The limited availability of adequate end-of-life care facilities is a growing problem for the general population, and there is even more concern about the lack of resources available for people experiencing homelessness (PEH). PEH often suffer from more chronic medical conditions and age at an accelerated rate. Age-related mortality ratios show that PEH in all age groups have a higher risk of death than most people of similar age in the general population. The population of older adults experiencing homelessness is also rapidly increasing. This combination of factors highlights a need to increase and expand palliative and end-of-life care, also known as hospice care, into the homeless services continuum of care.