Why this was flagged
Medicare paid this provider far more than its peers
In 2021 Medicare paid this provider $18,369,226, against a typical payment of $962,450 for the same kind of provider that year. High volume can be legitimate, but extreme outliers are where billing fraud shows up.
Source Medicare Home Health Payments by Provider · record as of 11 Aug 2026 · pulled 9 Nov 2026 · version 2026-11-09 · db4c19
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2 providers share this street address
This address is the registered location of 2 separate Medicare-enrolled providers. Legitimate causes exist (shared medical office buildings, management companies), but dense clustering of billing entities at one address is a known fraud pattern.
Source CMS Home Health Agency Enrollments · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 80bfb7
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Owner is tied to 21 providers
An owner or managing party of this provider (ALTERNATE SOLUTIONS HEALTH NETWORK LLC) is listed on 21 separate Medicare enrollments. Chains are legal, and most are ordinary business — this is background context, not a fraud indicator on its own.
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
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Owners and managing parties of record
ALTERNATE SOLUTIONS HEALTH NETWORK LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 100% ownership · since Jan 25, 2013
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
ASHN MIDCO LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 60% ownership · since Sep 29, 2017
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
ASHN HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 60% ownership · since Sep 29, 2017
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
ALTERNATE SOLUTIONS HOMECARE OF DAYTON, LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST · O · 60% ownership · since Apr 13, 2017
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
KETTERING MEDICAL CENTER
5% OR GREATER DIRECT OWNERSHIP INTEREST · O · 40% ownership · since Apr 1, 2013
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
ALTERNATE SOLUTIONS HOLDINGS INC
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 33.9% ownership · since Sep 29, 2017
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
THE WARREN D. GANZSARTO AMENDED REVOCABLE LIVING TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 31.76% ownership · since Sep 29, 2017
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
GENERAL ATLANTIC (AS) COLLECTIONS LP
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 24% ownership · since Sep 29, 2017
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
GENERAL ATLANTIC (AS) COLLECTIONS LP
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 22.9% ownership · since Sep 30, 2018
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
MINDY S YOUNG
W-2 MANAGING EMPLOYEE · I · 0% ownership · since Jan 5, 2023
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
EVERETT NEAL
CORPORATE OFFICER · I · since Apr 1, 2022
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
JANE MERRITT
W-2 MANAGING EMPLOYEE · I · since Jan 3, 2022
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
Source timeline
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Source records
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| Detail | Value | Published file | Record as of | Pulled | Version |
|---|---|---|---|---|---|
| Legal name | ALTERNATE SOLUTIONS HOMECARE OF DAYTON, LLC | CMS Home Health Agency Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · 80bfb7 |
| Trading name | KETTERING HOMECARE | CMS Home Health Agency Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · 80bfb7 |
| NPI | 1639195332 | CMS Home Health Agency Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · 80bfb7 |
| Medicare certification number | 367778 | CMS Home Health Agency Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · 80bfb7 |
| CMS associate ID | 9537241740 | CMS Home Health Agency Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · 80bfb7 |
| Provider type | PART A PROVIDER - HOME HEALTH AGENCY | CMS Home Health Agency Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · 80bfb7 |
| Organisation type | LLC | CMS Home Health Agency Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · 80bfb7 |
| Incorporation date | 2000-12-26 | CMS Home Health Agency Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · 80bfb7 |
| State of incorporation | OH | CMS Home Health Agency Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · 80bfb7 |
| Street address | 1050 FORRER BLVD, STE 100 | CMS Home Health Agency Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · 80bfb7 |
| City | KETTERING | CMS Home Health Agency Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · 80bfb7 |
| State | OH | CMS Home Health Agency Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · 80bfb7 |
| ZIP | 45420-1472 | CMS Home Health Agency Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · 80bfb7 |
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