREET TUCUMCARI NM 88401 151553 HELPING HEARTS HOSPICE 1314 E WALNUT ST PO BOX 760 WASHINGTON IN 47501 111761 HELPING HEARTS HOSPICE, LLC 2346 WISTERIA DRIVE, SUITE 210 SNELLVILLE GA 30078 451603 HEMPHILL COUNTY HOSPICE 1020 SOUTH 4TH STREET CANADIAN TX 79014 141631 HENDERSON COUNTY HEALTH DEPARTMENT HOSPICE 208 WEST ELM STREET GLADSTONE IL 61437 451539 HENDRICK HOSPICE CARE INC 1651 PINE STREET ABILENE TX 79601 151564 HENRY COUNTY MEMORIAL HOSPITAL HOSPICE 798 N 16TH STREET NEW CASTLE IN 47362 231523 HENRY FORD ALLEGIANCE HOSPICE 100 E MICHIGAN AVE, SUITE 400 JACKSON MI 49201

36 of 83 HOSPICES THAT SUCCESSFULLY MET QRP REPORTING REQUIREMENTS FOR FY 2020 APU

CCN Hospice Name Address City State ZIP 141618 HERITAGE HEALTHCARE 7444 W WILSON AVE, SUITE 102 HARWOOD HEIGHTS IL 60706 321558 HERITAGE HOME HEALTHCARE & HOSPICE 3721 RUTLEDGE ROAD NE ALBUQUERQUE NM 87109 131568 HERITAGE HOSPICE 1009 W QUINN ROAD, SUITE B POCATELLO ID 83202 151589 HERITAGE HOSPICE INC 1202 W BUENA VISTA RD STE 107 EVANSVILLE IN 47710 391767 HERITAGE HOSPICE NORTH 1100 WEST HIGH STREET EBENSBURG PA 15931 671584 HERITAGE HOSPICE OF TEXAS 1315 BROOKSIDE DR SUITE D HURST TX 76053 111614 HERITAGE HOSPICE, INC 3315 HILLTOP DRIVE MARIETTA GA 30066 181515 HERITAGE HOSPICE, INC 120 ENTERPRISE DRIVE DANVILLE KY 40422 391736 HERITAGE HOSPICE, LLC 2400 LEECHBURG ROAD NEW KENSINGTON PA 15068 551657 HESTIA HOSPICE AND PALLIATIVE CARE CORPORATION 15545 DEVONSHIRE STREET, SUITE 311 MISSION HILLS CA 91345 051728 HI-DESERT HOME HEALTH SERVICES-HOSPICE 63484 CHICKASAW JOSHUA TREE CA 92252 381551 HIGH DESERT HOSPICE LLC 2210 SHALLOCK AVENUE KLAMATH FALLS OR 97601 331531 HIGH PEAKS HOSPICE AND PALLIATIVE CARE, INC 309 COUNTY ROUTE 47, SUITE 7 SARANAC LAKE NY 12983 551672 HIGH QUALITY HOSPICE CARE 21707 HAWTHORNE BLVD, SUITE 304 TORRANCE CA 90503 271503 HIGHLAND HOSPICE 3703 HARRISON AVE BUTTE MT 59701 441513 HIGHPOINT HOSPICE SUMNER MEDICAL PLAZA GALLATIN TN 37066 451600 HILL COUNTRY MEMORIAL HOSPICE 808 REUBEN STREET FREDERICKSBURG TX 78624 191678 HILL CROSS HOSPICE, INC 2323 OLD MINDEN ROAD, SUITE 600 BOSSIER CITY LA 71112 281545 HILLCREST HOSPICE 1820 HILLCREST DRIVE, SUITE B BELLEVUE NE 68005 521518 HILLSIDE HOSPICE 707 S UNIVERSITY AVE BEAVER DAM WI 53916 051646 HOFFMANN HOSPICE 8501 BRIMHALL ROAD, BUILDING 100 BAKERSFIELD CA 93312 741587 HOLDING HANDS HOSPICE 10935 ESTATE LANE #213 DALLAS TX 75238 751505 HOLISTIC CARE HOSPICE 4740 GREEN RIVER ROAD STE 318 CORONA CA 92880 551776 HOLISTIC HOSPICE, INC. 9608 VAN NUYS BLVD,, SUITE 203 PANORAMA CITY CA 91402 311578 HOLISTICARE HOSPICE OF NEW JERSEY 1144 HOOPER AVENUE, SUITE 208 TOMS RIVER NJ 08753 391751 HOLISTICARE HOSPICE, LLC 985 KROMER AVENUE BERWYN PA 19312 551787 HOLLYWOOD HOSPICE 4640 LANKERSHIM BLVD, STE 110 N HOLLYWOOD CA 91602 171544 HOLTON COMMUNITY HOSP HOME HEALTH & HOSPICE AGENCY 129 W 4TH STREET HOLTON KS 66436 751648 HOLY CARE HOSPICE, INC 13758 VICTORY BLVD, STE 200 VAN NUYS CA 91401 211502 HOLY CROSS HOME CARE AND HOSPICE 10720 COLUMBIA PIKE SECOND FLOOR SILVER SPRING MD 20901 751619 HOLY CROSS HOSPICE, INC 28 N OAK AVE, SUITE 201 PASADENA CA 91107 361631 HOLY FAMILY HOSPICE 6707 STATE ROAD PARMA OH 44134 751549 HOLY FAMILY HOSPICE 7250 BEVERLY BLVD, SUITE 203 LOS ANGELES CA 90036 521527 HOLY FAMILY MEMORIAL HOSPICE 2300 WESTERN AVE MANITOWOC WI 54220 311513 HOLY REDEEMER HOSPICE 160 E NINTH AVENUE,, SUITE B, PO BOX 250 RUNNEMEDE NJ 08078 391514 HOLY REDEEMER HOSPICE - PA 12265 TOWNSEND ROAD SUITE 400 PHILADELPHIA PA 19154 311515 HOLY REDEEMER HOSPICE-NJ, SHORE 6550 DELILAH ROAD, SUITE 5, AIRPORT COMMERCE CTR EGG HARBOR TWP NJ 08234 271519 HOLY ROSARY HOSPICE 2600 WILSON ST MILES CITY MT 59301 921624 HOLY SAVER HOSPICE INC 13615 VICTORY BLVD, SUITE 217 VAN NUYS CA 91401 671780 HOLY SAVIOR HOSPICE 1600 AIRPORT FREEWAY SUITE 503 BEDFORD TX 76022 741552 HOLY SAVIOR HOSPICE 3201 CHERRY RIDGE STE 205 B SAN ANTONIO TX 78230 221526 HOLYOKE VISITING NURSE ASSOC & HOSPICE LIFE CARE 575 BEECH STREET HOLYOKE MA 01040 361580 HOLZER MEDICAL CENTER HOSPICE 100 JACKSON PIKE GALLIPOLIS OH 45631 551759 HOME AND COMMUNITY HOSPICE INC 337 N VINEYARD AVENUE SUITE 306 ONTARIO CA 91764

37 of 83 HOSPICES THAT SUCCESSFULLY MET QRP REPORTING REQUIREMENTS FOR FY 2020 APU

CCN Hospice Name Address City State ZIP 331549 HOME CARE AND HOSPICE 1225 WEST STATE STREET OLEAN NY 14760 301501 HOME HEALTH & HOSPICE CARE 7 EXECUTIVE PARK DRIVE MERRIMACK NH 03054 171568 HOME HEALTH & HOSPICE OF KANSAS 7607 E HARRY STE 100 WICHITA KS 67207 341551 HOME HEALTH & HOSPICE/KITTY AS 2402 WAYNE MEMORIAL DRIVE GOLDSBORO NC 27534 131506 HOME HEALTH AND HOSPICE S L M V R M C 601 POLE LINE ROAD TWIN FALLS ID 83301 041550 HOME HEALTH AND HOSPICE SERVICE OF SALINE MEM HOSP 23157 INTERSTATE 30 BRYANT AR 72022 441557 HOME HEALTH CARE OF EAST TENNESSEE INC AND HOSPICE 2765 EXECUTIVE PARK DRIVE CLEVELAND TN 37312 041551 HOME HEALTH PROFESSIONAL & HOSPICE 2222 SPENCE CIRCLE JONESBORO AR 72401 451518 HOME HOSPICE 505 WEST CENTER STREET SHERMAN TX 75090 451617 HOME HOSPICE 619 N GRANT STE 120 ODESSA TX 79761 491588 HOME NURSING COMPANY INC 1770 EAST MAIN STREET LEBANON VA 24266 271515 HOME OPTIONS HOSPICE 275 CORPORATE DR STE 600 KALISPELL MT 59901 171586 HOME TOWN HOSPICE 921 W MYRTLE STE 106 INDEPENDENCE KS 67301 171517 HOMECARE & HOSPICE INC 3801 VANESTA DRIVE MANHATTAN KS 66503 251682 HOMECARE HOSPICE NORTH LLC 301 HIGHWAY 30 WEST NEW ALBANY MS 38652 251690 HOMECARE HOSPICE SOUTH, LLC 100 WALNUT CIRCLE, SUITE 110 HATTIESBURG MS 39401 251573 HOMECARE HOSPICE, INC ( CENTRAL ) 13 NORTHTOWN DRIVE, SUITE 130 JACKSON MS 39211 361546 HOMECARE MATTERS HOME HEALTH & HOSPICE 1220 NORTH MARKET STREET GALION OH 44833 241537 HOMEHEALTH PARTNERSHIP 500 HEARTWOOD DRIVE CROSBY MN 56441 391714 HOMELAND HOSPICE 2300 VARTAN WAY SUITE 270 HARRISBURG PA 17110 051731 HOMEREACH HOSPICE 2250 OBISPO AVE, SUITE 101 SIGNAL HILL CA 90755 311559 HOMESIDE HOSPICE LLC 67 WALNUT AVENUE, SUITE 205 CLARK NJ 07066 111786 HOMESPUN HOSPICE, LLC 1060 RED BUD ROAD CALHOUN GA 30701 111716 HOMESTEAD HOSPICE & PALLIATIVE CARE 1561 LENRU ROAD SUITE A BOGART GA 30622 111723 HOMESTEAD HOSPICE & PALLIATIVE CARE 794 MCDONOUGH ROAD, SUITE 107 JACKSON GA 30233 111724 HOMESTEAD HOSPICE & PALLIATIVE CARE 772 GREISON TRAIL, SUITE H NEWNAN GA 30263 111654 HOMESTEAD HOSPICE AND PALLIATIVE CARE 1080 HOLCOMB BRIDGE ROAD, BLDG 200, SUITE 100 ROSWELL GA 30076 111742 HOMESTEAD HOSPICE OF AUGUSTA, LLC 4210 COLUMBIA ROAD BLDG 12 SUITE D AUGUSTA GA 30907 421621 HOMESTEAD HOSPICE OF AUGUSTA, LLC 215 RONNIE COURT UNIT D MYRTLE BEACH SC 29579 111765 HOMESTEAD HOSPICE OF BLAIRSVILLE LLC 97 DEEP SOUTH FARM ROAD BLAIRSVILLE GA 30512 011549 HOMESTEAD HOSPICE OF CAHABA, LLC 3005 CITIZENS PARKWAY SELMA AL 36701 111745 HOMESTEAD HOSPICE OF CENTRAL GEORGIA, LLC 500 OSIGIAN BLVD SUITE 300 WARNER ROBINS GA 31088 421631 HOMESTEAD HOSPICE OF CHARLESTON, LLC 7410 NORTHSIDE DRIVE, SUITE 101 CHARLESTON SC 29420 421633 HOMESTEAD HOSPICE OF COLUMBIA, LLC 7825 BROAD RIVER ROAD IRMO SC 29063 421618 HOMESTEAD HOSPICE OF GREENVILLE, LLC 109 LAURENS ROAD BUILDING A1 GREENVILLE SC 29607 111693 HOMESTEAD HOSPICE OF MARIETTA, INC 1 N TENNESSEE STREET CARTERSVILLE GA 30120 111741 HOMESTEAD HOSPICE OF NORTHWEST GEORGIA, LLC 1601 HICKORY STREET DALTON GA 30720 031637 HOMESTEAD HOSPICE OF PHOENIX, LLC 5355 WEST CHANDLER BOULEVARD, SUITE 3 CHANDLER AZ 85226 011631 HOMESTEAD HOSPICE OF SOUTHERN ALABAMA, LLC 116 EDWINA STREET EVERGREEN AL 36401 261564 HOMETOWN HOMECARE 101 FURR STREET FAYETTE MO 65248 521596 HOMETOWN HOSPICE AND HOMECARE 13255 W BLUEMOUND RD SUITE 103 BROOKFIELD WI 53005 151556 HOOSIER UPLANDS HOSPICE 500 W MAIN ST MITCHELL IN 47446 741667 HOPE & GRACE HOSPICE INC 13740 N HIGHWAY 183 BUILDING H UNIT 1 AUSTIN TX 78750 741556 HOPE HEALTH CARE 3200 BROADWAY BLVD SUITE 220 GARLAND TX 75043

38 of 83 HOSPICES THAT SUCCESSFULLY MET QRP REPORTING REQUIREMENTS FOR FY 2020 APU

CCN Hospice Name Address City State ZIP 051601 HOPE HOSPICE 6377 CLARK AVENUE, SUITE 100 DUBLIN CA 94568 221512 HOPE HOSPICE 765 ATTUCKS LANE HYANNIS MA 02601 451522 HOPE HOSPICE 611 NORTH WALNUT NEW BRAUNFELS TX 78130 551514 HOPE HOSPICE & HEALTHCARE, INC 29826 HAUN ROAD, SUITE 108 SUN CITY CA 92586 411500 HOPE HOSPICE & PALLIATIVE CARE RHODE ISLAND 1085 NORTH MAIN STREET PROVIDENCE RI 02904 101516 HOPE HOSPICE AND COMMUNITY SERVICES INC 9470 HEALTHPARK CIRCLE FORT MYERS FL 33908 261620 HOPE HOSPICE INC 10754 INDIAN HEAD INDUSTRIAL BLVD SAINT LOUIS MO 63132 391615 HOPE HOSPICE INC 3356 BABCOCK BOULEVARD SUITE B PITTSBURGH PA 15237 521517 HOPE HOSPICE PALLIATIVE CARE 537 W BROADWAY AVE MEDFORD WI 54451 011591 HOPE HOSPICE, INC 1100 EAST PARK DRIVE, SUITE 303 BIRMINGHAM AL 35235 051774 HOPE INTERNATIONAL HOSPICE, INC. 20705 SOUTH WESTERN AVENUE SUITE 112 TORRANCE CA 90501 141627 HOPE PALLIATIVE AND HOSPICE CARE 1274 W NORTHWEST HWY PALATINE IL 60067 061527 HOPEWEST GRAND JUNCTION 2754 COMPASS DRIVE, SUITE 377 GRAND JUNCTION CO 81506 131520 HORIZON HOSPICE 63 W WILLOWBROOK DR MERIDIAN ID 83642 241591 HORIZON HEALTH HOSPICE 26814 143RD STREET PIERZ MN 56364 521531 HORIZON HOMECARE AND HOSPICE 11400 W LAKE PARK DRIVE MILWAUKEE WI 53224 031621 HORIZON HOSPICE 7500 DREAMY DRAW DRIVE, SUITE 225 PHOENIX AZ 85020 171525 HORIZON HOSPICE 1709 W 7TH STREET PO BOX 426 CHANUTE KS 66720 131516 HORIZON HOSPICE EAST 1411 FALLS AVE E, SUITE 615 TWIN FALLS ID 83301 321561 HORIZON HOSPICE INC 2584 N SILVER ST BLDG A SILVER CITY NM 88061 501535 HORIZON HOSPICE LLC 123 W CASCADE WAY, SUITE E SPOKANE WA 99208 241548 HORIZON PUBLIC HEALTH 809 ELM STREET SUITE 1200 ALEXANDRIA MN 56308 161548 HORN HOSPICE 700 EAST SECOND STREET IDA GROVE IA 51445 341514 HOS & PAL CARE OF ALAM-CASWELL 914 CHAPEL HILL ROAD BURLINGTON NC 27215 151504 HOSPARUS SOUTHERN INDIANA 502 HAUSFELDT LANE NEW ALBANY IN 47150 181502 HOSPARUS, INC 3532 EPHRAIM MCDOWELL DRIVE LOUISVILLE KY 40205 331512 HOSPICARE & PALLIATIVE CARE SERVICES 172 EAST KING ROAD ITHACA NY 14850 361507 HOSPICE - THE CARING WAY 1159 WESTWOOD DRIVE VAN WERT OH 45891 391515 HOSPICE & COMMUNITY CARE 685 GOOD DRIVE PO BOX 685 LANCASTER PA 17604 341521 HOSPICE & HOME CARE OF ALEXANDER COUNTY, INC 50 LUCY ECHERD LANE TAYLORSVILLE NC 28681 341565 HOSPICE & PALLIATIVE CARE OF THE BLUE RIDGE, INC 284 HOSPITAL DRIVE SPRUCE PINE NC 28777 171533 HOSPICE & PALLIATIVE CARE AT HAYSMED 2220 CANTERBURY DRIVE HAYS KS 67601 341500 HOSPICE & PALLIATIVE CARE CHARLOTTE REGION 7845 LITTLE AVENUE CHARLOTTE NC 28226 341502 HOSPICE & PALLIATIVE CARE CTR 101 HOSPICE LANE WINSTON SALEM NC 27103 341508 HOSPICE & PALLIATIVE CARE OF CABARRUS COUNTY 5003 HOSPICE LANE KANNAPOLIS NC 28081 491522 HOSPICE & PALLIATIVE CARE OF VIRGINIA 18 SEVENTH STREET, NW, SUITE 302 NORTON VA 24273 421626 HOSPICE & PALLIATIVE CARE PALMETTO REGION 1057 RED VENTURES DRIVE, STE 150 FORT MILL SC 29707 521502 HOSPICE ALLIANCE 10220 PRAIRIE RIDGE BLVD PLEASANT PRAIRIE WI 53158 131543 HOSPICE ALLIANCE OF IDAHO 920 DEON DR, SUITE C POCATELLO ID 83201 421504 HOSPICE AND COMMUNITY CARE 2275 INDIA HOOK ROAD PO BOX 993 ROCK HILL SC 29732 171503 HOSPICE AND HOMECARE OF RENO COUNTY 2020 N WALDRON STREET SUITE 100 HUTCHINSON KS 67502 221536 HOSPICE AND PALLIATIVE CARE 200 MILL ROAD FAIRHAVEN MA 02719 331510 HOSPICE AND PALLIATIVE CARE INC NEW HARTFORD 4277 MIDDLE SETTLEMENT ROAD NEW HARTFORD NY 13413 341503 HOSPICE AND PALLIATIVE CARE OF GREENSBORO 2500 SUMMIT AVE GREENSBORO NC 27405

39 of 83 HOSPICES THAT SUCCESSFULLY MET QRP REPORTING REQUIREMENTS FOR FY 2020 APU

CCN Hospice Name Address City State ZIP 331514 HOSPICE AND PALLIATIVE CARE OF ST LAWRENCE VALLEY 6805 US ROUTE 11 POTSDAM NY 13676 491607 HOSPICE AND PALLIATIVE CARE OF TIDEWATER 5000 CORPORATE WOODS DRIVE - SUITE 500 VIRGINIA BEACH VA 23462 191601 HOSPICE ASSOCIATES OF NEW ORLEANS, LLC 3941 HOUMA BLVD SUITE 1 A METAIRIE LA 70006 231513 HOSPICE AT HOME 4025 HEALTH PARK LANE SAINT JOSEPH MI 49085 031623 HOSPICE AT HOME OF ARIZONA, LLC 1423 SOUTH HIGLEY ROAD, SUITE 121 MESA AZ 85206 331505 HOSPICE AT LOURDES, THE 4102 0LD VESTAL ROAD VESTAL NY 13850 111508 HOSPICE ATLANTA 5775 GLENRIDGE DR, SUITE E200 ATLANTA GA 30328 451515 HOSPICE AUSTIN 4107 SPICEWOOD SPRINGS RD STE #100 AUSTIN TX 78759 451547 HOSPICE BRAZOS VALLEY INC 502 W 26TH STREET BRYAN TX 77803 331502 HOSPICE BUFFALO INC 225 COMO PARK BLVD CHEEKTOWAGA NY 14227 371581 HOSPICE BY LOVING CARE 1722 NORTH MAIN NORTH HWY 77 NOBLE OK 73068 051508 HOSPICE BY THE BAY 17 EAST SIR FRANCIS DRAKE BLVD LARKSPUR CA 94939 051523 HOSPICE BY THE BAY 180 REDWOOD STREET, SUITE 350 SAN FRANCISCO CA 94102 101504 HOSPICE BY THE SEA INC 1531 W PALMETTO PARK RD BOCA RATON FL 33486 111534 HOSPICE CARE- A PART OF TANNER 150 HENRY BURSON DRIVE, SUITE 102 CARROLLTON GA 30117 391775 HOSPICE CARE BY PENNSWOOD VILLAGE 1382 NEWTOWN LANGHORNE ROAD NEWTOWN PA 18940 251606 HOSPICE CARE GROUP, LLC 114 EAST DONALD STREET QUITMAN MS 39355 331542 HOSPICE CARE IN WESTCHESTER & PUTNAM INC 540 WHITE PLAINS ROAD, SUITE 300 TARRYTOWN NY 10591 141621 HOSPICE CARE OF AMERICA 3815 NORTH MULFORD, STE 4 ROCKFORD IL 61114 421560 HOSPICE CARE OF AMERICA 59 RIVERWALK BLVD, SUITE B & C RIDGELAND SC 29936 111738 HOSPICE CARE OF GEORGIA 9998 FORD AVENUE, SUITES 4 AND 5 RICHMOND HILL GA 31324 311510 HOSPICE CARE OF HACKENSACK AN AMEDISYS COMPANY 21 MAIN STREET, SUITE 253 HACKENSACK NJ 07601 141540 HOSPICE CARE OF ILLINOIS 701 NORTH FIRST STREET SPRINGFIELD IL 62781 331532 HOSPICE CARE OF LONG ISLAND, QUEENS, SOUTH SHORE 99 SUNNYSIDE BLVD WOODBURY NY 11797 361626 HOSPICE CARE OF MIDDLETOWN INC 3909 CENTRAL AVENUE MIDDLETOWN OH 45044 421536 HOSPICE CARE OF SOUTH CAROLINA 110 DILLON DRIVE SPARTANBURG SC 29307 231505 HOSPICE CARE OF SOUTHWEST MICHIGAN 222 NORTH KALAMAZOO MALL, SUITE 100 KALAMAZOO MI 49007 181513 HOSPICE CARE OF ST ELIZABETH HEALTHCARE 483 SOUTH LOOP ROAD EDGEWOOD KY 41017 421518 HOSPICE CARE OF THE LOWCOUNTRY 7 PLANTATION PARK DRIVE UNIT 4 BLUFFTON SC 29910 381548 HOSPICE CARE OF THE NORTHWEST, LLC 6130 NE 78TH COURT, SUITE C10 PORTLAND OR 97218 421507 HOSPICE CARE OF THE PIEDMONT 408 W ALEXANDER AVE GREENWOOD SC 29646 061587 HOSPICE CARE OF THE ROCKIES 750 W HAMPDEN AVENUE, SUITE 280 CHERRY HILLS VILLAGE CO 80110 551503 HOSPICE CARE OF THE VALLEY INC 1176 ROADRUNNER WAY SIMI VALLEY CA 93065 111569 HOSPICE CARE OPTIONS, INC. 486 NEW STREET MACON GA 31201 181503 HOSPICE CARE PLUS, INC 208 KIDD DRIVE BEREA KY 40403 041560 HOSPICE CARE SERVICES 3801 CAMDEN ROAD, CHAPEL VILLAGE, SUITE 12 PINE BLUFF AR 71603 451508 HOSPICE CARE TEAM INC 11441 32ND AVENUE NORTH SUITE B TEXAS CITY TX 77591 671656 HOSPICE CARE TEAM, INC. 2688 CALDER STREET BEAUMONT TX 77702 371501 HOSPICE CIRCLE OF LOVE 314 SOUTH THIRD STREET ENID OK 73701 341520 HOSPICE CLEVELAND COUNTY 951 WENDOVER HEIGHTS DRIVE SHELBY NC 28150 281546 HOSPICE COMMUNITY CARE OF NEBRASKA 300 S 68TH STREET PL SUITE 205 LINCOLN NE 68510 451796 HOSPICE COMMUNITY CARE OF TEXAS 5800 NORTH I-35 SUITE 200 DENTON TX 76207 491577 HOSPICE COMMUNITY CARE, LLC 10128 WEST BROAD STREET, SUITE J GLEN ALLEN VA 23060 671642 HOSPICE COMPASSIONATE CARE SERVICES LLC 2411 E GRIFFIN PKWY MISSION TX 78572

40 of 83 HOSPICES THAT SUCCESSFULLY MET QRP REPORTING REQUIREMENTS FOR FY 2020 APU

CCN Hospice Name Address City State ZIP 671628 HOSPICE COMPASSUS 1717 N IH 35 SUITE 130 ROUND ROCK TX 78664 191640 HOSPICE COMPASSUS - BATON ROUGE 6700 JEFFERSON HIGHWAY, BUILDING 1 BATON ROUGE LA 70806 031581 HOSPICE COMPASSUS - BULLHEAD CITY 2755 SILVER CREEK ROAD, SUITE 211 BULLHEAD CITY AZ 86442 231562 HOSPICE COMPASSUS - DETROIT 30665 NORTHWESTERN HWY, SUITE 150 FARMINGTON MI 48334 451629 HOSPICE COMPASSUS DFW 12001 NORTH CENTRAL EXPRESSWAY SUITE 550 DALLAS TX 75243 191569 HOSPICE COMPASSUS - GREATER NEW ORLEANS 1301 WEST CAUSEWAY APPROACH MANDEVILLE LA 70471 191650 HOSPICE COMPASSUS - LAFAYETTE 610 W PINHOOK ROAD LAFAYETTE LA 70503 161566 HOSPICE COMPASSUS - NORTHEAST IOWA 5005 BOWLING STREET STE B CEDAR RAPIDS IA 52404 141581 HOSPICE COMPASSUS - NORTHWEST ILLINOIS 755 NORTH HENDERSON STREET GALESBURG IL 61401 391604 HOSPICE COMPASSUS - PHILADELPHIA 2 CAMPUS BOULEVARD NEWTOWN SQUARE PA 19073 031560 HOSPICE COMPASSUS - SEDONA/ FLAGSTAFF/ PRESCOTT 70 BELL ROCK PLAZA, SUITE A, C, D SEDONA AZ 86351 511505 HOSPICE COMPASSUS - SOUTHERN WEST VIRGINIA 1330 MERCER STREET PRINCETON WV 24740 441570 HOSPICE COMPASSUS - THE HIGHLAND RIM 1805 N JACKSON STREET, SUITE 11 & 12 TULLAHOMA TN 37388 671537 HOSPICE COMPASSUS - THE WOODLANDS 19221 I45 SOUTH SUITE 350 HOUSTON TX 77056 031550 HOSPICE COMPASSUS - WHITE MOUNTAIN 1789 WEST COMMERCE DRIVE, SUITE A LAKESIDE AZ 85929 451729 HOSPICE COMPASSUS HOUSTON 11550 FUQUA STREET SUITE 125 HOUSTON TX 77034 451758 HOSPICE COMPASSUS MCKINNEY 2530 ELDORADO PARKWAY SUITE 110 MCKINNEY TX 75070 251549 HOSPICE COMPASSUS- MISSISSIPPI 119-D WEST PRESLEY BLVD MC COMB MS 39648 191553 HOSPICE COMPASSUS -MONROE 2213 JUSTICE AVENUE MONROE LA 71201 261548 HOSPICE COMPASSUS- SOUTH CENTRAL MISSOURI 1602-C N MAIN MOUNTAIN GROVE MO 65711 261500 HOSPICE COMPASSUS- SOUTHWEST MISSOURI 1465 E. PRIMROSE SPRINGFIELD MO 65804 031521 HOSPICE COMPASSUS-CASA GRANDE 1675 EAST MONUMENT PLAZA DRIVE, SUITE A CASA GRANDE AZ 85122 261559 HOSPICE COMPASSUS-CENTRAL MISSOURI 600 MONROE STREET, SUITE 100 JEFFERSON CITY MO 65101 421572 HOSPICE COMPASSUS-GREENVILLE-SPARTANBURG 1923 E MAIN STREET, SUITE C DUNCAN SC 29334 261593 HOSPICE COMPASSUS-JOPLIN 2650 EAST 32ND STREET JOPLIN MO 64804 261623 HOSPICE COMPASSUS-NORTH CENTRAL MISSOURI 3050 I-70 DRIVE SE - SUITE 100 COLUMBIA MO 65201 031523 HOSPICE COMPASSUS-PAYSON 511 SOUTH MUDSPRING ROAD, SUITE #1 PAYSON AZ 85541 171560 HOSPICE COMPASSUS-SOUTHEAST KANSAS 200 E CENTENNIAL SUITE 9 PITTSBURG KS 66762 261547 HOSPICE COMPASSUS-TRI LAKES MISSOURI 3044 SHEPHERD OF THE HILLS EXPRESSWAY, SUITE 200 BRANSON MO 65616 031573 HOSPICE COMPASSUS-YUMA 1025 WEST 24TH STREET SUITE 15 YUMA AZ 85364 671592 HOSPICE CONNECTION 1820 SHILOH ROAD SUITE 1105 TYLER TX 75703 321559 HOSPICE DE LA LUZ 3812 ACADEMY PARKWAY N NE ALBUQUERQUE NM 87109 181506 HOSPICE EAST 407 SHOPPERS DRIVE WINCHESTER KY 40392 011505 HOSPICE FAMILY CARE 10000 SERENITY LANE SOUTHEAST HUNTSVILLE AL 35803 031536 HOSPICE FAMILY CARE - PRESCOTT 3195 STILLWATER DRIVE, SUITE A PRESCOTT AZ 86305 031537 HOSPICE FAMILY CARE, INC 1550 SOUTH ALMA SCHOOL ROAD, SUITE 102 MESA AZ 85210 031519 HOSPICE FAMILY CARE, INC. - TUCSON 6300 EAST EL DORADO PLAZA, A-100 TUCSON AZ 85715 391733 HOSPICE FOR ALL SEASONS, LLC 280 S HILL DRIVE GRANTVILLE PA 17028 461516 HOSPICE FOR UTAH, LLC 5097 SOUTH 900 EAST SUITE 100 MURRAY UT 84117 921640 HOSPICE GROUP OF SOUTHERN CALIFORNIA, INC. 7041 OWENSMOUTH AVE, SUITE 202 CANOGA PARK CA 91303 121501 HOSPICE HAWAII 860 IWILEI RD HONOLULU HI 96817 451720 HOSPICE HEALTHCARE NETWORK 306 EAST RANDOL MILL ROAD SUITE 700 ARLINGTON TX 76011 041524 HOSPICE HOME CARE INC 2200 SOUTH BOWMAN ROAD LITTLE ROCK AR 72211 041523 HOSPICE HOME CARE OF MONTICELLO 990 HWY 425 NORTH MONTICELLO AR 71655

41 of 83 HOSPICES THAT SUCCESSFULLY MET QRP REPORTING REQUIREMENTS FOR FY 2020 APU

CCN Hospice Name Address City State ZIP 041519 HOSPICE HOME CARE OF PINE BLUFF PLLC 3135 WEST 28TH STREET PINE BLUFF AR 71603 191581 HOSPICE IN HIS CARE, LLC 3233 S SHERWOOD FOREST BLVD SUITE 102 BATON ROUGE LA 70816 161513 HOSPICE INC SERVING DAVIS & WAPELLO COUNTIES 927 EAST PENNSYLVANIA OTTUMWA IA 52501 121504 HOSPICE MAUI 400 MAHALANI STREET WAILUKU HI 96793 251505 HOSPICE MINISTRIES, INC 450 TOWNE CENTER BLVD RIDGELAND MS 39157 051650 HOSPICE OF AMADOR & CALAVERAS 1500 SOUTH HIGHWAY 49, # 205 JACKSON CA 95642 031673 HOSPICE OF AMERICA, LLC 1837 SOUTH MESA DRIVE, SUITE C200 MESA AZ 85210 671570 HOSPICE OF BALLINGER 2001 HUTCHINS, SUITE B BALLINGER TX 76821 271509 HOSPICE OF BOZEMAN HEALTH 3810 VALLEY COMMONS STE 1 BOZEMAN MT 59718 531519 HOSPICE OF CAMPBELL COUNTY MEMORIAL HOSPITAL, THE 300 S BURMA AVE GILLETTE WY 82716 261501 HOSPICE OF CARE 1333 SOUTH SAM HOUSTON BOULEVARD HOUSTON MO 65483 341579 HOSPICE OF CARTERET COUNTY 302 MEDICAL PARK COURT MOREHEAD CITY NC 28557 041511 HOSPICE OF CENTRAL ARKANSAS 835 CENTRAL AVENUE,SUITE 301 HOT SPRINGS AR 71901 271512 HOSPICE OF CENTRAL MONTANA 408 WENDELL AVE LEWISTOWN MT 59457 331511 HOSPICE OF CENTRAL NEW YORK 990 SEVENTH NORTH STREET LIVERPOOL NY 13088 361525 HOSPICE OF CENTRAL OHIO 2269 CHERRY VALLEY ROAD NEWARK OH 43055 391530 HOSPICE OF CENTRAL PENNSYLVANIA 1320 LINGLESTOWN ROAD HARRISBURG PA 17110 421503 HOSPICE OF CHARLESTON 4975 LACROSS ROAD, SUITE 200 NORTH CHARLESTON SC 29406 441504 HOSPICE OF CHATTANOOGA INC 4411 OAKWOOD DRIVE CHATTANOOGA TN 37416 421524 HOSPICE OF CHESTERFIELD COUNTY 700 WEST BOULEVARD PO BOX 293 CHESTERFIELD SC 29709 231542 HOSPICE OF CHIPPEWA COUNTY 508 ASHUM STREET, SUITE 120 SAULT SAINTE MARIE MI 49783 361531 HOSPICE OF CINCINNATI, INC 4310 COOPER ROAD CINCINNATI OH 45242 011538 HOSPICE OF CLAY COUNTY 83825 HIGHWAY 9 P O BOX 1270 ASHLAND AL 36251 281524 HOSPICE OF COLUMBUS COMMUNITY HOSPITAL 3005 19TH STREET, SUITE 600 COLUMBUS NE 68601 011510 HOSPICE OF CULLMAN COUNTY 1912 ALABAMA HWY 157, POB 1, 2ND FLOOR CULLMAN AL 35058 441511 HOSPICE OF CUMBERLAND COUNTY INC 30 EAST ADAMS STREET CROSSVILLE TN 38555 341553 HOSPICE OF DAVIDSON COUNTY 200 HOSPICE WAY LEXINGTON NC 27292 361501 HOSPICE OF DAYTON 324 WILMINGTON AVENUE DAYTON OH 45420 171523 HOSPICE OF DICKINSON COUNTY 1111 NORTH BRADY ABILENE KS 67410 161514 HOSPICE OF DUBUQUE 1670 JOHN F KENNEDY ROAD DUBUQUE IA 52002 451534 HOSPICE OF EAST TEXAS 4111 UNIVERSITY BLVD TYLER TX 75701 131538 HOSPICE OF EASTERN IDAHO 1810 MORAN STREET IDAHO FALLS ID 83401 451505 HOSPICE OF EL PASO INC 1440 MIRACLE WAY EL PASO TX 79925 391545 HOSPICE OF EVANGELICAL 235 HOSPITAL DRIVE LEWISBURG PA 17837 361553 HOSPICE OF FAYETTE COUNTY INC 222 NORTH OAKLAND AVENUE WASHINGTON CH OH 43160 221561 HOSPICE OF FRANKLIN COUNTY, INC 329 CONWAY STREET GREENFIELD MA 01301 211516 HOSPICE OF FREDERICK COUNTY 516 TRAIL AVENUE FREDERICK MD 21702 211535 HOSPICE OF GARRETT COUNTY 203 SOUTH 2ND STREET OAKLAND MD 21550 341536 HOSPICE OF GASTON COUNTY, INC 258 E GARRISON BLVD, WATERTOWN PLACE GASTONIA NC 28054 101509 HOSPICE OF GOLD COAST HOME HEALTH SERVICES 309 SE 18 ST FORT LAUDERDALE FL 33316 551708 HOSPICE OF GRACE, INC. 351 E FOOTHILL BLVD, STE 250 ARCADIA CA 91006 141648 HOSPICE OF GREATER CHICAGO LLC 1727 S INDIANA AVE SUITE G2 CHICAGO IL 60616 371505 HOSPICE OF GREEN COUNTRY, INC 1120 SOUTH BOSTON AVE, TULSA OK 74119 361511 HOSPICE OF GUERNSEY, INC 9711 EAST PIKE ROAD CAMBRIDGE OH 43725

