SAMPLE — ILLUSTRATIVE TEST DATA, NOT A REAL OPERATOR
Hospice · Metrics
Operator report
EXAMPLE HOSPICE HOLDINGS, LLC
CMS associate ID 0000000000
CMS lists this entity as an owner of record on 11 hospices across 2 states.
Prepared as: Neutral reference
A structured, denominator-anchored reference of this operator's facilities' publicly reported metrics and public ownership and survey records.
How to read this report. Provenance-labeled throughout, denominators on every rate, caveats stated. Presented without advocacy for any party.
This report compiles and visualizes publicly available CMS data. It is not legal advice or legal strategy, and it is not a substitute for an attorney licensed in your jurisdiction. All derived metrics should be independently verified before submission to any administrative or judicial proceeding.
CMS-PUBLISHED read directly from a CMS file
PRODUCT-COMPUTED derived here from public sources, shown with its denominator
What this report does not establish
This report is built only from the CMS files named in the methodology section. The list below states what those files cannot show, so that the figures in this report are read for what they are. Each entry points to the section that covers it in full.
- That any patient was enrolled improperly, or that any care was poor
- This report makes no causal claim and asserts nothing about the eligibility of any individual patient. It is not a determination of wrongdoing.
- That a high live-discharge rate means poor clinical care
- The discharge rate measures how enrollments ended. The inspection record measures regulatory compliance. They are near-independent, and neither substitutes for the other.
- That a suppressed or absent figure is a zero
- Where CMS published nothing, this report says so and stops. A value shown as not published is unknown, not low and not zero.
- That an absent inspection record means a clean one
- If a subject does not appear in the survey export, its inspection record is not established here. Absence of a survey row is not a finding of zero citations.
- Any ranking, score or composite of this product's own making
- Every figure is either published by CMS or is a stated arithmetic operation on published figures. This report applies no flag rule and assigns no direction of its own.
- Which owner of record is 'the operator' see 09
- CMS records ownership in layers, and one hospice can have several owners of record at once. This report lists them and does not decide among them.
- That any hospice was acquired on the date first listed see 09
- First-listed dates are observation dates, not transaction dates. Where a hospice appears in the earliest snapshot, it was owned at or before that date and the data cannot say how long before.
- That the two counts behind the rate are the same kind of thing see 03
- CMS publishes live discharges as a count of discharges and decedents as a count of beneficiaries. They are added here because that is how the two published figures combine into a rate, and a beneficiary dies once, so the two nearly coincide -- but a beneficiary can be discharged alive more than once in a window. The rate is close to, not exactly, live discharges over all discharges.
- That a difference between the two rates is attributable to any one hospice see 03
- The pooled rate counts patients and the middle-hospice rate counts hospices, so they answer different questions. This report does not attribute the difference.
- Market share, concentration, or where patients live see 10
- Service-area ZIP codes record where a hospice served at least one patient. They are not patient counts and not patient locations.
01
Who this operator is, as CMS records it
CMS-PUBLISHED
Entity type
Organization
Roles of record
5% or greater direct ownership interest; operational/managerial control
Holds an ownership interest
yes
CMS flags
chain home office; for profit
02
Footprint
CMS-PUBLISHED
Facilities listed
11
With published measures
10
Absent from the provider release
1 (000011)
States of operation
XX, XY
Incorporated out of state
3 of 11
CMS lists 11 hospices for this owner. 10 have published numeric measures; 1 is not in this provider release at all. Not in the release means CMS published nothing for that hospice in this release. It does not mean nothing happened there. Hospices without a numeric rate are excluded from the discharge rates below and labeled; their inspection records still appear in the citation figures and the facility table.
