Why this was flagged
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 9 Nov 2026 · version 2026-11-09 · c311f7
View the records behind this flag →
Owner is tied to 461 providers
An owner or managing party of this provider (HUMANA INC) is listed on 461 separate Medicare enrollments. Chains are legal, and most are ordinary business — this is background context, not a fraud indicator on its own.
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
View the records behind this flag →
Owners and managing parties of record
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 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
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 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
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 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
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 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
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 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
HUMANA INC
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 100% ownership · since Aug 11, 2022
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
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 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
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 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
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 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
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 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
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 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
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 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
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 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
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 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
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 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
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 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
STEVEN R BRAY
CONTRACTED MANAGING EMPLOYEE · I · 0% ownership · since Jul 15, 2022
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
RONALD C LAZAS
CORPORATE OFFICER · I · 0% ownership · since Apr 27, 2021
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
DAVID ROBINSON ARNOLD
CORPORATE OFFICER · I · 0% ownership · since Dec 31, 2021
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
THOMAS JOSEPH DOLAN
CORPORATE OFFICER · I · 0% ownership · since Nov 30, 2021
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
DAVID ALLEN CAUSBY
CORPORATE OFFICER · I · 0% ownership · since Apr 27, 2021
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
JANET L COMBS
CORPORATE OFFICER · I · 0% ownership · since Nov 1, 2021
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
MOLLYE SHEPHERD LAY
W-2 MANAGING EMPLOYEE · I · since Dec 19, 2024
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
Source timeline
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Source records
Each value includes its published file, download date, and weekly version. Open a link to check the source record. Verify this lead yourself.
| Detail | Value | Published file | Record as of | Pulled | Version |
|---|---|---|---|---|---|
| Legal name | INTERNATIONAL TUTORING SERVICES, LLC | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
| Trading name | HOSPICE PLUS | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
| NPI | 1164466397 | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
| Medicare certification number | 451780 | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
| CMS associate ID | 7517947682 | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
| Provider type | PART A PROVIDER - HOSPICE | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
| Organisation type | LLC | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
| Incorporation date | 2003-12-10 | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
| State of incorporation | DE | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
| Street address | 2777 N STEMMONS FWY, STE 1100 | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
| City | DALLAS | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
| State | TX | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
| ZIP | 75207-2513 | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
What changed
Public research history
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