42 of 83 HOSPICES THAT SUCCESSFULLY MET QRP REPORTING REQUIREMENTS FOR FY 2020 APU

CCN Hospice Name Address City State ZIP 031543 HOSPICE OF HAVASU, INC. 365 SOUTH LAKE HAVASU AVENUE LAKE HAVASU CITY AZ 86403 101520 HOSPICE OF HEALTH FIRST INC 1131 W NEW HAVEN AVE STE 102 WEST MELBOURNE FL 32904 231540 HOSPICE OF HELPING HANDS 322 W HOUGHTON AVE WEST BRANCH MI 48661 361578 HOSPICE OF HENRY COUNTY 1843 OAKWOOD AVENUE NAPOLEON OH 43545 231552 HOSPICE OF HILLSDALE COUNTY 124 SOUTH HOWELL STREET HILLSDALE MI 49242 121503 HOSPICE OF HILO 1011 WAIANUENUE AVENUE HILO HI 96720 231546 HOSPICE OF HOLLAND 270 HOOVER BOULEVARD HOLLAND MI 49423 041535 HOSPICE OF HOPE 501 E 6TH STREET TEXARKANA AR 71854 361583 HOSPICE OF HOPE - OHIO VALLEY 215 HUGHES BLVD MOUNT ORAB OH 45154 181519 HOSPICE OF HOPE INC 909 KENTON STATION DRIVE MAYSVILLE KY 41056 031655 HOSPICE OF HOPE, LLC 15294 WEST BROOKSIDE LANE, SUITE 105 SURPRISE AZ 85379 051536 HOSPICE OF HUMBOLDT, INC 3327 TIMBER FALL COURT EUREKA CA 95503 511500 HOSPICE OF HUNTINGTON 1101 6TH AVENUE HUNTINGTON WV 25709 361649 HOSPICE OF HUNTINGTON IN OHIO 1408 CAMPBELL DRIVE, SUITE C-200 IRONTON OH 45638 051705 HOSPICE OF IMPERIAL VALLEY 137 SOUTH 8TH STREET EL CENTRO CA 92243 341517 HOSPICE OF IREDELL COUNTY 2347 SIMONTON ROAD STATESVILLE NC 28625 161569 HOSPICE OF JACKSON COUNTY 611 WEST QUARRY STREET MAQUOKETA IA 52060 331515 HOSPICE OF JEFFERSON CO/PALLIATIVE CARE OF JEFFERS 1398 GOTHAM STREET WATERTOWN NY 13601 171520 HOSPICE OF JEFFERSON COUNTY 1212 WALNUT US HIGHWAY 59 OSKALOOSA KS 66066 141556 HOSPICE OF KANKAKEE VALLEY INC 482 MAIN STREET NW BOURBONNAIS IL 60914 121505 HOSPICE OF KONA 75-5925 WALUA ROAD, SUITE 101 KAILUA KONA HI 96740 181510 HOSPICE OF LAKE CUMBERLAND 100 PARKWAY DRIVE SOMERSET KY 42503 421515 HOSPICE OF LANCASTER 901 MEETING STREET, SUITE 201 LANCASTER SC 29720 231522 HOSPICE OF LANSING 3186 PINE TREE ROAD LANSING MI 48911 531509 HOSPICE OF LARAMIE 1754 CENTENNIAL DRIVE LARAMIE WY 82070 421520 HOSPICE OF LAURENS COUNTY 1304 SPRINGDALE DRIVE CLINTON SC 29325 231537 HOSPICE OF LENAWEE 1903 WOLF CREEK HWY ADRIAN MI 49221 251518 HOSPICE OF LIGHT 3635 BIENVILLE BOULEVARD OCEAN SPRINGS MS 39564 011516 HOSPICE OF LIMESTONE COUNTY 405 SOUTH MARION STREET, P O BOX 626 ATHENS AL 35611 141511 HOSPICE OF LITTLE CO OF MARY H 9800 SOUTHWEST HIGHWAY OAK LAWN IL 60453 451519 HOSPICE OF LUBBOCK INC 3702 21ST STREET LUBBOCK TX 79410 101518 HOSPICE OF MARION COUNTY INC 3231 SW 34TH AVENUE OCALA FL 34478 371519 HOSPICE OF MCALESTER, OKLAHOMA, INC 801 E WYANDOTTE AVE MCALESTER OK 74501 231556 HOSPICE OF MECOSTA COUNTY 400 PERRY STREET BIG RAPIDS MI 49307 361539 HOSPICE OF MEDINA COUNTY 5075 WINDFALL ROAD MEDINA OH 44256 161512 HOSPICE OF MERCY 315 18TH AVENUE HIAWATHA IA 52233 061512 HOSPICE OF MERCY-DURANGO 175 MERCADO STREET, SUITE 131 DURANGO CO 81301 391673 HOSPICE OF METROPOLITAN ERIE 202 EAST TENTH STREET ERIE PA 16503 361548 HOSPICE OF MIAMI COUNTY INC 550 SUMMIT AVENUE TROY OH 45373 231501 HOSPICE OF MICHIGAN 43097 WOODWARD AVE, SUITE 102 BLOOMFIELD MI 48302 451531 HOSPICE OF MIDLAND INC 911 WEST TEXAS MIDLAND TX 79701 271525 HOSPICE OF MISSOULA LLC 1900 SOUTH RESERVE STREET MISSOULA MT 59801 011685 HOSPICE OF MONROE COUNTY 2016 SOUTH ALABAMA AVENUE MONROEVILLE AL 36460 061522 HOSPICE OF MONTEZUMA INC 512 N BROADWAY CORTEZ CO 81321

43 of 83 HOSPICES THAT SUCCESSFULLY MET QRP REPORTING REQUIREMENTS FOR FY 2020 APU

CCN Hospice Name Address City State ZIP 011523 HOSPICE OF MONTGOMERY 1111 HOLLOWAY PARK MONTGOMERY AL 36117 311551 HOSPICE OF MOORESTOWN VNA, THE 300 HARPER DRIVE MOORESTOWN NJ 08057 361570 HOSPICE OF MORROW COUNTY, INC 228 SOUTH STREET MOUNT GILEAD OH 43338 241523 HOSPICE OF MURRAY COUNTY INC 36 PARK DRIVE P O BOX 86 SLAYTON MN 56172 221545 HOSPICE OF NASHOBA NURSING SERVICE 3 PATTERSON ROAD, SUITE 3 SHIRLEY MA 01464 171529 HOSPICE OF NE KS MULTI-COUNTY 907 SOUTH 2ND STREET HIAWATHA KS 66434 311540 HOSPICE OF NEW JERSEY 400 BROADACRES DRIVE, 1ST FLOOR BLOOMFIELD NJ 07003 321553 HOSPICE OF NEW MEXICO, LLC 2900 LOUISIANA BLVD NE STE 100 ALBUQUERQUE NM 87110 331560 HOSPICE OF NEW YORK, LLC 45-18 COURT SQUARE - SUITE 500 LONG ISLAND CITY NY 11101 011622 HOSPICE OF NORTH ALABAMA, LLC 2905 WESTCORP BLVD,, STE 115, 116, 117 HUNTSVILLE AL 35805 041538 HOSPICE OF NORTH ARKANSAS 3277 WEST SUNSET AVENUE, SUITE D SPRINGDALE AR 72762 041552 HOSPICE OF NORTH ARKANSAS 330 HIGHWAY 5 NORTH, SUITE 20 MOUNTAIN HOME AR 72653 361540 HOSPICE OF NORTH CENTRAL OHIO, INC 1050 DAUCH DRIVE ASHLAND OH 44805 371517 HOSPICE OF NORTH CENTRAL OKLAHOMA,INC 445 FAIRVIEW AVE PONCA CITY OK 74601 131504 HOSPICE OF NORTH IDAHO 2290 W PRAIRIE AVE COEUR D ALENE ID 83815 161503 HOSPICE OF NORTH IOWA 232 SECOND STREET SE MASON CITY IA 50401 231534 HOSPICE OF NORTH OTTAWA COMMUNITY 1061 S BEACON BLVD, #200 GRAND HAVEN MI 49417 251691 HOSPICE OF NORTH SUNFLOWER 105 EAST FLOYCE STREET RULEVILLE MS 38771 111514 HOSPICE OF NORTHEAST GA MC 2150 LIMESTONE PARKWAY GAINESVILLE GA 30501 261557 HOSPICE OF NORTHEAST MISSOURI 201 SOUTH BALTIMORE, SUITE C KIRKSVILLE MO 63501 231536 HOSPICE OF NORTHEASTERN MICHIGAN 830 S OTSEGO AVE GAYLORD MI 49735 291501 HOSPICE OF NORTHERN NEVADA 690 SIERRA ROSE RENO NV 89511 011534 HOSPICE OF NORTHWEST ALABAMA 1315 US HIGHWAY 43 P O BOX 1216 WINFIELD AL 35594 231557 HOSPICE OF NORTHWEST MICHIGAN 220 WEST GARFIELD STREET CHARLEVOIX MI 49720 231618 HOSPICE OF NORTHWEST OHIO 8132 SECOR ROAD LAMBERTVILLE MI 48144 361502 HOSPICE OF NORTHWEST OHIO 30000 E RIVER ROAD PERRYSBURG OH 43551 451589 HOSPICE OF OCHILTREE GENERAL HOSPITAL 2309 S CEDAR PERRYTON TX 79070 181518 HOSPICE OF OHIO COUNTY 107 GILLESPIE STREET HARTFORD KY 42347 101527 HOSPICE OF OKEECHOBEE INCORPORATED 411 SE 4TH STREET OKEECHOBEE FL 34974 331527 HOSPICE OF ORANGE & SULLIVAN COUNTIES INC 800 STONY BROOK COURT NEWBURGH NY 12550 101512 HOSPICE OF PALM BEACH COUNTY INC 5300 EAST AVENUE WEST PALM BEACH FL 33407 161530 HOSPICE OF PALO ALTO COUNTY 3201 FIRST STREET EMMETSBURG IA 50536 341593 HOSPICE OF PAMLICO COUNTY, INC 602 MAIN STREET BAYBORO NC 28515 031633 HOSPICE OF PAYSON, LLC 900 NORTH BEELINE HIGHWAY, SUITE B PAYSON AZ 85541 161538 HOSPICE OF PELLA, THE COMFORT HOUSE 505 UNION STREET PELLA IA 50219 391574 HOSPICE OF PHILADELPHIA FALLS CENTER, 3300 HENRY AVENUE, SUITE 500 PHILADELPHIA PA 19129 511521 HOSPICE OF POTOMAC VALLEY HOSPITAL 100 PIN OAK LANE KEYSER WV 26726 051542 HOSPICE OF PRESBYTERIAN 15050 IMPERIAL HWY LA MIRADA CA 90638 341527 HOSPICE OF RANDOLPH COUNTY INC 416 VISION DRIVE ASHEBORO NC 27204 351500 HOSPICE OF RED RIVER VALLEY 1701 38TH ST S STE 101 FARGO ND 58103 381512 HOSPICE OF REDMOND 732 SW 23RD STREET REDMOND OR 97756 341543 HOSPICE OF ROBESON 1100 PINE RUN DRIVE LUMBERTON NC 28358 341529 HOSPICE OF ROCKINGHAM CO INC 2150 NC HIGHWAY 65 REIDSVILLE NC 27320 171521 HOSPICE OF SALINA 730 HOLLY LANE SALINA KS 67401

44 of 83 HOSPICES THAT SUCCESSFULLY MET QRP REPORTING REQUIREMENTS FOR FY 2020 APU

CCN Hospice Name Address City State ZIP 451532 HOSPICE OF SAN ANGELO 36 EAST TWOHIG SUITE 1100 SAN ANGELO TX 76903 671767 HOSPICE OF SAN ANTONIO 85 NE LOOP 410 SUITE 607 SAN ANTONIO TX 78216 051573 HOSPICE OF SAN JOAQUIN 3888 PACIFIC AVENUE STOCKTON CA 95204 051526 HOSPICE OF SANTA CRUZ COUNTY 940 DISC DRIVE SCOTTS VALLEY CA 95066 341555 HOSPICE OF SCOTLAND COUNTY 610 LAUCHWOOD DR LAURINBURG NC 28353 421594 HOSPICE OF SCOTLAND COUNTY, INC 957 CHERAW STREET BENNETTSVILLE SC 29512 191537 HOSPICE OF SHREVEPORT BOSSIER 3829 GILBERT SHREVEPORT LA 71104 161502 HOSPICE OF SIOUXLAND 309 COOK ST SIOUX CITY IA 51104 281547 HOSPICE OF SIOUXLAND 3220 PLAZA DRIVE - SUITE D SOUTH SIOUX CITY NE 68776 111531 HOSPICE OF SOUTH GEORGIA 2263 PINEVIEW DRIVE VALDOSTA GA 31602 191510 HOSPICE OF SOUTH LOUISIANA 205 BAYOU GARDENS BOULEVARD, SUITE E HOUMA LA 70364 451525 HOSPICE OF SOUTH TEXAS INC 605 EAST LOCUST VICTORIA TX 77901 141542 HOSPICE OF SOUTHEASTERN ILLINOIS INC 800 EAST LOCUST STREET OLNEY IL 62450 141504 HOSPICE OF SOUTHERN ILLINOIS, INC 305 S ILLINOIS ST BELLEVILLE IL 62220 181511 HOSPICE OF SOUTHERN KENTUCKY 5872 SCOTTSVILLE ROAD BOWLING GREEN KY 42104 201511 HOSPICE OF SOUTHERN MAINE 180 US ROUTE 1 SCARBOROUGH ME 04074 511506 HOSPICE OF SOUTHERN WEST VIRGINIA, INC 456 CRANBERRY DRIVE BECKLEY WV 25801 161576 HOSPICE OF SOUTHWEST IOWA 822 SOUTH MAIN STREEET, SUITE 102 CO BLUFFS IA 51503 361627 HOSPICE OF SOUTHWEST OHIO, INC 7625 CAMARGO ROAD, SUITE 200 CINCINNATI OH 45243 161533 HOSPICE OF SPENCER HOSPITAL 116 EAST 11TH STREET SPENCER IA 51301 501503 HOSPICE OF SPOKANE 121 S ARTHUR STREET SPOKANE WA 99202 101534 HOSPICE OF ST FRANCIS INC 1250B GRUMMAN PLACE TITUSVILLE FL 32780 211539 HOSPICE OF ST MARY'S 44724 HOOSPICE LANE CALLAWAY MD 20620 271501 HOSPICE OF ST PETERS COMM HOSP 2475 BROADWAY ST HELENA MT 59601 751627 HOSPICE OF ST. CLARE, INC 144 N GLENDALE AVE, SUITE #222 GLENDALE CA 91206 341542 HOSPICE OF STANLY COUNTY INC 960 NORTH FIRST ST ALBEMARLE NC 28001 231567 HOSPICE OF STURGIS 664 EAST MAIN STREET, SUITE C CENTREVILLE MI 49032 531500 HOSPICE OF SWEETWATER COUNTY INC 333 BROADWAY STREET, SUITE 220 ROCK SPRINGS WY 82901 281502 HOSPICE OF TABITHA 4720 RANDOLPH STREET LINCOLN NE 68510 451578 HOSPICE OF TEXARKANA INC 2407 GALLERIA OAKS TEXARKANA TX 75503 551615 HOSPICE OF THE ANGELS INC 4959 PALO VERDE STREET SUITE 110B MONTCLAIR CA 91763 451558 HOSPICE OF THE BIG COUNTRY 4601 HARTFORD ABILENE TX 79605 531510 HOSPICE OF THE BIG HORNS 1401 W 5TH STREET SHERIDAN WY 82801 181500 HOSPICE OF THE BLUEGRASS, INC DBA BLUEGRASS CARE N 2312 ALEXANDRIA DRIVE LEXINGTON KY 40504 141529 HOSPICE OF THE CALUMET AREA INC 3256 RIDGE ROAD, SUITE 207 LANSING IL 60438 151500 HOSPICE OF THE CALUMET AREA INC 600 SUPERIOR AVE MUNSTER IN 46321 341528 HOSPICE OF THE CAROLINA FOOTHILLS 374 HUDLOW ROAD FOREST CITY NC 28043 341557 HOSPICE OF THE CAROLINA FOOTHILLS 155 WEST MILLS STREET SUITE 108 COLUMBUS NC 28722 421587 HOSPICE OF THE CAROLINA FOOTHILLS 260 FAIRWINDS ROAD LANDRUM SC 29356 051501 HOSPICE OF THE CENTRAL COAST 2 UPPER RAGSDALE DRIVE, SUITES D110 AND D120 MONTEREY CA 93940 211509 HOSPICE OF THE CHESAPEAKE 90 RITCHIE HIGHWAY PASADENA MD 21122 101533 HOSPICE OF THE COMFORTER INC 480 WEST CENTRAL PARKWAY ALTAMONTE SPRINGS FL 32714 051547 HOSPICE OF THE EAST BAY 3470 BUSKIRK AVENUE PLEASANT HILL CA 94523 061523 HOSPICE OF THE ESTES VALLEY 555 PROSPECT AVENUE ESTES PARK CO 80517

45 of 83 HOSPICES THAT SUCCESSFULLY MET QRP REPORTING REQUIREMENTS FOR FY 2020 APU

CCN Hospice Name Address City State ZIP 051629 HOSPICE OF THE FOOTHILLS 11270 ROUGH AND READY HIGHWAY GRASS VALLEY CA 95945 111505 HOSPICE OF THE GOLDEN ISLES 1692 GLYNCO PARKWAY BRUNSWICK GA 31525 161515 HOSPICE OF THE HEARTLAND 1515 SOUTH PHILLIPS ALGONA IA 50511 041534 HOSPICE OF THE HILLS 501 E SHERMAN HARRISON AR 72601 361647 HOSPICE OF THE MIAMI VALLEY 46 NORTH DETROIT STREET, SUITE B XENIA OH 45385 241600 HOSPICE OF THE MIDWEST 7616 CURREL BOULEVARD SUITE 175 WOODBURY MN 55125 161609 HOSPICE OF THE MIDWEST, LLC 9203 NORTHPARK DRIVE JOHNSTON IA 50131 051733 HOSPICE OF THE NORTH COAST 2525 PIO PICO DRIVE, SUITE 301 CARLSBAD CA 92008 331528 HOSPICE OF THE NORTH COUNTRY INC 358 TOM MILLER ROAD PLATTSBURGH NY 12901 501505 HOSPICE OF THE NORTHWEST 227 FREEWAY DR STE A MOUNT VERNON WA 98273 041501 HOSPICE OF THE OZARKS 701 BURNETT DRIVE MOUNTAIN HOME AR 72653 421619 HOSPICE OF THE PALMETTO STATE, LLC 210 SOUTH 2ND STREET HARTSVILLE SC 29550 511507 HOSPICE OF THE PANHANDLE, INC 330 HOSPICE LANE KEARNEYSVILLE WV 25430 341511 HOSPICE OF THE PIEDMONT INC 1801 WESTCHESTER DR HIGH POINT NC 27262 491504 HOSPICE OF THE PIEDMONT INC 675 PETER JEFFERSON PARKWAY, SUITE 300 CHARLOTTESVILLE VA 22911 031559 HOSPICE OF THE PINES 13207 STATE ROUTE 169, SUITE A DEWEY AZ 86327 061538 HOSPICE OF THE PLAINS INC 615 WEST 8TH STREET WRAY CO 80758 171508 HOSPICE OF THE PRAIRIE 200 FOURTH CIRCLE DODGE CITY KS 67801 391656 HOSPICE OF THE SACRED HEART 600 BALTIMORE DRIVE WILKES BARRE PA 18702 491547 HOSPICE OF THE SHENANDOAH 78 MEDICAL CENTER DRIVE FISHERSVILLE VA 22939 011530 HOSPICE OF THE SHOALS, INC 115 FAIRGROUND ROAD FLORENCE AL 35630 751728 HOSPICE OF THE SOUTH COAST LLC 10251 VISTA SORRENTO PARKWAY, SUITE 270 SAN DIEGO CA 92121 671667 HOSPICE OF THE SOUTH PLAINS 4413 82ND ST SUITE 135 LUBBOCK TX 79424 101517 HOSPICE OF THE TREASURE COAST INCORPORATED 5000 DUNN ROAD FORT PIERCE FL 34981 241533 HOSPICE OF THE TWIN CITIES 2000 SUMMER STREET NORTHEAST SUITE 100 MINNEAPOLIS MN 55413 421506 HOSPICE OF THE UPSTATE, INC 1835 ROGERS ROAD ANDERSON SC 29621 031500 HOSPICE OF THE VALLEY - CENTRAL 1510 EAST FLOWER STREET, BUILDING 2 PHOENIX AZ 85014 031515 HOSPICE OF THE VALLEY - WEST 9435 WEST PEORIA AVENUE PEORIA AZ 85345 031505 HOSPICE OF THE VALLEY EAST 2020 EAST WOODSIDE COURT GILBERT AZ 85297 051507 HOSPICE OF THE VALLEY, A SUTTER CARE AT HOME AFFIL 4850 UNION AVENUE SAN JOSE CA 95124 011511 HOSPICE OF THE VALLEY, INC 240 JOHNSTON STREET, SE DECATUR AL 35601 361538 HOSPICE OF THE VALLEY, INC 5190 MARKET STREET YOUNGSTOWN OH 44512 051714 HOSPICE OF THE VALLEYS 25240 HANCOCK AVENUE #120 MURRIETA CA 92562 151510 HOSPICE OF THE WABASH VALLEY INC 400 8TH AVE TERRE HAUTE IN 47804 031592 HOSPICE OF THE WEST, LLC 21410 NORTH 19TH AVENUE, SUITE 100 PHOENIX AZ 85027 361503 HOSPICE OF THE WESTERN RESERVE, INC 17876 ST CLAIR AVENUE CLEVELAND OH 44110 111520 HOSPICE OF TIFT AREA 618 NORTH CENTRAL AVENUE TIFTON GA 31794 341513 HOSPICE OF UNION COUNTY 700 WEST BOULEVARD MONROE NC 28110 451604 HOSPICE OF VAL VERDE REGIONAL MEDICAL CENTER 801 BEDELL AVENUE DEL RIO TX 78840 491537 HOSPICE OF VIRGINIA 2235 STAPLES MILL ROAD - SUITE 100 RICHMOND VA 23230 361552 HOSPICE OF VISITING NURSE SERVICE 3358 RIDGEWOOD ROAD AKRON OH 44333 391551 HOSPICE OF WARREN COUNTY 1 MAIN AVENUE WARREN PA 16365 161544 HOSPICE OF WASHINGTON COUNTY 948 EAST 11TH STREET WASHINGTON IA 52353 211511 HOSPICE OF WASHINGTON COUNTY, INC 747 NORTHERN AVENUE HAGERSTOWN MD 21742

46 of 83 HOSPICES THAT SUCCESSFULLY MET QRP REPORTING REQUIREMENTS FOR FY 2020 APU

CCN Hospice Name Address City State ZIP 011517 HOSPICE OF WEST ALABAMA 3851 LOOP ROAD TUSCALOOSA AL 35404 441514 HOSPICE OF WEST TENNESSEE 1804 HWY 45 BYPASS DUFFY TOWERS SUITE 100 JACKSON TN 38305 331520 HOSPICE OF WESTCHESTER 1025 WESTCHESTER AVENUE, SUITE 200 WHITE PLAINS NY 10604 181520 HOSPICE OF WESTERN KENTUCKY 3419 WATHENS CROSSING OWENSBORO KY 42301 231510 HOSPICE OF WESTERN MICHIGAN 989 SPAULDING SE ADA MI 49301 451526 HOSPICE OF WICHITA FALLS 4909 JOHNSON ROAD WICHITA FALLS TX 76310 341532 HOSPICE OF WILSON MEDICAL CENTER 1705 S TARBORO STREET WILSON NC 27893 361535 HOSPICE OF WYANDOT COUNTY INC 105 HOUPT DRIVE, SUITE C UPPER SANDUSKY OH 43351 341564 HOSPICE OF YANCEY COUNTY 856 GEORGE'S FORK ROAD BURNSVILLE NC 28714 031508 HOSPICE OF YUMA 1824 SOUTH 8TH AVENUE YUMA AZ 85364 261521 HOSPICE PARTNERS 8301 STATE LINE RD, SUITE 103 KANSAS CITY MO 64114 171573 HOSPICE PARTNERS OF KANSAS 10500 BARKLEY SUITE 228 OVERLAND PARK KS 66212 451780 HOSPICE PLUS 3100 MC KINNON STREET SUITE 200 DALLAS TX 75201 671626 HOSPICE PLUS HOUSTON 6800 WEST LOOP SOUTH SUITE 200 BELLAIRE TX 77401 391548 HOSPICE PROGRAM/VNA OF HANOVER AND SPRING GROVE 440 NORTH MADISON STREET HANOVER PA 17331 031630 HOSPICE PROMISE, LLC 12213 WEST BELL ROAD, SUITE 115 SURPRISE AZ 85378 371557 HOSPICE QUALITY CARE, INC 921 SOUTH SOONER ROAD MIDWEST CITY OK 73110 031604 HOSPICE SANCTUARY 13845 NORTH NORTHSIGHT BOULEVARD, SUITE 101 SCOTTSDALE AZ 85260 111517 HOSPICE SATILLA OF MEM HOSP 808 EVERGREEN WAY WAYCROSS GA 31501 111504 HOSPICE SAVANNAH 1352 EISENHOWER DRIVE SAVANNAH GA 31406 671622 HOSPICE SELECT 8330 LYNDON B JOHNSON FWY SUITE B290 DALLAS TX 75243 361665 HOSPICE SERVICES AT METHODIST ELDERCARE 124 B DORCHESTER SQUARE, SUITE 200 WESTERVILLE OH 43081 171515 HOSPICE SERVICES INC 424 EIGHTH STREET PHILLIPSBURG KS 67661 011629 HOSPICE SERVICES OF ALABAMA, LLC 1000 SOUTHLAKE PARK, SUITE 100 BIRMINGHAM AL 35244 051561 HOSPICE SERVICES OF LAKE COUNTY 1862 PARALLEL DR LAKEPORT CA 95453 221570 HOSPICE SERVICES OF MASSACHUSETTS 2527 CRANBERRY HIGHWAY, SUITE D WAREHAM MA 02571 291545 HOSPICE SERVICES OF NEVADA, INC 3100 W SAHARA AVENUE, STE 214 LAS VEGAS NV 89102 221576 HOSPICE SERVICES OF WESTERN & CENTRAL MASS 1325 SPRINGFIELD STREET STE 12 FEEDING HILLS MA 01030 671557 HOSPICE SUNSET 201 POSEY AVENUE CLIFTON TX 76634 191617 HOSPICE TLC, INC 2401 LOOP ROAD WINNSBORO LA 71295 521547 HOSPICE TOUCH 601 STRAW ST TOMAH WI 54660 051757 HOSPICE TOUCH INC - SANTA ANA 3401 WEST SUNFLOWER AVE, STE 100 SANTA ANA CA 92704 131524 HOSPICE VISIONS 1770 PARK VIEW DRIVE TWIN FALLS ID 83301 221531 HOSPICECARE IN THE BERKSHIRES 877 SOUTH STREET, SUITE 1W PITTSFIELD MA 01201 141689 HOSPICECARE, INC 7290 ARGUS DRIVE ROCKFORD IL 61107 511501 HOSPICECARE, INC 1606 KANAWHA BOULEVARD WEST CHARLESTON WV 25387 231517 HOSPICES OF HENRY FORD 33464 SCHOENHERR RD, 140 STERLING HEIGHTS MI 48312 361527 HOSPICE-THE CARING WAY OF WILLIAMS AND FULTON COUN 230 WESTFIELD DRIVE ARCHBOLD OH 43502 401548 HOSPICIO LA GUADALUPE INC 1266 AVENIDA HOSTOS, ESQUINA POWER PONCE PR 00717 401568 HOSPICIO AMOR Y TRANQUILIDAD INC AVE MARTINEZ NADA 59 EDIF PARK PLAZA 103 B MAYAGUEZ PR 00680 401520 HOSPICIO DEL OESTE INC ROAD 2 KM 171-5 BO CAIN BAJO SAN GERMAN PR 00683 401564 HOSPICIO DIVINAS MANOS ROAD 2 KM 46 4 BO CAMPO ALEGRE MANATI PR 00674 401562 HOSPICIO DIVINO SALVADOR, INC ROAD 2, KM 40, PLAZA JARDINES VEGA BAJA PR 00694 401504 HOSPICIO EN EL HOGAR FE Y ESPERANZA DE PUERTO RICO CALLE HERNANDEZ CARRION J-9 URB ATENAS MANATI PR 00674

47 of 83 HOSPICES THAT SUCCESSFULLY MET QRP REPORTING REQUIREMENTS FOR FY 2020 APU

CCN Hospice Name Address City State ZIP 401560 HOSPICIO LA MILAGROSA, INC BO BARAHONA CARR 633 KM 4,9 MOROVIS PR 00687 401527 HOSPICIO LA PAZ, INC 152 RODRIGUEZ IRIZARRY STREET ARECIBO PR 00612 401510 HOSPICIO MENONITA CARR 1 KM 34 9 BARRIO BAIROA CAGUAS PR 00726 401553 HOSPICIO SAN JUDAS INC 4836 LUNA STREET PONCE PR 00717 401529 HOSPICIO SERVICIOS SUPLEMENTARIOS DE SALUD INC ELEANOR ROOSEVELT AVE 114 ALTOS HATO REY PR 00918 401546 HOSPICIO TOQUE DE AMOR URB SAN SALVADOR A15 CALLE VENDING SUITE 1 MANATI PR 00674 921580 HOUSE OF ANGELS HOSPICE, INC 5627 SEPULVEDA BLVD, SUITE 218 VAN NUYS CA 91411 381556 HOUSECALL PROVIDERS HOSPICE 5100 SW MACADAM AVENUE, SUITE 200 PORTLAND OR 97239 511509 HOUSECALLS HOSPICE 417 GRAND PARK DRIVE, SUITE 204 PARKERSBURG WV 26105 451530 HOUSTON HOSPICE 1905 HOLCOMBE HOUSTON TX 77030 161551 HOWARD COUNTY COMMUNITY HOSPICE 235 EIGHTH AVENUE WEST CRESCO IA 52136 101511 HPH HOSPICE 12107 MAJESTIC BOULEVARD HUDSON FL 34667 141658 HSHS HOSPICE SOUTHERN ILLINOIS 701 WEST TEMPLE AVE SUITE B EFFINGHAM IL 62401 331521 HUDSON VALLEY HOSPICE 374 VIOLET AVE POUGHKEEPSIE NY 12601 551601 HUMAN TOUCH PALLIATIVE AND HOSPICE CARE, INC 3629 NORTH SEPULVEDA BLVD, SUITE 102 MANHATTAN BEACH CA 90266 371711 HUMANITY HOSPICE, LLC 1109 NORTH BRYANT AVE, SUITE 100 EDMOND OK 73034 311524 HUNTERDON HOSPICE INC 215 ROUTE 31 FLEMINGTON NJ 08822 431506 HURON REGIONAL MEDICAL CENTER 172 FOURTH ST SE HURON SD 57350 551605 HYGIEIA HOSPICE 17100 PIONEER BLVD SUITE 275 ARTESIA CA 90701 671698 ICON HOSPICE 10935 ESTATE LANE SUITE 475 DALLAS TX 75238 131501 IDAHO HOME HEALTH & HOSPICE 222 SHOSHONE ST EAST TWIN FALLS ID 83301 141533 ILLINOIS VALLEY HOSPICE 1305 6TH STREET PERU IL 61354 391711 IMMEDIATE HOMECARE AND HOSPICE 2920 OLGA AVENUE BENSALEM PA 19020 751532 IMMEDIATE HOSPICE CARE, INC 14640 VICTORY BLVD, STE 224 VAN NUYS CA 91411 361657 INCARE HOSPICE, NORTHERN OHIO 207 PORTAGE TRAIL EXT W, SUITE 100 CUYAHOGA FALLS OH 44223 461585 INDEPENDENCE HOSPICE 140 NORTH UNION AVENUE, SUITE F350 FARMINGTON UT 84025 151511 INDIANA UNIVERSITY HEALTH HOSPICE 2300 W GILBERT ST, SUITE 2016 MUNCIE IN 47303 751550 INFINITE HOSPICE CARE, INC 16200 VENTURA BLVD STE 211 ENCINO CA 91436 291521 INFINITY HOSPICE CARE LLC 6330 S JONES BLVD LAS VEGAS NV 89118 291530 INFINITY HOSPICE CARE OF RENO, LLC 5538 LONGLEY LN STE B RENO NV 89511 031565 INFINITY HOSPICE CARE, LLC 5110 NORTH 40TH STREET, SUITE 107 PHOENIX AZ 85018 141535 INGALLS HOME HOSPICE ONE INGALLS DRIVE, WYMAN GORDON PAV HARVEY IL 60426 751695 INLAND HOSPICE CARE 5750 DIVISION STREET, SUITE 206 RIVERSIDE CA 92506 751506 INLAND REGIONAL HOSPICE 1916 ORANGE TREE LANE, SUITE 450H REDLANDS CA 92374 551548 INLAND VALLEY HOSPICE 3770 MYERS STREET RIVERSIDE CA 92503 751583 INNERJOY HOSPICE CARE, INC 1965 YOSEMITE AVENUE, SUITE # 115 SIMI VALLEY CA 93063 111782 INSPIRING HOSPICE PARTNERS OF GEORGIA 126 BARRINGTON DRIVE ATHENS GA 30605 141653 INTEGRATED PALLIATIVE AND HOSPICE LLC 900 TECHNOLOGY WAY, SUITE 280 LIBERTYVILLE IL 60048 461611 INTEGRATED SENIOR CARE HOSPICE, LLC 616 SOUTH RIVER ROAD, SUITE 200 ST GEORGE UT 84790 371513 INTEGRIS HOSPICE HOUSE 5710 NW 130TH STREET, SUITE 100 OKLAHOMA CITY OK 73142 371549 INTEGRIS HOSPICE HOUSE 13920 QUAILBROOK DRIVE OKLAHOMA CITY OK 73134 371586 INTEGRIS HOSPICE MIAMI 115 SOUTH MAIN MIAMI OK 74355 261634 INTEGRITY HOME CARE + HOSPICE 3751 NE RALPH POWELL ROAD LEES SUMMIT MO 64064 261646 INTEGRITY HOME CARE + HOSPICE 2960 N EASTGATE AVE SPRINGFIELD MO 65803