03
Live-discharge rate
PRODUCT-COMPUTED
42.11 % pooled
denominator: 2,142 discharges (902 live + 1,240 decedents) across 10 hospices
National volume-weighted rate this window: 16.08% — above by 26.03 points
38.68 % facility median
denominator: 10 facilities with a published rate; an even count, so the middle value sits between two hospices (000005, 000006) with 128 and 143 discharges — no single hospice holds this rate
National facility median: 19.91% over 5,416 facilities — above by 18.77 points
Which number is the operator's rate?
Two estimators are shown because they answer different questions.
The pooled rate combines every live discharge and every decedent across the owner's facilities into one ratio; it describes the owner's patients in aggregate but is pulled toward the largest facilities. The facility median gives each facility equal weight; it describes the typical facility. Neither one is 'the' rate. Each is stated against a national figure computed the same way.
| National rate by discharge volume | Facilities | Discharges | Median LD rate |
|---|
| Q1 smallest | 1,359 | 11–81 | 45.00% |
| Q2 | 1,351 | 81–222 | 23.91% |
| Q3 | 1,352 | 222–573 | 17.37% |
| Q4 largest | 1,354 | 573–61,829 | 13.07% |
National live-discharge rates fall with discharge volume; the quartile bands above are the national gradient this owner's facilities are read against.
Medicare-FFS-scoped; 8-quarter rolling window; computed from CMS-published denominators. No public CMS file reports provider-level discharge status, so these rates have no external reconciliation and are not independently validated here. An immediate transfer to another hospice is not counted as a live discharge, because CMS's measure denominator excludes it.
04
Medicare dollars across this operator
PRODUCT-COMPUTED
$21,504,700 pooled
across 10 of 11 listed hospices · 1,522 beneficiaries · window 01/01/2023-12/31/2024
Operator per-beneficiary spending, pooled: $14,129 · national, pooled the same way: $15,760
Total Medicare dollars is a measure of the owner's Medicare size, not of conduct; per-beneficiary spending is shown against the national pooled figure so scale is not read as a finding. The total is pooled over the hospices for which CMS publishes both per-beneficiary spending and its beneficiary count; a suppressed input is excluded, never counted as $0. Per-facility totals are in the table above and sum to this figure.
05
Case mix & setting
CMS-PUBLISHED
| Diagnosis | This operator | Hospices | Nat'l | Nat'l hospices | z |
|---|
| Dementia | 41.0% | 10 | 26.1% | 4,647 | +1.84 |
| Cancer | 11.8% | 10 | 19.8% | 4,420 | -1.52 |
| Circulatory / heart disease | 14.2% | 10 | 23.3% | 4,650 | -0.71 |
| Respiratory disease | 10.4% | 10 | 9.7% | 3,673 | +0.18 |
| Stroke | 10.1% | 10 | 8.7% | 3,530 | +0.22 |
| Other conditions | 12.5% | 10 | 15.6% | 4,212 | -0.35 |
| Care setting | This operator | Hospices | Nat'l | Nat'l hospices | z |
|---|
| Home | 78.0% | 10 | 66.3% | 6,142 | +1.42 |
| Assisted living | 15.5% | 10 | 18.4% | 6,091 | -0.31 |
| Nursing facility | 6.5% | 10 | 9.5% | 6,028 | -0.44 |
| Skilled nursing | 0.0% | 10 | 5.0% | 5,840 | -0.62 |
Case mix is shown because a dementia-heavy census produces longer stays and more live discharges for reasons unrelated to conduct; it contextualizes the rate above rather than explaining it away.
Rows are ordered by share, largest first; ordering implies no ranking. Means are facility-level averages across the owner's reporting facilities, shown as a z against the national facility mean.
06
Hospice Care Index (CMS composite)
CMS-PUBLISHED
Median across facilities
9.0 / 10 · national median 9.0
CMS published national
8.8 / 10 · unweighted mean across hospices (CMS-published)
Range across facilities
6.0 – 10.0 · 10 of 10 scored
The median across this subject's hospices is shown against the national MEDIAN, counted the same way. CMS's published national figure is an unweighted mean across hospices, so it is labeled separately and the two are never subtracted from one another: a median and a mean of the same left-skewed distribution differ by construction, not by performance.
