Why this was flagged
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 9 Nov 2026 · version 2026-11-09 · c311f7
View the records behind this flag →
Owner is tied to 65 providers
An owner or managing party of this provider (JOHN CHARLES GARBARINO) is listed on 65 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
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 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
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 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
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 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
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 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
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 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
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 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
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 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
ALEX EDWARD MAURICIO
CORPORATE OFFICER · I · 0% ownership · since Jan 1, 2023
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
ALEX EDWARD MAURICIO
CORPORATE DIRECTOR · I · 0% ownership · since Jan 1, 2023
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
JOHN CHARLES GARBARINO
CORPORATE OFFICER · I · 0% ownership · since Feb 27, 2019
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
JOHN CHARLES GARBARINO
CORPORATE DIRECTOR · I · 0% ownership · since Feb 27, 2019
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
MARY JOY BALICAO GANO
W-2 MANAGING EMPLOYEE · I · 0% ownership · since Jan 7, 2026
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
MICHAEL DERRICK
CORPORATE OFFICER · I · 0% ownership · since Sep 1, 2023
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
BETTY J BRENNAN
CORPORATE DIRECTOR · I · 0% ownership · since Jul 13, 2018
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
BARON WONG
CONTRACTED MANAGING EMPLOYEE · I · 0% ownership · since Dec 1, 2023
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
HYRUM KIRTON
CORPORATE DIRECTOR · I · 0% ownership · since Oct 26, 2020
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
DAVID A MALM
CORPORATE OFFICER · I · 0% ownership · since Feb 27, 2019
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
DAVID A MALM
CORPORATE DIRECTOR · I · 0% ownership · since Feb 27, 2019
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 | BRISTOL HOSPICE - HAWAII, L.L.C. | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
| NPI | 1811045594 | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
| Medicare certification number | 121508 | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
| CMS associate ID | 2769484203 | 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 | 2007-08-10 | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
| State of incorporation | UT | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
| Street address | 55 MERCHANT ST, STE 2900 | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
| City | HONOLULU | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
| State | HI | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
| ZIP | 96813-4384 | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
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