48 of 83 HOSPICES THAT SUCCESSFULLY MET QRP REPORTING REQUIREMENTS FOR FY 2020 APU

CCN Hospice Name Address City State ZIP 111773 INTEGRITY HOSPICE 1216 DAWSON ROAD SUITE 113 ALBANY GA 31707 461577 INTEGRITY HOSPICE 350 EAST 2200 NORTH NORTH LOGAN UT 84341 921653 INTEGRITY HOSPICE CARE SERVICES, INC 20832 ROSCOE BLVD, SUITE 208 CANOGA PARK CA 91306 111736 INTEGRITY HOSPICE-DUBLIN 1101 B HILLCREST PARKWAY DUBLIN GA 31021 231651 INTELICARE HOSPICE SERVICES 441 S MAIN STREET, SUITE 4 STANDISH MI 48658 391718 INTERIM HEALTH CARE HOSPICE 1789 SOUTH BRADDOCK AVENUE PITTSBURGH PA 15218 421580 INTERIM HEALTH CARE OF THE TRIAD, INC 154 AMENDMENT AVE SUITE 105 ROCK HILL SC 29732 171602 INTERIM HEALTH CARE OF TOPEKA 1251 SW ARROWHEAD SUITE 103 TOPEKA KS 66604 241590 INTERIM HEALTHCARE 2680 ARTHUR STREET ROSEVILLE MN 55113 061577 INTERIM HEALTHCARE HOSPICE 1901 NORTH UNION BOULEVARD, SUITE 105 COLORADO SPRINGS CO 80909 171590 INTERIM HEALTHCARE HOSPICE 10977 GRANADA LANE SUITE 205 OVERLAND PARK KS 66211 371635 INTERIM HEALTHCARE HOSPICE 3613 NW 56TH STREET, SUITE 385 OKLAHOMA CITY OK 73112 551681 INTERIM HEALTHCARE HOSPICE 2233 WATT AVENUE, SUITE 330 SACRAMENTO CA 95825 391756 INTERIM HEALTHCARE HOSPICE & PALLIATIVE CARE 322 WARREN STREET SUITE 270 JOHNSTOWN PA 15905 491603 INTERIM HEALTHCARE HOSPICE & PALLIATIVE CARE 516 SOUTH INDEPENDENCE BLVD, SUITE 106 VIRGINIA BEACH VA 23452 361684 INTERIM HEALTHCARE HOSPICE OF COSHOCTON 232 CHESTNUT STREET COSHOCTON OH 43812 361700 INTERIM HEALTHCARE HOSPICE OF LIMA 3745 SHAWNEE ROAD SUITE 108 LIMA OH 45806 371684 INTERIM HEALTHCARE HOSPICE OF TULSA 2828 EAST 51ST STREET, SUITE 214 TULSA OK 74105 521597 INTERIM HEALTHCARE HOSPICE OF WESTERN WISCONSIN 625 COMMERCE DRIVE SUITE 200 HUDSON WI 54016 261653 INTERIM HEALTHCARE OF KANSAS CITY 4444 N BELLEVIEW, STE 108 KANSAS CITY MO 64116 421533 INTERIM HEALTHCARE OF THE UPSTATE HOSPICE 16 HYLAND ROAD GREENVILLE SC 29615 171576 INTERIM HEALTHCARE OF WICHITA INC (HOSPICE) 9920 E HARRY STREET WICHITA KS 67207 321568 INTERIM HOSPICE 2300 N MAIN STREET, SUITE 19 CLOVIS NM 88101 671795 INTERIM HOSPICE OF GRANBURY 2420 WYCON DR STE 401 WACO TX 76712 671669 INTERIM HOSPICE OF SAN ANTONIO 6800 PARK TEN BLVD STE 270 W SAN ANTONIO TX 78213 671561 INTERIM HOSPICE OF WEST TEXAS 3305 101 STREET STE 100 LUBBOCK TX 79423 131542 INTERMOUNTAIN HOMECARE HOSPICE - CASSIA 1031 E MAIN ST BURLEY ID 83318 461504 INTERMOUNTAIN HOMECARE HOSPICE OF LOGAN 550 EAST 1400 NORTH, SUITE G LOGAN UT 84341 461503 INTERMOUNTAIN HOMECARE HOSPICE SALT LAKE 11520 SOUTH REDWOOD ROAD SOUTH JORDAN UT 84095 461501 INTERMOUNTAIN HOMECARE HOSPICE, ST GEORGE 555 SOUTH BLUFF STREET, SUITE 100 ST GEORGE UT 84770 051738 INTERMOUNTAIN HOSPICE 43563 HIGHWAY 299 EAST FALL RIVER MILLS CA 96028 921623 INTERNATIONAL HOSPICE CARE, INC 10523 BURBANK BLVD, SUITE 121 N HOLLYWOOD CA 91601 151613 INTREPID USA HOSPICE 3333 FOUNDERS RD SUITE 100 INDIANAPOLIS IN 46268 151618 INTREPID USA HOSPICE 400 POPLAR ST, 2ND FLOOR TERRE HAUTE IN 47807 241596 INTREPID USA HOSPICE 2277 HIGHWAY 36 WEST SUITE 101 ROSEVILLE MN 55113 261658 INTREPID USA HOSPICE 4305 SOUTH NATIONAL AVENUE SPRINGFIELD MO 65810 491610 INTREPID USA HOSPICE 4510 HOLLAND OFFICE PARK, SUITE 503 VIRGINIA BEACH VA 23452 491611 INTREPID USA HOSPICE 101 W MAIN STREET RADFORD VA 24141 491621 INTREPID USA HOSPICE 106 ROWE ROAD #103 STAUNTON VA 24401 491618 INTREPID USA HOSPICE CHESTER 2430 SOUTHLAND DRIVE SUITE B CHESTER VA 23831 421617 INTREPID USA HOSPICE-LOW COUNTRY 2694 LAKE PARK DRIVE, SECOND FLOOR NORTH CHARLESTON SC 29406 161505 IOWA RIVER HOSPICE 502 PLAZA HEIGHTS ROAD MARSHALLTOWN IA 50158 671573 IPH HOSPICE CARE INC 1100 E JASMINE AVE SUITE 203 MCALLEN TX 78501 141616 IROQUOIS MEMORIAL HOSPICE 200 NORTH LAIRD LANE WATSEKA IL 60970

49 of 83 HOSPICES THAT SUCCESSFULLY MET QRP REPORTING REQUIREMENTS FOR FY 2020 APU

CCN Hospice Name Address City State ZIP 421549 ISLAND HOSPICE 300 NEW RIVER PARKWAY SUITE 7 HARDEEVILLE SC 29927 111663 ISLAND HOSPICE, INC 1000 TOWNE CENTR BLVD SUITE 303 POOLER GA 31322 121509 ISLANDS HOSPICE 1301 YOUNG ST HONOLULU HI 96814 551643 IVORY HOSPICE & PALLIATIVE CARE 233 E POMONA BLVD, STE A MONTEREY PARK CA 91755 011621 IVY CREEK HOSPICE 201 MARIARDEN ROAD DADEVILLE AL 36853 751688 IVY HOSPICE CARE, INC 545 N MOUNTAIN AVENUE SUITE 101 UPLAND CA 91786 491624 JAMES RIVER HOME HEALTH INC 9100 ARBORETUM PARKWAY SUITE 290 RICHMOND VA 23236 351510 JAMESTOWN REGIONAL MEDICAL CENTER HOSPICE 2422 20TH ST SW JAMESTOWN ND 58401 331525 JANSEN HOSPICE AND PALLIATIVE CARE 670 WHITE PLAINS ROAD, SUITE 213 SCARSDALE NY 10583 391524 JEFFERSON HEALTH HOME CARE AND HOSPICE 2510 MARYLAND ROAD, SUITE 250 WILLOW GROVE PA 19090 501538 JEFFERSON HEALTHCARE HOME HEALTH 2500 WEST SIMS WAY, #304 PT TOWNSEND WA 98368 221569 JHC HOSPICE 646 SALISBURY STREET WORCESTER MA 01609 291533 JIREH HEALTHCARE SERVICES, LLC 2320 PASEO DEL PRADO STE B101 LAS VEGAS NV 89102 751699 JMT HOSPICE 2082 NEWBURY ROAD, SUITE 8 NEWBURY PARK CA 91320 261573 JOHNSON COUNTY HOSPICE CARE 723 PCA ROAD WARRENSBURG MO 64093 341561 JOHNSTON HEALTH HOME CARE AND HOSPICE 514 N BRIGHLEAF BLVD SUITE 1502 SMITHFIELD NC 27577 141539 JOLIET AREA COMMUNITY HOSPICE 250 WATER STONE CIRCLE JOLIET IL 60431 191626 JORDAN HOSPICE OF MONROE 300 WASHINGTON PLAZA, STE 104 MONROE LA 71201 211514 JOSEPH RICHEY HOUSE 828 NORTH EUTAW STREET BALTIMORE MD 21201 191657 JOURNEY HOSPICE 598 CORPORATE DRIVE HOUMA LA 70360 311581 JOURNEY HOSPICE 6712 WASHINGTON AVENUE, SUITE 201 EGG HARBOR TOWNSHIP NJ 08234 511510 JOURNEY HOSPICE 314 SOUTH WELLS STREET SISTERSVILLE WV 26175 741615 JOURNEY OF LIFE HOSPICE AND PALLIATIVE CARE 187 ELMHURST SUITE C KYLE TX 78640 141525 JOURNEYCARE INC 405 LAKE ZURICH ROAD BARRINGTON IL 60010 131555 JOURNEYS HOSPICE 223 EAST AMITY NAMPA ID 83686 361682 JUDSON HOSPICE 2181 AMBLESIDE DRIVE CLEVELAND OH 44106 501521 KAISER FOUNDATION HEALTH PLAN OF WASHINGTON 201 - 16TH AVENUE EAST SEATTLE WA 98112 051546 KAISER FOUNDATION HOSPITAL - HOSPICE 3240 ARDEN WAY SACRAMENTO CA 95828 551743 KAISER FOUNDATION HOSPITAL - RIVERSIDE HOSPICE 10917 MAGNOLIA AVENUE RIVERSIDE CA 92505 551634 KAISER FOUNDATION HOSPITAL ANAHEIM HOSPICE 17542 EAST 17TH STREET, SUITE 300 TUSTIN CA 92780 051552 KAISER FOUNDATION HOSPITAL HOSPICE - MARTINEZ 200 MUIR ROAD MARTINEZ CA 94553 051565 KAISER FOUNDATION HOSPITAL HOSPICE - VALLEJO 1761 BROADWAY, SUITE 101 VALLEJO CA 94589 051556 KAISER FOUNDATION HOSPITAL HOSPICE-HAYWARD 30116 EIGENBRODT WAY UNION CITY CA 94587 051551 KAISER FOUNDATION HOSPITAL HOSPICE-OAKLAND 4501 BROADWAY, 1ST FLOOR OAKLAND CA 94611 051582 KAISER FOUNDATION HOSPITAL HOSPICE-SAN FRANCISCO 4131 GEARY BOULEVARD, 3RD FLOOR SAN FRANCISCO CA 94118 051589 KAISER FOUNDATION HOSPITAL HOSPICE-SANTA CLARA 3900 FREEDOM CIRCLE, SUITE 201 SANTA CLARA CA 95054 051525 KAISER FOUNDATION HOSPITAL LOS ANGELES - HOSPICE 3699 WISHIRE BLVD 3RD FLOOR LOS ANGELES CA 90010 051522 KAISER FOUNDATION HOSPITAL SAN DIEGO HOSPICE 10992 SAN DIEGO MISSION ROAD BUILDING 2 SUITE 3401 SAN DIEGO CA 92108 051521 KAISER FOUNDATION HOSPITAL VALLEY CONTINUING CARE 10605 BALBOA BLVD SUITE 330 GRANADA HILLS CA 91344 381502 KAISER PERMANENTE CONTINUING CARE SERVICES HOSPICE 2701 NW VAUGHN, SUITE 140 PORTLAND OR 97210 171579 KANSAS CITY HOSPICE AND PALLIATIVE CARE 10100 W 87TH STREET SUITE 100 OVERLAND PARK KS 66212 261503 KANSAS CITY HOSPICE AND PALLIATIVE CARE 1500 MEADOW LAKE PARKWAY, SUITE 200 KANSAS CITY MO 64114 171557 KANSAS HOSPICE CARE LLC 6828 SILVERHEEL AVENUE SHAWNEE KS 66226 251648 KARE IN HOME HOSPICE OF NORTH MISSISSIPPI LLC 909 SOUTH FULTON DRIVE CORINTH MS 38834

50 of 83 HOSPICES THAT SUCCESSFULLY MET QRP REPORTING REQUIREMENTS FOR FY 2020 APU

CCN Hospice Name Address City State ZIP 251692 KARE IN HOME HOSPICE OF RIDGELAND 497 KEYWOOD CIRCLE STE B FLOWOOD MS 39232 251521 KARE-IN-HOME HOSPICE OF NORTHWEST MISSISSIPPI LLC 271 HWY 61 WEST BATESVILLE MS 38606 251684 KARE-IN-HOME HOSPICE, LLC 936 HALL STREET, SUITE F&G, WIGGINS MS 39577 311509 KAREN ANN QUINLAN HOSPICE 99 SPARTA AVENUE NEWTON NJ 07860 391704 KAREN ANN QUINLAN HOSPICE 104 BENNETT AVENUE, SUITE 2A-2 MILFORD PA 18337 371500 KARMAN LEGACY HOSPICE 1311 SOUTH WESTERN STREET STILLWATER OK 74074 121507 KAUAI HOSPICE 4457 PAHE'E STREET LIHUE HI 96766 051748 KAWEAH DELTA HOSPICE 623 WEST WILLOW AVENUE VISALIA CA 93291 011632 KELLER HOSPICE 1404 EAST AVALON AVENUE, SUITE C TUSCUMBIA AL 35674 671761 KELTON HOSPICE INC 301 B WEST MAIN STREET ATLANTA TX 75551 421519 KERSHAWHEALTH HOSPICE 1165 HIGHWAY 1S, STE 400 LUGOFF SC 29078 131574 KEYSTONE HOSPICE 21 N FISHER PARK WAY EAGLE ID 83616 391593 KEYSTONE HOSPICE 8765 STENTON AVENUE WYNDMOOR PA 19038 671790 KINDER HEARTS HOSPICE 842 NORTH MOCKINGBIRD LANE ABILENE TX 79603 371629 KINDFUL HOSPICE 117 S BROADWAY ADA OK 74820 371714 KINDFUL HOSPICE 12899 E 76TH STREET N, SUITE 116 OWASSO OK 74055 671719 KINDLE HOSPICE & PALLIATIVE CARE 2808 STONEY BROOK DRIVE, 2ND HOUSTON TX 77063 151594 KINDRED HOSPICE 6845 E US HWY 36, SUITE 550 AVON IN 46123 221594 KINDRED HOSPICE 275 MARTINE STREET, SUITE 202 FALL RIVER MA 02723 391671 KINDRED HOSPICE 4660 TRINDLE ROAD, SUITE 204 CAMP HILL PA 17011 031564 KINDRED HOSPICE 3107 CLEARWATER DRIVE, SUITE B PRESCOTT AZ 86305 051716 KINDRED HOSPICE 36947 COOK STREET, BUILDING 10, SUITE 102 PALM DESERT CA 92211 051717 KINDRED HOSPICE 9444 BALBOA AVENUE SUITE 290 SAN DIEGO CA 92123 061531 KINDRED HOSPICE 5755 MARK DABLING BLVD, SUITE 375 COLORADO SPRINGS CO 80919 101540 KINDRED HOSPICE 4776 NEW BROAD ST STE 200 ORLANDO FL 32814 101548 KINDRED HOSPICE 6161 BLUE LAGOON DR STE 170 MIAMI FL 33126 111528 KINDRED HOSPICE 216 BUSINESS CENTER DRIVE STOCKBRIDGE GA 30281 111556 KINDRED HOSPICE 432 EAST SHOTWELL STREET BAINBRIDGE GA 39819 111558 KINDRED HOSPICE 2302 PARKLAKE DRIVE NE, SUITE 150 ATLANTA GA 30345 111559 KINDRED HOSPICE 319 MARGIE DRIVE WARNER ROBINS GA 31088 111560 KINDRED HOSPICE 100 BROOKSTONE CENTRE PARKWAY COLUMBUS GA 31904 111612 KINDRED HOSPICE 855 GAINES SCHOOL ROAD SUITE G, ATHENS GA 30605 111615 KINDRED HOSPICE 2280 EAST VICTORY DRIVE, SUITE A SAVANNAH GA 31404 111667 KINDRED HOSPICE 3508 PROFESSIONAL CIRCLE, SUITE A AUGUSTA GA 30907 111675 KINDRED HOSPICE 2525 HWY 34 EAST NEWNAN GA 30265 131576 KINDRED HOSPICE 1230 NORTHWOOD CENTER COURT, SUITE B COEUR D'ALENE ID 83814 141608 KINDRED HOSPICE 85 WEST ALGONQUIN ROAD, SUITE 100 ARLINGTON HEIGHTS IL 60005 141610 KINDRED HOSPICE 800 ENTERPRISE DRIVE, SUITE 111 OAK BROOK IL 60523 151557 KINDRED HOSPICE 391 QUARTERMASTER CT JEFFERSONVILLE IN 47130 151558 KINDRED HOSPICE 323 METRO AVE EVANSVILLE IN 47715 151562 KINDRED HOSPICE 1476 W 18TH ST ROCHESTER IN 46975 151586 KINDRED HOSPICE 5550 S EAST STREET, SUITE A INDIANAPOLIS IN 46227 151592 KINDRED HOSPICE 2901 OHIO BLVD, STE 116 TERRE HAUTE IN 47802 151601 KINDRED HOSPICE 9785 CROSSPOINT BOULEVARD, SUITE 104 INDIANAPOLIS IN 46256

51 of 83 HOSPICES THAT SUCCESSFULLY MET QRP REPORTING REQUIREMENTS FOR FY 2020 APU

CCN Hospice Name Address City State ZIP 161575 KINDRED HOSPICE 5399 CHIMRA ROAD PANORA IA 50216 161582 KINDRED HOSPICE 831 NORTH GRIFFITH ROAD CARROLL IA 51401 171542 KINDRED HOSPICE 9229 E 38TH ST N SUITE 102-B WICHITA KS 67226 171556 KINDRED HOSPICE 1819 MAIN STREET PARSONS KS 67357 171569 KINDRED HOSPICE 8735 ROSEHILL ROAD SUITE 200 LENEXA KS 66215 221574 KINDRED HOSPICE 406 HEMENWAY STREET MARLBOROUGH MA 01752 221591 KINDRED HOSPICE 130 RUMFORD AVENUE, SUITE 211 AUBURNDALE MA 02466 231564 KINDRED HOSPICE 25925 TELEGRAPH ROAD, SUITE 102 SOUTHFIELD MI 48033 231627 KINDRED HOSPICE 625 KENMOOR AVENUE SE, SUITE 115 GRAND RAPIDS MI 49546 241601 KINDRED HOSPICE 8000 WEST 78TH STREET, SUITE 210 EDINA MN 55439 251559 KINDRED HOSPICE 1990 S. FRONTAGE ROAD, SUITE 1 VICKSBURG MS 39180 251579 KINDRED HOSPICE 2706 WEST OXFORD LOOP, SUITE 100 OXFORD MS 38655 251594 KINDRED HOSPICE 301-B WEST COLLEGE STREET BOONEVILLE MS 38829 251597 KINDRED HOSPICE 115 A HIGHWAY 12 WEST STARKVILLE MS 39759 261534 KINDRED HOSPICE 4911 S. ARROWHEAD, SUITE 310 INDEPENDENCE MO 64055 261550 KINDRED HOSPICE 2055 CRAIGSHIRE ROAD, SUITE 410 SAINT LOUIS MO 63146 281528 KINDRED HOSPICE 444 REGENCY PARKWAY DRIVE, SUITE 200 OMAHA NE 68114 291507 KINDRED HOSPICE 5345 RENO CORPORATE DRIVE, BLD 3 RENO NV 89511 311545 KINDRED HOSPICE 242 OLD NEW BRUNSWICK ROAD, SUITE 140 PISCATAWAY NJ 08854 321513 KINDRED HOSPICE 1515 WEST CALLE SUR STREET, SUITE 129 HOBBS NM 88240 321520 KINDRED HOSPICE 5600 WYOMING BOULEVARD NE, SUITE 10 ALBUQUERQUE NM 87109 341581 KINDRED HOSPICE 122 E SAINT JAMES STREET TARBORO NC 27886 341599 KINDRED HOSPICE 136 ROXBORO ROAD OXFORD NC 27565 361635 KINDRED HOSPICE 112 HARCOURT ROAD, SUITE 3 MOUNT VERNON OH 43050 361679 KINDRED HOSPICE 4401 ROCKSIDE RD, SUITE 214 INDEPENDENCE OH 44131 381547 KINDRED HOSPICE 4500 KRUSE WAY, SUITE 100 LAKE OSWEGO OR 97035 381557 KINDRED HOSPICE 2925 RIVER ROAD SOUTH, SUITE 100 SALEM OR 97302 391612 KINDRED HOSPICE 5315 CAMPBELLS RUN ROAD, SUITE 190 PITTSBURGH PA 15205 391622 KINDRED HOSPICE 1777 SENTRY W PARKWAY 110 BLUE BELL PA 19422 411511 KINDRED HOSPICE 2374 POST ROAD, SUITE 206 WARWICK RI 02886 421571 KINDRED HOSPICE 905 EAST MAIN STREET SUITE 2 SPARTANBURG SC 29302 441520 KINDRED HOSPICE 750 E SPRING ST STE B1 COOKEVILLE TN 38501 441553 KINDRED HOSPICE 1400 DONELSON PIKE SUITE B5 NASHVILLE TN 37217 441603 KINDRED HOSPICE 430 STUART RD NE, STE 2 CLEVELAND TN 37312 451520 KINDRED HOSPICE 3223 SOUTH LOOP 289 SUITE 318 LUBBOCK TX 79423 451527 KINDRED HOSPICE 7557 RAMBLER ROAD SUITE 112 DALLAS TX 75231 451542 KINDRED HOSPICE 2626 SOUTH 37TH STREET SUITE #B TEMPLE TX 76504 451638 KINDRED HOSPICE 8050 EASTEX FREEWAY BEAUMONT TX 77708 451640 KINDRED HOSPICE 1911 CORPORATE DRIVE SUITE 104 SAN MARCOS TX 78666 451647 KINDRED HOSPICE 6700 WEST LOOP SOUTH SUITE 250 BELLAIRE TX 77401 451663 KINDRED HOSPICE 3232 HOBBS AVENUE SUITE A AMARILLO TX 79109 451697 KINDRED HOSPICE 112 WEST CONCHO AVENUE SAN ANGELO TX 76903 451699 KINDRED HOSPICE 105 W FRANKLIN STREET SUITE B WAXAHACHIE TX 75165 451703 KINDRED HOSPICE 937 FM 1821 NORTH SUITE A 100 MINERAL WELLS TX 76067

52 of 83 HOSPICES THAT SUCCESSFULLY MET QRP REPORTING REQUIREMENTS FOR FY 2020 APU

CCN Hospice Name Address City State ZIP 451705 KINDRED HOSPICE 7500 VISCOUNT SUITE C83 EL PASO TX 79925 451707 KINDRED HOSPICE 2400 CROCKETT DRIVE SUITE 300 BROWNWOOD TX 76801 451716 KINDRED HOSPICE 4309 OLD JACKSBORO HIGHWAY SUITE B WICHITA FALLS TX 76302 451722 KINDRED HOSPICE 2824 TERRELL ROAD SUITE 500 GREENVILLE TX 75402 451751 KINDRED HOSPICE 1665 ANTILLEY ROAD SUITE 300 ABILENE TX 79606 501541 KINDRED HOSPICE 115 NE 100TH ST BLDG A SUITE 210 SEATTLE WA 98125 521559 KINDRED HOSPICE 10150 W NATIONAL AVE SUITE 200 WEST ALLIS WI 53227 551562 KINDRED HOSPICE 4120 DUBLIN BLVD, SUITE 105 DUBLIN CA 94568 551585 KINDRED HOSPICE 395 TAYLOR BOULEVARD, SUITE 200 PLEASANT HILL CA 94523 671517 KINDRED HOSPICE 2913 WILLIAMS DRIVE SUITE #320 GEORGETOWN TX 78628 671580 KINDRED HOSPICE 210 SOUTH CARANCAHUA STREET STE 200 CORPUS CHRISTI TX 78401 671594 KINDRED HOSPICE 510 NORTH VALLEY MILLS DRIVE SUITE 402 WACO TX 76710 671596 KINDRED HOSPICE 184 GULF FRWY S SUITE A2 LEAGUE CITY TX 77573 671609 KINDRED HOSPICE 210 WEST PARK DRIVE SUITE 107 LIVINGSTON TX 77351 011522 KINDRED HOSPICE - DOTHAN 2740 HEADLAND AVENUE DOTHAN AL 36303 491568 KINDRED HOSPICE - HENRICO 8000 FRANKLIN FARMS DRIVE, SUITE 100 RICHMOND VA 23229 011675 KINDRED HOSPICE - HOOVER 2000B SOUTHBRIDGE PARKWAY, SUITE 150 BIRMINGHAM AL 35209 011674 KINDRED HOSPICE - HUNTSVILLE 5000 BRADFORD DRIVE NW, SUITE 3A HUNTSVILLE AL 35805 011602 KINDRED HOSPICE - PHENIX CITY 3615 SOUTH RAILROAD STREET, SUITE 3 PHENIX CITY AL 36867 491562 KINDRED HOSPICE - VIRGINIA BEACH 5544 GREENWICH ROAD, SUITE 202 VIRGINIA BEACH VA 23462 251590 KINDRED HOSPICE ( FLOWOOD) 106 RIVERVIEW DRIVE, 2ND FLOOR FLOWOOD MS 39232 041510 KINDRED HOSPICE I 915 NORTH WASHINGTON STRET FORREST CITY AR 72335 041528 KINDRED HOSPICE I 1509 EAST MAIN STREET, SUITE 6B RUSSELLVILLE AR 72801 041531 KINDRED HOSPICE I 235 GARDEN OAKS DRIVE, SW, SUITE 235 CAMDEN AR 71701 041532 KINDRED HOSPICE I 210 NORTH STATE LINE AVENUE, SUITE 502 TEXARKANA AR 71854 041537 KINDRED HOSPICE I 2212 MALVERN AVENUE, HOT SPRINGS AR 71901 041539 KINDRED HOSPICE I 1141 EAST MAIN STREET, SUITE 208 BATESVILLE AR 72501 231524 KINDRED HOSPICE I 4458 OAKBRIDGE DRIVE, SUITE D FLINT MI 48532 041561 KINDRED HOSPICE II 10800 FINANCIAL CENTRE PARKWAY, SUITE 380 LITTLE ROCK AR 72211 361573 KINDRED HOSPICE II 540 OFFICENTER PLACE, SUITE 100 GAHANNA OH 43230 141651 KINDRED HOSPICE ILLINOIS 1325 REMINGTON RD SUITE L SCHAUMBURG IL 60173 011605 KINDRED HOSPICE-MOBILE 2800 DAUPHIN STREET, SUITE 103 MOBILE AL 36606 031552 KINGMAN REGIONAL MEDICAL CENTER HOSPICE 2202 STOCKTON HILL ROAD, SUITE 200 KINGMAN AZ 86401 151535 KING'S DAUGHTERS' HOSPICE 2670 MICHIGAN RD MADISON IN 47250 501529 KITTITAS VALLEY HOME HEALTH & HOSPICE 1506 E RADIO RD ELLENSBURG WA 98926 381533 KLAMATH HOSPICE, INC 4745 S 6TH STREET KLAMATH FALLS OR 97603 501539 KLICKITAT VALLEY HEALTH 711 EAST COLLINS STREET GOLDENDALE WA 98620 501540 KLINE GALLAND HOSPICE SERVICES 5950 SIXTH AVE S SUITE 100 SEATTLE WA 98108 241592 KNUTE NELSON HOSPICE 2715 HIGHWAY 29 SUITE 103 ALEXANDRIA MN 56308 151555 KOSCIUSKO HOME CARE & HOSPICE INC 1515 PROVIDENT DR STE 250 WARSAW IN 46580 241547 L B HOSPICE 805 EAST CHANNING AVENUE FERGUS FALLS MN 56537 921568 LA ARC HOSPICE, INC. 5652 VINELAND AVENUE, SUITE 202 B N HOLLYWOOD CA 91601 921778 LA CRESCENTA HOSPICE CARE, CORP 3130 FOOTHILL BLVD, SUITE 11 LA CRESCENTA CA 91214 051766 LA HOSPICE 685 S CARONDELET ST 2ND FLOOR LOS ANGELES CA 90057

53 of 83 HOSPICES THAT SUCCESSFULLY MET QRP REPORTING REQUIREMENTS FOR FY 2020 APU

CCN Hospice Name Address City State ZIP 451566 LA MARIPOSA HOSPICE 1733 CURIE DR STE 206 EL PASO TX 79902 921725 LAC HEALTH HOSPICE SERVICES 3333 GLENDALE BLVD, SUITE 3 LOS ANGELES CA 90039 271513 LAKE COUNTY HOME OPTIONS 711 MAIN ST SW RONAN MT 59864 261672 LAKE REGIONAL HOSPICE 1193 HIGHWAY KK OSAGE BEACH MO 65065 301509 LAKE SUNAPEE HOME CARE & HOSPICE 107 NEWPORT ROAD NEW LONDON NH 03257 231553 LAKE SUPERIOR HOSPICE ASSOCIATION 914 WEST BARAGA MARQUETTE MI 49855 391729 LAKELAND AREA HOSPICE, LP 4635 EAST LAKE ROAD ERIE PA 16511 011526 LAKESIDE HOSPICE INC 4010 MASTERS ROAD PELL CITY AL 35128 191525 LAKESIDE HOSPICE, LLC 5105 W NAPOLEON AVE METAIRIE LA 70001 321540 LAKEVIEW CHRISTIAN HOSPICE 1300 NORTH CANAL STREET CARLSBAD NM 88220 381545 LAKEVIEW HOME HEALTH & HOSPICE 922 SOUTH 7TH STREET LAKEVIEW OR 97630 241552 LAKEVIEW HOSPICE 1715 TOWER DRIVE WEST SUITE 330 STILLWATER MN 55082 521558 LAKEVIEW MEDICAL CTR HOSPICE 2304 S MAIN ST RICE LAKE WI 54868 061505 LAMAR AREA HOSPICE ASSOCIATION 108 WEST OLIVE STREET LAMAR CO 81052 191682 LAMM FAMILY CARE HOSPICE 1708 N PARKERSON AVENUE, SUITE 6 CROWLEY LA 70526 471503 LAMOILLE HHA 54 FARR AVENUE MORRISVILLE VT 05661 521536 LE ROYER HOSPICE 112 E FIFTH AVE ANTIGO WI 54409 161517 LEE COUNTY HEALTH DEPARTMENT 3 JOHN BENNETT DRIVE FORT MADISON IA 52627 461535 LEGACY HEALTH CARE INC 880 HERITAGE PARK BLVD, SUITE 200 LAYTON UT 84041 451786 LEGACY HOME HEALTH AGENCY INC 5277 OLD BROWNSVILLE ROAD SUITE 205 CORPUS CHRISTI TX 78405 321569 LEGACY HOSPICE 9388 VALLEY VIEW DRIVE NW, SUITE 300 ALBUQUERQUE NM 87114 451740 LEGACY HOSPICE 1901 RICKETY LANE SUITE 103 TYLER TX 75703 491572 LEGACY HOSPICE 1963 SECOND STREET RICHLANDS VA 24641 491593 LEGACY HOSPICE 500 FAULCONER DRIVE, SUITE 100 CHARLOTTESVILLE VA 22903 921565 LEGACY HOSPICE AND PALLIATIVE CARE 13781 ROSWELL AVENUE, SUITE C CHINO CA 91710 041571 LEGACY HOSPICE OF NORTH ARKANSAS 106 WEST LOCUST SALEM AR 72576 011604 LEGACY HOSPICE OF THE EAST, LLLP 344 FRANKLIN STREET GILBERTOWN AL 36908 251552 LEGACY HOSPICE OF THE SOUTH 212 EAST JEFFERSON STREET RIPLEY MS 38663 251628 LEGACY HOSPICE OF THE SOUTH - BATESVILLE 103 WOODLAND ROAD, SUITE 7-D BATESVILLE MS 38606 251592 LEGACY HOSPICE OF THE SOUTH - GRENADA 1410 WOODED DRIVE GRENADA MS 38901 251638 LEGACY HOSPICE OF THE SOUTH - STARKVILLE 1085 STARK ROAD, SUITE F STARKVILLE MS 39759 381505 LEGACY HOSPICE SERVICES 815 NE DAVIS STREET PORTLAND OR 97232 041568 LEGACY HOSPICE, INC 925 WEST KEISER OSCEOLA AR 72370 261598 LEGACY HOSPICE, INC 607 BILLINGTON KENNETT MO 63857 191639 LEGACY NATIONAL HOSPICE , LLC 5001 HIGHWAY 190, SUITE B-2 COVINGTON LA 70433 191577 LEGACY NATIONAL HOSPICE, LLC 100 SOUTH MAGNOLIA STREET COLGRADE LA 71483 191655 LEGACY NATIONAL HOSPICE, LLC 14292 FLORIDA BLVD LIVINGSTON LA 70754 191661 LEGACY NATIONAL HOSPICE, LLC 215 ARKANSAS AVE MONROE LA 71201 671515 LEGACY OF LOVE HOSPICE 125 E MARSHALL HOWARD BOULEVARD LITTLEFIELD TX 79339 391521 LEHIGH VALLEY HOSPICE 2024 LEHIGH STREET ALLENTOWN PA 18103 671514 LESTER DIERKSEN MEMORIAL HOSPICE 6500 N SUMMERHILL ROAD SUITE 2B TEXARKANA TX 75503 041575 LESTER DIERKSEN MEMORIAL HOSPICE, LLC 3648 NORTH HWY 7, SUITE E HOT SPRINGS VILLAGE AR 71909 141624 LEXINGTON HOSPICE SERVICES, LLC 1300 S MAIN STREET LOMBARD IL 60148 341537 LIBERTY HOME CARE AND HOSPICE 336 S MAIN STREET RAEFORD NC 28376

