His social media reads like a travel diary from the wealthy. Private jets. A yacht. A Cadillac Escalade gifted to dad, a Mercedes for mom. In January, Roshan Adhikari advertised a vanity film starring himself. In another post, he described boarding a private jet with the caption: “Welcome Aboard AIR ROSHAN. Never in my wildest dreams did I imagine that a kid born in Nepal would one day reach the skies like this.”
What he did not post about was Ohio.
Roshan Adhikari, 29, is listed as chief operating officer of Centerlight Home Care LLC, a Cleveland home health company owned by his father, Khadananda Adhikari. The company has no public website. It collected nearly $17 million from Ohio’s Medicaid program in recent years, according to a Daily Wire data analysis by investigative reporter Luke Rosiak.
Most of Roshan’s posts come from Nepal or resort destinations. There is little on his social media to suggest he spends much time running a home health business in Cleveland.
When Rosiak called him for comment, Roshan said he was boarding an international flight. A follow-up call days later ended the moment Rosiak introduced himself.
A Father’s Finances
Roshan’s father’s Facebook page lists Khadananda as a translator for Catholic Charities. Business records show he also owns a convenience store that has not paid state taxes since 2022 and carries personal tax liens from Cuyahoga County. In 2023, father and son incorporated a company called Lux Charters LLC.
Roshan’s finances do not stop at one company. His brother Dickson, 25, owns Changing Lives Home Care LLC, which received $10 million from Ohio Medicaid. Roshan separately owns Smile Transport LLC, a medical transportation company.
Taking It to Congress
Rosiak carried the findings to Capitol Hill on Wednesday, testifying before the House Task Force on Defending Constitutional Rights and Exposing Institutional Abuses. The hearing was called “Universal Basic Fraud: Vulnerabilities in Medicaid Waiver Programs.”
People named Adhikari have been paid more than $350 million by Ohio’s Medicaid program for home health and adult daycare work, Rosiak told the panel — roughly one-eighth of what Bhutan’s entire economy produces in a year. One surname. One state.
Ohio is not the whole picture.
Rosiak identified the same pattern operating in Pennsylvania, Kentucky, New York, and other states. He also told the panel that a Bhutanese advocacy group recently bused 15,000 people to an event in Ohio using Medicaid-funded company vans — because, he said, nearly everyone there owned their own Medicaid company.
Money Leaving the Country
The money trail runs beyond state lines. The Himalayan Care Center collected $346,000 from Ohio while sharing an address with the Kalyan Foundation — a nonprofit whose website shows food being shipped to Nepal out of a warehouse bearing its name.
Dilli Ram Adhikari, another figure in Rosiak’s report, built three Ohio home health companies that together pulled in roughly $250 million from Medicaid: Americare Healthcare Services in Blacklick, Intra-National Home Care in Etna, and Serenity Home Health Agency in Reynoldsburg. In January 2025, Americare was ordered to pay $15 million after the Department of Labor found it had underpaid workers. No one answered calls or returned messages at several companies connected to Dilli Ram Adhikari, Rosiak reported.
He also runs a nonprofit that holds televised singing competitions in Nepal, where winners take home about $65,000 — roughly what a single Bhutanese individual in Ohio can collect in a year from Medicaid for what the program calls “companionship and conversation.”
Then there is Nirmali Adhikari, who owns Medina Home Healthcare. Ohio Medicaid paid the company $22 million. Billing peaked at nearly $1 million in a single month in December 2023. The company’s website is now a dead link. Its last social media post was made by someone based in India.
The Auditor’s Warning
Keith Faber, Ohio’s auditor of state, sat beside Rosiak at the witness table Wednesday. His office has flagged more than $9 billion in unsupported or potentially fraudulent public spending. A recent audit found up to $4.4 billion in Medicaid fraud exposure, with 15.6% of tested recipients found potentially ineligible.
Rosiak was direct in his written submission to Congress.
None of the individuals named in this article have been charged with a crime in connection with the Medicaid payments described. The allegations and findings cited above are based on Rosiak’s reporting, congressional testimony, public records, and state audit findings. No formal finding of fraud has been issued against Roshan Adhikari, Khadananda Adhikari, Dickson Adhikari, Dilli Ram Adhikari, or Nirmali Adhikari in connection with the payments described.
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