The Hospice Care Index is CMS's own monitoring score. It is not a figure this product calculates. CMS builds it from ten indicators drawn from Medicare claims. A hospice earns one point for each indicator on which it does NOT fall in the worst-performing category, giving a score out of 10. A higher score therefore means fewer indicators in that category. This panel shows CMS's score with the national benchmark beside it. Per-facility indicator detail is in each facility's own report.
07
Inspection record (CMS Form 2567 surveys)
CMS-PUBLISHED
1.62 citations per survey
denominator: 21 surveys carrying 34 citations, across 10 facilities in the export
National pooled: 4.38 per survey · national facility median: 3.00 — this operator's facility median is 1.08
Comparison set: all hospices nationally with a valid CCN and at least one survey in this CMS survey export, regardless of quality-release listing status; the national count excludes 1,611 citations across 275 surveys that CMS published under a placeholder CCN (PENDING), together with a further 79 placeholder surveys that recorded no citations, which cannot be attributed to any hospice and are counted in no figure here.
Citations are shown per survey, never as a bare count, so survey volume is visible.
7 of the owner's 11 listed hospices carry at least one citation, and the two most-cited carry 21 of the 34. Citations are concentrated rather than spread evenly, which is why the per-survey figure is shown beside the raw count.
Survey records come from CMS Form 2567 via QCOR and cover every listed facility with at least one survey in the window.
Counts include standard and complaint surveys; revisit-only surveys are excluded.
08
Facilities
CMS-PUBLISHED
| CCN | Facility | St | LD rate | Disch. | vs nat'l | Medicare $ | Cites | Surv. | First listed |
|---|
| 000001 |
EXAMPLE HOSPICE A (ILLUSTRATIVE) |
XX |
22.58% |
62 |
+6.50 |
$508,400 |
0 |
2 |
2019-04-01 ≤ |
| 000002 |
EXAMPLE HOSPICE B (ILLUSTRATIVE) |
XX |
28.21% |
78 |
+12.13 |
$720,500 |
2 |
3 |
2019-04-01 |
| 000003 |
EXAMPLE HOSPICE C (ILLUSTRATIVE) |
XX |
31.25% |
96 |
+15.17 |
$809,200 |
0 |
0 |
2019-04-01 |
| 000004 |
EXAMPLE HOSPICE D (ILLUSTRATIVE) |
XY |
35.71% |
112 |
+19.63 |
$1,169,200 |
3 |
2 |
2019-04-01 |
| 000005 |
EXAMPLE HOSPICE E (ILLUSTRATIVE) |
XX |
37.50% |
128 |
+21.42 |
$1,251,200 |
9 |
3 |
2019-04-01 |
| 000006 |
EXAMPLE HOSPICE F (ILLUSTRATIVE) |
XY |
39.86% |
143 |
+23.78 |
$1,535,200 |
1 |
2 |
2019-04-01 |
| 000007 |
EXAMPLE HOSPICE G (ILLUSTRATIVE) |
XX |
42.41% |
158 |
+26.33 |
$1,422,400 |
0 |
1 |
2019-04-01 |
| 000008 |
EXAMPLE HOSPICE H (ILLUSTRATIVE) |
XY |
45.40% |
174 |
+29.32 |
$1,996,400 |
12 |
3 |
2019-04-01 |
| 000009 |
EXAMPLE HOSPICE I (ILLUSTRATIVE) |
XX |
48.62% |
543 |
+32.54 |
$5,393,200 |
4 |
2 |
2025-04-01 |
| 000010 |
EXAMPLE HOSPICE J (ILLUSTRATIVE) |
XX |
43.36% |
648 |
+27.28 |
$6,699,000 |
3 |
2 |
2019-04-01 |
| 000011 |
EXAMPLE HOSPICE K (ILLUSTRATIVE) |
XY |
not computable |
not published |
not computable |
not computable |
0 |
1 |
2026-01-15 |
Column headers abbreviated for width — Disch. = discharges, Cites = citations, Surv. = surveys; all values are shown in full and unrounded.