54 of 83 HOSPICES THAT SUCCESSFULLY MET QRP REPORTING REQUIREMENTS FOR FY 2020 APU

CCN Hospice Name Address City State ZIP 491594 LIBERTY HOME CARE AND HOSPICE 2943 RIVERSIDE DRIVE SUITE E DANVILLE VA 24541 341569 LIBERTY HOME CARE LLC 2550 SOUTH 41ST STREET WILMINGTON NC 28403 391763 LIBERTY HOSPICE 7002 W BUTLER PIKE AMBLER PA 19002 551648 LIBERTY HOSPICE, INC. 1111 N. BRAND BLVD., SUITE 314 GLENDALE CA 91202 261580 LIBERTY HOSPITAL HOSPICE 2525 GLENN HENDREN DRIVE LIBERTY MO 64068 751780 LIFE COMFORT CARE INC 8632 ARCHIBALD AVENUE SUITE 203 RANCHO CUCAMONGA CA 91730 311549 LIFE SOURCE SERVICES LLC 700 KINDERKAMACK ROAD, SUITE 105 ORADELL NJ 07649 191591 LIFE SOURCE SERVICES OF BATON ROUGE 11605 SOUTHFORK AVENUE, SUITE A BATON ROUGE LA 70816 551660 LIFE SPRINGS HOSPICE CARE 60 WHITNEY PLACE FREMONT CA 94539 041522 LIFE TOUCH HOSPICE 2301 CHAMPAGNOLLE ROAD EL DORADO AR 71730 451708 LIFECARE HEALTH SERVICES 911 W LOOP 281, SUITE 204 LONGVIEW TX 75604 241563 LIFECARE HOSPICE 715 DELMORE DRIVE ROSEAU MN 56751 361544 LIFECARE HOSPICE 1900 AKRON ROAD WOOSTER OH 44691 751785 LIFECARE SOLUTIONS PALLIATIVE AND HOSPICE 39675 CEDAR BOULEVARD, SUITE 240B NEWARK CA 94560 751616 LIFEGUARD HOSPICE CARE, INC 5976 W LAS POSITAS BOULEVARD, SUITE 104 PLEASANTON CA 94588 371611 LIFELINE HOSPICE, INC. 1701 WEST IOWA CHICKASHA OK 73018 921639 LIFELINK HOSPICE & PALLIATIVE CARE 211 W FOOTHILL BLVD, STE B GLENDORA CA 91741 101507 LIFEPATH HOSPICE 3010 W AZEELE ST TAMPA FL 33609 191574 LIFEPATH HOSPICE CARE SERVICES, LLC 8720 QUIMPER PLACE SUITE 100 SHREVEPORT LA 71105 671691 LIFEPOINTE HOSPICE DALLAS METROPLEX LLC 12810 HILLCREST RD STE B-127 DALLAS TX 75230 371681 LIFESPRING HOSPICE 2411 SPRINGER DRIVE SUITE 200 NORMAN OK 73069 331506 LIFETIME CARE/ HOSPICE OF ROCHESTER/ WAYNE/SENECA 3111 SOUTH WINTON ROAD ROCHESTER NY 14623 921675 LIGHT BEAM HOSPICE CARE, INC 16116 HART ST VAN NUYS CA 91406 051763 LIGHTBRIDGE HOSPICE 6155 CORNERSTONE COURT EAST, #220 SAN DIEGO CA 92121 461620 LIGHTEN HOSPICE 8160 SOUTH HIGHLAND DRIVE, SUITE A1 SANDY UT 84093 311536 LIGHTHOUSE HOSPICE 200 LAKE DRIVE EAST, SUITE 205 CHERRY HILL NJ 08034 421608 LIGHTHOUSE HOSPICE GROUP, LLC 110 OAK PARK DRIVE UNIT C IRMO SC 29063 131580 LIGHTHOUSE HOSPICE LLC 151 WEST GALVANI DRIVE SUITE 100 MERIDIAN ID 83642 061552 LINCOLN COMMUNITY HOME HEALTH AND HOSPICE 111 - 6TH STREET HUGO CO 80821 441530 LINCOLN MEDICAL HOME HEALTH AND HOSPICE 2250 THORTON TAYLOR PARKWAY SUITE B FAYETTEVILLE TN 37334 741543 LIVING WATERS HOSPICE, INC. 23315 JOHNSON ROAD NEW CANEY TX 77357 031611 LIVING WATERS HOSPICE, LLC 3711 WEST HIGHWAY 68 GOLDEN VALLEY AZ 86413 751625 LIVINGCARE HOSPICE, INC 8560 VINEYARD AVE RANCHO CUCAMONGA CA 91730 331553 LIVINGSTON COUNTY HOSPICE 2 LIVINGSTON COUNTY CAMPUS MOUNT MORRIS NY 14510 271504 LIVINGSTON HOSPICE CARE 320 ALPENGLOW LANE LIVINGSTON MT 59047 051517 LIVINGSTON MEMORIAL VISITING NURSE ASSOCIATION - H 1996 EASTMAN AVE STE 108 VENTURA CA 93003 331537 LONG ISLAND COMMUNITY HOSPITAL HOSPICE 105 WEST MAIN STREET PATCHOGUE NY 11772 751662 LONGEVITY HOSPICE, INC 7334 TOPANGA CANYON BLVD, STE 217 CANOGA PARK CA 91303 111680 LONGLEAF HOSPICE, LLC 2310 PARKLAKE DRIVE SUITE 325 ATLANTA GA 30345 751551 LOS FELIZ HOSPICE HEALTH CARE 732 N DIAMOND BAR BLVD SUITE 228 DIAMOND BAR CA 91765 191632 LOUISIANA HOSPICE & PALLIATIVE CARE 2645 O'NEAL LANE, BUILDING B, SUITE C BATON ROUGE LA 70816 191631 LOUISIANA HOSPICE & PALLIATIVE CARE OF NEW ORLEANS 3000 W ESPLANADE AVENUE, SUITE 301 METAIRIE LA 70002 191542 LOUISIANA HOSPICE AND PALLIATIVE CARE 426 HEATHER DRIVE OPELOUSAS LA 70570 191565 LOUISIANA HOSPICE AND PALLIATIVE CARE 1101 HUDSON LANE , SUITE D MONROE LA 71201

55 of 83 HOSPICES THAT SUCCESSFULLY MET QRP REPORTING REQUIREMENTS FOR FY 2020 APU

CCN Hospice Name Address City State ZIP 191586 LOUISIANA HOSPICE AND PALLIATIVE CARE 1322 ELTON ROAD, SUITE G JENNINGS LA 70546 141548 LOURDES HOSPICE 704 E 5TH ST, STE 5 METROPOLIS IL 62960 181507 LOURDES HOSPICE 911 JOE CLIFTON DRIVE PADUCAH KY 42001 191669 LOURDES HOSPICE 101 LA RUE FRANCE, STE 301 LAFAYETTE LA 70508 671668 LOVE AND PEACE HOSPICE SERVICES 2233 AVENUE J SUITE 107 ARLINGTON TX 76006 361568 LOVING CARE HOSPICE AND HOME HEALTH 56 SOUTH OAK STREET LONDON OH 43140 031666 LOVING CARE HOSPICE, INC. 1930 SOUTH ALMA SCHOOL ROAD, SUITE B213 MESA AZ 85210 141629 LOVING HANDS HOSPICE 6535 NORTH OLMSTEAD AVENUE, SUITE 150 CHICAGO IL 60631 341515 LOWER CAPE FEAR HOSPICE INC 1414 PHYSICIANS DRIVE WILMINGTON NC 28401 381520 LOWER COLUMBIA HOSPICE 2158 EXCHANGE STREET, SUITE 206 ASTORIA OR 97103 141566 LOYOLA MEDICINE HOSPICE 2301 W 22ND STREET OAK BROOK IL 60523 261631 LSS HOSPICE CARE 1300 STRASSNER BLVD BRENTWOOD MO 63144 381519 LUMINA HOSPICE AND PALLIATIVE CARE 2350 NW PROFESSIONAL DRIVE CORVALLIS OR 97330 521585 LUTHER MANOR HOSPICE 4545 N 92ND ST WAUWATOSA WI 53225 421529 LUTHERAN HOSPICE 102 FORTRESS DRIVE CHAPIN SC 29036 061508 LUTHERAN MEDICAL CENTER HOSPICE 3210 LUTHERAN PARKWAY WHEAT RIDGE CO 80033 741500 M & L MEDICAL SERVICES HOSPICE INC 1801 N HAMPTON SUITE 333 DESOTO TX 75115 331529 M J H S HOSPICE AND PALLIATIVE CARE, INC 39 BROADWAY, SUITE 200 NEW YORK NY 10006 341540 MADISON HOME CARE AND HOSPICE 590 MEDICAL PARK DRIVE MARSHALL NC 28753 551726 MADISON HOSPICE 3740 LONG BEACH BLVD SUITE 202 LONG BEACH CA 90807 031625 MAGGIE'S HOSPICE, INC. 306 NORTH VIRGINIA STREET PRESCOTT AZ 86301 251508 MAGNOLIA REGIONAL HEALTH CENTER HH AND HOSPICE AGE 1001 SOUTH HARPER ROAD CORINTH MS 38834 161511 MAHASKA HEALTH PARTNERSHIP HOSPICE SERVICES 1229 C AVE EAST OSKALOOSA IA 52577 921589 MAIN HOSPICE AND PALLIATIVE CARE, INC 1918 BUSINESS CENTER DRIVE, SUITE 211 SAN BERNARDINO CA 92408 391583 MAIN LINE HEALTH HOMECARE & HOSPICE - HOSPICE 240 RADNOR CHESTER ROAD, SUITE 100 RADNOR PA 19087 451687 MAIN STREET HOSPICE 450 WEST MAIN STREET AZLE TX 76020 151540 MAIN STREET HOSPICE, LLC 10 HIGHLAND AVENUE FRANKLIN IN 46131 201508 MAINEHEALTH CARE AT HOME 15 INDUSTRIAL PARK ROAD SACO ME 04072 751675 MAKA HOSPICE, INC 7120 HAYVENHURST AVENUE, SUITE 112 VAN NUYS CA 91405 551766 MANOR HOSPICE 9007 ARROW ROUTE SUITE 180 RANCHO CUCAMONGA CA 91730 461592 MAPLE CREEK HOSPICE 290 WEST CENTER STREET SPANISH FORK UT 84660 551613 MAR VISTA HOSPICE 4001 W ALAMEDA AVE, SUITE 203 BURBANK CA 91505 271508 MARCUS DALY MEMORIAL HOSPITAL HOSPICE 1200 WESTWOOD DR HAMILTON MT 59840 151551 MARGARET MARY HEALTH HOSPICE 108 N ELM STREET BATESVILLE IN 47006 361650 MARIETTA HOME HEALTH & HOSPICE,AN AMEDISYS PARTNER 450 PIKE STREET, SUITE I-1 MARIETTA OH 45750 521578 MARQUARDT HOSPICE 1020 HILL ST WATERTOWN WI 53098 671599 MARSHALL HOMECARE AND HOSPICE 111 E BURLESON MARSHALL TX 75670 311560 MARTIN AND EDITH STEIN HOSPICE, THE 49 VERONICA AVENUE, 206 SOMERSET NJ 08873 161508 MARY GREELEY HOSPICE SERVICES 400 SOUTH DAKOTA AMES IA 50014 281522 MARY LANNING HOSPICE 747 N BURLINGTON AVE, STE 202 HASTINGS NE 68901 241587 MARY T HOSPICE 1555 118TH LANE NORTHWEST COON RAPIDS MN 55448 391721 MASONIC VILLAGE HOSPICE 98 MASONIC DRIVE SUITE 101 ELIZABETHTOWN PA 17022 071516 MASONICARE HOME HEALTH AND HOSPICE INC 104 SOUTH TURNPIKE ROAD WALLINGFORD CT 06492 071510 MASONICARE PARTNERS HOME HEALTH AND HOSPICE, INC 111 FOUNDER'S PLAZA, SUITE 200 EAST HARTFORD CT 06108

56 of 83 HOSPICES THAT SUCCESSFULLY MET QRP REPORTING REQUIREMENTS FOR FY 2020 APU

CCN Hospice Name Address City State ZIP 921550 MATRIX HOSPICE INC 19562 VENTURA BLVD, SUITE 217 TARZANA CA 91356 551689 MAXCARE HOSPICE 13800 ARIZONA STREET, SUITE 201 WESTMINSTER CA 92683 391713 MAYLATH VALLEY HEALTH SYSTEMS INC 750 STATE ROUTE 93 PO BOX 103 SYBERTSVILLE PA 18251 241534 MAYO CLINIC HEALTH SYSTEM - ALBERT LEA 1705 SOUTHEAST BROADWAY ALBERT LEA MN 56007 241544 MAYO CLINIC HEALTH SYSTEM - AUSTIN 101 14TH ST. NW AUSTIN MN 55912 241503 MAYO CLINIC HEALTH SYSTEM - MANKATO PO BOX 8673 MANKATO MN 56002 241539 MAYO CLINIC HEALTH SYSTEM - RED WING HOSPICE 906 COLLEGE AVE NEWPORT MN 55055 521519 MAYO CLINIC HEALTH SYSTEM HOSPICE IN EAU CLAIRE 200 SPRING ST EAU CLAIRE WI 54703 241519 MAYO CLINIC HOSPICE 200 FIRST STREET SOUTHWEST ROCHESTER MN 55905 521507 MAYO CLINIC HS FRANCISCAN HOSPICE 620 11TH ST SOUTH LA CROSSE WI 54601 371650 MAYS HOSPICE CARE, INC 202 NW J STREET ANTLERS OK 74523 361671 MCGREGOR HOSPICE 14900 PRIVATE DRIVE CLEVELAND OH 44112 231504 MCLAREN HOME CARE AND HOSPICE 761 LAFAYETTE AVENUE CHEBOYGAN MI 49721 231541 MCLAREN HOME CARE AND HOSPICE 1 HILAND DRIVE PETOSKEY MI 49770 231580 MCLAREN HOME CARE AND HOSPICE 2078 M-32 WEST ALPENA MI 49707 231521 MCLAREN HOSPICE 1515 CAL DRIVE DAVISON MI 48423 071524 MCLEAN HOME CARE AND HOSPICE 75 GREAT POND ROAD SIMSBURY CT 06070 421516 MCLEOD HCS - HOSPICE OF THE PEE DEE 1203 EAST CHEVES STREET FLORENCE SC 29501 921512 MD CHOICE HOSPICE, INC 6047 TAMPA AVE, SUITE 210 TARZANA CA 91356 921552 MD PREFERRED HOSPICE, INC 6047 TAMPA AVENUE, SUITE 205 TARZANA CA 91356 141524 MDH HOSPICE,THE 525 E GRANT ST MACOMB IL 61455 171522 MEADOWLARK HOSPICE 709 LIBERTY STREET CLAY CENTER KS 67432 551720 MED STAR HOSPICE CARE, INC 1801 SOUTH MYRTLE AVE, STE F MONROVIA CA 91016 401567 MEDHEALTH HOSPICE CORP CARR 102 KM 18 4 BO PARABUELLON CABO ROJO PR 00623 491571 MEDI HOME HEALTH & HOSPICE 12531 CLIPPER DRIVE, SUITE 102 WOODBRIDGE VA 22192 341539 MEDI HOME HEALTH AND HOSPICE 400 SHADOWLINE DRIVE, SUITE 102 BOONE NC 28607 341563 MEDI HOME HEALTH AND HOSPICE 355 SOUTH MORGAN BOULEVARD SUITE A ROXBORO NC 27573 491586 MEDI HOME HEALTH AND HOSPICE - PULASKI 336 N WASHINGTON AVENUE PULASKI VA 24301 491576 MEDI HOME HEALTH AND HOSPICE - CHESAPEAKE 530 INDEPENDENCE PARKWAY 200 CHESAPEAKE VA 23320 491574 MEDI HOME HEALTH AND HOSPICE - ROANOKE 5369 PETERS CREEK ROAD ROANOKE VA 24019 341533 MEDI HOME HOSPICE 1955 NEWLAND HWY NEWLAND NC 28657 391634 MEDI HOME HOSPICE 201 PENN CENTER BOULEVARD SUITE 300 PITTSBURGH PA 15235 391696 MEDI HOME HOSPICE 341 NORTH SCIENCE ROAD SUITE 207 STATE COLLEGE PA 16803 491579 MEDI HOME HOSPICE - RICHMOND 4200 PARK PLACE COURT - SUITE C GLEN ALLEN VA 23060 291528 MEDICAL SERVICE OF AMERICA HOME HEALTH AND HOSPICE 2325A RENAISSANCE DRIVE LAS VEGAS NV 89119 421547 MEDICAL SERVICES OF AMERICA HOSPICE - COASTAL 4685 HIGHWAY 17 SOUTH BYPASS MYRTLE BEACH SC 29577 491557 MEDICAL SERVICES OF AMERICA HOME HEALTH & HOSPICE 1825 FRONT STREET - SUITE 103B RICHLANDS VA 24641 111626 MEDICAL SERVICES OF AMERICA HOSPICE 4314 BELAIR FRONTAGE RD, SUITE B AUGUSTA GA 30909 151565 MEDICAL SERVICES OF AMERICA HOSPICE 3101 NORTH GREEN RIVER ROAD, SUITE 210 EVANSVILLE IN 47715 421554 MEDICAL SERVICES OF AMERICA HOSPICE OF THE UPSTATE 528 HOWELL ROAD, SUITE 20 GREENVILLE SC 29615 421531 MEDICAL SERVICES OF AMERICA HOSPICE-COLUMBIA 166 STONERIDGE DRIVE, SUITE 100 COLUMBIA SC 29201 261626 MEDI-PLEX HOSPICE, LLC 1470 SOUTH VANDEVENTER AVENUE SAINT LOUIS MO 63110 921519 MEDPLUS HOSPICE SERVICES 1551 W 13TH STREET #204 UPLAND CA 91786 751646 MEDSERV HOSPICE INC 217 WEST ALAMEDA AVE, SUITE 103 BURBANK CA 91502

57 of 83 HOSPICES THAT SUCCESSFULLY MET QRP REPORTING REQUIREMENTS FOR FY 2020 APU

CCN Hospice Name Address City State ZIP 231514 MEMORIAL HEALTHCARE 1975 W M21, SUITE 102 OWOSSO MI 48867 451562 MEMORIAL HERMANN HOSPICE 902 FROSTWOOD SUITE 288 HOUSTON TX 77024 501531 MEMORIAL HOME CARE SERVICES/HOSPICE SERVICES 302 S 10TH AVENUE YAKIMA WA 98902 451538 MEMORIAL HOSPICE 209 S BLISS DUMAS TX 79029 451737 MEMORIAL HOSPICE 1004 HOBBS HIGHWAY SUITE 2 SEMINOLE TX 79360 391552 MEMORIAL WHITE ROSE HOSPICE 1412 6TH AVENUE YORK PA 17403 051595 MEMORIALCARE HOSPICE AND PALLIATIVE SERVICES 24411 HEALTH CENTER DR, SUITE 400 LAGUNA HILLS CA 92653 401534 MENNONITE HOSPICE CALLE PEDRO ROSARIO SOLAR 4 Y 5 BO AIBONITO AIBONITO PR 00705 361642 MENORAH PARK CENTER FOR SENIOR LIVING 27100 CEDAR ROAD BEACHWOOD OH 44122 421501 MERCY CARE 8216 DEVON COURT MYRTLE BEACH SC 29572 921728 MERCY GRACE HOSPICE, INC. 8345 RESEDA BLVD, SUITE 212 NORTHRIDGE CA 91324 361563 MERCY HEALTH-NEW LIFE HOSPICE 3500 KOLBE ROAD LORAIN OH 44053 161527 MERCY HOME CARE AND HOSPICE 638 SOUTH BLUFF BOULEVARD CLINTON IA 52732 041504 MERCY HOSPICE 3300 SOUTH 70TH FORT SMITH AR 72903 051600 MERCY HOSPICE 9912 BUSINESS PARK DRIVE, SUITE 100 SACRAMENTO CA 95827 051645 MERCY HOSPICE 1544 MARKET STREET REDDING CA 96001 171587 MERCY HOSPICE 902 S HORTON STREET FORT SCOTT KS 66701 261510 MERCY HOSPICE 1000 DES PERES, SUITE 200B SAINT LOUIS MO 63131 261520 MERCY HOSPICE 151 INDUSTRIAL DRIVE FESTUS MO 63028 371509 MERCY HOSPICE 4401 W MEMORIAL ROAD, SUITE 116 OKLAHOMA CITY OK 73120 451749 MERCY HOSPICE 2281 OLYMPIA DRIVE SUITE #100 FLOWER MOUND TX 75028 161506 MERCY HOSPICE - DES MOINES 500 SW 7TH STREET, SUITE 104 DES MOINES IA 50309 261587 MERCY HOSPICE SOUTH-DE GREEFF HOSPICE HOUSE 10024 KENNERLY ROAD SAINT LOUIS MO 63128 361534 MERCY MEDICAL CENTER HOME HEALTH & HOSPICE LLC 4369 WHIPPLE AVENUE NW CANTON OH 44718 381521 MERCY MEDICAL CENTER HOSPICE 2675 NW EDENBOWER BLVD ROSEBURG OR 97471 521550 MERCYHEALTH AT HOME 901 MINERAL POINT AVE JANESVILLE WI 53548 921703 MERIDIAN HOSPICE CARE 8400 MAPLE PLACE SUITE 109 RANCHO CUCAMONGA CA 91730 221508 MERRIMACK VALLEY HOSPICE, INC 360 MERRIMACK STREET, BUILDING 9 LAWRENCE MA 01843 291529 MESA VIEW HOSPICE, LLC 330 FALCON RIDGE PKWY BLDG 200 STE A MESQUITE NV 89027 321501 MESILLA VALLEY HOSPICE, INC 299 E MONTANA AVE LAS CRUCES NM 88005 441502 METHODIST ALLIANCE HOSPICE 6400 SHELBY VIEW DRIVE, SUITE 101 MEMPHIS TN 38134 281511 METHODIST FREMONT HEALTH HOSPICE 2400 NORTH LINCOLN AVE, SUITE B FREMONT NE 68025 751656 METRO HOSPICE WEST VALLEY INC 7018 OWENSMOUTH AVE, STE 202 CANOGA PARK CA 91303 921551 METRO MEDICAL SERVICES, INC 1616 VICTORY BLVD, SUITE 204 GLENDALE CA 91201 221504 METROWEST HOMECARE AND HOSPICE, AN AMEDISYS COMPAN 200 NICKERSON ROAD, SUITE 110 MARLBORO MA 01752 551642 MGA HOSPICE, INC 121 W. LEXINGTON DR. SUITE 216 GLENDALE CA 91203 751708 MI HOSPICE AND PALLIATIVE CARE, INC 6513 HOLLYWOOD BOULEVARD SUITE 213 LOS ANGELES CA 90028 231649 MICHIGAN PREMIER HOSPICE CARE 312 EAST HOUGHTON AVE, SUITE A WEST BRANCH MI 48661 251560 MID DELTA HOSPICE 405 HAYDEN STREET BELZONI MS 39038 231640 MID MICHIGAN HOME HEALTH & HOSPICE 1055 PROFESSIONAL DR, BUILDING C, SUITE 4 FLINT MI 48532 551610 MID VALLEY HOSPICE, INC. 4312 WOODMAN AVE, SUITE 201 SHERMAN OAKS CA 91423 221541 MIDDLESEX EAST VISITING NURSE HOSPICE 600 CUMMINGS CENTER, SUITE 270X BEVERLY MA 01915 071522 MIDDLESEX HOSPITAL HOMECARE 770 SAYBROOK ROAD MIDDLETOWN CT 06457 171506 MIDLAND CARE HOSPICE 200 SW FRAZIER CIRCLE TOPEKA KS 66606

58 of 83 HOSPICES THAT SUCCESSFULLY MET QRP REPORTING REQUIREMENTS FOR FY 2020 APU

CCN Hospice Name Address City State ZIP 231549 MIDMICHIGAN HOME CARE 2597 S MERIDIAN ROAD MOUNT PLEASANT MI 48858 361690 MIDWEST HOSPICE INC 10925 REED HARTMAN HWY SUITE 312 BLUE ASH OH 45242 141527 MIDWEST PALLIATIVE & HOSPICE CARECENTER 2050 CLAIRE COURT GLENVIEW IL 60025 201505 MILES & ST ANDREWS HOME HEALTH & HOSPICE 40 BELVEDERE ROAD DAMARISCOTTA ME 04543 051718 MILESTONE HOSPICE, INC 1500 CRENSHAW BLVD SUITE 200 TORRANCE CA 90501 241588 MILLE LACS HEALTH SYSTEM HOSPICE 200 NORTH ELM STREET ONAMIA MN 56359 371709 MILLENNIUM HOSPICE, INC 12129 EAST SKELLY DR TULSA OK 74128 131539 MINIDOKA MEMORIAL HOSPICE 1218 9TH STREET, SUITE 4 RUPERT ID 83350 521532 MINISTRY HC HOSPICE PLOVER 1840 POST ROAD SUITE 5 PLOVER WI 54467 521516 MINISTRY HOME CARE HOSPICE MARSHFIELD 303 W UPHAM ST SUITE 200 MARSHFIELD WI 54449 241582 MINNESOTA HOSPICE LLC 17645 JUNIPER PATH SUITE 155 LAKEVILLE MN 55044 751760 MIRACLE MILE HOSPICE CARE, INC 5670 WILSHIRE BLVD SUITE 1600A LOS ANGELES CA 90036 051687 MISSION HOSPICE 2555 EAST COLORADO BLVD SUITE 301 PASADENA CA 91107 371522 MISSION HOSPICE 8241 SOUTH WALKER, SUITE 152 OKLAHOMA CITY OK 73139 451748 MISSION HOSPICE 827 N MAIN ST CLEBURNE TX 76033 671699 MISSION HOSPICE 2455 ROBINSON ROAD SUITE 200 GRAND PRAIRIE TX 75051 051665 MISSION HOSPICE & HOME CARE, INC. 1670 SOUTH AMPHLETT BLVD., SUITE 300 SAN MATEO CA 94402 551652 MISSION HOSPICE SERVICES OF SAN DIEGO INC 2365 NORTHSIDE DRIVE, SUITE 100 SAN DIEGO CA 92108 551580 MISSION HOSPICE SOUTH BAY 5170 SEPULVEDA BLVD, SUITE 290 SHERMAN OAKS CA 91403 751599 MISSION OF MERCY HOSPICE, INC. 4160 VERDUGO RD LOS ANGELES CA 90065 261636 MISSOURI DELTA HOSPICE 1226 LINN STREET, SUITE G SIKESTON MO 63801 191558 MODERN HOSPICE 800 CM FAGAN DR STE C HAMMOND LA 70403 391777 MONARCH HOSPICE 2837 LEECHBURG ROAD LOWER BURRELL PA 15068 921575 MONARCH HOSPICE CARE, INC 19608 CAMINO DE ROSA, SUITE 201 WALNUT CA 91789 751609 MONARCH PALLIATIVE CARE, INC. 433 NORTH 4TH ST, SUITE 214 MONTEBELLO CA 90640 211503 MONTGOMERY HOSPICE INC 1355 PICCARD DRIVE, SUITE 100 ROCKVILLE MD 20850 511511 MORGANTOWN HOSPICE, AN AMEDISYS PARTNER 3596 COLLINS FERRY ROAD, SUITE 250 MORGANTOWN WV 26505 751511 MORNING STAR PALLIATIVE & HOSPICE INC. 11651 STERLING AVE, SUITE I RIVERSIDE CA 92503 261507 MOSAIC LIFE CARE HOSPICE 711 NORTH 36TH STREET SAINT JOSEPH MO 64506 391641 MOTHER TERESA HOSPICE INC 3950 BRODHEAD ROAD WALMART PLAZA MONACA PA 15061 751605 MOTHER THERESA HOSPICE, INC 847 NORTH HOLLYWOOD WAY, STE 203B BURBANK CA 91505 171599 MOTHER'S TOUCH HOME HEALTH & HOSPICE INC 319 N DOWELL STREET WICHITA KS 67206 361520 MOUNT CARMEL HOSPICE 1144 DUBLIN ROAD COLUMBUS OH 43215 181526 MOUNTAIN COMMUNITY HOSPICE DBA BLUEGRASS CARE NAVI 57 DENNIS SANDLIN, MD COVE HAZARD KY 41701 511514 MOUNTAIN HOSPICE, INC. 1002 SOUTH CRIM AVENUE BELINGTON WV 26250 491535 MOUNTAIN REGIONAL HOSPICE 537 MAIN STREET CLIFTON FORGE VA 24422 331523 MOUNTAIN VALLEY HOSPICE 108 STEELE AVENUE GLOVERSVILLE NY 12078 341546 MOUNTAIN VALLEY HOSPICE & PALLIATIVE CARE 401 TECHNOLOGY LANE, SUITE 220 MOUNT AIRY NC 27030 491580 MOUNTAIN VALLEY HOSPICE & PALLIATIVE CARE 1477 CARROLLTON PIKE HILLSVILLE VA 24343 061509 MT EVANS HOSPICE, INC 3081 BERGEN PEAK DRIVE EVERGREEN CO 80439 381503 MT HOOD HOSPICE, INC 39065 PIONEER BLVD., SUITE 103 SANDY OR 97055 501508 MULTICARE HOSPICE 3901 SOUTH FIFE STREET TACOMA WA 98409 231515 MUNSON HOSPICE 550 MUNSON AVENUE TRAVERSE CITY MI 49686 181523 MURRAY CALLOWAY COUNTY HOSPITAL HOSPICE 1959 STATE ROUTE 94W MURRAY KY 42071

59 of 83 HOSPICES THAT SUCCESSFULLY MET QRP REPORTING REQUIREMENTS FOR FY 2020 APU

CCN Hospice Name Address City State ZIP 361607 MVI HOSPICECARE 4891 BELMONT AVENUE YOUNGSTOWN OH 44505 161555 MYRTUE MEDICAL CENTER HOSPICE 2712 12TH STREET HARLAN IA 51537 061545 NAMASTE HOSPICE 6000 E EVANS STE 2-400 DENVER CO 80222 291500 NATHAN ADELSON HOSPICE 4141 S SWENSON STREET LAS VEGAS NV 89119 361640 NATIONAL CHURCH RESIDENCES H&C SERVICES CENTRAL OH 2245 NORTH BANK DRIVE COLUMBUS OH 43220 361587 NATIONWIDE CHILDREN'S HOSPITAL - HOSPICE 255 EAST MAIN STREET COLUMBUS OH 43215 921541 NATIONWIDE HOSPICE CARE, INC 12235 BEACH BLVD, SUITE 200-B STANTON CA 90680 921644 NEIGHBOR CARE HOSPICE 2955 E HILLCREST DRIVE, SUITE #128 THOUSAND OAKS CA 91362 371701 NEIGHBORHOOD HOSPICE, LLC 3 NW PEORIA MILLERTON OK 74750 391590 NEIGHBORHOOD VISITING NURSE ASSOCIATION 400 EAST MARSHALL STREET WEST CHESTER PA 19380 291537 NEVADA HOSPICE CARE 6960 O'BANNON DR STE 130 LAS VEGAS NV 89117 251694 NEVAEH HOSPICE CARE, INC 114 SUITE B, EDWARDS AVE / PO BOX 10 MOUND BAYOU MS 38762 031652 NEW BEGINNING HOSPICE AND PALLIATIVE CARE, LLC 18001 NORTH 79TH AVENUE, SUITE A-6 GLENDALE AZ 85308 191570 NEW CENTURY HOSPICE 17316 AIRLINE HWY, STE P PRAIRIEVILLE LA 70769 491582 NEW CENTURY HOSPICE 5330 PETERS CREEK ROAD, NW, SUITE D-1 ROANOKE VA 24019 491622 NEW CENTURY HOSPICE - NEWPORT NEWS 11835 FISHING POINT DR, SUITE 102 NEWPORT NEWS VA 23606 491590 NEW CENTURY HOSPICE (HARRISONBURG) 420 NEFF AVENUE, SUITE 110 HARRISONBURG VA 22801 671502 NEW CENTURY HOSPICE OF AUSTIN 9430 RESEARCH BLVD STE 11-100 AUSTIN TX 78759 061583 NEW CENTURY HOSPICE OF COLORADO SPRINGS 6270 LEHMAN DR STE 150 COLORADO SPRINGS CO 80918 671588 NEW CENTURY HOSPICE OF DALLAS 4101 MCEWEN RD #500 DALLAS TX 75244 061570 NEW CENTURY HOSPICE OF DENVER 380 PERRY ST, UNIT 210 CASTLE ROCK CO 80104 491602 NEW CENTURY HOSPICE OF RICHMOND 808 MOOREFIELD PARK DRIVE - SUITE 113 RICHMOND VA 23236 671612 NEW CENTURY HOSPICE OF SAN ANTONIO 8207 CALLAGHAN RD #353 SAN ANTONIO TX 78230 671607 NEW CENTURY HOSPICE OF SOUTH TEXAS 4550 CORONA DRIVE CORPUS CHRISTI TX 78411 371657 NEW CENTURY HOSPICE OF TULSA 4111 SOUTH DARLINGTON AVENUE, SUITE 650 TULSA OK 74135 221563 NEW ENGLAND HOSPICE II, LLC 190 OLD DERBY STREET SUITE 304 HINGHAM MA 02043 051788 NEW HAVEN HOSPICE CARE, INC 1700 E LINCOLN AVENUE, SUITE 202 ANAHEIM CA 92805 261673 NEW HAVEN HOSPICE CARE, INC 9503 HIGHWAY 100, STE 101 NEW HAVEN MO 63068 671606 NEW HOPE HOSPICE CARE, INC. 215 DALTON DRIVE SUITE D DESOTO TX 75115 751678 NEW HOPE HOSPICE, INC 818 N MOUNTAIN AVE, SUITE 103 UPLAND CA 91786 751639 NEW HORIZON HOSPICE, INC 1012 EAST COLORADO ST, SUITE 290 GLENDALE CA 91205 311568 NEW JERSEY CUIDADO CASERO HOSPICE 415 WEST LANDIS AVENUE, SUITE 100 VINELAND NJ 08360 391723 NEW LIFE HOME CARE, HOSPICE & PALLIATIVE CARE 2655 PHILMONT AVENUE SUITE 101 HUNTINGDON VALLEY PA 19006 071527 NEW MILFORD VNA INC 68 PARK LANE ROAD NEW MILFORD CT 06776 331530 NIAGARA HOSPICE INC 4675 SUNSET DRIVE LOCKPORT NY 14094 751715 NIRVANA CARE HOSPICE SERVICES, INC 737 GLENDORA AVE STE 103 LA PUENTE CA 91744 191560 NOLA SJH II, LLC 507 UPSTREAM STREET RIVER RIDGE LA 70123 051651 NORTH BAY HOSPICE & BEREAVEMENT 4520 BUSINESS CENTER DRIVE, #160 FAIRFIELD CA 94534 301518 NORTH COUNTRY HOME HEALTH & HOSPICE AGENCY 536 COTTAGE STREET LITTLETON NH 03561 251629 NORTH DELTA HOSPICE & PALLIATIVE SERVICES 520 GOODMAN ROAD / MAIL- PO BOX 1798 SOUTHAVEN MS 38671 121506 NORTH HAWAII HOSPICE, INC 65-1328 KAUAIHAE ROAD KAMUELA HI 96743 241506 NORTH MEMORIAL HOME HLTH HOSPC 3500 FRANCE AVENUE NORTH, SUITE 101 ROBBINSDALE MN 55422 251501 NORTH MISSISSIPPI MEDICAL CTR 422-B EAST PRESIDENT AVENUE TUPELO MS 38801 191522 NORTH OAKS HOSPICE 15790 PAUL VEGA, MD DRIVE HAMMOND LA 70403

