Why this was flagged
Owner is tied to 61 providers
An owner or managing party of this provider (JOHN CHARLES GARBARINO) is listed on 61 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 $48,323,323, 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
BRISTOL HOSPICE, L.L.C.
5% OR GREATER DIRECT OWNERSHIP INTEREST · O · 100% ownership · since Oct 12, 2005
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
BRISTOL HOSPICE TOPCO INC
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 100% ownership · since Dec 1, 2017
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
BRISTOL ULTIMATE HOLDCO, LP
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 100% ownership · since Sep 1, 2023
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
BRISTOL HOSPICE HOLDINGS INC
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 100% ownership · since Dec 1, 2017
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
WEBSTER EQUITY PARTNERS BRISTOL CF LP
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 69.8% ownership · since Sep 1, 2023
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
AWARE SUPER PTY, LTD.
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 8.28% ownership · since Jan 24, 2022
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
WEBSTER EQUITY PARTNERS IV BRISTOL CF LP
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 5.72% ownership · since Sep 1, 2023
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
BETTY J BRENNAN
CORPORATE DIRECTOR · I · 0% ownership · since Jul 13, 2018
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
BARON C K W WONG
CONTRACTED MANAGING EMPLOYEE · I · 0% ownership · since Dec 1, 2023
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
HYRUM KIRTON
CORPORATE DIRECTOR · I · 0% ownership · since Oct 26, 2020
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
DAVID A MALM
CORPORATE OFFICER · I · 0% ownership · since Feb 27, 2019
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
DAVID A MALM
CORPORATE DIRECTOR · I · 0% ownership · since Feb 27, 2019
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
ALEX EDWARD MAURICIO
CORPORATE OFFICER · I · 0% ownership · since Jan 1, 2023
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
ALEX EDWARD MAURICIO
CORPORATE DIRECTOR · I · 0% ownership · since Jan 1, 2023
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
JOHN CHARLES GARBARINO
CORPORATE OFFICER · I · 0% ownership · since Feb 27, 2019
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
JOHN CHARLES GARBARINO
CORPORATE DIRECTOR · I · 0% ownership · since Feb 27, 2019
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
MARY JOY BALICAO GANO
W-2 MANAGING EMPLOYEE · I · 0% ownership · since Jan 7, 2026
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
MICHAEL DERRICK
CORPORATE OFFICER · I · 0% ownership · since Sep 1, 2023
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 61 providers
Weekly refreshes
- 18 Sept 2026 (in use)70,444 recordspublisher data as of 19 Aug 2026
Records read from this file
- BRISTOL HOSPICE, L.L.C.5% OR GREATER DIRECT OWNERSHIP INTEREST · 100% share · since 2005-10-12
- BRISTOL HOSPICE TOPCO INC5% OR GREATER INDIRECT OWNERSHIP INTEREST · 100% share · since 2017-12-01
- BRISTOL ULTIMATE HOLDCO, LP5% OR GREATER INDIRECT OWNERSHIP INTEREST · 100% share · since 2023-09-01
- BRISTOL HOSPICE HOLDINGS INC5% OR GREATER INDIRECT OWNERSHIP INTEREST · 100% share · since 2017-12-01
- WEBSTER EQUITY PARTNERS BRISTOL CF LP5% OR GREATER INDIRECT OWNERSHIP INTEREST · 69.8% share · since 2023-09-01
- AWARE SUPER PTY, LTD.5% OR GREATER INDIRECT OWNERSHIP INTEREST · 8.28% share · since 2022-01-24
- WEBSTER EQUITY PARTNERS IV BRISTOL CF LP5% OR GREATER INDIRECT OWNERSHIP INTEREST · 5.72% share · since 2023-09-01
- BETTY J BRENNANCORPORATE DIRECTOR · 0% share · since 2018-07-13
- 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
- Bristol Hospice - Hawaii, Llc — 2024$48,323,323 paid · 2,151 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
- BRISTOL HOSPICE - HAWAII, L.L.C.NPI 1811045594 · certification 121508 · 55 MERCHANT ST, HONOLULU, HI
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 | BRISTOL HOSPICE - HAWAII, L.L.C. | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| NPI | 1811045594 | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| Medicare certification number | 121508 | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| CMS associate ID | 2769484203 | 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 | 2007-08-10 | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| State of incorporation | UT | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| Street address | 55 MERCHANT ST, STE 2900 | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| City | HONOLULU | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| State | HI | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| ZIP | 968134384 | 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.
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