Facilities are ordered by CCN; ordering implies no ranking. A facility with no numeric rate is listed and labeled, never dropped or zeroed.
Why some hospices show no rate: 000011 — not in this provider release.
09
Ownership context
CMS-PUBLISHED
Other owner entities of record
4 (2 individual, 2 organization)
Facilities left-censored
1 of 11, at 2022-01-01
| Associate ID — showing 2 of 4, most facilities shared first | Name as CMS publishes it | Type | Shared facilities |
|---|
| 0000000001 | EXAMPLE MANAGEMENT CO, LLC | organization | 9 |
| 0000000002 | (individual owner; CMS publishes no name) | individual | 6 |
Official change-of-ownership record (CMS-published): 1 transaction(s) naming this operator's hospices.
| Effective date | Type | Buyer (CCN) | Seller (CCN) | Published |
|---|
| 2023-07-01 |
Change of ownership |
EXAMPLE HOSPICE HOLDINGS, LLC (000004) |
PRIOR OWNER EXAMPLE, INC (000004) |
2026-04-01 |
Owner names are CMS-published organization names, keyed on associate id, never inferred.
Official CHOWs are CMS-recorded change-of-ownership events for facilities now under this owner; an event is a fact, not a finding.
Ownership is shown as CMS records it: the owner of record, its co-owners of record, and recorded CHOWs. No control relationship is inferred beyond what CMS publishes.
First-listed dates are the earliest ownership snapshot in which CMS records this owner against the facility; a censored date means the relationship predates the earliest snapshot we hold.
10
Service-area footprint
PRODUCT-COMPUTED
Distinct ZIPs served
47 across 10 hospices
Served by 2+ of this operator's hospices
12 (25.5% of the operator's ZIPs)
| State | ZIPs served | Share of operator ZIPs |
|---|
| XX | 31 | 66.0% |
| XY | 16 | 34.0% |
CMS derives this from the assessments a hospice submits: one record for each ZIP code in which it served at least one patient during the collection period. It is a presence record, not a patient count and not a patient-residence record, so it supports a footprint description and nothing about market share or concentration. 'Overlap' means a ZIP appears for two or more of this operator's own hospices; it describes footprint density. No comparison between operators is made here.
11
Trajectory — signals over time
PRODUCT-COMPUTED
Live-discharge rate PRODUCT-COMPUTED
national basis: pooled (patients)
| Release | Value | National | Gap | Denominator | CMS window |
|---|
| 2023-05-24 |
39.10% |
14.77% |
+24.33 |
1,902 patients |
04/01/2019-12/31/2019; 07/01/2020-09/30/2021 |
| 2024-05-22 |
40.80% |
14.87% |
+25.93 |
1,988 patients |
01/01/2021-12/31/2022 |
| 2025-05-21 |
41.90% |
15.34% |
+26.56 |
2,054 patients |
01/01/2022-12/31/2023 |
| 2026-05-20 |
42.11% |
16.08% |
+26.03 |
2,142 patients |
01/01/2023-12/31/2024 |
Medicare $ per beneficiary PRODUCT-COMPUTED
national basis: pooled (dollars / beneficiaries)
| Release | Value | National | Gap | Denominator | CMS window |
|---|
| 2023-05-24 |
$12,900 |
$13,249 |
-349 |
1,318 beneficiaries |
04/01/2019-12/31/2019; 07/01/2020-09/30/2021 |
| 2024-05-22 |
$13,400 |
$14,288 |
-888 |
1,374 beneficiaries |
01/01/2021-12/31/2022 |
| 2025-05-21 |
$13,800 |
$14,849 |
-1,049 |
1,409 beneficiaries |
01/01/2022-12/31/2023 |
| 2026-05-20 |
$14,129 |
$15,760 |
-1,631 |
1,522 beneficiaries |
01/01/2023-12/31/2024 |
Hospice Care Index composite PRODUCT-COMPUTED
national basis: median across hospices (computed here, not CMS's published national)
| Release | Value | National | Gap | Denominator | CMS window |
|---|
| 2023-05-24 |
8.5 / 10 |
9.0 |
-0.5 |
10 hospices |
04/01/2019-12/31/2019; 07/01/2020-09/30/2021 |
| 2024-05-22 |
8.5 / 10 |
9.0 |
-0.5 |
10 hospices |
