{ "schemaVersion": 4, "entityId": "0001365265", "canonicalName": "NOBLE HEALTH AUDRAIN COMMUNITY HOSPI", "status": "closed", "statusLabel": "Full closure (abrupt suspension)", "summary": "Audrain Community Hospital is recorded as closed or without inpatient hospital services. Historical operator/parent: Noble Health (later Platinum Health). Historical PE sponsor/context: Nueterra Capital. The source record describes community impact and financial context, but acquisition before closure does not by itself prove causation.", "lastReviewed": "2026-07-17", "identifiers": { "ccn": "", "address": "620 EAST MONROE STREET", "city": "MEXICO", "state": "MO", "zip": "65265", "county": "AUDRAIN", "latitude": 39.1722927102101, "longitude": -91.8776110402223 }, "firstGlance": { "taxOwnershipType": "For-profit", "operator": "No active hospital operator", "directPeOwnership": "No current PE ownership claim; historical accountability context only.", "peRelationship": "Former PE context / closed", "institutionalShareholderContext": "Not applicable to current closed-facility marker", "populationServedEstimate": null, "populationServedLabel": "Closed-campus marker; access impact requires separate local analysis.", "careLevel": "Secondary (rural community)", "currentCeo": "No current hospital CEO confirmed", "previousRelevantCeo": "Historical operator leadership not resolved in this pass", "operatorType": "Closed / no active hospital operator", "operatorName": "No active hospital operator", "parentSystem": "Noble Health (later Platinum Health)", "affiliatedSystem": "", "religiousAffiliation": "Unknown pending review", "confidence": "High", "evidenceAsOf": "2026-07-17", "bottomLine": "NOBLE HEALTH AUDRAIN COMMUNITY HOSPI should display as a red closed / historical marker, not as an active hospital." }, "review": { "reviewer": "Codex closed-hospital overlay update", "evidence_grade": "source-backed closure overlay", "confidence": "high", "source_count": 5, "ownership_source_count": 2, "identity_match_method": "Existing map record plus closure-source update", "publication_decision": "Publish as closed/historical with source-backed closure metadata and explicit current-operator limitations." }, "sources": [ { "source_id": "source-closure-0001365265", "title": "PESP — rural hospitals and private-equity ownership", "publisher": "PESP — rural hospitals and private-equity ownership", "publication_date": "2022-03", "retrieved_at": "2026-07-01", "url": "https://pestakeholder.org/news/new-data-reveals-extent-of-pe-ownership-of-rural-hospitals/", "source_type": "closure_update", "reliability_tier": "primary_or_local_source", "research_note": "NOBLE HEALTH AUDRAIN COMMUNITY HOSPI closed or ceased hospital operations in 2022 after a documented private-equity acquisition. Former PE sponsor: Nueterra Capital; operating platform: Noble Health. This sequence does not by itself prove that PE ownership caused the closure.", "what_this_source_proves": "Closed / shut-down status and closure-year context for the map marker.", "what_this_source_does_not_prove": "It does not prove current hospital services have reopened or establish current PE ownership." }, { "source_id": "source-hospital-universe-0001365265", "title": "Hospital universe / existing map location record", "publisher": "PE Healthcare Watch hospital universe", "publication_date": "2026-07-01", "retrieved_at": "2026-07-01", "url": "https://healthcarewatch.xyz/data/hospitals.json", "source_type": "hospital_universe_record", "reliability_tier": "derived_public_dataset", "research_note": "Existing map record used for facility identity, address, and previous geographic placement.", "what_this_source_proves": "Facility identity and map coordinates already present in the hospital universe.", "what_this_source_does_not_prove": "It does not independently prove closure, ownership, reopening, or current operations." }, { "source_id": "pe-acquisition-0001365265", "title": "PESP Private Equity Hospital Tracker and linked transaction sources", "publisher": "PESP Private Equity Hospital Tracker and linked transaction sources", "publication_date": "2021", "retrieved_at": "2026-07-01", "url": "https://pestakeholder.org/private-equity-hospital-tracker/", "source_type": "historical_pe_acquisition", "reliability_tier": "research_or_transaction_source", "research_note": "PESP Private Equity Hospital Tracker and linked transaction sources documents the former PE sponsor/platform and acquisition period; the closure source separately documents cessation of operations.", "what_this_source_proves": "Former PE sponsor/platform and acquisition period for this hospital.", "what_this_source_does_not_prove": "It does not by itself prove that private-equity ownership caused the later closure." }, { "source_id": "expanded-closure-0001365265-1", "title": "Expanded