event stringclasses 2
values | event_window_start stringdate 2026-07-01 00:00:00 2026-07-01 00:00:00 | event_window_end stringdate 2026-10-01 00:00:00 2026-10-01 00:00:00 | association_date stringdate 2017-01-02 00:00:00 2026-05-15 00:00:00 | enrollment_id stringclasses 9
values | ccn int64 11.5k 21.5k | npi int64 1.09B 1.88B | hospice_legal_name stringclasses 8
values | hospice_dba stringclasses 9
values | hospice_city stringclasses 8
values | hospice_state stringclasses 2
values | hospice_proprietary stringclasses 2
values | hospice_incorporation_date stringclasses 4
values | hospice_still_enrolled bool 1
class | owner_associate_id int64 42.6M 9.54B | owner_name stringlengths 11 51 | owner_state stringclasses 10
values | owner_role stringclasses 2
values | pct_ownership float64 5.91 100 ⌀ | owner_is_private_equity bool 2
classes | owner_is_holding_company bool 2
classes | owner_is_chain_home_office bool 2
classes | first_snapshot stringdate 2023-04-02 00:00:00 2026-10-01 00:00:00 | last_snapshot stringdate 2026-07-01 00:00:00 2026-10-01 00:00:00 | months_held_before_removal float64 13.6 117 ⌀ | quick_flip bool 2
classes | owner_hospices_added int64 0 219 | owner_hospices_removed int64 0 203 | owner_quick_flips int64 0 98 | hospice_owner_events int64 2 27 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
owner removed | 2026-07-01 | 2026-10-01 | 2025-03-01 | O20250922003219 | 21,506 | 1,114,749,132 | CP AK HOSPICE, LLC | PROVIDENCE AT HOME WITH COMPASSUS HOSPICE CARE, ANCHORAGE | ANCHORAGE | AK | for-profit | null | true | 42,647,091 | COMPASSUS PARENT, INC. | NY | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50 | false | true | false | 2026-07-01 | 2026-07-01 | 19 | true | 17 | 105 | 5 | 23 |
owner removed | 2026-07-01 | 2026-10-01 | 2025-03-01 | O20250922003219 | 21,506 | 1,114,749,132 | CP AK HOSPICE, LLC | PROVIDENCE AT HOME WITH COMPASSUS HOSPICE CARE, ANCHORAGE | ANCHORAGE | AK | for-profit | null | true | 749,506,905 | FC COMPASSUS LLC | TN | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50 | false | true | false | 2026-07-01 | 2026-07-01 | 19 | true | 18 | 112 | 6 | 23 |
owner removed | 2026-07-01 | 2026-10-01 | 2025-02-27 | O20250922003219 | 21,506 | 1,114,749,132 | CP AK HOSPICE, LLC | PROVIDENCE AT HOME WITH COMPASSUS HOSPICE CARE, ANCHORAGE | ANCHORAGE | AK | for-profit | null | true | 840,715,249 | CP AK HOSPICE HOLDINGS LLC | TN | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | false | true | false | 2026-07-01 | 2026-07-01 | 19.1 | true | 1 | 1 | 1 | 23 |
owner added | 2026-07-01 | 2026-10-01 | 2026-05-15 | O20210621001329 | 21,508 | 1,770,175,325 | EH HEALTH HOSPICE OF THE NORTHWEST LLC | ENHABIT HOSPICE | ANCHORAGE | AK | for-profit | null | true | 446,722,870 | KINDERHOOK CAPITAL FUND 8-B, L.P. | NY | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 29.14 | true | false | false | 2026-10-01 | 2026-10-01 | null | false | 41 | 0 | 0 | 22 |
owner added | 2026-07-01 | 2026-10-01 | 2026-05-15 | O20210621001329 | 21,508 | 1,770,175,325 | EH HEALTH HOSPICE OF THE NORTHWEST LLC | ENHABIT HOSPICE | ANCHORAGE | AK | for-profit | null | true | 941,772,628 | STEPSTONE K STRATEGIC OPPORTUNITIES FUND V, L.P. | CA | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 7.27 | true | false | false | 2026-10-01 | 2026-10-01 | null | false | 77 | 0 | 0 | 22 |
owner added | 2026-07-01 | 2026-10-01 | 2026-05-15 | O20210621001329 | 21,508 | 1,770,175,325 | EH HEALTH HOSPICE OF THE NORTHWEST LLC | ENHABIT HOSPICE | ANCHORAGE | AK | for-profit | null | true | 1,355,813,783 | KINDERHOOK CAPITAL FUND 8, L.P. | NY | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 34.52 | true | false | false | 2026-10-01 | 2026-10-01 | null | false | 41 | 0 | 0 | 22 |
