Why this was flagged
Owner is tied to 462 providers
An owner or managing party of this provider (HUMANA INC) is listed on 462 separate Medicare enrollments. Chains are legal, but rapid multi-entity accumulation is a common structure in healthcare fraud cases.
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
Medicare paid this provider far more than its peers
In 2024 Medicare paid this provider $47,615,461, against a typical payment of $2,031,868 for the same kind of provider that year. High volume can be legitimate, but extreme outliers are where billing fraud shows up.
Source Medicare Hospice Payments by Provider · record as of 11 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · 5f1f87
Owners and managing parties of record
CH SERVICES HOLDINGS INC
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 100% ownership · since Feb 5, 2015
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
CH SERVICES MIDCO HOLDINGS INC
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 100% ownership · since Feb 5, 2015
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
KENTUCKY HOMECARE HOLDINGS, INC.
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 100% ownership · since Aug 11, 2022
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
HUMANA INC
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 100% ownership · since Aug 11, 2022
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
FALCON HOSPICE, LP
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 100% ownership · since Aug 11, 2022
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
CHARLOTTE BUYER, INC.
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 100% ownership · since Jul 11, 2018
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
CURO HEALTH SERVICES LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 100% ownership · since Nov 8, 2011
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
KAH HOSPICE COMPANY, INC
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 100% ownership · since Mar 1, 2022
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
CURO TEXAS HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 100% ownership · since Jul 1, 2013
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
CURO TEXAS HOSPICE, LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST · O · 100% ownership · since Sep 30, 2010
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
CH SERVICES GROUP HOLDINGS INC
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 100% ownership · since Feb 5, 2015
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
KENTUCKY HOMECARE PARENT INC.
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 100% ownership · since Aug 11, 2022
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
CURO HEALTH SERVICES HOLDINGS, INC
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 100% ownership · since Jun 6, 2014
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
CHARLOTTE MIDCO, LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 100% ownership · since Aug 11, 2022
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
CD&R FALCON HOLDINGS, LP
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 60% ownership · since Aug 11, 2022
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
CENTERWELL HEALTH SERVICES INC
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 40% ownership · since Dec 22, 2022
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
DAVID ALLEN CAUSBY
CORPORATE OFFICER · I · 0% ownership · since Apr 27, 2021
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
DAVID ROBINSON ARNOLD
CORPORATE OFFICER · I · 0% ownership · since Dec 31, 2021
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
THOMAS JOSEPH DOLAN
CORPORATE OFFICER · I · 0% ownership · since Nov 30, 2021
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
JANET L COMBS
CORPORATE OFFICER · I · 0% ownership · since Nov 1, 2021
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
RONALD C LAZAS
CORPORATE OFFICER · I · 0% ownership · since Apr 27, 2021
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
STEVEN R BRAY
CONTRACTED MANAGING EMPLOYEE · I · 0% ownership · since Jul 15, 2022
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
MOLLYE SHEPHERD LAY
W-2 MANAGING EMPLOYEE · I · since Dec 19, 2024
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
Source timeline
Every flag on this provider is built from one or more published government files. Below is each file that contributed, the weekly pulls we have of it, and the actual records read from it.
CMS Hospice All Owners
- Owner is tied to 462 providers
Weekly refreshes
- 18 Sept 2026 (in use)70,444 recordspublisher data as of 19 Aug 2026
Records read from this file
- CH SERVICES HOLDINGS INC5% OR GREATER INDIRECT OWNERSHIP INTEREST · 100% share · since 2015-02-05
- CH SERVICES MIDCO HOLDINGS INC5% OR GREATER INDIRECT OWNERSHIP INTEREST · 100% share · since 2015-02-05
- KENTUCKY HOMECARE HOLDINGS, INC.5% OR GREATER INDIRECT OWNERSHIP INTEREST · 100% share · since 2022-08-11
- HUMANA INC5% OR GREATER INDIRECT OWNERSHIP INTEREST · 100% share · since 2022-08-11
- FALCON HOSPICE, LP5% OR GREATER INDIRECT OWNERSHIP INTEREST · 100% share · since 2022-08-11
- CHARLOTTE BUYER, INC.5% OR GREATER INDIRECT OWNERSHIP INTEREST · 100% share · since 2018-07-11
- CURO HEALTH SERVICES LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST · 100% share · since 2011-11-08
- KAH HOSPICE COMPANY, INC5% OR GREATER INDIRECT OWNERSHIP INTEREST · 100% share · since 2022-03-01
- Medicare paid this provider far more than its peers
Weekly refreshes
- 18 Sept 2026 (in use)6,134 recordspublisher data as of 11 Aug 2026
- 18 Sept 20261,000 recordspublisher data as of 11 Aug 2026(running)
Records read from this file
- Hospice Plus — 2024$47,615,461 paid · 2,547 patients
CMS Hospice Enrollments
Weekly refreshes
- 18 Sept 2026 (in use)5,802 records5,000 added · 1 changed · 0 removedpublisher data as of 27 Jul 2026
Records read from this file
- INTERNATIONAL TUTORING SERVICES, LLCNPI 1164466397 · certification 451780 · 2777 N STEMMONS FWY, DALLAS, TX
Where every detail came from
Each value below is traced to the published file it was read from, the day we downloaded it, and the weekly version it belongs to. Open the link to check the original record yourself.
| Detail | Value | Published file | Record as of | Pulled | Version |
|---|---|---|---|---|---|
| Legal name | INTERNATIONAL TUTORING SERVICES, LLC | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| Trading name | HOSPICE PLUS | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| NPI | 1164466397 | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| Medicare certification number | 451780 | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| CMS associate ID | 7517947682 | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| Provider type | PART A PROVIDER - HOSPICE | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| Organisation type | LLC | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| Incorporation date | 2003-12-10 | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| State of incorporation | DE | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| Street address | 2777 N STEMMONS FWY, STE 1100 | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| City | DALLAS | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| State | TX | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| ZIP | 752072513 | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
What changed
How this provider's public record has moved between weekly refreshes. See the whole week.
Nothing has changed for this provider since we started comparing weekly refreshes.
Public research history
Nobody has worked this lead yet. Notes published by investigators stay here even after a claim expires.
Readers judge whether this flag holds up. A note only reaches the top when people who usually disagree both rate it helpful.
No notes yet. If you have checked this provider, say what you found.