60 of 83 HOSPICES THAT SUCCESSFULLY MET QRP REPORTING REQUIREMENTS FOR FY 2020 APU

CCN Hospice Name Address City State ZIP 241574 NORTH STAR HOSPICE 1101 EAST 37TH STREET, SUITE 27 HIBBING MN 55746 231558 NORTH WOODS HOME NURSING & HOSPICE 226 SOUTH CEDAR STREET MANISTIQUE MI 49854 251698 NORTH YALOBUSHA HOSPICE & PALLIATIVE CARE INC 30656 HIGHWAY 32 OAKLAND MS 38948 031502 NORTHERN ARIZONA HOSPICE 203 SOUTH CANDY LANE, SUITE 10A COTTONWOOD AZ 86326 141520 NORTHERN ILLINOIS HOSPICE 4215 NEWBURG ROAD ROCKFORD IL 61108 201502 NORTHERN LIGHT HOME CARE & HOSPICE 50 FODEN RD, SUITE 1 SOUTH PORTLAND ME 04106 241566 NORTHFIELD HOSPICE 1604 RIVERVIEW DRIVE NORTHFIELD MN 55057 031512 NORTHLAND HOSPICE AND PALLIATIVE CARE, INC. 452 NORTH SWITZER CANYON DRIVE FLAGSTAFF AZ 86001 141522 NORTHSHORE UNIVERSITY HEALTHSYSTEM HOME & HOSPICE 4901 SEARLE PARKWAY, SUITE 160 SKOKIE IL 60077 141518 NORTWESTERN MEDICINE HOME HEALTH AND HOSPICE 690 E NORTH AVENUE CAROL STREAM IL 60188 191512 NOTRE DAME HOSPICE 1000 HOWARD AVENUE, 10TH FLOOR NEW ORLEANS LA 70113 221575 NOTRE DAME HOSPICE 555 PLANTATION STREET WORCESTER MA 01605 191600 NOTRE DAME HOSPICE OF GREATER BATON ROUGE 516 HIGHWAY 1 SOUTH DONALDSONVILLE LA 70346 251685 NOTRE DAME HOSPICE OF MISSISSIPPI 5407 INDIAN HILL BOULEVARD DIAMONDHEAD MS 39525 751654 NOVA HOME HOSPICE INC 1551 WEST 13TH STREET SUITE 104 UPLAND CA 91786 341575 NOVANT HEALTH HOSPICE AND PALLIATIVE CARE A DEVELO 324 N MCDOWELL STREET CHARLOTTE NC 28204 191606 NSI HOSPICE, LLC 1025 CAMELLIA BLVD STE 201 LAFAYETTE LA 70508 261633 NURSES & COMPANY HOSPICE CARE 115 PIPER HILL DRIVE - SUITE 200 SAINT PETERS MO 63376 451605 NURSES IN TOUCH COMMUNITY HOSPICE 1815 TENTH STREET FLORESVILLE TX 78114 451717 NURSES ON WHEELS INC 1101 3RD STREET CORPUS CHRISTI TX 78404 671694 NURSES ON WHEELS OF LAREDO 6423 MCPHERSON RD STE 16 B LAREDO TX 78041 551523 NURSES PLUS HOSPICE 11100 EAST ARTESIA BLVD SUITE G CERRITOS CA 90703 411508 NURSING PLACEMENT HOSPICE & PALLIATIVE CARE, LLC 334 EAST AVENUE PAWTUCKET RI 02860 221583 NVNA AND HOSPICE 120 LONGWATER CIRCLE NORWELL MA 02061 551682 OAKHURST HOSPICE 910 HAMPSHIRE ROAD, SUITE S WESTLAKE VILLAGE CA 91361 011660 OASIS HEALTHCARE - MOODY 2005 AGAPE CIRCLE MOODY AL 35004 671565 OASIS HOSPICE 1120 MEDICAL PLAZA DRIVE SUITE 240 THE WOODLANDS TX 77380 921619 OASIS HOSPICE 43845 10TH ST W, STE 2C LANCASTER CA 93534 141662 OASIS HOSPICE & PALLIATIVE CARE INC 11700 S WESTERN AVENUE SUITE 13-14 CHICAGO IL 60643 921744 OCEAN VIEW HOSPICE, INC 800 SOUTH BROOKHURST STREET, SUITE 3C ANAHEIM CA 92804 111535 OGEECHEE AREA HOSPICE 200 DONEHOO STREET STATESBORO GA 30458 361695 OHIO LIVING HOSPICE - GREATER AKRON 83 N MILLER RD, SUITE 101 FAIRLAWN OH 44333 361698 OHIO LIVING HOSPICE - GREATER CLEVELAND 38879 MENTOR AVENUE SUITE A WILLOUGHBY OH 44094 361697 OHIO LIVING HOSPICE - GREATER TOLEDO 1730 SOUTH REYNOLDS ROAD TOLEDO OH 43614 361696 OHIO LIVING HOSPICE - GREATER YOUNGSTOWN 6715 TIPPECANOE ROAD BUILDING E SUITE 201 CANFIELD OH 44406 361514 OHIOHEALTH HOSPICE 800 MCCONNELL DRIVE COLUMBUS OH 43214 371649 OKLAHOMA HOSPICE CARE 8241 SOUTH WALKER, SUITE 204 OKLAHOMA CITY OK 73139 171505 OLATHE HEALTH HOSPICE CENTER 20920 W 151ST STREET, SUITE 204 OLATHE KS 66061 221514 OLD COLONY HOSPICE, INC 321 MANLEY STREET W BRIDGEWATER MA 02379 751581 OLYMPUS HOSPICE INC 6047 TAMPA AVENUE, STE 101 TARZANA CA 91356 751650 OMEGA HOSPICE CARE INC 1241 S GLENDALE AVE, SUITE B 204C GLENDALE CA 91205 291541 OMNI CARE HOSPICE 6225 DEAN MARTIN DRIVE LAS VEGAS NV 89118 741677 OMNIX HEALTH CARE SERVICES INC 5503 FIRST STREET CROSBY TX 77532 741635 ON CALL HOSPICE 147 N COLLEGIATE DR PARIS TX 75460

61 of 83 HOSPICES THAT SUCCESSFULLY MET QRP REPORTING REQUIREMENTS FOR FY 2020 APU

CCN Hospice Name Address City State ZIP 261609 ONE COMMUNITY HOSPICE 15600 WOODS CHAPEL ROAD - SUITE A KANSAS CITY MO 64139 921676 ONE STOP HOSPICE, INC 800 S BROOKHURST ST, SUITE 3A ANAHEIM CA 92804 461546 ONECARE HOSPICE 11576 SOUTH STATE STREET, SUITE 101A DRAPER UT 84020 361666 O'NEILL HEALTHCARE - HOSPICE 605 BRADLEY ROAD BAY VILLAGE OH 44140 131565 ONESOURCE HOSPICE 1680 ELK CREEK DRIVE IDAHO FALLS ID 83404 371690 ONHL HOSPICE SERVICES, L L C 124 EAST BROADWAY DRUMRIGHT OK 74030 321563 ONPOINTE HOSPICE 8725 ALAMEDA PARK DR NE ALBUQUERQUE NM 87113 341577 ONSLOW COUNTY HOME HLTH & HOSPICE 2013 LEJEUNE BOULEVARD JACKSONVILLE NC 28546 331556 ONTARIO-YATES HOSPICE 756 PRE-EMPTION ROAD GENEVA NY 14456 421513 OPEN ARMS HOSPICE 1836 WEST GEORGIA ROAD SIMPSONVILLE SC 29680 051725 OPTIMAL HOSPICE CARE 1675 CHESTER AVENUE, SUITE 401 BAKERSFIELD CA 93301 051769 OPTIMAL HOSPICE CARE 6780 NORTH WEST AVENUE, SUITE 101 FRESNO CA 93711 051793 OPTIMAL HOSPICE CARE 3461 BROOKSIDE ROAD, SUITE A-2 STOCKTON CA 95219 551531 OPTIMAL HOSPICE CARE 5000 E SPRING ST SUITE 525 LONG BEACH CA 90815 101536 OPUS CARE OF SOUTH FLORIDA 1150 NW 72 AVE STE 350 MIAMI FL 33126 741589 OPUSCARE OF TEXAS 200 NAVARRO ST STE 100 SAN ANTONIO TX 78205 161577 ORANGE CITY HOSPICE 400 CENTRAL AVENUE NW ORANGE CITY IA 51041 751710 ORION HOSPICE CARE SERVICES, INC 12135 1/2 RIVERSIDE DRIVE VALLEY VILLAGE CA 91607 471504 ORLEANS /ESSEX VNA & HOSPICE 46 LAKEMONT ROAD NEWPORT VT 05855 231563 OSF BAY DE NOC HOSPICE 901 NORTH LINCOLN ROAD ESCANABA MI 49829 141546 OSF HOSPICE 2265 WEST ALTORFER DRIVE PEORIA IL 61615 141605 OSF HOSPICE 5501 E STATE STREET ROCKFORD IL 61108 141601 OSF HOSPICE - EASTERN REGION 211 LANDMARK DR, SUITE D3 NORMAL IL 61761 141573 OSF SAINT ANTHONY'S HOSPICE 915 E FIFTH ST ALTON IL 62002 031626 OSHYN HOSPICE AND PALLIATIVE CARE 1870 WEST PRINCE ROAD, SUITE 37 TUCSON AZ 85705 391766 OSPTA HOSPICE 625 LINCOLN AVE PROFESSIONAL PLAZA SUITE 207 CHARLEROI PA 15022 331539 OSWEGO COUNTY HOSPICE 70 BUNNER ST OSWEGO NY 13126 361677 OTTERBEIN HOSPICE LLC 696 NORTH STATE ROUTE 741 LEBANON OH 45036 041503 OUACHITA COUNTY MEDICAL CENTER HOSPICE 726 CALIFORNIA AVENUE SW CAMDEN AR 71701 041559 OUACHITA REGIONAL HOSPICE 602 DEQUEEN STREET MENA AR 71953 151502 OUR HOSPICE OF SOUTH CENTRAL INDIANA INC 2626 E 17TH ST COLUMBUS IN 47201 241573 OUR LADY OF PEACE HOSPICE 2076 ST ANTHONY AVENUE SAINT PAUL MN 55104 221565 OVERLOOK HOSPICE SERVICES 88 MASONIC HOME ROAD, DAVENPORT BLDG, 2ND FL CHARLTON MA 01507 261624 OXFORD HEALTHCARE HOSPICE PO BOX 10939 SPRINGFIELD MO 65808 921553 OXFORD HOSPICE CARE, INC 4650 ARROW HWY SUITE F3 MONTCLAIR CA 91763 921530 OYUNA HOSPICE, INC 5067 N MARIPOSA ST, SUITE 104 FRESNO CA 93710 381524 PACIFIC HOME HEALTH & HOSPICE 455 SOUTH 4TH STREET,SUITE 3 COOS BAY OR 97420 051775 PACIFIC HOSPICE 1998 N ARROWHEAD AVENUE SAN BERNARDINO CA 92405 051768 PACIFIC HOSPICE CARE CORPORATION 4520 WILSHIRE BOULEVARD SUITE 101 LOS ANGELES CA 90010 921726 PACIFIC HOSPICE, LLC 11829 SOUTH STREET, SUITE 103 CERRITOS CA 90703 111749 PALLADIUM HOSPICE AND PALLIATIVE CARE 5415 SUGARLOAF PARKWAY, SUITE 1102 LAWRENCEVILLE GA 30043 251701 PALLADIUM HOSPICE AND PALLIATIVE CARE ( RIDGELAND) 680 HIGHWAY 51, SUITE D RIDGELAND MS 39157 251679 PALLADIUM HOSPICE AND PALLIATIVE CARE, LLC 243 BEAUVOIR ROAD, SUITE B BILOXI MS 39531 421582 PALLADIUM HOSPICE AND PALLIATIVE CARE, LLC 1901 ASSEMBLY STREET SUITE 275 COLUMBIA SC 29201

62 of 83 HOSPICES THAT SUCCESSFULLY MET QRP REPORTING REQUIREMENTS FOR FY 2020 APU

CCN Hospice Name Address City State ZIP 421511 PALMETTO HEALTH HOSPICE 1301 TAYLOR STREET SUITE 9 A COLUMBIA SC 29201 421509 PALMETTO HEALTH TUOMEY HOSPICE 500 PINEWOOD ROAD, SUITE 2 SUMTER SC 29154 141591 PALOS COMMUNITY HOSPITAL HOSPI 15295 E 127TH STREET LEMONT IL 60439 551599 PARADISE HOSPICE, INC 1864 E WASHINGTON BLVD SUITE 207 PASADENA CA 91104 751786 PARAMOUNT HOSPICE 11838 BERNARDO PLAZA COURT, SUITE A SAN DIEGO CA 92128 921741 PARAMOUNT HOSPICE 3074 WEST TEMPLE AVENUE POMONA CA 91766 391702 PARAMOUNT HOSPICE AND PALLIATIVE CARE 3025 WASHINGTON ROAD, SUITE 201 MCMURRAY PA 15317 241512 PARK NICOLLET METHODIST HOSPITAL 6500 EXCELSIOR BOULEVARD SAINT LOUIS PARK MN 55426 151552 PARKVIEW HOME HEALTH AND HOSPICE 1900 CAREW ST STE 6 FORT WAYNE IN 46805 381515 PARTNERS IN CARE 2075 NE WYATT COURT BEND OR 97701 271500 PARTNERS IN HOME CARE HOSPICE 2673 PALMER ST SUITE 201 MISSOULA MT 59808 191680 PASSAGES HOSPICE 605 A DUBLIN STREET NEW ORLEANS LA 70118 751504 PASSIONATE CARE HOSPICE 103 W ALAMEDA AVE SUITE 120 BURBANK CA 91502 421611 PATHWAY HOSPICE LLC 355 WOODRUFF ROAD, SUITE 201 GREENVILLE SC 29607 671758 PATHWAY HOSPICE LLC 1021 HAMPSHIRE LN RICHARDSON TX 75080 051506 PATHWAYS HOME HEALTH AND HOSPICE 333 HEGENBERGER ROAD, SUITE 700 OAKLAND CA 94621 051580 PATHWAYS HOME HEALTH AND HOSPICE 585 NORTH MARY AVENUE SUNNYVALE CA 94085 061516 PATHWAYS HOSPICE 305 CARPENTER ROAD FORT COLLINS CO 80525 741660 PATHWAYS HOSPICE 1121 BRIARCREST DR STE 302 BRYAN TX 77802 261575 PATHWAYS HOSPICE AND PALLIATIVE CARE 14805 NORTH OUTER 40 ROAD, SUITE 160 CHESTERFIELD MO 63017 281542 PATHWAYS TO COMPASSION, LLC 287 N 115TH STREET OMAHA NE 68154 041507 PATIENT'S CHOICE HOSPICE 4200 N WASHINGTON ST, SUITE 2 FORREST CITY AR 72335 421614 PATRIOT HOSPICE 54 BEAR DRIVE GREENVILLE SC 29605 381536 PEACE HARBOR HOSPICE 2230 KINGWOOD STREET FLORENCE OR 97439 141628 PEACE HOSPICE AND PALLIATIVE CARE, INC 1717 N NAPER BLVD SUITE 301 NAPERVILLE IL 60563 271507 PEACE HOSPICE OF MONTANA 2600 15TH AVE S GREAT FALLS MT 59405 751667 PEACE OF MIND HOSPICE, INC 1731 W GLENOAKS BLVD SUITE 203 GLENDALE CA 91201 501501 PEACEHEALTH HOSPICE 5400 MACARTHUR BLVD VANCOUVER WA 98661 461612 PEAK SPECIALTY GROUP HOSPICE 1220 EAST 3900 SOUTH, SUITE 4D SALT LAKE CITY UT 84124 051611 PEC HOSPICE 10507 GARDEN GROVE BLVD GARDEN GROVE CA 92843 671732 PECOS COUNTY MEMORIAL HOSPITAL HOME HEALTH AND HOS 387 W IH-10 FORT STOCKTON TX 79735 671799 PEGASUS HOSPICE LLC 3939 US 80 HIGHWAY SUITE 202 MESQUITE TX 75150 301521 PEMI-BAKER COMMUNITY HEALTH 101 BOULDER POINT DRIVE, SUITE 3 PLYMOUTH NH 03264 391542 PENN HIGHLANDS COMMUNITY NURSES 1033 TURNPIKE AVENUE SUITE 100 CLEARFIELD PA 16830 391562 PENN HIGHLANDS COMMUNITY NURSES 757 JOHNSONBURG ROAD SUITE 200 ST MARYS PA 15857 311506 PENN MEDICINE PRINCETON HOMECARE-HOSPICE PROGRAM 88 PRINCETON HIGHTSTOWN ROAD, SUITE 202 WEST WINDSOR NJ 08550 181525 PENNYROYAL HOSPICE INC 220 BURLEY AVENUE HOPKINSVILLE KY 42240 751624 PEOPLE'S CARE HOSPICE, INC 3230 FALLOW FIELD DR, SUITE B DIAMOND BAR CA 91765 051747 PEREGRINE HOSPICE, INC 3440 WEST CARSON STREET SUITE 301 TORRANCE CA 90503 741545 PERMIAN REGIONAL MEDICAL CENTER HOME HEALTH 1801 NE MUSTANG DRIVE ANDREWS TX 79714 551628 PERSONAL CARE HOSPICE SERVICES, INC. 2318 W BURBANK BLVD BURBANK CA 91506 491526 PERSONAL TOUCH HOME CARE & HOSPICE-NEWPORT NEWS 11817 CANON BLVD, SUITE 300 NEWPORT NEWS VA 23606 371703 PETERS AGENCY HOSPICE & PALLATIVE CARE 926 EAST CHEROKEE SALLISAW OK 74955 671585 PETERSON HOSPICE 250 CULLY DRIVE KERRVILLE TX 78028

63 of 83 HOSPICES THAT SUCCESSFULLY MET QRP REPORTING REQUIREMENTS FOR FY 2020 APU

CCN Hospice Name Address City State ZIP 261583 PHELPS HEALTH HOMECARE 575 A BLUES LAKE PARKWAY ROLLA MO 65401 331518 PHELPS HOSPICE INC - CLOSED 701 NORTH BROADWAY SLEEPY HOLLOW NY 10591 111527 PHOEBE HOSPICE 320 FOUNDATION LANE ALBANY GA 31707 111537 PHOEBE SUMTER HOSPICE 126 EAST FURLOW STREET AMERICUS GA 31709 171585 PHOENIX HOME CARE & HOSPICE 3450 N ROCK ROAD STE 213 WICHITA KS 67226 171601 PHOENIX HOME CARE AND HOSPICE 6811 SHAWNEE MISSION PKWY SUITE 115 OVERLAND PARK KS 66202 261667 PHOENIX HOME CARE AND HOSPICE 3033 S KANSAS EXPRESSWAY SPRINGFIELD MO 65807 261670 PHOENIX HOME CARE AND HOSPICE 14330 EAST 42ND STREET SOUTH INDEPENDENCE MO 64055 051649 PHOENIX HOSPICE 100 SAN HEDRIN CIRCLE WILLITS CA 95490 211512 PHR OF BALTIMORE 1501 S EDGEWOOD STREET, SUITE A BALTIMORE MD 21227 251644 PHYSICIAN HOSPICE CARE, LLC 1430 HIGHWAY 4 EAST JACKSON MS 39201 371673 PHYSICIAN'S CHOICE HOSPICE 14324 NORTH WESTERN EDMOND OK 73013 371715 PHYSICIAN'S CHOICE HOSPICE 2221 EAST SKELLY DRIVE TULSA OK 74105 921514 PHYSICIAN'S CHOICE HOSPICE LLC 22156 SHERMAN WAY, UNIT F1 CANOGA PARK CA 91303 151615 PHYSIOCARE HOSPICE LLC 625 S EARL AVENUE, SUITE C LAFAYETTE IN 47904 261533 PIKE COUNTY HEALTH DEPARTMENT, HOME HEALTH & HOSPI 1 HEALTH CARE PLACE BOWLING GREEN MO 63334 061500 PIKES PEAK HOSPICE AND PALLIATIVE CARE 2550 TENDERFOOT HILL STREET COLORADO SPRINGS CO 80906 391769 PILGRIMAGE HOSPICE 2695 WINCHESTER DRIVE SUITE 200 PITTSBURGH PA 15220 031616 PILLARS HOSPICE CARE, LLC 10221 NORTH 32ND STREET, SUITE H PHOENIX AZ 85028 111519 PINE POINTE HOSPICE & PALLIATIVE CARE 6261 PEAKE ROAD MACON GA 31210 191662 PINNACLE HOSPICE 5627 S SHERWOOD FOREST BLVD, STE C BATON ROUGE LA 70816 381566 PINNACLE HOSPICE CARE OF PORTLAND 10570 SE WASHINGTON STREET, SUITE 207 PORTLAND OR 97216 271523 PIONEER MEDICAL CENTER 301 W 7TH AVE BIG TIMBER MT 59011 381546 PIONEER MEMORIAL HOSPICE 162 N MAIN STREET HEPPNER OR 97836 321522 PLAINS REGIONAL MEDICAL CENTER HOSPICE 2217 DILLON CLOVIS NM 88101 671728 PLATINUM PALLIATIVE & HOSPICE CARE INC 140 SOUTH COLLEGIATE DRIVE SUITE 100 PARIS TX 75460 551619 PLEASANT DAY HOSPICE, INC. 434 W. COLORADO ST. SUITE 201 GLENDALE CA 91204 511522 PLEASANT VALLEY HOSPICE 1011 VIAND STREET POINT PLEASANT WV 25550 361637 PLEASANT VALLEY HOSPICE 392 SILVER BRIDGE PLAZA, SUITE B GALLIPOLIS OH 45631 551683 PLEASANTVILLE HOSPICE, INC 1005 NORTH SCREENLAND DRIVE BURBANK CA 91505 391523 POCONO HEALTH SYSTEM VISITING NURSE & HOSPICE CARE 502 VNA ROAD EAST STROUDSBURG PA 18301 191564 POINTE COUPEE HOSPICE 350 HOSPITAL ROAD NEW ROADS LA 70760 061517 PORTER HOSPICE 7995 EAST PRENTICE AVENUE, SUITE 204 GREENWOOD VILLAGE CO 80111 241507 PRAIRIE HOME HOSPICE 408 EAST MAIN STREET # 8 MARSHALL MN 56258 431504 PRAIRIE LAKES HOSPICE 401 9TH AVE NW POST OFFICE BOX 1210 WATERTOWN SD 57201 741679 PRECISE PERSONALIZED CARE HOSPICE LLC 777 S CENTRAL EXPWY STE 1- Z RICHARDSON TX 75080 751530 PRECISION HOSPICE & PALLIATIVE CARE CORP 210 N CENTRAL AVE SUITE 105 GLENDALE CA 91203 111787 PREFERRED CARE HOSPICE LLC 3 BRADLEY PARK COURT, SUITE C COLUMBUS GA 31904 921515 PREFERRED CARE HOSPICE, INC 11565 LAUREL CANYON BLVD, SUITE 202 SAN FERNANDO CA 91340 261603 PREFERRED HOSPICE OF MISSOURI 423 BUSINESS HIGHWAY 60 WEST BOX 99 DEXTER MO 63841 261610 PREFERRED HOSPICE OF MISSOURI (NORTHEAST), LLC 301 SOUVEREIGN COURT, SUITE 206 BALLWIN MO 63011 261635 PREFERRED HOSPICE OF MISSOURI (SOUTHWEST), LLC 5340 N TOWNE CENTRE DR OZARK MO 65721 551783 PREMIER HOME HEALTH CARE & HOSPICE INC 2150 RIVER PLAZA DRIVE, SUITE 320A SACRAMENTO CA 95833 191659 PREMIER HOSPICE 600 FACTORY OUTLET DRIVE, SUITE 15 ARCADIA LA 71001

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CCN Hospice Name Address City State ZIP 231623 PREMIER HOSPICE 33259 DEQUINDRE RD, SUITE C TROY MI 48083 151599 PREMIER HOSPICE & PALLIATIVE CARE - INDIANA LLC 11550 N MERIDIAN STREET, SUITE 375 CARMEL IN 46032 151625 PREMIER HOSPICE & PALLIATIVE CARE - INDIANA, LLC 10315 DAWSONS CREEK BOULEVARD, SUITE J FORT WAYNE IN 46825 031553 PREMIER HOSPICE AND PALLIATIVE CARE, LLC 3550 NORTH CENTRAL AVENUE, SUITE 1200 PHOENIX AZ 85012 751668 PREMIER HOSPICE, INC. 19355 BUSINESS CENTER DR NORTHRIDGE CA 91324 191615 PREMIER HOSPICE, LLC 1513 TEXAS AVENUE BASTROP LA 71220 551659 PREMIUM HOSPICE, INC. 12241 FIRESTONE BLVD., SUITE A & B NORWALK CA 90650 321502 PRESBYTERIAN HOSPICE INPATIENT UNIT 8300 CONSTITUTION AVENUE NE ALBUQUERQUE NM 87110 551656 PRESTIGIOUS HEALTH SERVICES INC. 750 TERRADO PLAZA, SUITE 122 COVINA CA 91723 751752 PRIDE HOSPICE CARE, INC 3033 N AVON ST SUITE B BURBANK CA 91504 751559 PRIM HOSPICE CARE INC 4413 RIVERSIDE DRIVE SUITE E CHINO CA 91710 551712 PRIMARY HOSPICE CARE, INC 7127 LAUREL CANYON BLVD. N HOLLYWOOD CA 91605 031579 PRIME CARE HOSPICE, LLC 4225 WEST GLENDALE AVENUE, SUITE A-200 PHOENIX AZ 85051 751582 PRIME ONE HOSPICE 16600 SHERMAN WAY SUITE 166 VAN NUYS CA 91406 751513 PRIORITY HOSPICE CARE, INC 1285 EAST ROUTE 66 GLENDORA CA 91740 551742 PRIORITY ONE HOSPICE 4959 PALO VERDE STREET SUITE 107C MONTCLAIR CA 91763 051737 PROCARE HOSPICE 42442 NORTH 10TH STREET WEST SUITE E LANCASTER CA 93534 551539 PROCARE HOSPICE BAKERSFIELD 5500 MING AVENUE, SUITE 190 BAKERSFIELD CA 93309 291534 PROCARE HOSPICE OF NEVADA, LLC 7469 W LAKE MEAD BLVD #200 LAS VEGAS NV 89128 751665 PROCARE HOSPICE SERVICES, INC. 20832 ROSCOE BLVD, SUITE #214 CANOGA PARK CA 91306 451763 PROFESSIONAL HEALTH CARE 2533 CALDER BEAUMONT TX 77702 091506 PROFESSIONAL HEALTHCARE RESOURCES OF WASHINGTON DC 1010 WISCONSIN AVENUE NW WASHINGTON DC 20007 491599 PROFESSIONAL HEALTHCARE RESOURCES, INC 7619 LITTLE RIVER TURNPIKE, SUITE 600 ANNANDALE VA 22003 451764 PROFESSIONAL HOSPICE 345 WEST PARKWAY #101 EULESS TX 76040 191603 PROFESSIONAL HOSPICE CARE, LLC 118 MONTICELLO DRIVE, SUITE A RUSTON LA 71270 921681 PROFESSIONAL HOSPICE SERVICES INC 2736 EAST WALNUT STREET, SUITE F PASADENA CA 91107 401563 PROGRAMA DE SALUD EN EL HOGAR Y HOSPICIO GEMINIS CARRETERA 159 KM 13,4 URB LOMA LINDA COROZAL PR 00783 551561 PROHEALTH HOME CARE, INC 2700 ZANKER ROAD, SUITE 180 SAN JOSE CA 95134 521537 PROHEALTH HOME HOSPICE 2000 PEWAUKEE ROAD SUITE C WAUKESHA WI 53188 361582 PROMEDICA HOSPICE 5855 MONROE STREET SYLVANIA OH 43560 751533 PROMPT HOSPICE CARE, INC. 1720 COLORADO BLVD, SUITE A LOS ANGELES CA 90041 381562 PROVIDENCE BENEDICTINE HOSPICE 580 SOUTH MAIN STREET MOUNT ANGEL OR 97362 141609 PROVIDENCE HOSPICE 18601 N CREEK DRIVE SUITE A TINLEY PARK IL 60477 281520 PROVIDENCE HOSPICE 1200 PROVIDENCE ROAD WAYNE NE 68787 381500 PROVIDENCE HOSPICE 6410 NE HALSEY STREET, SUITE 300 PORTLAND OR 97213 451713 PROVIDENCE HOSPICE 6700 SANGER AVE WACO TX 76710 501514 PROVIDENCE HOSPICE AND HOME CARE OF SNOHOMISH CO 2731 WETMORE AVENUE, SUITE 500 EVERETT WA 98201 421605 PROVIDENCE HOSPICE LLC 202 WALL STREET PIEDMONT SC 29673 501515 PROVIDENCE HOSPICE OF SEATTLE 2811 S 102ND ST STE 220 TUKWILA WA 98168 151624 PROVIDENCE HOSPICE, INC 8929 BROADWAY MERRILLVILLE IN 46410 021506 PROVIDENCE IN HOME SERVICES 4001 DALE STREET, SUITE 101 ANCHORAGE AK 99508 381506 PROVIDENCE MEDFORD HOSPICE 2033 COMMERCE DRIVE MEDFORD OR 97501 501511 PROVIDENCE SOUNDHOMECARE AND HOSPICE 4200 6TH AVE SE SUTE 201 LACEY WA 98503 051512 PROVIDENCE TRINITYCARE HOSPICE 5315 TORRANCE BLVD. TORRANCE CA 90503