owner added | 2026-07-01 | 2026-10-01 | 2026-05-15 | O20210621001329 | 21,508 | 1,770,175,325 | EH HEALTH HOSPICE OF THE NORTHWEST LLC | ENHABIT HOSPICE | ANCHORAGE | AK | for-profit | null | true | 2,264,904,697 | PACIFIC LIFE INSURANCE COMPANY | CA | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 7.27 | false | false | false | 2026-10-01 | 2026-10-01 | null | false | 41 | 0 | 0 | 22 |
owner removed | 2026-07-01 | 2026-10-01 | 2023-12-31 | O20210621001329 | 21,508 | 1,770,175,325 | EH HEALTH HOSPICE OF THE NORTHWEST LLC | ENHABIT HOSPICE | ANCHORAGE | AK | for-profit | null | true | 2,668,509,902 | BLACKROCK INC | NY | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 7.8 | false | false | false | 2023-04-02 | 2026-07-01 | 33 | false | 74 | 49 | 24 | 22 |
owner removed | 2026-07-01 | 2026-10-01 | 2023-12-31 | O20210621001329 | 21,508 | 1,770,175,325 | EH HEALTH HOSPICE OF THE NORTHWEST LLC | ENHABIT HOSPICE | ANCHORAGE | AK | for-profit | null | true | 4,284,807,678 | VANGUARD GROUP INC | PA | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 5.91 | false | false | false | 2023-04-02 | 2026-07-01 | 33 | false | 74 | 48 | 22 | 22 |
owner removed | 2026-07-01 | 2026-10-01 | 2022-07-01 | O20210621001329 | 21,508 | 1,770,175,325 | EH HEALTH HOSPICE OF THE NORTHWEST LLC | ENHABIT HOSPICE | ANCHORAGE | AK | for-profit | null | true | 446,632,319 | ENHABIT HOLDINGS, INC. | TX | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | false | false | false | 2023-04-02 | 2026-07-01 | 51 | false | 6 | 63 | 2 | 22 |
owner removed | 2026-07-01 | 2026-10-01 | 2024-12-31 | O20210621001329 | 21,508 | 1,770,175,325 | EH HEALTH HOSPICE OF THE NORTHWEST LLC | ENHABIT HOSPICE | ANCHORAGE | AK | for-profit | null | true | 446,772,776 | 8 KNOTS MANAGEMENT, LLC | TX | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | null | false | false | false | 2026-07-01 | 2026-07-01 | 21 | true | 48 | 48 | 48 | 22 |
owner added | 2026-07-01 | 2026-10-01 | 2026-05-15 | O20210621001329 | 21,508 | 1,770,175,325 | EH HEALTH HOSPICE OF THE NORTHWEST LLC | ENHABIT HOSPICE | ANCHORAGE | AK | for-profit | null | true | 6,800,368,333 | ANCHOR PARENT, LLC | NY | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | false | true | false | 2026-10-01 | 2026-10-01 | null | false | 41 | 0 | 0 | 22 |
owner added | 2026-07-01 | 2026-10-01 | 2026-05-15 | O20210621001329 | 21,508 | 1,770,175,325 | EH HEALTH HOSPICE OF THE NORTHWEST LLC | ENHABIT HOSPICE | ANCHORAGE | AK | for-profit | null | true | 7,719,459,148 | ANCHOR MIDCO, LLC | NY | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | false | true | false | 2026-10-01 | 2026-10-01 | null | false | 41 | 0 | 0 | 22 |
owner removed | 2026-07-01 | 2026-10-01 | 2023-12-31 | O20210621001329 | 21,508 | 1,770,175,325 | EH HEALTH HOSPICE OF THE NORTHWEST LLC | ENHABIT HOSPICE | ANCHORAGE | AK | for-profit | null | true | 840,431,904 | DEERFIELD MANAGEMENT COMPANY LP | NY | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 9.97 | false | false | false | 2023-07-18 | 2026-07-01 | 33 | false | 64 | 64 | 12 | 22 |
owner added | 2026-07-01 | 2026-10-01 | 2026-05-15 | O20210621001329 | 21,508 | 1,770,175,325 | EH HEALTH HOSPICE OF THE NORTHWEST LLC | ENHABIT HOSPICE | ANCHORAGE | AK | for-profit | null | true | 9,537,631,965 | ANCHOR TOPCO, LP | NY | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | false | true | false | 2026-10-01 | 2026-10-01 | null | false | 41 | 0 | 0 | 22 |
owner removed | 2026-07-01 | 2026-10-01 | 2017-01-02 | O20170104000967 | 21,507 | 1,881,145,571 | FAIRBANKS MEMORIAL HOSPITAL LLC | FAIRBANKS MEMORIAL HOSPITAL HOSPICE SERVICES | FAIRBANKS | AK | nonprofit | 05/06/2016 | true | 244,511,723 | GREATER FAIRBANKS COMMUNITY HOSPITAL FOUNDATION INC | AK | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | false | false | false | 2023-04-02 | 2026-07-01 | 116.9 | false | 0 | 1 | 0 | 2 |
