Hospice Fundamentals offers a unique set of services designed to allow an organization to develop deep regulatory competence through a cost-effective combination of regulatory analysis, monitoring and education. Hospice Fundamentals is based on these beliefs:•A hospice committed to the highest quality care commits resources to achieving and maintaining regulatory competence. •Each position within the hospice is responsible for knowing and understanding a defined level of regulatory content. To achieve this, comprehensive, well-defined and engaging educational resources must be available. •There must be at least one person within the hospice—usually the compliance officer—who develops deep knowledge and has a means to stay current on all changes, understands what they mean, how to implement them and the risks of non-compliance. •Outside expert assistance is readily available for assistance in charting a path through complex regulatory operational scenarios. •A hospice needs a means to negotiate the grey areas - a decision making process to help it determine the right path. •Leadership and governing bodies must have adequate knowledge in order to assess the risk of any action or inaction.