Problem was few African Americans in rural southwest Georgia took advantage of hospice care. Primary purpose was to determine beliefs of hospice nonphysician medical care providers relative to referring African American patients for hospice care. Secondary purpose was to identify cultural and other factors hindering some African American families from considering hospice care for their loved ones. There were 115 participants with membership in Georgia Hospice and Palliative Care Organization who returned surveys. Cross-sectional descriptive-survey design guided two research questions. Statistical analyses (frequencies, "t"-test statistics, and Cohen's "d" effect sizes) were calculated. Results for Research Question 1 indicated majority of hospice nurses and social workers agreed African American patients were hesitant to have strangers in their homes, and religious preferences influenced decisions about hospice referral. Majority agreed African Americans preferred family members to care for them at end of life, and there was mistrust for some health care professionals. For Research Question 2, results suggested mean score of nurses was 39.24. In the favorability range of 11 to 55, hospice nurses possessed slightly greater than moderate favorability toward referral of African American patients for hospice care. Survey mean score for social workers was 27.58. Social workers possessed less than moderate favorability toward referral of African Americans for hospice care. Mean difference of the two scores was 11.66, with statistical significance, t(113) = 6.83, p < 0.001. Cohen's "d" effect size indicator was 1.39, suggesting large strength of the mean difference.