65 of 83 HOSPICES THAT SUCCESSFULLY MET QRP REPORTING REQUIREMENTS FOR FY 2020 APU

CCN Hospice Name Address City State ZIP 421553 PRUITTHEALTH HOSPICE-BEAUFORT 1605 NORTH STREET BEAUFORT SC 29902 341591 PRUITTHEALTH HOSPICE - ROCKY MOUNT 301 S CHURCH STREET, SUITE 135 ROCKY MOUNT NC 27804 421573 PRUITTHEALTH HOSPICE- CHARLESTON 139 GATEWAY DR LADSON SC 29456 421565 PRUITTHEALTH HOSPICE- COLUMBIA 903 ELMWOOD AVENUE, SUITE A COLUMBIA SC 29201 111650 PRUITTHEALTH HOSPICE-ATHENS 1751 MERIWEATHER DRIVE, SUITE 1A WATKINSVILLE GA 30677 111533 PRUITTHEALTH HOSPICE-ATLANTA 5365 OAKBROOK PARKWAY NORCROSS GA 30093 111580 PRUITTHEALTH HOSPICE-AUGUSTA 1220 AUGUSTA WEST PARKWAY AUGUSTA GA 30909 111608 PRUITTHEALTH HOSPICE-BLUE RIDGE 6050 APPALACHIAN HWY, CLOCK TOWER CROSSING BLUE RIDGE GA 30513 111548 PRUITTHEALTH HOSPICE-CALHOUN 197 CURTIS PARKWAY NE CALHOUN GA 30701 111578 PRUITTHEALTH HOSPICE-CORDELE 708 EAST 16TH AVENUE CORDELE GA 31015 111579 PRUITTHEALTH HOSPICE-GAINESVILLE 700 S. ENOTA DRIVE, SUITE 202 GAINESVILLE GA 30501 111545 PRUITTHEALTH HOSPICE-MACON 6060 LAKESIDE COMMONS DRIVE MACON GA 31210 111645 PRUITTHEALTH HOSPICE-ROME 35 THREE RIVERS DR ROME GA 30161 111572 PRUITTHEALTH HOSPICE-SWAINSBORO 667 S MAIN STREET SWAINSBORO GA 30401 111677 PRUITTHEALTH HOSPICE-UNION CITY 7345 RED OAK ROAD BUILDING 25 UNION CITY GA 30291 111571 PRUITTHEALTH HOSPICE-VALDOSTA 407 COWART AVENUE VALDOSTA GA 31602 361594 PUTNAM COUNTY HOSPICE 575 O-G ROAD OTTAWA OH 45875 261637 PYRAMID HOSPICE SERVICES, A PART OF ELARA PO BOX 909 DEXTER MO 63841 921643 QUALITY CARE HOSPICE, INC 1416 S AZUSA AVE UNIT C-3 WEST COVINA CA 91791 441599 QUALITY HOSPICE 341 WEST CENTRAL AVENUE JAMESTOWN TN 38556 461587 QUALITY HOSPICE 888 EAST 3900 SOUTH, UNIT B SALT LAKE CITY UT 84107 251580 QUALITY HOSPICE CARE, INC 340 BYRD AVENUE PHILADELPHIA MS 39350 031609 QUALITY HOSPICE CARE, INC. 1122 EAST WASHINGTON STREET PHOENIX AZ 85034 361664 QUEEN CITY HOSPICE AND PALLIATIVE CARE 8250 KENWOOD CROSSING WAY, SUITE 200 CINCINNATI OH 45236 741639 R2R PALLIATIVE AND HOSPICE CARE 860 HEBRON PARKWAY SUITE 203 LEWISVILLE TX 75057 671727 RADIANT CARE HOSPICE LLC 7155 COLLEYVILLE BLVD SUITE 102 COLLEYVILLE TX 76034 141513 RAINBOW HOSPICE AND PALLIATIVE CARE 1550 BISHOP COURT MOUNT PROSPECT IL 60056 521555 RAINBOW HOSPICE CARE 147 W ROCKWELL ST JEFFERSON WI 53549 751766 RED HEARTS HOSPICE, INC 7200 VINELAND AVE, SUITE 205 SUN VALLEY CA 91352 391759 REDSTONE AT HOME 6 GARDEN CENTER DRIVE GREENSBURG PA 15601 031601 REFLECTIONS HOSPICE 1840 EAST UNIVERSITY DRIVE, SUITE 6 MESA AZ 85203 031681 REFLECTIONS HOSPICE OF ARIZONA NORTH 1840 EAST UNIVERSITY DRIVE, SUITE 2B MESA AZ 85203 111550 REFLECTIONS HOSPICE OF CRISP REGIONAL 202 E 4TH AVENUE CORDELE GA 31015 311582 REGAL HEART HOSPICE CORPORATION 1032A COLLINGS AVENUE COLLINGSWOOD NJ 08108 101551 REGENCY HOSPICE OF NORTHWEST FLORIDA INC 50 BEVERLY PARKWAY SUITE 200 PENSACOLA FL 32505 111637 REGENCY SOUTHERNCARE 2924 PROFESSIONAL PARKWAY AUGUSTA GA 30907 421552 REGENCY SOUTHERNCARE 105 SUMMERWOOD WAY, SUITE D AIKEN SC 29803 111668 REGENCY SOUTHERNCARE-METRO ATLANTA 1051 CULPEPPER DRIVE SW, SUITE 100 CONYERS GA 30094 921656 REGENT HOSPICE, INC 22048 SHERMAN WAY, SUITE 103 CANOGA PARK CA 91303 431501 REGIONAL HEALTH HOME PLUS HOSPICE 224 ELK STREET POST OFFICE BOX 6000 RAPID CITY SD 57709 431513 REGIONAL HEALTH HOME PLUS HOSPICE 1440 NORTH MAIN SPEARFISH SD 57783 071518 REGIONAL HOSPICE AND HOME CARE OF WESTERN CT 30 MILESTONE ROAD DANBURY CT 06810 191616 REGIONAL HOSPICE CARE GROUP OF NW LOUISIANA, LLC 8660 FERN AVENUE SUITE 145 SHREVEPORT LA 71105 521539 REGIONAL HOSPICE SERVICES 1913 BEASER AVE ASHLAND WI 54806

66 of 83 HOSPICES THAT SUCCESSFULLY MET QRP REPORTING REQUIREMENTS FOR FY 2020 APU

CCN Hospice Name Address City State ZIP 161535 REGIONAL MEDICAL CENTER HOSPICE 613 WEST MAIN STREET MANCHESTER IA 52057 281506 REGIONAL WEST MEDICAL CENTER HOSPICE 3701 AVE D SUITE 2204 SCOTTSBLUFF NE 69361 151524 REID HEALTH 1100 REID PKWY STE 125 RICHMOND IN 47374 551713 REJUVENATE HOSPICE CARE INC 8560 VINEYARD AVENUE, SUITE 507 RANCHO CUCAMONGA CA 91730 921563 RELIABLE COMFORT AND CARE HOSPICE, INC 10523 BURBANK BLVD, SUITE 218 N HOLLYWOOD CA 91601 551701 RELIABLE HOSPICE, INC 5100 EAST LA PALMA AVE, SUITE 201 ANAHEIM CA 92807 751767 RELIANCE HOSPICE CARE, INC 39675 CEDAR BOULEVARD, SUITE 235 NEWARK CA 94560 751721 RELIANCE HOSPICE SERVICES, INC 144 S FIRST ST SUITE 200-A BURBANK CA 91502 921566 RELIANCE HOSPICE, INC 74130 COUNTRY CLUB DRIVE, # 103 A PALM DESERT CA 92260 551738 RELYABLE HOSPICE CARE, INC. 8055 FOOTHILL BLVD, UNIT B SUNLAND CA 91040 031605 REMITA HEALTH 6375 EAST TANQUE VERDE ROAD, SUITE 170 TUCSON AZ 85715 291526 REMITA HEALTH 1820 E WARM SPRINGS STE 140 LAS VEGAS NV 89119 291538 RENAISSANCE HOSPICE 2950 E FLAMINGO RD STE J-B LAS VEGAS NV 89121 671788 RENAISSANCE HOSPICE & PALLIATIVE CARE LLC 308 LINDBERG AVENUE MCALLEN TX 78501 741625 RENATUS CARE LLC 4849 GREENVILLE AVENUE STE 1125 DALLAS TX 75206 461613 RENEW HOSPICE 1355 NORTH MAIN STREET, SUITE 11 BOUNTIFUL UT 84010 291542 RENOWN HOSPICE CARE 85 KIRMAN AVENUE STE LL1 RENO NV 89502 241538 RENVILLE COUNTY HOSPICE 100 HEALTHY WAY OLIVIA MN 56277 391572 RESIDENTIAL HEALTHCARE OF NE PA 601 WYOMING AVENUE KINGSTON PA 18704 231603 RESIDENTIAL HOME HEALTH AND HOSPICE 1681 WOODBRIDGE PARK DRIVE LAPEER MI 48446 231619 RESIDENTIAL HOSPICE 5440 CORPORATE DR, SUITE 400 TROY MI 48098 141655 RESIDENTIAL HOSPICE LLC 1431 OPUS PLACE SUITE 310 DOWNERS GROVE IL 60515 391692 RESIDENTIAL HOSPICE OF CARLISLE 900 CENTURY DRIVE SUITE 201 MECHANICSBURG PA 17055 141576 RESIDENTIAL HOSPICE OF SOUTHERN ILLINOIS 1901 FRANK SCOTT PARKWAY E SUITE 2 SHILOH IL 62269 671631 RESOLUTIONS HOSPICE 11825 BUCKNER ROAD AUSTIN TX 78726 671722 RESOLUTIONS HOSPICE, LLC 12600 N FEATHERWOOD DR # 108 HOUSTON TX 77034 231509 REVERENCE HOME HEALTH AND HOSPICE 5445 ALI DRIVE, DEPT 200 GRAND BLANC MI 48439 231538 REVERENCE HOME HEALTH AND HOSPICE 716 GERMAN STREET, SUITE B TAWAS CITY MI 48764 231548 REVERENCE HOME HEALTH AND HOSPICE 5220 LOVERS LANE, SUITE 140 PORTAGE MI 49002 231583 REVERENCE HOME HEALTH AND HOSPICE 37650 GARFIELD ROAD CLINTON TOWNSHIP MI 48036 391764 REVOLUTIONARY HOSPICE 1619 MAIN STREET OLYPHANT PA 18447 291531 RHYTHM OF LIFE - G WOMENS INTERNATIONAL 3225 S RAINBOW STE 107 LAS VEGAS NV 89146 191643 RICHLAND HOSPICE, LLC 161 CHRISTIAN DRIVE SUITE 4 RAYVILLE LA 71269 341556 RICHMOND COUNTY HOSPICE INC 1119 N US #1 HWY ROCKINGHAM NC 28379 241567 RIDGEVIEW HOSPICE 500 SOUTH MAPLE STREET WACONIA MN 55387 921705 RIGHT CHOICE HOSPICE CARE 1307 WEST 6TH STREET CORONA CA 92882 751736 RITE CARE HOSPICE, INC 11336 CAMARILLO ST SUITE 307 N HOLLYWOOD CA 91602 671654 RIVER CITY HOSPICE 4646 CORONA DRIVE SUITE 160 CORPUS CHRISTI TX 78411 671655 RIVER CITY HOSPICE 4211 GARDENDALE ST BLDG A SUITE 102 SAN ANTONIO TX 78229 671716 RIVER CITY HOSPICE OF TEXAS LLC 4211 GARDENDALE BUILDING A SUITE 102 SAN ANTONIO TX 78229 371608 RIVERCROSS HOSPICE 5600 N MAY AVENUE, SUITE 100 OKLAHOMA CITY OK 73112 371663 RIVERCROSS HOSPICE 208 SE FIRST STREET PRYOR OK 74361 371683 RIVERCROSS HOSPICE 9920 EAST 42ND STREET, SUITE 201 TULSA OK 74146 171559 RIVERCROSS HOSPICE LLC 251 S WHITTIER WICHITA KS 67207

67 of 83 HOSPICES THAT SUCCESSFULLY MET QRP REPORTING REQUIREMENTS FOR FY 2020 APU

CCN Hospice Name Address City State ZIP 491509 RIVERSIDE HOSPICE 12420 WARWICK BOULEVARD, SUITE 6E NEWPORT NEWS VA 23606 491616 RIVERSIDE SHORE HOSPICE 25379 LANKFORD HIGHWAY SUITE A ONLEY VA 23418 491554 RIVERSIDE TAPPAHANNOCK HOSPICE 289 HOSPITAL ROAD TAPPAHANNOCK VA 22560 491530 RIVERSIDE WALTER REED HOSPICE 7358 MAIN STREET GLOUCESTER VA 23061 271502 RIVERSTONE HEALTH 2626 FIRST AVE S BILLINGS MT 59101 261522 RIVERWAYS HOSPICE OF OZARKS MEDICAL CENTER 114 EAST MAIN STREET WEST PLAINS MO 65775 311501 ROBERT WOOD JOHNSON VISITING NURSE, INC 972 SHOPPES BOULEVARD NORTH BRUNSWICK NJ 08902 451614 ROBINSON CREEK HOME HEALTH AND HOSPICE 5316 HWY 290 SUITE 360 AUSTIN TX 78735 141552 ROCK RIVER HOSPICE AND HOME 2706 AVENUE E STERLING IL 61081 491516 ROCKBRIDGE AREA HOSPICE INC 315 MYERS STREET LEXINGTON VA 24450 141521 ROCKFORD V N A HOSPICE 4223 E STATE ST ROCKFORD IL 61108 301510 ROCKINGHAM VNA AND HOSPICE 137 EPPING ROAD EXETER NH 03833 461511 ROCKY MOUNTAIN HOSPICE 5242 SOUTH COLLEGE DRIVE, SUITE 150 MURRAY UT 84123 421612 ROPER HOSPICE 1483 TOBIAS GADSON BLVD, STE 209B CHARLESTON SC 29407 671704 ROSE OF TEXAS HOSPICE 1610 WOODSTEAD COURT, SUITE #395 THE WOODLANDS TX 77380 671744 ROSE OF TEXAS HOSPICE 921 SHILOH ROAD SUITE B 100 TYLER TX 75703 371645 ROSEROCK HEALTHCARE 2642 EAST 21ST STREET TULSA OK 74114 371617 ROSS HC SVS OF CHICKASHA - ELARA CARING NETWORK 721 S GEORGE NIGH EXPRESSWAY, SUITE 3B MCALESTER OK 74501 371671 ROSS HC SVS OF ENID, PART OF ELARA CARING NETWORK 427 E CHEROKEE, SUITE 3 ENID OK 73701 371626 ROSS HC SVS PONCA CITY ELARA CARING NETWORK 1020 N BOOMER ROAD, SUITE 1 STILLWATER OK 74075 341505 ROWAN HOSPICE & PALLIATIVE CARE, LLC 720 GROVE STREET SALISBURY NC 28144 751588 ROYAL MAJESTY HOSPICE, INC. 3939 ATLANTIC AVE SUITE 216 LONG BEACH CA 90807 051719 ROZE ROOM HOSPICE 5000 OVERLAND AVENUE, STE 101 CULVER CITY CA 90230 551645 ROZE ROOM HOSPICE OF SAN GABRIEL VALLEY 55 E HUNTINGTON DRIVE, SUITE 238 ARCADIA CA 91006 551649 ROZE ROOM HOSPICE OF SOUTH BAY 4510 E. PACIFIC COAST HIGHWAY, SUITE 320 LONG BEACH CA 90804 051759 ROZE ROOM HOSPICE OF THE VALLEY 18107 SHERMAN WAY SUITE 200 RESEDA CA 91335 051795 ROZE ROOM HOSPICE OF VENTURA 5675 RALSTON ST STE C VENTURA CA 93003 491564 RUSSELL COUNTY MEDICAL CENTER HOSPICE 116 FLANAGAN AVENUE, SUITE C LEBANON VA 24266 371510 RUSSELL-MURRAY HOSPICE, INC 2001 PARK VIEW DRIVE EL RENO OK 73036 921539 RX STAFFING HOSPICE CARE 4640 MARCONI AVENUE SUITE 5 SACRAMENTO CA 95821 401543 RYDER MEMORIAL HOSPICE PROGRAM 355 FONT MARTELLO AVE HUMACAO PR 00791 401559 S & R HOSPICE CORP CARR #2 KM 111 5 BO ARENALES ISABELA PR 00662 011503 SAAD HEALTHCARE 1515 UNIVERSITY BOULEVARD, SOUTH MOBILE AL 36609 251551 SAAD HOSPICE OF MISSISSIPPI 10598 D'IBERVILLE BLVD, SUITE B DIBERVILLE MS 39540 381529 SACRED HEART HOSPICE 677 E 12TH AVE, SUITE N110 EUGENE OR 97401 551603 SACRED HEART HOSPICE 2025 CHICAGO AVENUE, SUITE A-30 RIVERSIDE CA 92507 551528 SACRED HEART OF CALIFORNIA 3699 WILSHIRE BLVD, SUITE 870 LOS ANGELES CA 90010 111599 SACRED JOURNEY HOSPICE, INC 138 PEACH DRIVE MCDONOUGH GA 30253 751501 SACRED LIFE HOSPICE 15130 VENTURA BLVD, STE 304 SHERMAN OAKS CA 91403 261586 SAFE HARBOR HOSPICE, INC. 101 KINGSBURY BLVD FREDERICKTOWN MO 63645 141643 SAFE HAVEN HOSPICE LLC 200 N POSTVILLE DR LINCOLN IL 62656 671641 SAFEHAVEN HOSPICE 2340 CENTRAL BLVD BROWNSVILLE TX 78520 031602 SAGE HOSPICE LLC 5111 NORTH SCOTTSDALE ROAD, SUITE 204 SCOTTSDALE AZ 85250 051538 SAINT AGNES HOME HEALTH & HOSPICE 6729 NORTH WILLOW AVE SUITE 103 FRESNO CA 93710

68 of 83 HOSPICES THAT SUCCESSFULLY MET QRP REPORTING REQUIREMENTS FOR FY 2020 APU

CCN Hospice Name Address City State ZIP 131507 SAINT ALPHONSUS HOME HEALTH & HOSPICE 9199 WEST BLACK EAGLE DRIVE BOISE ID 83709 551722 SAINT CHRISTOPHER HOSPICE, INC 1648 WILCOX AVE, SUITE A HOLLYWOOD CA 90028 371503 SAINT FRANCIS HOSPICE 6600 SOUTH YALE, SUITE 350 TULSA OK 74136 171509 SAINT LUKE'S HOSPICE OF LEAVENWORTH LLC 1004 PROGRESS SUITE 150 LANSING KS 66043 751666 SAINT MANUEL HOSPICE, INC. 6005 VINELAND AVE., SUITE. 202 N HOLLYWOOD CA 91606 751548 SAINT MARIAM HOSPICE, INC. 3452 E FOOTHILL BLVD, STE 230 PASADENA CA 91107 111525 SAINT MARY'S HOSPICE SERVICES 1021 JAMESTOWN BLVD SUITE 215 WATKINSVILLE GA 30677 751590 SAINT MONTSERRAT HOSPICE CARE, INC 523 N GLENOAKS BLVD BURBANK CA 91502 921715 SAINT NECTARIOS HOSPICE, INC 740 E WILSON AVENUE, SUITE 203 GLENDALE CA 91206 751587 SAINT VERENA HOSPICE CARE, INC 500 SOUTH KRAEMER BLVD, SUITE 150 BREA CA 92821 351512 SAKAKAWEA MEDICAL CENTER HOSPICE 903 SUNRISE DRIVE HAZEN ND 58545 071535 SALISBURY VISITING NURSE ASSOCIATION 30 A SALMON KILL ROAD SALISBURY CT 06068 221589 SALMON HOSPICE CARE, LLC 37 BIRCH STREET MILFORD MA 01757 751641 SALUS HOSPICE 630 ROOSEVELT, SUITE B IRVINE CA 92620 751706 SALUTE HOSPICE INC. 1007 S CENTRAL AVE SUITE 204 GLENDALE CA 91204 381517 SAMARITAN EVERGREEN HOSPICE 4600 EVERGREEN PLACE, SE ALBANY OR 97322 311504 SAMARITAN HEALTHCARE AND HOSPICE 5 EVES DRIVE, SUITE 300 MARLTON NJ 08053 451782 SAMARITAN HOSPICE 426 N. MAIN, SUITE E HEREFORD TX 79045 381540 SAMARITAN NORTH LINCOLN HOSPICE 3011 NE 28TH STREET LINCOLN CITY OR 97367 381538 SAMARITAN PACIFIC HOSPICE 749 SW 11TH STREET NEWPORT OR 97365 671574 SAN ANTONIO GRACE HOSPICE LLC 4800 FREDERICKSBURG RD SUITE 125 SAN ANTONIO TX 78229 741637 SAN ANTONIO INSPIRE HOSPICE LLC 5460 BABCOCK RD STE 120 SAN ANTONIO TX 78240 921556 SAN BERNARDINO HOSPICE CARE, INC 505 N ARROWHEAD AVENUE, SUITE 401 SAN BERNARDINO CA 92401 921716 SAN BERNARDINO HOSPICE, INC 818 N MOUNTAIN AVENUE SUITE 225 UPLAND CA 91786 401551 SAN FRANCISCO DE ASIS HOSPICE INC CARR 441 KM 0 4 BO QUANIQUILLA AGUADA PR 00602 751546 SAN GABRIEL HOSPICE 1152 E ROUTE 66 GLENDORA CA 91740 921586 SAN GABRIEL HOSPICE & PALLIATIVE CARE, INC 1417 WEST KENNETH RD, SUITE B GLENDALE CA 91201 751640 SANCTUARY HOSPICE 150 PAULARINO AVE STE C125 COSTA MESA CA 92626 251623 SANCTUARY HOSPICE HOUSE 5159 W MAIN ST (IN-PT & OUT-PT) TUPELO MS 38801 241511 SANFORD BEMIDJI HOSPICE 3201 PINE RIDGE AVENUE NORTHWEST SUITE A BEMIDJI MN 56601 351504 SANFORD HOME CARE 910 18TH STREET NW MANDAN ND 58554 161525 SANFORD HOME HEALTH AND HOSPICE SHELDON 118 NORTH SEVENTH STREET, PO BOX 250 SHELDON IA 51201 431502 SANFORD HOSPICE 2710 W 12TH STREET SIOUX FALLS SD 57104 241528 SANFORD LUVERNE HOSPICE 304 NORTH MCKENZIE STREET LUVERNE MN 56156 061510 SANGRE DE CRISTO HOSPICE AND PALLIATIVE CARE 1207 PUEBLO BLVD WAY PUEBLO CO 81005 371706 SANS BOIS HOSPICE, LLC 901 EAST MAIN STREET, SUITE A STIGLER OK 74462 401533 SANTA RITA HOSPICE CARR 417 KM 07 INT BO ASOMANTE AGUADA PR 00602 401554 SANTA RITA HOSPICE CARR 2 KM 1 59 EDIF MEDICAL EMPORIUM SUITE210 MAYAGUEZ PR 00680 751524 SANTA YEKATERINA HOSPICE, INC. 5958 VINELAND AVENUE SUITE J N HOLLYWOOD CA 91601 391760 SARAH CARE HOSPICE OF JENKINTOWN 261 OLD YORK ROAD, SUITE A51 JENKINTOWN PA 19046 151529 SCHNECK MEDICAL CENTER HOSPICE 411 W TIPTON ST PO BOX 2349 SEYMOUR IN 47274 231585 SCHOOLCRAFT MEMORIAL HOMECARE AND HOSPICE 115 LAKE STREET MANISTIQUE MI 49854 031517 SCOTTSDALE HOSPICE OF THE VALLEY 16117 NORTH 76TH STREET SCOTTSDALE AZ 85260 551658 SEA CREST HOSPICE 3187 REDHILL AVE, SUITE 230A COSTA MESA CA 92626

69 of 83 HOSPICES THAT SUCCESSFULLY MET QRP REPORTING REQUIREMENTS FOR FY 2020 APU

CCN Hospice Name Address City State ZIP 551745 SEAPORT HOSPICE 5473 KEARNY VILLA, SUITE 110A SAN DIEGO CA 92123 241545 SEASONS HOSPICE 1696 GREENVIEW DRIVE SOUTHWEST ROCHESTER MN 55902 111640 SEASONS HOSPICE & PALLIATIVE CARE 5775 PEACHTREE DUNWOODY ROAD NE SUITE C-120 ATLANTA GA 30342 141582 SEASONS HOSPICE & PALLIATIVE CARE 606 POTTER ROAD, 6TH FLOOR DES PLAINES IL 60016 211507 SEASONS HOSPICE & PALLIATIVE CARE 5457 TWIN KNOLLS ROAD, SUITE 100 COLUMBIA MD 21045 391709 SEASONS HOSPICE & PALLIATIVE CARE 2200 RENAISSANCE BOULEVARD SUITE 110 KING OF PRUSSIA PA 19406 031603 SEASONS HOSPICE & PALLIATIVE CARE OF ARIZONA LLC 1144 EAST JEFFERSON STREET PHOENIX AZ 85034 101555 SEASONS HOSPICE & PALLIATIVE CARE OF BROWARD FLORI 1815 GRIFFIN RD STE 204 DANIA BEACH FL 33004 051603 SEASONS HOSPICE & PALLIATIVE CARE OF CALIFORNIA 750 THE CITY DRIVE SOUTH, SUITE 120 ORANGE CA 92868 051790 SEASONS HOSPICE & PALLIATIVE CARE OF CALIFORNIA 320 W ARDEN AVE, SUITE 100 GLENDALE CA 91203 551550 SEASONS HOSPICE & PALLIATIVE CARE OF CALIFORNIA 16745 WEST BERNARDO DRIVE, SUITE 240 SAN DIEGO CA 92127 551621 SEASONS HOSPICE & PALLIATIVE CARE OF CALIFORNIA 8686 HAVEN AVENUE SUITE 300 RANCHO CUCAMONGA CA 91730 921743 SEASONS HOSPICE & PALLIATIVE CARE OF CALIFORNIA 2295 GATEWAY OAKS DRIVE, SUITE 165 SACRAMENTO CA 95833 061593 SEASONS HOSPICE & PALLIATIVE CARE OF COLORADO LLC 9191 SHERIDAN BLVD, SUITE 103 WESTMINSTER CO 80031 071539 SEASONS HOSPICE & PALLIATIVE CARE OF CONNECTICUT 1579 STRAITS TNPK, UNIT 1E MIDDLEBURY CT 06762 081508 SEASONS HOSPICE & PALLIATIVE CARE OF DELAWARE, LLC 220 CONTINENTAL DR, SUITE 407 NEWARK DE 19713 151603 SEASONS HOSPICE & PALLIATIVE CARE OF INDIANA LLC 2629 WATERFRONT PARKWAY EAST DRIVE, SUITE 375 INDIANAPOLIS IN 46214 221578 SEASONS HOSPICE & PALLIATIVE CARE OF MASS LLC 20 BURLINGTON MALL ROAD, STE 450 BURLINGTON MA 01803 231601 SEASONS HOSPICE & PALLIATIVE CARE OF MICHIGAN 27355 JOHN R, SUITE 100 MADISON HEIGHTS MI 48071 291539 SEASONS HOSPICE & PALLIATIVE CARE OF NEVADA, LLC 9205 WEST RUSSELL ROAD SUITE 305 LAS VEGAS NV 89148 311577 SEASONS HOSPICE & PALLIATIVE CARE OF NEW JERSEY LL 2445 KUSER ROAD, SUITE 100 HAMILTON NJ 08690 551750 SEASONS HOSPICE & PALLIATIVE CARE OF NORTHERN CALI 400 RACE STREET, SUITE 101 SAN JOSE CA 95126 381561 SEASONS HOSPICE & PALLIATIVE CARE OF OREGON, LLC 6500 SW MACADAM AVENUE, SUITE 160 PORTLAND OR 97239 101543 SEASONS HOSPICE & PALLIATIVE CARE OF SOUTHERN FLOR 5200 NE 2ND AVE MIAMI FL 33137 101557 SEASONS HOSPICE & PALLIATIVE CARE OF TAMPA, LLC 1408 N W SHORE BLVD STE 260 TAMPA FL 33607 671741 SEASONS HOSPICE & PALLIATIVE CARE OF TEXAS - HOUST 10318 LAKE ROAD BUILDING C SUITE 102 HOUSTON TX 77070 671578 SEASONS HOSPICE & PALLIATIVE CARE OF TEXAS INC 6341 CAMPUS CIRCLE DRIVE EAST, SUITE 150 IRVING TX 75063 671721 SEASONS HOSPICE & PALLIATIVE CARE OF TEXAS-SAN ANT 300 E SONTERRA BOULEVARD SUITE 1260 SAN ANTONIO TX 78258 261641 SEASONS HOSPICE AND PALLIATIVE CARE OF MISSOURI, L 3660 S GEYER ROAD - SUITE 120 SAINT LOUIS MO 63127 521571 SEASONS HOSPICE PALLIATIVE CARE 6737 W WASHINGTON ST SUITE 2150 WEST ALLIS WI 53214 261602 SEASONS HOSPICE, INC 1831 W MELVILLE ROAD SPRINGFIELD MO 65803 051667 SELF-HELP HOME CARE & HOSPICE 731 SANSOME STREET, SUITE 100 SAN FRANCISCO CA 94111 401552 SENDERO DE LUZ HOSPICE GEORGETTI STREET 9 ALTOS COMERIO PR 00782 751503 SENIOR HOSPICE CARE INC. 359 EAST MAGNOLIA BLVD., SUITE. C BURBANK CA 91502 491615 SENIOR INDEPENDENCE HOSPICE 2025 TATE SPRINGS ROAD LYNCHBURG VA 24501 271534 SENIOR INDEPENDENCE OF MONTANA 3940 RIMROCK RD BILLINGS MT 59102 271537 SENIOR SOLUTIONS INC 2825 LEXINGTON AVE BUTTE MT 59701 491555 SENTARA HALIFAX REGIONAL HOSPICE AND PALLIATIVE CA 2204 WILBORN AVE SOUTH BOSTON VA 24592 491538 SENTARA HOME CARE SERVICES 2000 BEERY ROAD HARRISONBURG VA 22801 491502 SENTARA HOME CARE SERVICES - CHESAPEAKE 535 INDEPENDENCE PARKWAY, SUITE 200 CHESAPEAKE VA 23320 491543 SENTARA HOME CARE SERVICES - NEWPORT NEWS 11844 ROCK LANDING DRIVE, SUITE C NEWPORT NEWS VA 23606 371529 SEQUOYAH COUNTY-CITY OF SALLISAW HOSP AUTHORITY 213 EAST REDWOOD SALLISAW OK 74955 281549 SERENE CARE INCORPORATED 4905 S 107TH AVE SUITE 205 OMAHA NE 68127 741593 SERENE MEADOWS HOSPICE LLC 1201 NORTH WATSON ROAD SUITE 278 ARLINGTON TX 76006

70 of 83 HOSPICES THAT SUCCESSFULLY MET QRP REPORTING REQUIREMENTS FOR FY 2020 APU

CCN Hospice Name Address City State ZIP 261648 SERENITY CARE HOSPICE INC 1626 EAST ELM HARRISONVILLE MO 64701 261666 SERENITY HOME HOSPICE, LLC 1120 OLIVETTE EXECUTIVE PARKWAY, SUITE 220 OLIVETTE MO 63132 191584 SERENITY HOMECARE-HOSPICE 940 WEST BON TEMPT STREET MARKSVILLE LA 71351 111661 SERENITY HOSPICE 23 EASTBROOK BEND, STE 205 PEACHTREE CITY GA 30269 361691 SERENITY HOSPICE 4491 DARROW ROAD, SUITE 1 STOW OH 44224 381555 SERENITY HOSPICE 11481 SW HALL BLVD, SUITE 200 TIGARD OR 97223 381564 SERENITY HOSPICE 6444 FAIRWAY AVENUE SE SALEM OR 97306 391748 SERENITY HOSPICE 3331 STREET ROAD SUITE 101 BENSALEM PA 19020 671651 SERENITY HOSPICE 1506 PENNSYLVANIA AVENUE FORT WORTH TX 76104 741645 SERENITY HOSPICE 489 AGNES STREET SUITE 100 BASTROP TX 78602 031561 SERENITY HOSPICE & PALLIATIVE CARE 2999 NORTH 44TH STREET, SUITE 225 PHOENIX AZ 85018 141579 SERENITY HOSPICE AND HOME 1658 S ILLINOIS ROUTE 2 OREGON IL 61061 051765 SERENITY HOSPICE CARE 1420 N CLAREMONT BLVD #101A CLAREMONT CA 91711 311574 SERENITY HOSPICE CARE 56 GEORGETOWN ROAD HAMILTON NJ 08619 111638 SERENITY HOSPICE CARE LLC 520 HILLCREST PARKWAY DUBLIN GA 31021 171594 SERENITY HOSPICE CARE LLC 9415 E HARRY SUITE 306 WICHITA KS 67207 751673 SERENITY HOSPICE CARE PROVIDER, INC 2139 TAPO STREET, SUITE #225 SIMI VALLEY CA 93063 111684 SERENITY HOSPICE CARE, LLC 1057 N HOUSTON ROAD WARNER ROBINS GA 31093 751676 SERENITY HOSPICE GROUP INC 17777 CENTER COURT DRIVE NORTH SUITE 600 UNIT 625 CERRITOS CA 90703 551570 SERENITY HOSPICE LLC 777 E TAHQUITZ CANYON WAY, SUITE 301 PALM SPRINGS CA 92262 191563 SERENITY HOSPICE SERVICES, LLC 3445 NORTH CAUSEWAY BLVD #520 METAIRIE LA 70002 291527 SERENITY HOSPICE, LLC 4560 S DECATUR BLVD STE 301 LAS VEGAS NV 89103 921510 SERENITY POINT HOSPICE CARE, INC 1420 E LOS ANGELES SIMI VALLEY CA 93065 401549 SERVICIOS DE HOSPICIO DE ADJUNTAS CALLE RODULFO GONZALEZ 46 SUITE 1 ADJUNTAS PR 00601 451543 SETON HOSPICE 309 INDUSTRIAL BLVD. BURNET TX 78611 491597 SEVEN HILLS HOSPICE, LLC 2250 MURRELL ROAD, BLDG B, UNIT 2 LYNCHBURG VA 24501 391754 SEVEN OAKS HOSPICE CARE LLC 2413 ST NORBERTS DRIVE BUILDING B PITTSBURGH PA 15234 751560 SHANGRILA HOSPICE 8280 UTICA AVENUE, SUITE 210 RANCHO CUCAMONGA CA 91730 391539 SHARON REGIONAL HEALTH SYSTEM HOSPICE & PALLIATIVE 1955 SHENANGO VALLEY FREEWAY HERMITAGE PA 16148 521582 SHARON S RICHARDSON COMMUNITY HOSPICE W2850 STATE ROAD 28 SHEBOYGAN FALLS WI 53085 051598 SHARP HOSPICECARE 8881 FLETCHER PARKWAY STE 336 LA MESA CA 91942 371695 SHEPHERD HOME HEALTH & HOSPICE, LLC 525 S 30TH ST CLINTON OK 73601 011513 SHEPHERD'S COVE HOSPICE 408 MARTLING ROAD ALBERTVILLE AL 35951 271526 SHERIDAN MEMORIAL HOSPICE 330 W LAUREL AVE PLENTYWOOD MT 59254 261642 SHIRKEY HOSPICE AND PALLIATIVE CARE 701 WOLLARD BLVD RICHMOND MO 64085 281527 SIDNEY REGIONAL MEDICAL CENTER HOSPICE 1625 DORWART DR STE A SIDNEY NE 69162 321551 SIERRA HOSPICE 1400 N SILVER STREET TRUTH OR CONSEQUENCE NM 87901 551687 SIERRA HOSPICE CARE, INC 3660 WILSHIRE BLVD SUITE 225 LOS ANGELES CA 90010 131552 SIGNATURE HEALTHCARE AT HOME 240 WEST BURNSIDE AVENUE, SUITE B CHUBBUCK ID 83202 381553 SIGNATURE HEALTHCARE AT HOME 7632 SW DURHAM RD, SUITE 130 TIGARD OR 97224 461554 SIGNATURE HEALTHCARE AT HOME - NUT HS 5965 SOUTH 900 EAST, SUITE 200 MURRAY UT 84121 131510 SIGNATURE HOSPICE 1000 SOUTH 16TH STREET, SUITE C PAYETTE ID 83661 381560 SIGNATURE HOSPICE 834 S FRONT STREET CENTRAL POINT OR 97502 321573 SILVER LININGS HOSPICE CARE 12126 N HWY 14 STE A CEDAR CREST NM 87008

