Avow Hospice Fights New Rival in Naples

Established hospice provider cites potential harm from new competitor

Published on Mar. 5, 2026

Avow Hospice, a long-standing hospice provider in Naples, Florida, is objecting to the state's preliminary approval of a new hospice entity, Preferred Care Hospice, that Avow says would be detrimental to its operations of over 40 years in the community. Avow has filed a petition for an administrative hearing to try to overturn the state's approval of the new hospice.

Why it matters

The battle between Avow Hospice and the new Preferred Care Hospice highlights the competitive nature of the hospice industry, especially in growing markets like Naples. Avow is concerned the new entrant could negatively impact its admissions and financial performance, threatening its long-standing role as a community hospice provider.

The details

Avow Hospice, which has operated in Naples for over 40 years, is objecting to the state's preliminary approval of a license for a new hospice provider, Preferred Care Hospice, that was incorporated just a few months earlier. Avow argues the new competitor would be detrimental to its existing hospice operations and is seeking an administrative hearing to try to overturn the state's decision.

  • In December 2025, the state Agency for Health Care Administration gave preliminary license approval to Preferred Care Hospice.
  • Preferred Care Hospice was incorporated a few months prior to receiving the state's preliminary approval.

The players

Avow Hospice

A long-standing hospice provider that has operated in the Naples, Florida community for over 40 years.

Preferred Care Hospice

A new hospice entity that was incorporated a few months prior to receiving preliminary license approval from the state to operate in Collier County, Florida.

Agency for Health Care Administration

The state agency that granted preliminary license approval to Preferred Care Hospice to operate in Collier County, Florida.

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What’s next

An administrative hearing is scheduled for April to determine whether the state's preliminary approval of Preferred Care Hospice will be upheld or overturned.

The takeaway

This case highlights the competitive nature of the hospice industry, especially in growing markets like Naples, Florida. Established providers like Avow Hospice are fighting to protect their market share against new entrants, raising questions about the balance between promoting competition and ensuring the stability of long-standing community hospice providers.