owner removed | 2026-07-01 | 2026-10-01 | 2021-06-01 | O20210815000072 | 11,629 | 1,437,220,456 | ADORATION HOSPICE CARE ALABAMA, LLC | ADORATION HOSPICE | OXFORD | AL | for-profit | null | true | 941,278,253 | WALGREEN CO | IL | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 29 | false | false | false | 2023-04-02 | 2026-07-01 | 64 | false | 6 | 50 | 0 | 2 |
owner removed | 2026-07-01 | 2026-10-01 | 2025-07-25 | O20230303000377 | 11,548 | 1,114,641,925 | AGAPE CARE ALABAMA LLC | ACG HOSPICE | BIRMINGHAM | AL | for-profit | 08/11/2002 | true | 749,727,022 | LINDEN CAPITAL PARTNERS V-A LP | IL | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 16.31 | false | false | false | 2026-07-01 | 2026-07-01 | 14.2 | true | 28 | 28 | 28 | 27 |
owner removed | 2026-07-01 | 2026-10-01 | 2025-07-25 | O20230303000377 | 11,548 | 1,114,641,925 | AGAPE CARE ALABAMA LLC | ACG HOSPICE | BIRMINGHAM | AL | for-profit | 08/11/2002 | true | 941,704,308 | ACG INTERMEDIATE, INC. | DE | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | false | false | false | 2026-07-01 | 2026-07-01 | 14.2 | true | 28 | 28 | 28 | 27 |
owner added | 2026-07-01 | 2026-10-01 | 2025-05-31 | O20250622000102 | 11,657 | 1,093,608,002 | ALABAMA HEALTH CARE GROUP, LLC | ALABAMA HOSPICE CARE OF BIRMINGHAM | TRUSSVILLE | AL | for-profit | null | true | 749,192,441 | UNITEDHEALTH GROUP INCORPORATED | MN | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | false | false | false | 2026-10-01 | 2026-10-01 | null | false | 213 | 11 | 2 | 2 |
owner added | 2026-07-01 | 2026-10-01 | 2025-05-31 | O20250622000102 | 11,657 | 1,093,608,002 | ALABAMA HEALTH CARE GROUP, LLC | ALABAMA HOSPICE CARE OF BIRMINGHAM | TRUSSVILLE | AL | for-profit | null | true | 6,305,754,169 | LHC GROUP INC | LA | 5% OR GREATER DIRECT OWNERSHIP INTEREST | null | false | false | true | 2026-10-01 | 2026-10-01 | null | false | 4 | 8 | 0 | 2 |
owner removed | 2026-07-01 | 2026-10-01 | 2025-08-14 | O20040602000927 | 11,527 | 1,326,006,651 | AMEDISYS HOSPICE, L.L.C. | AMEDISYS HOSPICE OF BIRMINGHAM | HOMEWOOD | AL | for-profit | 01/26/2004 | true | 749,192,441 | UNITEDHEALTH GROUP INCORPORATED | MN | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | false | false | false | 2026-07-01 | 2026-07-01 | 13.6 | true | 219 | 203 | 98 | 3 |
owner removed | 2026-07-01 | 2026-10-01 | 2025-08-14 | O20100708000223 | 11,669 | 1,104,016,658 | AMEDISYS HOSPICE, L.L.C. | AMEDISYS HOSPICE OF FLORENCE | FLORENCE | AL | for-profit | 01/26/2004 | true | 749,192,441 | UNITEDHEALTH GROUP INCORPORATED | MN | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | false | false | false | 2026-07-01 | 2026-07-01 | 13.6 | true | 219 | 203 | 98 | 3 |
owner added | 2026-07-01 | 2026-10-01 | 2025-08-14 | O20040811001214 | 11,586 | 1,447,297,981 | ASERACARE HOSPICE - HAMILITON, LLC | AMEDISYS HOSPICE OF HAMILTON | HAMILTON | AL | for-profit | 05/24/2004 | true | 749,192,441 | UNITEDHEALTH GROUP INCORPORATED | MN | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | false | false | false | 2026-10-01 | 2026-10-01 | null | false | 213 | 11 | 2 | 3 |
owner removed | 2026-07-01 | 2026-10-01 | 2025-08-14 | O20040811001214 | 11,586 | 1,447,297,981 | ASERACARE HOSPICE - HAMILITON, LLC | AMEDISYS HOSPICE OF HAMILTON | HAMILTON | AL | for-profit | 05/24/2004 | true | 749,192,441 | UNITEDHEALTH GROUP INCORPORATED | MN | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | false | false | false | 2026-07-01 | 2026-07-01 | 13.6 | true | 219 | 203 | 98 | 3 |
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
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