71 of 83 HOSPICES THAT SUCCESSFULLY MET QRP REPORTING REQUIREMENTS FOR FY 2020 APU

CCN Hospice Name Address City State ZIP 551534 SILVERADO HOSPICE 601 S GLENOAKS BLVD, STE 201 BURBANK CA 91502 751606 SILVERADO HOSPICE - BAY AREA 1000 MARINA BLVD SUITE 200 BRISBANE CA 94005 671535 SILVERADO HOSPICE - NORTH HOUSTON 13810 CHAMPIONS FOREST DRIVE, SUITE #150 HOUSTON TX 77069 671600 SILVERADO HOSPICE - SOUTH HOUSTON 4800 SUGAR GROVE BLVD SUITE 390 STAFFORD TX 77477 051786 SILVERADO HOSPICE - VENTURA COUNTY 15821 VENTURA BOULEVARD, SUITE 515 ENCINO CA 91436 741539 SILVERADO HOSPICE- AUSTIN 1701 DIRECTORS BLVD STE 410 AUSTIN TX 78744 051771 SILVERADO HOSPICE INC 6400 OAK CANYON DRIVE, SUITE 150 IRVINE CA 92618 141660 SILVERADO HOSPICE OF GREATER CHICAGO 1350 EAST TOUHY AVE, 130 WEST DES PLAINES IL 60018 551522 SILVERADO HOSPICE SAN DIEGO 3750 CONVOY STREET, SUITE 200 SAN DIEGO CA 92111 671611 SILVERADO HOSPICE-DALLAS/FORT WORTH 4500 BELTWAY DRIVE ADDISON TX 75001 461548 SILVERADO HOSPICE-SALT LAKE CITY 855 EAST 4800 SOUTH, SUITE 240 SALT LAKE CITY UT 84107 161519 SIOUX CENTER HEALTH HOME CARE AND HOSPICE 1400 7TH AVENUE SE SIOUX CENTER IA 51250 051778 SKIRBALL HOSPICE 6345 BALBOA BLVD., SUITE 315 ENCINO CA 91316 261506 SLH HOME CARE AND HOSPICE 3516 SUMMIT STREET KANSAS CITY MO 64111 161565 SMC HOME HEALTH & HOSPICE 300 PERSHING AVE SHENANDOAH IA 51601 441550 SMOKY MOUNTAIN HOME HEALTH AND HOSPICE, INC 222 HERITAGE BLVD PO BOX 754 NEWPORT TN 37821 051567 SNOWLINE HOSPICE OF EL DORADO COUNTY-HOSPICE 6520 PLEASANT VALLEY ROAD DIAMOND SPRINGS CA 95619 921533 SOCAL HOSPICE SERVICES, INC 1545 N VERDUGO RD SUITE 210 GLENDALE CA 91208 321532 SOCORRO GENERAL HOSPITAL HOSPICE 1202 US HWY 60 WEST BLDG E SOCORRO NM 87801 921543 SOJOURN HOSPICE & PALLIATIVE CARE - EAST BAY, LLC 1320 WILLOW PASS ROAD, SUITE 420 CONCORD CA 94520 751664 SOJOURN HOSPICE & PALLIATIVE CARE - REDDING, LLC 2150 CHURN CREEK RD, SUITE 150 REDDING CA 96002 751734 SOJOURN HOSPICE & PALLIATIVE CARE - SAN DIEGO LLC 9444 WAPLES STREET, SUITE 450 SAN DIEGO CA 92121 751507 SOJOURN HOSPICE & PALLIATIVE CARE-SACRAMENTO, LLC 2150 RIVER PLAZA DRIVE, SUITE 270 SACRAMENTO CA 95833 551661 SOJOURN HOSPICE AND PALLIATIVE CARE 1879 LUNDY AVENUE, SUITE 123 SAN JOSE CA 95131 751518 SOJOURN HOSPICE AND PALLIATIVE CARE - FRESNO 1318 E SHAW AVE STE 100 FRESNO CA 93710 251697 SOLACE HOSPICE, INC 215 HIGHWAY 26 EAST, SUITE A / PO BOX 918 POPLARVILLE MS 39470 031646 SOLACE HOSPICE, LLC 16841 NORTH 31ST AVENUE, SUITE 161 PHOENIX AZ 85053 451688 SOLARIS HOSPICE INC 2250 S FM 51 SUITE 400 DECATUR TX 76234 171539 SOLOMON VALLEY HOSPICE 311 W MAIN BELOIT KS 67420 461575 SOLSTICE HOSPICE AND PALLIATIVE CARE 1115 SOUTH 900 EAST SALT LAKE CITY UT 84105 361545 SOMC HOSPICE 2201 25TH STREET PORTSMOUTH OH 45662 551623 SONATA HOSPICE 5333 MISSION CENTER RD SUITE 210 SAN DIEGO CA 92108 551555 SONORAN WINDS HOSPICE INC 6131 ORANGETHORPE AVENUE, SUITE 180 BUENA PARK CA 90620 031599 SOREO PATHWAYS HOSPICE AND PALLIATIVE CARE 2475 EAST WATER STREET TUCSON AZ 85719 031577 SOULISTIC HOSPICE 16-18 CALLE IGLESIA TUBAC AZ 85646 381530 SOUTH COAST HOSPICE & PALLIATIVE CARE SERVICES, IN 1620 THOMPSON ROAD COOS BAY OR 97420 461514 SOUTH DAVIS HOSPICE 401 SOUTH 400 EAST BOUNTIFUL UT 84010 221517 SOUTH SHORE VNA - HOSPICE 30 RESERVOIR PARK DRIVE ROCKLAND MA 02370 111769 SOUTHEAST HOSPICE 1203 GEORGE C WILSON DRIVE, SUITE A, AUGUSTA GA 30909 261537 SOUTHEAST HOSPICE #10 DOCTOR'S PARK CAPE GIRARDEAU MO 63703 011663 SOUTHEAST HOSPICE NETWORK, LLC 4330 HIGHWAY 78E, SUITE 120-121 JASPER AL 35501 051574 SOUTHERN CALIFORNIA HOME HEALTH AND HOSPICE 730 MAGNOLIA AVENUE CORONA CA 92879 361617 SOUTHERN CARE YOUNGSTOWN 5401 ASHLEY CIRCLE, SUITE E AUSTINTOWN OH 44515 251695 SOUTHERN HEARTS HOSPICE 321 FLORA GENE AVENUE W, SUITE B WIGGINS MS 39577

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CCN Hospice Name Address City State ZIP 391657 SOUTHERNCARE ALTOONA 1701 12TH AVE BLDG D ALTOONA PA 16602 251537 SOUTHERNCARE BILOXI 8195-A WOOLMARKET ROAD BILOXI MS 39532 521581 SOUTHERNCARE GREEN BAY 1800 W MASON ST SUITE A GREEN BAY WI 54303 011655 SOUTHERNCARE GREENVILLE 501 E COMMERCE STREET GREENVILLE AL 36037 251561 SOUTHERNCARE HATTIESBURG 4700 HARDY STREET SUITE Y HATTIESBURG MS 39402 151572 SOUTHERNCARE INDIANAPOLIS 6620 PARKDALE PLACE SUITE N INDIANAPOLIS IN 46254 231592 SOUTHERNCARE JACKSON 1965 BOARDMAN RD, SUITE B JACKSON MI 49202 231591 SOUTHERNCARE KALAMAZOO 1911 WEST CENTRE AVENUE PORTAGE MI 49024 391681 SOUTHERNCARE MEADVILLE 1245 PARK AVENUE MEADVILLE PA 16335 011506 SOUTHERNCARE NEW BEACON - JASPER 300 NORTH AIRPORT ROAD, UNITS 3 AND 4 JASPER AL 35504 011501 SOUTHERNCARE NEW BEACON N. BIRMINGHAM 4735 NORREL DRIVE, SUITE 129 TRUSSVILLE AL 35173 011508 SOUTHERNCARE NEW BEACON OF ANNISTON 1419 LEIGHTON AVENUE, UNIT A ANNISTON AL 36207 011512 SOUTHERNCARE NEW BEACON SCOTTSBORO 1602 S BROAD STREET SCOTTSBORO AL 35768 251541 SOUTHERNCARE NEWTON 191 NORTHSIDE DRIVE NEWTON MS 39345 251671 SOUTHERNCARE OXFORD 512 AZALEA DRIVE OXFORD MS 38655 231594 SOUTHERNCARE SAGINAW 6272 STATE STREET SAGINAW MI 48603 191580 SOUTHERNCARE SHREVEPORT 2103 OLD MINDEN ROAD, SUITE A BOSSIER CITY LA 71112 151582 SOUTHERNCARE SOUTH BEND 1626 E DAY RD MISHAWAKA IN 46545 451759 SOUTHERNCARE WACO 8005 BAGBY AVENUE HEWITT TX 76643 031648 SOUTHLAND HOSPICE, LLC 4527 NORTH 16TH STREET, SUITE 201 PHOENIX AZ 85016 361530 SOUTHWEST HOSPICE SERVICES 18659 DRAKE ROAD STRONGSVILLE OH 44136 291502 SOUTHWEST MEDICAL ASSOCIATES HOSPICE AND PALLIATIV 8655 S EASTERN AVE LAS VEGAS NV 89123 031669 SOUTHWESTERN PALLIATIVE CARE AND HOSPICE 291 SOUTH MAIN STREET, SUITE D YUMA AZ 85364 111601 SPANISH OAKS HOSPICE, INC 8510 WHITFIELD AVENUE SAVANNAH GA 31406 231519 SPARROW HOSPICE SERVICES 1210 WEST SAGINAW STREET LANSING MI 48915 421500 SPARTANBURG REGIONAL MED CTR HOSPICE 1530 DRAYTON ROAD SPARTANBURG SC 29302 491570 SPECIAL CARE HOSPICE 18334 RIVERSIDE DRIVE - PO BOX 268 GRUNDY VA 24614 251669 SPECIALTY HOSPICE, LLC 5600 GOODMAN ROAD, SUITES E & F OLIVE BRANCH MS 38654 251660 SPECIALTY HOSPICE-CENTRAL MS 1221 GROVE STREET VICKSBURG MS 39183 231544 SPECTRUM HEALTH HOSPICE & PALLIATIVE CARE 750 FULLER AVENUE NE GRAND RAPIDS MI 49503 221581 SPECTRUM HOME HEALTH AND HOSPICE CARE 770 CONVERSE STREET LONGMEADOW MA 01106 031668 SPG HOSPICE, LLC 7975 NORTH HAYDEN ROAD, SUITE B200 SCOTTSDALE AZ 85258 391550 SPIRITRUST LUTHERAN HOME CARE & HOSPICE 2700 LUTHER DRIVE CHAMBERSBURG PA 17201 391699 SPIRITRUST LUTHERAN HOME CARE & HOSPICE 402 WEST CHEW STREET ALLENTOWN PA 18102 551731 SPIRITUAL TOUCH HOSPICE, INC 5112 HOLLYWOOD BLVD, #206 LOS ANGELES CA 90027 361674 SPRENGER HOSPICE INC 3905 OBERLIN AVENUE LORAIN OH 44053 251658 SPRING VALLEY HOSPICE 7139 COMMERCE DRIVE, BLDG B-3 OLIVE BRANCH MS 38654 251702 SPRING VALLLEY HOSPICE ( TUPELO) 1018 N GLOSTER, STE J / MAIL TO OLIVE BRANCH, MS TUPELO MS 38804 011642 SPRINGHILL HOME HEALTH AND HOSPICE 22 NORTH MOBILE STREET MOBILE AL 36607 521522 SSM HEALTH AT HOME HOSPICE 1600 JEFFERSON ST SUITE 101 BARABOO WI 53913 261540 SSM HEALTH AT HOME HOSPICE - MARYVILLE 2332 S MAIN STREET MARYVILLE MO 64468 141530 SSM HEALTH AT HOME HOSPICE-ILLINOIS #2 GOOD SAMARITAN WAY, SUITE 325 MOUNT VERNON IL 62864 521512 ST AGNES HSPTL HOSPICE HOPE 239 TROWBRIDGE DRIVE FOND DU LAC WI 54937 061506 ST ANTHONY HOSPICE 2551 W 84TH AVE, 1ST FLOOR WESTMINSTER CO 80031

73 of 83 HOSPICES THAT SUCCESSFULLY MET QRP REPORTING REQUIREMENTS FOR FY 2020 APU

CCN Hospice Name Address City State ZIP 551500 ST ANTHONY HOSPICE 512 E WILSON AVE SUITE 208 GLENDALE CA 91206 161546 ST ANTHONY REGIONAL HOSPICE 318 SOUTH MAPLE STREET, SUITE 2 CARROLL IA 51401 181517 ST ANTHONY'S HOSPICE INC 2410 SOUTH GREEN STREET HENDERSON KY 42420 391705 ST BARNABAS HOSPICE 5830 MERIDIAN ROAD GIBSONIA PA 15044 041512 ST BERNARDS REGIONAL MED CTR H 1726 MARIE CIRCLE JONESBORO AR 72401 751789 ST CARMEN HEALTH PROVIDER, INC 2060 EAST ROUTE 66, SUITE 204 GLENDORA CA 91740 191623 ST CATHERINE'S HOSPICE, LLC 421 WEST AIRLINE HWY STE L LA PLACE LA 70068 381509 ST CHARLES HOSPICE 2275 NE DOCTORS DRIVE SUITE 3 BEND OR 97701 181514 ST CLAIRE HOSPICE/PALLIATIVE CARE 201 LYONS AVENUE MOREHEAD KY 40351 161583 ST CROIX HOSPICE 1555 SE DELAWARE SUITE Q ANKENY IA 50021 161602 ST CROIX HOSPICE 1920 RUE STREET SUITE 3 CO BLUFFS IA 51503 161604 ST CROIX HOSPICE 101 ELKADER STREET STRAWBERRY POINT IA 52076 161605 ST CROIX HOSPICE 302 N GRAND AVE SUITE 5 CHARLES CITY IA 50616 171551 ST CROIX HOSPICE 708 OREGON STREET HIAWATHA KS 66434 241586 ST CROIX HOSPICE 7200 HUDSON BOULEVARD SUITE 100 OAKDALE MN 55128 521591 ST CROIX HOSPICE 414 BROADWAY ST SUITE 200 BARABOO WI 53913 521599 ST CROIX HOSPICE 1280 W CLAIREMONT AVE SUITE 4 EAU CLAIRE WI 54701 161607 ST CROIX HOSPICE, LLC 1701 38TH AVENUE WEST, SUITE 100 SPENCER IA 51301 751770 ST ELIZABETH HOSPICE CARE, INC 1300 W OLYMPIC BLVD, SUITE 210 LOS ANGELES CA 90015 121500 ST FRANCIS HOSPICE 24 PUIWA ROAD HONOLULU HI 96817 671742 ST GABRIELS HOSPICE AND PALLIATIVE CARE LLC 2501 PARKVIEW DRIVE SUITE 105 FORT WORTH TX 76102 551545 ST GRACE HOSPICE INC 904 WEST NINTH STREET UPLAND CA 91786 551524 ST JACOB HOSPICE, INC 17042 DEVONSHIRE ST SUITE 209 NORTHRIDGE CA 91325 371506 ST JOHN HOSPICE 4720 S HARVARD, STE 202 TULSA OK 74135 141503 ST JOHN'S HOSPITAL HOSPICE PRO 2667 FARRAGUT DRIVE SPRINGFIELD IL 62704 051557 ST JOSEPH HEALTH HOSPICE SERVICES 416 PAYRAN STREET PETALUMA CA 94952 191572 ST JOSEPH HOSPICE 108 W MAIN STREET STE C-1 THIBODAUX LA 70301 191620 ST JOSEPH HOSPICE & PALLIATIVE CARE OF MONROE, LLC 1890 HUDSON CIRCLE SUITE 3 MONROE LA 71201 191635 ST JOSEPH HOSPICE AND PALLIATIVE CARE NORTHSHORE, 19500 HELENBERG ROAD SUITE C COVINGTON LA 70433 421615 ST JOSEPH HOSPICE LLC 1708 BUNTING DR, STE A NORTH AUGUSTA SC 29841 191654 ST JOSEPH HOSPICE OF ACADIANA, LLC 923 WEST PINHOOK ROAD LAFAYETTE LA 70503 191602 ST JOSEPH HOSPICE OF BAYOU REGION 108 W. MAIN STREET. SUITE C THIBODAUX LA 70301 191531 ST JOSEPH HOSPICE OF CENLA, LLC 429 MURRAY STREET, FLOOR 6 ALEXANDRIA LA 71301 671765 ST JOSEPH HOSPICE OF CONROE TEXAS 2255 N LOOP 336 W SUITE A CONROE TX 77304 191578 ST JOSEPH HOSPICE OF SHREVEPORT, LLC 252 N MAIN STREET, SUITE C SIBLEY LA 71073 011684 ST JOSEPH HOSPICE OF SOUTH ALABAMA LLC 23 MIDTOWN PARK W, UNIT B MOBILE AL 36607 251670 ST JOSEPH HOSPICE OF SOUTHERN MISSISSIPPI, LLC 101 ALGERSGATE CIRCLE HATTIESBURG MS 39402 191687 ST JOSEPH HOSPICE OF SOUTHWEST LOUISIANA, LLC 1011 3RD AVENUE, SUITE B KINDER LA 70648 251575 ST JOSEPH HOSPICE OF WEST MISSISSIPPI, LLC 322 HIGHWAY 80 EAST CLINTON MS 39056 111722 ST JOSEPH HOSPICE, LLC 1220 GEORGE C WILSON DRIVE AUGUSTA GA 30909 191568 ST JOSEPH HOSPICE, LLC 10615 JEFFERSON HIGHWAY BATON ROUGE LA 70809 231511 ST JOSEPH MERCY HOSPICE, ANN ARBOR 34505 WEST TWELVE MILE ROAD, SUITE 200 FARMINGTON HILLS MI 48331 131528 ST JOSEPH REGIONAL MEDICAL CENTER HOSPICE 1250 IDAHO ST LEWISTON ID 83501 521524 ST JOSEPHS HOSPICE 2661 CTY HIGHWAY I CHIPPEWA FALLS WI 54729

74 of 83 HOSPICES THAT SUCCESSFULLY MET QRP REPORTING REQUIREMENTS FOR FY 2020 APU

CCN Hospice Name Address City State ZIP 051744 ST LIZ HOSPICE, INC 2535 W TEMPLE STREET SUITE A LOS ANGELES CA 90026 251687 ST LUKE HOME HEALTH AND HOSPICE 1134 E. BROAD STREET MONTICELLO MS 39654 401530 ST LUKES ESPISCOPAL CHURCH HOME CARE & PROGRAM EDICICIO A CUARTO PISO AVE TITO CASTRO 917 CARR 14 PONCE PR 00732 131503 ST LUKE'S HOME CARE / HOSPICE 325 WEST IDAHO ST BOISE ID 83702 391535 ST LUKE'S HOSPICE 240 UNION STATION PLAZA BETHLEHEM PA 18015 241524 ST LUKES HOSPICE DULUTH 220 NORTH SIXTH AVENUE EAST DULUTH MN 55805 141595 ST MARGARETS HOSPICE 600 E 1ST STREET SPRING VALLEY IL 61362 521542 ST NICHOLAS HSPTL HHA AND HOSPICE 3100 SUPERIOR AVE SHEBOYGAN WI 53081 521586 ST PAUL HOSPICE SERVICES 316 E FOURTEENTH ST KAUKAUNA WI 54130 151516 ST VINCENT HOSPICE - ANDERSON 2015 JACKSON ST ANDERSON IN 46016 151507 ST VINCENT HOSPICE - INDIANAPOLIS 8450 N PAYNE RD STE 100 INDIANAPOLIS IN 46268 751777 ST VINCENT HOSPICE SERVICES, INC 420 S ROSEMEAD BLVD, SUITE D & E PASADENA CA 91107 751711 ST. ARSENIUS HOSPICE CARE, INC 424 N LAKE AVE, STE 204 PASADENA CA 91101 281548 ST. CROIX HOSPICE, LLC 11207 WEST DODGE RD, SUITE 250 OMAHA NE 68154 281525 ST. FRANCIS HOSPICE 435 NORTH MONITOR STREET WEST POINT NE 68788 741596 ST. GABRIEL'S HOSPICE AND PALLIATIVE CARE 1100 NE LOOP 410 SUITE 401 SAN ANTONIO TX 78209 051659 ST. JOSEPH HEALTH SYSTEM HOME CARE SERVICES 200 W CENTER STREET PROMENADE, SUITE 200B ANAHEIM CA 92805 201504 ST. JOSEPH HOSPICE 900 BROADWAY BUILDING 4 BANGOR ME 04401 281513 ST. JOSEPH VILLA HOMECARE & HOSPICE 1000 N 90TH STREET SUITE 203 OMAHA NE 68114 241546 ST. JOSEPH'S AREA HEALTH SERVICES 323 MAIN AVENUE SOUTH PARK RAPIDS MN 56470 551597 ST. LUKE'S HOSPICE, INC. 3333 S. BREA CANYON RD., STE. 221 DIAMOND BAR CA 91765 751791 ST. MARY'S HOSPICE, INC 20533 E WALNUT DR N SUITE B5 DIAMOND BAR CA 91789 251511 STA HOME HOSPICE OF MISSISSIPPI 3500 LAKELAND DRIVE, SUITE 515 FLOWOOD MS 39232 671702 STANDARDS HOSPICE INC 602 N TRAVIS CAMERON TX 76520 141543 STAR HOSPICE 1790 NATIONS DRIVE SUITE 205 GURNEE IL 60031 321550 STAR HOSPICE 1000 NORTH DALMONT HOBBS NM 88240 451701 STAR HOSPICE 620 N GRANT AVENUE SUITE 100 ODESSA TX 79761 751685 STARLINE HOSPICE, INC 14372 VENTURA BLVD SHERMAN OAKS CA 91423 751712 STARR HOSPICE, INC 6005 VINELAND AVE, STE 201 N HOLLYWOOD CA 91606 361601 STARSHINE HOSPICE OF CHILDRENS HOSPITAL 660 LINCOLN AVENUE CINCINNATI OH 45206 151580 STATE OF THE HEART CARE 1237 W SR 67 PORTLAND IN 47371 361529 STATE OF THE HEART CARE 1350 NORTH BROADWAY GREENVILLE OH 45331 331551 STATEN ISLAND UNIVERSITY HOSPITAL UNIV HOSPICE 78 MEISNER AVENUE STATEN ISLAND NY 10306 361542 STEIN HOSPICE SERVICES, INC 1200 SYCAMORE LINE SANDUSKY OH 44870 211500 STELLA MARIS INC 2300 DULANEY VALLEY RD TIMONIUM MD 21093 921504 STERLING HOSPICE CARE 1670 SIERRA AVENUE, SUITE 502 YUBA CITY CA 95993 751596 STERLING HOSPICE CARE, INC 930 S MOUNT VERNON AVE, SUITE 400 COLTON CA 92324 221518 STEWARD HOME CARE 30 PERWAL STREET WESTWOOD MA 02090 361608 SUMMA HOSPICE 1077 GORGE BLVD AKRON OH 44310 451510 SUMMIT HOSPICE LLC 3305 LOOP 286, SUITE D PARIS TX 75462 041580 SUMMIT HOSPICE PROVIDERS 403 SOUTH POPLAR STREET, SUITE F SEARCY AR 72143 291535 SUMMIT VIEW HOSPICE, LLC 800 S MEADOWS PKWY, STE 200 RENO NV 89521 101508 SUNCOAST HOSPICE 5771 ROOSEVELT BOULEVARD CLEARWATER FL 33760 441529 SUNCREST HOSPICE 903 MAIN STREET NEW TAZEWELL TN 37825

75 of 83 HOSPICES THAT SUCCESSFULLY MET QRP REPORTING REQUIREMENTS FOR FY 2020 APU

CCN Hospice Name Address City State ZIP 751500 SUNCREST HOSPICE 42808 CHRISTY STREET, SUITE 216 FREMONT CA 94538 061576 SUNCREST HOSPICE DENVER 5700 SOUTH QUEBEC STREET, SUITE 310 GREENWOOD VILLAGE CO 80111 141696 SUNCREST HOSPICE ILLINOIS LLC 5750 OLD ORCHARD RD, STE 450 SKOKIE IL 60077 031654 SUNCREST HOSPICE PHOENIX, LLC 4650 EAST COTTON CENTER BOULEVARD, SUITE 250 PHOENIX AZ 85040 921751 SUNCREST HOSPICE SACRAMENTO, LLC 4080 TRUXEL ROAD, SUITE 240 SACRAMENTO CA 95834 161608 SUNCREST HOSPICE, LLC 5959 VILLAGE VIEW DRIVE SUITE 100 WEST DES MOINES IA 50266 171592 SUNFLOWER HOME HEALTH AND HOSPICE 826 E LINCOLN ST WICHITA KS 67211 921706 SUNLIT HOSPICE INC 8444 RESEDA BLVD, SUITE H NORTHRIDGE CA 91324 751790 SUNNY DAYS HOSPICE CARE INC. 14640 VICTORY BLVD, SUITE 213 VAN NUYS CA 91411 921672 SUNNYSIDE HOSPICE CARE, INC 11501 BROOKHURST ST, SUITE 204 GARDEN GROVE CA 92840 451762 SUNSET HOSPICE INC 1420 RUDEL DRIVE TOMBALL TX 77375 461597 SUNSHINE HOSPICE 209 WEST 300 NORTH LOGAN UT 84321 461536 SUPERIOR HOSPICE 184 EAST 5900 SOUTH MURRAY UT 84107 671739 SUPERIOR HOSPICE LLC 8000 VANTAGE DRIVE SAN ANTONIO TX 78230 671748 SUPERIOR HOSPICE OF DEL RIO LLC 159 BRADDIE DRIVE SUITE 1A DEL RIO TX 78840 671743 SUPERIOR HOSPICE OF MCALLEN LLC 2108 SOUTH M ST STE 8B MCALLEN TX 78503 751783 SUPREME HOSPICE AND PALLIATIVE CARE 28312 CONSTELLATION ROAD SUITE B VALENCIA CA 91355 551632 SUPREME HOSPICE AND PALLIATIVE CARE, INC 8285 W SUNSET BLVD, STE 9 WEST HOLLYWOOD CA 90046 671787 SUPREME HOSPICE INC 915 S. MAIN STREET A FORT WORTH TX 76104 531506 SUSIE BOWLING LAWRENCE HOSPICE 497 WEST LOTT BUFFALO WY 82834 391513 SUSQUEHANNA HOME CARE AND HOSPICE 1100 GRAMPIAN BOULEVARD, FOUR SOUTH AND GATEHOUSE WILLIAMSPORT PA 17701 051632 SUTTER AUBURN FAITH VNA & HOSPICE-HOSPICE 11775 EDUCATION STREET, SUITE 201 AUBURN CA 95602 051751 SUTTER NORTH HOSPICE 400 PLUMAS BLVD, SUITE 115A YUBA CITY CA 95991 051503 SUTTER VISITING NURSE ASSOCIATION AND HOSPICE 2800 LEAVENWORTH STREET, SUITE 350B SAN FRANCISCO CA 94133 051555 SUTTER VISITING NURSE ASSOCIATION AND HOSPICE 1025 ATLANTIC AVE, SUITE 100 ALAMEDA CA 94501 051652 SUTTER VISITING NURSE ASSOCIATION AND HOSPICE 3001 LAVA RIDGE COURT, SUITE 330B ROSEVILLE CA 95661 051752 SUTTER VISITING NURSE ASSOCIATION AND HOSPICE 1700 SOUTH AMPHLETT BLVD, SUITE 300 SAN MATEO CA 94402 051761 SUTTER VISITING NURSE ASSOCIATION AND HOSPICE 110 STONY POINT ROAD, SUITE 200C SANTA ROSA CA 95401 921655 SWEET TOUCH HOSPICE 16909 PARTHENIA ST, SUITE 204 NORTH HILLS CA 91343 461567 SYMBII HOSPICE 1385 WEST 2200 SOUTH, SUITE 201 WEST VALLEY CITY UT 84119 131534 SYRINGA GENERAL HOSPITAL HOSPICE 607 WEST MAIN STREET GRANGEVILLE ID 83530 181531 T J SAMSON COMMUNITY HOSPITAL HOME CARE HOSPICE 1301 NORTH RACE STREET GLASGOW KY 42142 031514 T M C HOSPICE AKA PEPPI'S HOUSE 2715 NORTH WYATT DRIVE TUCSON AZ 85712 211543 TALBOT HOSPICE FOUNDATION, INC 586 CYNWOOD DRIVE EASTON MD 21601 111726 TAPESTRY HOSPICE OF NORTHWEST GEORGIA, LLC 105 LAUREL CREEK ROAD, SUITE 5 CALHOUN GA 30701 751653 TC PALLIATIVE AND HOSPICE CARE 1415 E COLORADO ST SUITE 210 GLENDALE CA 91205 741675 TEJAS FIRST HOSPICE LLC 5460 BABCOCK RD STE 120 SAN ANTONIO TX 78240 461556 TENDER CARE HOSPICE 415 MEDICAL DRIVE, SUITE A100 BOUNTIFUL UT 84010 451797 TENDER HEART HOSPICE CARE 3210 W PARK ROW DRIVE ARLINGTON TX 76013 051663 TENDER LOVING CARE HOME HOSPICE 5400 ATLANTIS COURT MOORPARK CA 93021 921570 TENDER TOUCH HOSPICE CARE 20953 DEVONSHIRE BLVD, SUITE 9 CHATSWORTH CA 91311 741559 TENDER TOUCH HOSPICE, LLC 4203 GARDENDALE ST. SUITE C112 SAN ANTONIO TX 78229 371666 TENDERCARE HOSPICE 2401 TEE CIRCLE, SUITE 106 NORMAN OK 73069 441582 TENNESSEE QUALITY HOSPICE 2879 HIGHWAY 45 BYPASS JACKSON TN 38305

76 of 83 HOSPICES THAT SUCCESSFULLY MET QRP REPORTING REQUIREMENTS FOR FY 2020 APU

CCN Hospice Name Address City State ZIP 441560 TENNOVA HEALTHCARE HOSPICE 7447 ANDERSONVILLE PIKE KNOXVILLE TN 37938 441522 TENNOVA HOSPICE-CLARKSVILLE 141 HATCHER LANE CLARKSVILLE TN 37040 741604 TEXAN PLUS HOSPICE SERVICE 12100 FORD ROAD SUITE 275 DALLAS TX 75234 671751 TEXAS BEST HOSPICE SERVICES 100 N CENTRAL EXPY STE 190 ROOM 127 RICHARDSON TX 75080 741646 TEXAS ELITE HOSPICE LLC 23010 GABRIEL STE 208 NEW CANEY TX 77357 671545 TEXAS HOME HEALTH HOSPICE 2904 N FOURTH STREET SUITE 102 LONGVIEW TX 75605 671552 TEXAS HOME HEALTH HOSPICE 8300 CENTRAL PARK DRIVE SUITE A WACO TX 76712 671560 TEXAS HOME HEALTH HOSPICE 5683 EASTEX FREEWAY BEAUMONT TX 77706 741588 TEXAS HOME HEALTH HOSPICE 1605 ROCK PRAIRIE ROAD SUITE 206 COLLEGE STATION TX 77845 751709 THE AMBIENT HOSPICE INC 14852 VENTURA BLVD, STE 201 SHERMAN OAKS CA 91403 211513 THE COMMUNITY HOSPICE OF MARYLAND 11785 BELTSVILLE DRIVE SUITE 1300 BELTSVILLE MD 20705 321515 THE HOSPICE CENTER 1400 CHAMA AVENUE SANTA FE NM 87505 191507 THE HOSPICE OF BATON ROUGE 3600 FLORIDA BLVD BATON ROUGE LA 70806 101510 THE HOSPICE OF MARTIN & ST LUCIE INC 1201 SE INDIAN ST STUART FL 34997 231631 THE MEDICAL TEAM 4400 S SAGINAW ST, SUITE 1300A FLINT MI 48507 491623 THE MEDICAL TEAM 1902 CAMPUS COMMONS DRIVE SUITE 650 RESTON VA 20191 231645 THE MEDICAL TEAM HOSPICE 17197 N LAUREL PARK DRIVE, SUITE 555 LIVONIA MI 48152 231656 THE MEDICAL TEAM INC 400 ANN STREET, SUITE 104 GRAND RAPIDS MI 49503 741714 THE MEDICAL TEAM INC 45 N.E. LOOP 410 STE 800 SAN ANTONIO TX 78216 371634 THE MEYER C AND IDA MILLER HOSPICE 6950 SOUTH UTICA AVENUE TULSA OK 74136 521523 THE MONROE CLINIC HOSPICE 515 22ND AVE MONROE WI 53566 671763 THE PROVIDENCE HOSPICE INC 11420 DAIRY ASHFORD RD SUITE #108 SUGAR LAND TX 77478 521504 THEDACARE AT HOME 3000 E COLLEGE AVE SUITE A APPLETON WI 54915 451574 THEE HOSPICE 2505 LAKE ROAD SUITE 2 & 3 HUNTSVILLE TX 77340 031556 THEMA HEALTH SERVICES 1500 EAST BETHANY HOME ROAD, SUITE #250 PHOENIX AZ 85014 111596 THOMASTON HOSPICE, INC 512 SOUTH CENTER STREET THOMASTON GA 30286 261621 THREE RIVERS HOSPICE PO BOX 1937 PLATTE CITY MO 64079 391670 THREE RIVERS HOSPICE 2500 MOSSIDE BOULEVARD MONROEVILLE PA 15146 261632 THREE RIVERS HOSPICE SOUTH 600 NORTH MAIN STREET MOUNTAIN GROVE MO 65711 261647 THREE RIVERS HOSPICE WEST 631 NORTH SPRING PARK BOULEVARD MOUNT VERNON MO 65712 421502 TIDELANDS COMMUNITY HOSPICE/TIDELANDS COMMUNITY HO 2591 N FRASER ST GEORGETOWN SC 29440 111789 TIDEWATER HOSPICE 206 PITCARIN WAY, SUITE B AUGUSTA GA 30909 421574 TIDEWATER HOSPICE, PA BLUFFTON OFFICE 10 BUCKINGHAM PLANTATION DRIVE, SUITE A BLUFFTON SC 29910 101521 TIDEWELL HOSPICE INC 5955 RAND BOULEVARD SARASOTA FL 34238 321570 TLC HOSPICE LLC DBA TAOS HOME CARE SERVICES 1340 MAESTAS RD SUITE B TAOS NM 87571 751563 TOGETHER HOSPICE CARE LLC 125 W MISSION AVENUE, SUITE 101 ESCONDIDO CA 92025 051615 TORRANCE MEMORIAL HOSPICE 23326 HAWTHORNE BLVD SUITE 100 B TORRANCE CA 90505 671762 TOTAL HOSPICE AND PALLIATIVE CARE 331 MELROSE DRIVE, SUITE 230 RICHARDSON TX 75080 391701 TRADITIONAL HOSPICE 113 WEST DRINKER STREET DUNMORE PA 18512 031619 TRADITIONS HEALTH 1840 EAST UNIVERSITY DRIVE, SUITE 3 MESA AZ 85203 031644 TRADITIONS HEALTH 105 NORTH PASADENA STREET GILBERT AZ 85233 451730 TRADITIONS HOSPICE 109 SOUTHWEST MAIN STREET ENNIS TX 75119 451753 TRADITIONS HOSPICE 1862 ROCK PRAIRIE RD SUITE 204 COLLEGE STATION TX 77845 671684 TRADITIONS HOSPICE 17070 RED OAK DRIVE STE 105 HOUSTON TX 77090

