Hospice closures in rural communities are putting a strain on the remaining hospice providers, and this strain is compounded by increased demand for hospice services nationwide. While there is previous literature describing the availability of hospice in rural communities and the characteristics of the communities with Medicare-certified hospice providers, there is limited research on the characteristics of CAHs providing hospice services and exploring how hospice care is provided in a CAH context. The purpose of this project is to assess access to hospice care in communities served by CAHs and explore how CAHs provide hospice care in their communities.