license: other
license_name: tensorust-sample-license
license_link: https://tensorust.com/datasets/hospice-chow-feed/
pretty_name: Hospice Ownership Change Feed (free sample)
language:
- en
tags:
- tensorust
- sample
- healthcare-ownership
- government-data
- finance
size_categories:
- n<1K
configs:
- config_name: sample
data_files:
- split: train
path: sample.csv
- config_name: summary
data_files:
- split: train
path: summary_by_hospice_state.csv
Hospice Ownership Change Feed: free sample (Tensorust LLC)
14,628 changes in who owns Medicare hospices since 2023, with the owners that buy and drop them fastest.
Headline: CMS publishes change-of-ownership files for hospitals and nursing homes but not for hospices, the sector where quick ownership flips are a known fraud signal.
This repository is a free teaser, not the dataset. It holds 25 example rows and a summary table with no names in it. The full file has 14,628 rows and is sold by Tensorust LLC: https://tensorust.com/datasets/hospice-chow-feed/.
Files here
| file | what it is |
|---|---|
sample.csv |
25 rows of the full file (the same sample shown on tensorust.com) |
summary_by_hospice_state.csv |
row counts by hospice state across the full file, no entity names (groups with fewer than 3 rows are folded into "Other") |
Summary by hospice state (largest groups)
| Hospice state | rows |
|---|---|
| TX | 2,131 |
| GA | 1,049 |
| MO | 742 |
| OK | 653 |
| (blank) | 630 |
| OH | 592 |
| AL | 496 |
| MS | 491 |
| CA | 485 |
| IN | 483 |
| IL | 481 |
| LA | 478 |
| TOTAL | 14,628 |
Full table: summary_by_hospice_state.csv.
What the full file has
- 14,628 rows
- Key fields: event, event_window_start, event_window_end, association_date, enrollment_id, ccn, npi, hospice_legal_name, hospice_dba, hospice_city
- Parquet and CSV, a README with sources, method and limits, and the build script
- Free 25-row sample (no personal contact data)
Coverage: Every Medicare-enrolled hospice in the CMS Hospice All Owners file, 15 quarterly snapshots 2023-04-02 to 2026-10-01; organizational owners only. CMS Hospice All Owners snapshot 2026-10-01 and Hospice Enrollments 2026-10-01; built 2026-11-06.
Columns in the full file
| column | meaning |
|---|---|
event |
owner added or owner removed |
event_window_start |
Snapshot before the change |
event_window_end |
Snapshot in which the change showed up |
association_date |
Date CMS records the owner association |
enrollment_id |
CMS hospice enrollment id |
ccn |
CMS certification number |
npi |
Hospice organizational NPI |
hospice_legal_name |
Hospice legal business name |
hospice_dba |
Doing-business-as name |
hospice_city |
Hospice city |
hospice_state |
Hospice state |
hospice_proprietary |
Proprietary (for-profit) or nonprofit |
hospice_incorporation_date |
Hospice incorporation date |
hospice_still_enrolled |
Hospice is in the current enrollment file |
owner_associate_id |
CMS associate id of the owning organization |
owner_name |
Owning organization |
owner_state |
Owner state |
owner_role |
CMS ownership role (direct, indirect, managing control...) |
pct_ownership |
Percent ownership reported |
owner_is_private_equity |
CMS private equity flag |
owner_is_holding_company |
CMS holding company flag |
owner_is_chain_home_office |
CMS chain home office flag |
first_snapshot |
First snapshot the owner-hospice link appears in |
last_snapshot |
Last snapshot the link appears in |
months_held_before_removal |
Months from association to removal |
quick_flip |
Removed within 24 months of association |
owner_hospices_added |
Hospices this owner was added to (all events) |
owner_hospices_removed |
Hospices this owner was removed from |
owner_quick_flips |
This owner's quick flips |
hospice_owner_events |
Owner events at this hospice |
Get the full file
| tier | price | includes |
|---|---|---|
| State slice | $900 | Every ownership event for hospices in up to 3 states, with owner roll-ups, private equity and holding company flags, and quick flips. CSV and Parquet. |
| National feed file | $3,500 | All 14,628 events nationwide and the owner leaderboard, plus one refresh after the next CMS quarterly owner file. |
| Quarterly feed license | $9,000 a year | The national feed rebuilt each CMS quarter with new additions, removals and quick flips flagged, for one firm or agency. Internal use, unlimited seats. |
Email mattbusel@tensorust.com with the tier and a billing contact, and we will send a proper invoice (ACH or card). The file is delivered once the invoice is paid. Details and the live sample: https://tensorust.com/datasets/hospice-chow-feed/. All datasets: https://tensorust.com/datasets/
Method and limits
Diff the quarterly CMS Hospice All Owners snapshots. A link present in a later snapshot but not the hospice's first one is an addition (also counted when the association date is 2023 or later); a link that disappears while the hospice is still enrolled is a removal. Hospices that leave Medicare entirely are not counted as owner removals. A quick flip is a removal within 24 months of the CMS association date. Owner totals count across all hospices.
No individual owners: changes where only people (not organizations) were added or removed do not appear. Not the CMS-855A CHOW filing itself; a reorganization inside one corporate family can look like a change. Not a fraud finding; quick flips are a pattern regulators watch, not proof of wrongdoing.
Sources
- CMS Hospice All Owners (quarterly), https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospice-all-owners
- CMS Hospice Enrollments, https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospice-enrollments
License
The sample and summary here are free to view, analyze and cite with attribution to "Tensorust LLC, https://tensorust.com/datasets/hospice-chow-feed/". The full dataset is licensed separately per tier. No resale or redistribution of Tensorust data without a written license.
Tensorust LLC, Tuckahoe NY. mattbusel@tensorust.com | https://tensorust.com