---
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/](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/](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