01/01/2021-12/31/2022 |
| 2025-05-21 |
9.0 / 10 |
9.0 |
+0.0 |
10 hospices |
01/01/2022-12/31/2023 |
| 2026-05-20 |
9.0 / 10 |
9.0 |
+0.0 |
10 hospices |
01/01/2023-12/31/2024 |
Citations per survey PRODUCT-COMPUTED
national basis: pooled (citations / surveys)
| Release | Value | National | Gap | Denominator | CMS window |
|---|
| 2026-03-01 |
1.62 |
4.38 |
-2.76 |
21 surveys |
2021-10-01 to 2026-03-26 |
The store holds a single CMS survey export (one cumulative file), so citations per survey is a single point, not a trend; it will become a series as further exports are ingested. A suppressed period elsewhere is shown as a gap, never a zero and never interpolated.
Descriptive only. Each signal is shown beside the national figure counted the same way, with the gap to it; read the gap, not the raw line, because the national rate moves across these releases too. Nothing here attributes a change to conduct, and no signal is combined with another.
Each release measures a different multi-year CMS window and consecutive windows overlap (the 8-quarter rolling window), so a run of rising values is partly the windows sharing quarters, not four independent years. Read the gap to national.
Presented as a trend. 8-quarter rolling windows overlap across annual snapshots, inflating run-lengths; trends are descriptive.
12
Methodology & provenance
PRODUCT-COMPUTED
Why facility counts differ
Different sections count different things, so their facility totals differ on purpose. Each one is the set of hospices that actually had the figure being described: the live-discharge quartiles count hospices with BOTH discharge denominators published; the national facility median counts only hospices whose own rate is computable; the care-setting and incorporation figures count hospices that published those particular fields; the survey comparison set counts every hospice with a valid CCN and at least one survey in the CMS survey export, which is a different file with a different release date. A hospice missing from one of these counts is missing from that measure only. None of these totals is the "right" one and none is a correction of another; each figure names the count it was computed over so the two can always be read together.
Provider release
2026-05-20
Survey export
2026-03-01
Ownership snapshot
2026-04-01
Enrollments snapshot
2026-01-02
Both live-discharge estimators are computed from CMS-published counts; the national comparators are computed the same way on the same release, so a gap is a like-for-like difference.
Inspection, ownership and measure data come from independent CMS files; no figure here is combined with another into a score.
CMS publishes survey (Form 2567) data on its own release cycle, independent of the provider-measures release; this report always shows the most recent survey export available as of the generation date above.
This report presents public metrics with denominators and caveats. It makes no causal claim and is not a determination of wrongdoing; what the data means for a matter is for counsel to decide.
Reproducibility manifest. Illustrative sample. A real operator report lists the exact CMS releases used, with checksums, and is a pure function of those inputs.
| Family | Release date | Checksum |
|---|
| pdc_provider | 2026-05-20 | sample |
| ownership_all_owners | 2026-04-01 | sample |
| ownership_enrollments | 2026-01-02 | sample |
| qcor_2567 | 2026-03-01 | sample |
| cahps | 2026-05-20 | sample |
| chow | 2026-04-01 | sample |
| baseline_national | 2026-05-20 | sample |
| baseline_state | 2026-05-20 | sample |
| zip_service_area | 2026-05-20 | sample |
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