77 of 83 HOSPICES THAT SUCCESSFULLY MET QRP REPORTING REQUIREMENTS FOR FY 2020 APU

CCN Hospice Name Address City State ZIP 671686 TRADITIONS HOSPICE 1120 NASA PARKWAY SUITE 340A HOUSTON TX 77058 671689 TRADITIONS HOSPICE 4362 N US HWY 259, SUITE B LONGVIEW TX 75605 671772 TRADITIONS HOSPICE 1192-D WEST DALLAS CONROE TX 77301 671773 TRADITIONS HOSPICE 1210 E HOUSTON AVE CROCKETT TX 75835 551536 TRANQUIL CARE HOSPICE 3250 OCEAN PARK BLVD SUITE 120 SANTA MONICA CA 90405 751572 TRANQUIL OAKS HOSPICE CARE 11627 TELEGRAPH ROAD SUITE 120 SANTA FE SPRINGS CA 90670 921578 TRANQUILITY HOSPICE, INC 17100 PIONEER BLVD, SUITE 315 ARTESIA CA 90701 141626 TRANSITIONS HOSPICE 12040 RAYMOND COURT HUNTLEY IL 60142 111641 TRANSITIONS HOSPICE CARE OF GEORGIA, INC 610 SHORTER AVENUE, SUITE 9 ROME GA 30165 261630 TRANSITIONS HOSPICE LLC 1439 EAST BROADWAY BOLIVAR MO 65613 921665 TRANSITIONS HOSPICE, INC 150 N SANTA ANITA AVE, SUITE #300 ARCADIA CA 91006 151621 TRANSITIONS INDIANA, LLC 8435 KEYSTONE CROSSING , SUITE 210 INDIANAPOLIS IN 46240 341523 TRANSITIONS LIFECARE 250 HOSPICE CIRCLE RALEIGH NC 27607 371676 TRANSITIONS LIFECARE HOSPICE 6310 E 102ND STREET TULSA OK 74137 131558 TREASURE VALLEY HOSPICE 8 6TH STREET NORTH, SUITE 200 NAMPA ID 83687 391686 TRI COUNTY HOSPICE 13 ARMAND HAMMER BLVD, SUITE 201 POTTSTOWN PA 19464 751725 TRI VALLEY HOSPICE CARE, INC 10120 CANOGA AVE, STE 100 CHATSWORTH CA 91311 671693 TRICARE HOSPICE, LLC 25673 HWY 105 WEST CLEVELAND TX 77328 501510 TRI-CITIES CHAPLAINCY HOSPICE 1480 SE FOWLER STREET RICHLAND WA 99352 421595 TRINITY HOSPICE OF AIKEN 690 MEDICAL PARK DRIVE SUITE 400 AIKEN SC 29803 071520 TRINITY HEALTH OF NEW ENGLAND AT HOME 101 PHOENIX AVENUE ENFIELD CT 06082 221572 TRINITY HEALTH OF NEW ENGLAND AT HOME 200 HILLSIDE CIRCLE, SUITE 3, WEST SPRINFIELD, MA WEST SPRINGFIELD MA 01089 111515 TRINITY HOME SERVICES 1212 AUGUSTA WEST PARKWAY, SUITE 2B AUGUSTA GA 30909 741569 TRINITY HOSPICE 4425 W AIRPORT FREEWAY SUITE 450 IRVING TX 75062 741591 TRINITY HOSPICE 11122 WURZBACH STE 302 SAN ANTONIO TX 78230 751510 TRINITY HOSPICE INC 484 E FOOTHILL BLVD SUITE 101 UPLAND CA 91786 351502 TRINITY HOSPITALS - HOSPICE 1015 S BROADWAY STE 306 MINOT ND 58701 671723 TRIO HOSPICE 723 S. INTERSTATE 35 EAST. SUITE 126 DENTON TX 76205 061501 TRU COMMUNITY CARE - LAFAYETTE 2594 TRAILRIDGE DRIVE EAST LAFAYETTE CO 80026 061503 TRU HOSPICE OF NORTHERN COLORADO 2726 W 11TH STREET ROAD GREELEY CO 80634 751747 TRUCARE HOSPICE, INC. 1010 W MAGNOLIA BLVD, SUITE #105 BURBANK CA 91506 551608 TRUE CARE HOSPICE, INC. 7355 TOPANGA CANYON BLVD, SUITE 100 CANOGA PARK CA 91303 751669 TRUSTED HOSPICE CARE, INC 1811 EAST CENTER STREET, SUITE 202 ANAHEIM CA 92805 491531 TWIN COUNTY HOSPICE 963 EAST STUART DRIVE, SUITE 2 GALAX VA 24333 261514 TWIN LAKES HOSPICE 725 E OHIO STREET CLINTON MO 64735 051560 UC DAVIS HOSPICE PROGRAM 3630 BUSINESS DRIVE SACRAMENTO CA 95820 361549 UH HOSPICE 7007 POWERS BOULEVARD PARMA OH 44129 461510 UINTAH BASIN HOSPICE 187 W LAGOON ST ROOSEVELT UT 84066 551627 ULTIMATE GREAT CARE HOSPICE INC 1174 AMAZON WAY, #B SIMI VALLEY CA 93065 341531 UNC HOSPICE PO BOX 1077 PITTSBORO NC 27312 751705 UNI CARE HOSPICE INC 1510 SOUTH ESCONDIDO BLVD, SUITE 104 ESCONDIDO CA 92025 751571 UNION HOSPICE CARE, INC 539 N GLENOAKS BLVD BURBANK CA 91502 751723 UNIQUE HOSPICE AND PALLIATIVE CARE, INC. 690 W. FOOTHILL BLVD MONROVIA CA 91016 921730 UNITED HEARTS HOSPICE HEALTH SERVICES 2139 TAPO STREET, SUITE #219 SIMI VALLEY CA 93063

78 of 83 HOSPICES THAT SUCCESSFULLY MET QRP REPORTING REQUIREMENTS FOR FY 2020 APU

CCN Hospice Name Address City State ZIP 751535 UNITED HOSPICE INC 12402 INDUSTRIAL BLVD SUITE A7 VICTORVILLE CA 92395 331522 UNITED HOSPICE OF ROCKLAND 11 STOKUM LANE NEW CITY NY 10956 421556 UNITED HOSPICE OF THE PEE DEE 2051 ELIJAH LUDD ROAD, SUITE 1 FLORENCE SC 29501 231512 UNITED HOSPICE SERVICE 2770 MAIN STREET MARLETTE MI 48453 241549 UNITED HOSPITAL DISTRICT INC 125 SOUTH MAIN STREET BLUE EARTH MN 56013 751768 UNITY FIRST HOSPICE CARE, INC. 2525 COLORADO BLVD, SUITE E LOS ANGELES CA 90041 031628 UNITY HOSPICE 1635 NORTH GREENFIELD ROAD, SUITE 126 MESA AZ 85205 521503 UNITY HOSPICE 2366 OAK RIDGE CIRCLE DE PERE WI 54115 551778 UNITY HOSPICE 149 PASADENA AVE, STE C SOUTH PASADENA CA 91030 251567 UNITY HOSPICE CARE 9035 EAST SANDIDGE ROAD, SUITE 102 OLIVE BRANCH MS 38654 251686 UNITY HOSPICE CARE LLC 1413 WEST MAIN STREET, SUITE B TUPELO MS 38801 741626 UNITY HOSPICE CARE LLC 7219 HORSE WHIP SAN ANTONIO TX 78240 041577 UNITY HOSPICE CARE OF ARKANSAS, LLC 1231 HWY 77, SUITE 2 MARION AR 72364 441596 UNITY HOSPICE CARE OF TENNESSEE, LLC 202 EAST SCHOOL STREET LINDEN TN 37096 141597 UNITY HOSPICE OF GREATER ST LOUIS 1604 EASTPORT PLAZA DR STE 102 COLLINSVILLE IL 62234 141583 UNITYPOINT HOSPICE 106 19TH AVENUE, SUITE 101 MOLINE IL 61265 161516 UNITYPOINT HOSPICE 290 BLAIRS FERRY ROAD NE, SUITE 100 CEDAR RAPIDS IA 52402 161534 UNITYPOINT HOSPICE 112 W 5TH STREET STORM LAKE IA 50588 161549 UNITYPOINT HOSPICE 214 S 25TH ST FORT DODGE IA 50501 161554 UNITYPOINT HOSPICE 11333 AURORA AVENUE URBANDALE IA 50322 161598 UNITYPOINT HOSPICE 3731 UNIVERSITY AVE WATERLOO IA 50703 451679 UNIVERSAL HEALTH SERVICES 1208 COUNTRY CLUB LANE STE #C FORT WORTH TX 76112 751716 UNIVERSAL HOSPICE, INC 151 N SAN VICENTE BLVD, SUITE 209 BEVERLY HILLS CA 90211 321511 UNIVERSITY OF NM HOME CARE HOSPICE 2560 YALE BLVD STE 2 ALBUQUERQUE NM 87106 441547 UNIVERSITY OF TN MEDICAL CENTER HOME CARE SERVICES 4435 VALLEY VIEW DRIVE, SUITE 104 KNOXVILLE TN 37917 441578 UNIVERSITY OF TN MEDICAL CENTER HOSPICE SERV 3301 WEST ANDREW JOHNSON HIGHWAY, SUITE 102 MORRISTOWN TN 37814 231571 UP HEALTH SYSTEM HOME CARE AND HOSPICE 2420 1ST AVE SOUTH, SUITE 102 ESCANABA MI 49829 231602 UP HEALTH SYSTEM HOME CARE AND HOSPICE PORTAGE 821 WEST WATER STREET HANCOCK MI 49930 521549 UPLAND HILLS HOSPICE 218 E SWAYNE ST SUITE 100 DODGEVILLE WI 53533 391620 UPMC COLE HOME HEALTH AND HOSPICE SERVICES 102 - 108 SOUTH MAIN STREET COUDERSPORT PA 16915 391575 UPMC SOMERSET IN TOUCH HOSPICE 1474 NORTH CENTER AVE SOMERSET PA 15501 231555 UPPER PENINSULA HOME HEALTH & HOSPICE 1125 W RIDGE ST MARQUETTE MI 49855 741613 URGENT CARE HOSPICE INC 5310 EL PASO DRIVE EL PASO TX 79905 551739 USM HOSPICE 7040 HAYVENHURST SUITE 201 VAN NUYS CA 91406 461590 UTAH HOSPICE 1849 NORTH 1120 WEST PROVO UT 84604 451675 UVALDE HOSPICE 1038 GARNER FIELD ROAD UVALDE TX 78801 471500 UVMHN HOME HEALTH AND HOSPICE 1110 PRIM ROAD COLCHESTER VT 05446 031540 VALIANT HOSPICE & PALLIATIVE CARE, LLC 637 SOUTH 48TH STREET, SUITE 104 TEMPE AZ 85281 371653 VALIR HOSPICE CARE, L L C 800 NW 6TH STREET OKLAHOMA CITY OK 73102 751683 VALLEY CREST HOSPICE, INC 18531 ROSCOE BLVD #208 NORTHRIDGE CA 91324 741605 VALLEY FIRST HOSPICE CARE LLC 536 SOUTH TEXAS BLVD STE 107 WESLACO TX 78596 311522 VALLEY HOSPICE 15 ESSEX ROAD PARAMUS NJ 07652 361522 VALLEY HOSPICE INC 10686 STATE ROUTE 150 RAYLAND OH 43943 511526 VALLEY HOSPICE, INCORPORATED 308 MOUNT ST JOSEPH ROAD WHEELING WV 26003

79 of 83 HOSPICES THAT SUCCESSFULLY MET QRP REPORTING REQUIREMENTS FOR FY 2020 APU

CCN Hospice Name Address City State ZIP 031600 VALLEY OF THE SUN HOSPICE, LLC 1717 WEST NORTHERN AVENUE, SUITE 117 PHOENIX AZ 85021 751743 VALLEY VIEW HOSPICE, INC 15477 VENTURA BLVD, SUITE 201 SHERMAN OAKS CA 91403 751717 VALLEY VILLAGE HOSPICE, INC 12501 CHANDLER BLVD, STE 105 VALLEY VILLAGE CA 91607 921534 VALLEY'S BEST HOSPICE - AV 43805 15TH STREET WEST LANCASTER CA 93534 551592 VALLEY'S BEST HOSPICE, INC 101 SOUTH FIRST STREET, SUITE 301 BURBANK CA 91502 031562 VALOR HOSPICECARE, LLC 1820 EAST RIVER ROAD, SUITE 100 TUCSON AZ 85718 031586 VALOR HOSPICECARE, LLC 1048 EAST FRY BOULEVARD, SUITE E SIERRA VISTA AZ 85635 751793 VAN NUYS HOSPICE CARE, INC 1555 N VERDUGO RD SUITE 202 GLENDALE CA 91208 381543 VANGE JOHN MEMORIAL HOSPICE 645 W ORCHARD AVE SUITE 500 HERMISTON OR 97838 921520 VANGUARD HOSPICE CARE 13781 ROSWELL AVENUE SUITE D CHINO CA 91710 671680 VANTAGE HOSPICE 21720 KINGSLAND BLVD SUITE 301 KATY TX 77450 281539 VCHS HOSPICE 400 SOUTH 23RD STREET ORD NE 68862 921581 VENUS HOSPICE, INC 6308 WOODMAN AVE, SUITE 204 VAN NUYS CA 91401 741611 VERACARE HOSPICE 25211 GROGAN'S MILL ROAD STE 330 THE WOODLANDS TX 77380 051772 VERDUGO HOSPICE CARE CENTER 4170 VERDUGO ROAD LOS ANGELES CA 90065 521544 VERNON MEMORIAL HOSPICE 705 ARENA DRIVE VIROQUA WI 54665 921614 VETERAN'S HOSPICE CARE, INC 14242 VENTURA BLVD, SUITE 204 SHERMAN OAKS CA 91423 311508 VHS HOSPICE SERVICES OF NEW JERSEY 783 RIVERVIEW DRIVE TOTOWA NJ 07512 151575 VIAQUEST HOSPICE OF INDIANA, LLC 724 WEST NAVAJO STREET WEST LAFAYETTE IN 47906 361659 VIAQUEST HOSPICE, LLC 525 METRO PLACE NORTH, SUITE 100 DUBLIN OH 43017 361660 VIAQUEST HOSPICE, LLC 10296 SPRINGFIELD PIKE, SUITE 500 CINCINNATI OH 45215 391707 VIAQUEST HOSPICE, LLC 610 PARK AVENUE MONONGAHELA PA 15063 751661 VICTORIA ONE HOSPICE, INC 510 EAST FOOTHILL BLVD, SUITE 106 SAN DIMAS CA 91773 371563 VICTORY HOME HEALTH & HOSPICE 750 EAST MAIN TISHOMINGO OK 73460 371640 VICTORY HOME HEALTH AND HOSPICE 104 THOMA, SUITE 1 ELGIN OK 73538 671583 VICTORY HOME HEALTH AND HOSPICE OF TEXAS IN SHERMA 809 EAST GALLAGHER SUITE D SHERMAN TX 75090 921633 VICTORY HOSPICE 14349 VICTORY BLVD, STE 202 VAN NUYS CA 91401 551793 VICTORY HOSPICE CARE 5500 VAN NUYS BLVD SHERMAN OAKS CA 91401 751573 VIDA HOSPICE 1211 W MAGNOLIA BLVD BURBANK CA 91506 341518 VIDANT HOME HEALTH AND HOSPICE 521 MYERS STREET AHOSKIE NC 27910 341538 VIDANT HOME HEALTH AND HOSPICE 750 SOUTH KENANSVILLE BYPASS KENANSVILLE NC 28349 261589 VILLAGE HOSPICE 1001 NW CHIPMAN ROAD, APT 237 LEES SUMMIT MO 64081 391752 VILLAGE IN PLACE HOSPICE 429 SOUTH MARKET STREET MARTINSBURG PA 16662 361558 VINNEY HOSPICE AND PALLIATIVE CARE OF MONTEFIORE ONE DAVID N MYERS PARKWAY BEACHWOOD OH 44122 671512 VIRGINIA'S HOSPICE 12947 LAKE CONROE HILLS DRIVE SUITE C WILLIS TX 77318 921657 VISITING ANGELS HOSPICE, INC 539 N GLENOAKS BLVD, SUITE 307 BURBANK CA 91502 071502 VISITING NURSE & HEALTH SERVICES OF CONNECTICUT 8 KEYNOTE DRIVE VERNON CT 06066 151503 VISITING NURSE & HOSPICE HOME 5910 HOMESTEAD RD FORT WAYNE IN 46814 071512 VISITING NURSE & HOSPICE OF FAIRFIELD COUNTY, INC 761 MAIN AVENUE, SUITE 114 NORWALK CT 06851 051540 VISITING NURSE AND HOSPICE CARE OF SANTA BARBARA 512 EAST GUTIERREZ STREET SUITE A SANTA BARBARA CA 93103 281503 VISITING NURSE ASSN. OF THE MIDLANDS HOSPICE 12565 WEST CENTER ROAD, SUITE 100 OMAHA NE 68144 311526 VISITING NURSE ASSOCIATION OF ENGLEWOOD 15 ENGLE STREET ENGLEWOOD NJ 07631 261505 VISITING NURSE ASSOCIATION OF GREATER ST LOUIS 2029 WOODLAND PARKWAY SAINT LOUIS MO 63146 391559 VISITING NURSE ASSOCIATION OF POTTSTOWN & VICINITY 1963 EAST HIGH STREET POTTSTOWN PA 19464

80 of 83 HOSPICES THAT SUCCESSFULLY MET QRP REPORTING REQUIREMENTS FOR FY 2020 APU

CCN Hospice Name Address City State ZIP 411506 VISITING NURSE HOME AND HOSPICE 1184 EAST MAIN ROAD - P O BOX 690 PORTSMOUTH RI 02871 301520 VISITING NURSE HOME CARE&HOSPICE OF CARROLL COUNTY 1529 WHITE MOUNTAIN HIGHWAY PO BOX 432 NORTH CONWAY NH 03860 331550 VISITING NURSE HOSPICE AND PALLIATIVE CARE 2180 EMPIRE BOULEVARD WEBSTER NY 14580 071505 VISITING NURSE SERVICES OF CT 765 FAIRFIELD AVENUE BRIDGEPORT CT 06606 391621 VISITING NURSES ASSOCIATION OF VENANGO COUNTY, HOS 491 ALLEGHENY BOULEVARD FRANKLIN PA 16323 171511 VISITING NURSES HOSPICE 200 MAINE STE C (3RD FLOOR) LAWRENCE KS 66044 551757 VISITING NURSES HOSPICE, INC 539 NORTH GLENOAKS BLVD, STE 203 BURBANK CA 91502 921722 VISTA HOSPICE CARE INC 550 WEST VISTA WAY, SUITE 310 VISTA CA 92083 361547 VISTING NURSE ASSOCIATION OF CLEVELAND HOSPICE 2500 EAST 22ND STREET CLEVELAND OH 44115 921613 VITAL HOSPICE CARE, INC 12521 OXNARD ST, SUITE A N HOLLYWOOD CA 91606 141531 VITAS CORPORATION 105 MARQUETTE STREET, SUITE A LA SALLE IL 61301 141574 VITAS CORPORATION 1340 SOUTH DAMEN AVENUE, STE 200 CHICAGO IL 60608 051608 VITAS HEALTHCARE CORP 1343 N GRAND AVENUE, SUITE 100 COVINA CA 91724 051656 VITAS HEALTHCARE CORP 16830 VENTURA BLVD SUITE 315 ENCINO CA 91436 521553 VITAS HEALTHCARE CORP MIDWEST 2675 N MAYFAIR RD SUITE 500 WAUWATOSA WI 53226 071533 VITAS HEALTHCARE CORPORATION 199 PARK RD EXTENSION, SUITE 102 MIDDLEBURY CT 06762 081507 VITAS HEALTHCARE CORPORATION ATLANTIC 100 COMMERCE DRIVE SUITE 302 NEWARK DE 19713 311558 VITAS HEALTHCARE CORPORATION ATLANTIC 70 SOUTH ORANGE AVENUE, SUITE 210 LIVINGSTON NJ 07039 391571 VITAS HEALTHCARE CORPORATION ATLANTIC 1787 SENTRY PARKWAY WEST SUITE 400 BLUE BELL PA 19422 391632 VITAS HEALTHCARE CORPORATION ATLANTIC 2009 MACKENZIE WAY, SUITE 110 CRANBERRY TOWNSHIP PA 16066 141634 VITAS HEALTHCARE CORPORATION MIDWEST 8 EXECUTIVE DRIVE, SUITE 150 FAIRVIEW HEIGHTS IL 62208 261616 VITAS HEALTHCARE CORPORATION MIDWEST 1801 PARK 270 DRIVE - SUITE 150 SAINT LOUIS MO 63146 051590 VITAS HEALTHCARE CORPORATION OF CALIFORNIA 7888 MISSION GROVE PARKWAY S, SUITE 200 RIVERSIDE CA 92508 051597 VITAS HEALTHCARE CORPORATION OF CALIFORNIA 9655 GRANITE RIDGE DRIVE, SUITE 300 SAN DIEGO CA 92123 051739 VITAS HEALTHCARE CORPORATION OF CALIFORNIA 990 W 190TH STREET, SUITE 550 TORRANCE CA 90502 051746 VITAS HEALTHCARE CORPORATION OF CALIFORNIA 670 N MCCARTHY BOULEVARD, SUITE 220 MILPITAS CA 95035 051770 VITAS HEALTHCARE CORPORATION OF CALIFORNIA 355 LENNON LANE, SUITE 150 WALNUT CREEK CA 94598 051779 VITAS HEALTHCARE CORPORATION OF CALIFORNIA 2710 GATEWAY OAKS DRIVE, SUITE 100 SOUTH SACRAMENTO CA 95833 101545 VITAS HEALTHCARE CORPORATION OF FLORIDA 4450 W EAU GALLIE BLVD STE 250 MELBOURNE FL 32934 111553 VITAS HEALTHCARE CORPORATION OF GEORGIA 931 ROCK QUARRY ROAD STOCKBRIDGE GA 30281 141514 VITAS HEALTHCARE CORPORATION OF ILLINOIS 580 WATERS EDGE LANE , SUITE 100 LOMBARD IL 60148 141541 VITAS HEALTHCARE CORPORATION OF ILLINOIS 8525 W 183RD STREET, STE M TINLEY PARK IL 60487 361562 VITAS HEALTHCARE CORPORATION OF OHIO 11500 NORTHLAKE DRIVE, SUITE 400 CINCINNATI OH 45249 451536 VITAS HEALTHCARE OF TEXAS L P 3131 EASTSIDE STREET SUITE 200 HOUSTON TX 77098 451504 VITAS HEALTHCARE OF TEXAS LP 14651 N. DALLAS PARKWAY SUITE 812 DALLAS TX 75254 451553 VITAS HEALTHCARE OF TEXAS LP 6100 WESTERN PLACE, STE 800 FORT WORTH TX 76107 451591 VITAS HEALTHCARE OF TEXAS LP 8401 DATAPOINT SUITE 300 SAN ANTONIO TX 78229 171564 VITAS INNOVATIVE HOSPICE CARE 8527 BLUEJACKET DRIVE LENEXA KS 66214 491581 VITAS INNOVATIVE HOSPICE CARE 1604 SPRING HILL ROAD, SUITE 450 VIENNA VA 22182 091505 VITAS INNOVATIVE HOSPICE CARE OF GREATER WASH, DC 1200 FIRST STREET, NE SUITE 320 WASHINGTON DC 20002 921711 VIVANI HOSPICE CARE, INC 6308 WOODMAN AVE, SUITE 212 VAN NUYS CA 91401 451506 VNA 1600 VICEROY DRIVE SUITE 400 DALLAS TX 75235 221506 VNA & HOSPICE OF COOLEY DICKINSON 168 INDUSTRTIAL DRIVE NORTHAMPTON MA 01060 221590 VNA & HOSPICE OF GREATER MILFORD 37 BIRCH STREET MILFORD MA 01757

81 of 83 HOSPICES THAT SUCCESSFULLY MET QRP REPORTING REQUIREMENTS FOR FY 2020 APU

CCN Hospice Name Address City State ZIP 471507 VNA & HOSPICE OF SOUTHWEST REGION INC 1128 MONUMENT AVENUE BENNINGTON VT 05201 301503 VNA AT HCS 312 MARLBORO STREET KEENE NH 03431 221513 VNA CARE HOSPICE INC 120 THOMAS STREET WORCESTER MA 01608 071544 VNA COMMUNITY HEALTHCARE & HOSPICE 753 BOSTON POST ROAD, SUITE 200 GUILFORD CT 06437 391511 VNA FAMILY HOSPICE 850 HOSPITAL ROAD SUITE 3000 INDIANA PA 15701 181521 VNA HEALTH AT HOME 711 MCDOWELL BOULEVARD BARDSTOWN KY 40004 181508 VNA HEALTH AT HOME 1 740 EAST LAUREL ROAD LONDON KY 40741 141553 VNA HEALTH CARE AN ILLINOIS NOT FOR PROFIT CORP 400 NORTH HIGHLAND AVENUE AURORA IL 60506 311534 VNA HOME CARE OF MERCER COUNTY HOSPICE DIVISION 171 JERSEY STREET SUITE 201 TRENTON NJ 08611 301502 VNA HOME HEALTH AND HOSPICE SERVICES, INC 1070 HOLT AVE STE 1400 MANCHESTER NH 03109 261535 VNA HOSPICE PO BOX 768 KENNETT MO 63857 051535 VNA HOSPICE & PALLIATIVE CARE OF SOUTHERN CA, INC 1317 W FOOTHILL BLVD SUITE 130 UPLAND CA 91786 151505 VNA HOSPICE HOME CARE 2401 VALLEY DR VALPARAISO IN 46383 101529 VNA HOSPICE OF INDIAN RIVER COUNTY INC 1110 35TH LANE VERO BEACH FL 32960 391581 VNA HOSPICE SERVICES OF ERIE COUNTY 2253 WEST GRANDVIEW BOULEVARD ERIE PA 16506 391507 VNA HOSPICE, WESTERN PENNSYLVA 154 HINDMAN ROAD BUTLER PA 16001 071532 VNA NORTHWEST, INC 607 BANTAM ROAD, UNIT F BANTAM CT 06750 221554 VNA OF CAPE COD HOSPICE 434 ROUTE 134 SOUTH DENNIS MA 02660 411505 VNA OF CARE NEW ENGLAND 51 HEALTH LANE WARWICK RI 02886 311517 VNA OF CENTRAL JERSEY HOME CARE & HOSPICE 1433 HOOPER AVENUE TOMS RIVER NJ 08753 311543 VNA OF NORTHERN NEW JERSEY HOSPICE 175 SOUTH STREET MORRISTOWN NJ 07960 391510 VNA OF NORTHWEST PA, LLC 1223 EAST MAIN STREET BRADFORD PA 16701 311528 VNA OF SOMERSET HILLS - HOSPICE 200 MT AIRY ROAD BASKING RIDGE NJ 07920 471506 VNH - VISITING NURSE & HOSPICE- VERMONT & NEW HAMP 88 PROSPECT STREET WHITE RIVER JUNCTION VT 05001 331535 VNS AND HOSPICE OF SUFFOLK, INC 101 LAUREL ROAD EAST NORTHPORT NY 11731 331519 VNSNY HOSPICE AND PALLIATIVE CARE 220 E 42ND STREET, 7TH FLOOR NEW YORK NY 10017 441589 VOLUNTEER HOSPICE 211A DEXTER L WOODS MEMORIAL BLVD WAYNESBORO TN 38485 341506 WAKE FOREST BAPTIST HEALTH CARE AT HOME HOSPICE-WI 126 EXECUTIVE DRIVE, SUITE 110 WILKESBORO NC 28697 501520 WALLA WALLA COMMUNITY HOSPICE 1067 ISAACS AVENUE WALLA WALLA WA 99362 041500 WASHINGTON REGIONAL HOSPICE 325 E LONGVIEW FAYETTEVILLE AR 72703 671740 WATERFORD HOSPICE LLC 420 N COLLEGIATE DRIVE PARIS TX 75460 251520 WAYNE GENERAL HOSPICE 951 MATTHEW DR, STE, C / MAIL-PO BOX 1249 WAYNESBORO MS 39367 391642 WAYNE MEMORIAL HOSPITAL DEPARTMENT OF HOME HEALTH 116 W 11TH STREET HONESDALE PA 18431 111577 WEINSTEIN HOSPICE: YAD V'LEV 3150 HOWELL MILL ROAD, NW ATLANTA GA 30327 751655 WELLHOUSE CARE INC 11354 MOUNTAIN VIEW SUITE D LOMA LINDA CA 92354 391561 WELLSPAN VNA HOME CARE 1503 QUENTIN ROAD LEBANON PA 17042 231587 WELLSPRING LUTHERAN SERVICES 100 MAYER RD FRANKENMUTH MI 48734 111507 WELLSTAR COMMUNITY HOSPICE 4040 HOSPITAL WEST DRIVE AUSTELL GA 30106 301512 WENTWORTH HOME CARE & HOSPICE, AN AMEDISYS PARTNER 9 ANDREWS ROAD SOMERSWORTH NH 03878 671546 WESLEYAN HOSPICE 2100 SCENIC DRIVE SUITE 140 GEORGETOWN TX 78626 161587 WESLEYLIFE HOSPICE 5508 NW 88TH STREET JOHNSTON IA 50131 751603 WEST COAST HEALTHCARE, LLC 29222 RANCHO VIEJO ROAD, SUITE 102 SAN JUAN CAPISTRANO CA 92675 551674 WEST COAST HOSPICE MANAGEMENT, INC. 7100 HAYVENHURST AVE SUITE 210 VAN NUYS CA 91406 111516 WEST GEORGIA HOSPICE 1510 VERNON ROAD LAGRANGE GA 30240

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CCN Hospice Name Address City State ZIP 511504 WEST VIRGINIA CARING 519 G ROAD ARTHURDALE WV 26520 511516 WEST VIRGINIA HOSPICE 6 HARTMAN PLAZA BUCKHANNON WV 26201 751718 WESTERN CARE HOSPICE, INC. 14545 VICTORY BLVD., STE. 505 VAN NUYS CA 91411 921753 WESTERN HORIZON HOSPICE AND PALLIATIVE CARE, INC 23591 EL TORO ROAD, SUITE 200 LAKE FOREST CA 92630 211534 WESTERN MARYLAND HEALTH SYSTEM HOSPICE SERVICES 1050 INDUSTRIAL BLVD, STE 19 CUMBERLAND MD 21502 401561 WESTERN MEDICAL HOSPICE CALLE B LOTE 30 NUM 4040 ZONA INDUSTRIAL GUANAJINO MAYAGUEZ PR 00682 921557 WESTLAKE VILLAGE HOSPICE, INC 2659 TOWNSGATE ROAD, SUITE #102 WESTLAKE VILLAGE CA 91361 491612 WESTMINSTER-CANTERBURY AT HOME LLC 3181 SHORE DRIVE SUITE 201 VIRGINIA BEACH VA 23451 551710 WESTSIDE HOSPICE COMFORT CARE INCORPORATION 9555 WEST PICO BLVD SUITE B LOS ANGELES CA 90035 501537 WHATCOM HOSPICE 2800 DOUGLAS AVE, SUITE 1-C BELLINGHAM WA 98225 521561 WHEATON FRANCISCAN HOSPICE 3070 N 51ST ST SUITE 406 MILWAUKEE WI 53210 501542 WHIDBEYHEALTH HOSPICE CARE 202 N MAIN ST COUPEVILLE WA 98239 751630 WHITE WINGS HOSPICE INC 333 N SANTA ANITA AVE, SUITE #5 ARCADIA CA 91006 381516 WILLAMETTE VALLEY HOSPICE 1015 3RD STREET NW SALEM OR 97304 191517 WILLIS KNIGHTON HOSPICE OF LOUISIANA 616 E FLOURNOY LUCAS ROAD SHREVEPORT LA 71115 391678 WILLOW TREE HOSPICE 616 EAST CYPRESS STREET KENNETT SQUARE PA 19348 441554 WILLOWBROOK HOSPICE INC 235 NOAH DRIVE SUITE 300 FRANKLIN TN 37064 051558 WILSHIRE HOSPICE 277 SOUTH ST STE R SAN LUIS OBISPO CA 93401 361523 WILSON HOSPICE CARE 1083 FAIRINGTON DRIVE SIDNEY OH 45365 391541 WINDBER HOSPICE 600 SOMERSET AVE WINDBER PA 15963 231547 WINGS OF HOPE HOSPICE 530 LINN STREET, SUITE A ALLEGAN MI 49010 031631 WINGS OF HOPE HOSPICE AND PALLIATIVE CARE, INC. 11022 NORTH 28TH DRIVE, SUITE 205 PHOENIX AZ 85029 161553 WINNESHIEK MEDICAL CENTER HOSPICE 901 MONTGOMERY STREET DECORAH IA 52101 241535 WINONA AREA HOSPICE C M H AFF 175 EAST WABASHA STREET WINONA MN 55987 391501 WISSAHICKON HOSPICE 150 MONUMENT ROAD SUITE 300 BALA CYNWYD PA 19004 551679 WISTERIA HOSPICE, INC. 4195 N VIKING WAY STE 140 LONG BEACH CA 90808 391768 WRC HOME SOLUTIONS + 298 MAIN STREET BROOKVILLE PA 15825 101514 WUESTHOFF HEALTH SYSTEM BREVARD HOSPICE AND PALLIA 661 EYSTER BLVD ROCKLEDGE FL 32955 511502 WVU MEDICINE HOSPICE 2673 DAVISSON RUN ROAD CLARKSBURG WV 26301 491521 WYTHE HOSPICE OF SWVA 1155 N 4TH STREET WYTHEVILLE VA 24382 461610 YARROW HOSPICE, INC 3160 SOUTH 2000 EAST SALT LAKE CITY UT 84106 051619 YOLO HOSPICE 1909 GALILEO COURT, SUITE A DAVIS CA 95618 201521 YORK HOSPITAL HOSPICE & PALLIATIVE CARE 127 LONG SANDS ROAD, SUITE 12 YORK ME 03909 551768 YOUR CHOICE HOSPICE, INC. 11436 VANOWEN ST N HOLLYWOOD CA 91605 741685 ZENITH HOSPICE CARE INC 8204 ELMBROOK DRIVE SUITE 210 DALLAS TX 75247 031594 ZION'S WAY HOSPICE 47 6TH AVENUE PAGE AZ 86040 461559 ZION'S WAY HOSPICE 1664 SOUTH DIXIE DRIVE, SUITE E-102 ST GEORGE UT 84770 361612 ZUSMAN COMMUNITY HOSPICE 1151 COLLEGE AVENUE COLUMBUS OH 43209

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