closure research source", "publisher": "kffhealthnews.org", "publication_date": "", "retrieved_at": "2026-07-10", "url": "https://kffhealthnews.org/aging/private-equity-rural-hospitals-closure-missouri-noble-health/", "source_type": "expanded_closure_research", "reliability_tier": "user_supplied_source_for_review", "research_note": "OR supply shortages (anesthesia meds, bandages, catheters); vendors unpaid; inspectors found patients at risk; employee insurance dropped without notice", "what_this_source_proves": "Additional closure, ownership, degradation, community-impact, or building-fate context from the imported research row.", "what_this_source_does_not_prove": "It does not automatically prove causation or convert contract/management exposure into hospital ownership." }, { "source_id": "expanded-closure-0001365265-2", "title": "Expanded closure research source", "publisher": "missouriindependent.com", "publication_date": "", "retrieved_at": "2026-07-10", "url": "https://missouriindependent.com/2022/08/16/collapse-of-private-equity-backed-missouri-hospitals-mired-employees-in-medical-bills/", "source_type": "expanded_closure_research", "reliability_tier": "user_supplied_source_for_review", "research_note": "OR supply shortages (anesthesia meds, bandages, catheters); vendors unpaid; inspectors found patients at risk; employee insurance dropped without notice", "what_this_source_proves": "Additional closure, ownership, degradation, community-impact, or building-fate context from the imported research row.", "what_this_source_does_not_prove": "It does not automatically prove causation or convert contract/management exposure into hospital ownership." } ], "ownershipHistory": [ { "relationship_id": "rel-closed-0001365265-1", "from_entity_id": "organization:noble-health-later-platinum-health", "to_entity_id": "facility:0001365265", "relationship_type": "formerly operated closed facility", "effective_date": "2022-03", "end_date": "", "announcement_date": "2022-03", "status": "historical_context", "confidence": "high", "source_ids": "source-closure-0001365265|pe-acquisition-0001365265", "plain_english_summary": "Historical operator context only; this closed-campus marker is not a current hospital-operator claim.", "review_notes": "Closed-campus dossier created from source-backed closure overlay fields." }, { "relationship_id": "rel-closed-0001365265-2", "from_entity_id": "organization:nueterra-capital", "to_entity_id": "facility:0001365265", "relationship_type": "historical sponsor of former operator", "effective_date": "2022-03", "end_date": "", "announcement_date": "2022-03", "status": "historical_context", "confidence": "high", "source_ids": "source-closure-0001365265|pe-acquisition-0001365265", "plain_english_summary": "Former private-equity context only; the closed marker should not display as current PE ownership, and acquisition before closure does not by itself prove causation.", "review_notes": "Closed-campus dossier created from source-backed closure overlay fields." } ], "ownershipChain": { "model": "Closed-campus, former-operator, historical PE, and facility nodes are shown as separate evidence layers.", "confidence": "high", "nodes": [ { "id": "facility:0001365265", "label": "NOBLE HEALTH AUDRAIN COMMUNITY HOSPI", "kind": "closed_hospital", "evidence": "Full closure (abrupt suspension)" }, { "id": "organization:noble-health-later-platinum-health", "label": "Noble Health (later Platinum Health)", "kind": "former_operator", "evidence": "Historical operator context only; this closed-campus marker is not a current hospital-operator claim." }, { "id": "organization:nueterra-capital", "label": "Nueterra Capital", "kind": "historical_pe_sponsor", "evidence": "Former private-equity sponsor context only; not current ownership after closure." } ], "edges": [ { "id": "organization:noble-health-later-platinum-health->facility:0001365265", "from": "organization:noble-health-later-platinum-health", "to": "facility:0001365265", "relationship": "formerly operated closed facility", "confidence": "high", "sourceIds": [ "source-closure-0001365265", "pe-acquisition-0001365265" ], "note": "Historical operator context only; this closed-campus marker is not a current hospital-operator claim." }, { "id": "organization:nueterra-capital->organization:noble-health-later-platinum-health", "from": "organization:nueterra-capital", "to": "organization:noble-health-later-platinum-health", "relationship": "historical sponsor of former operator", "confidence": "high", "sourceIds": [ "source-closure-0001365265", "pe-acquisition-0001365265" ], "note": "Former private-equity context only; the closed marker should not display as current PE ownership, and acquisition before closure does not by itself prove causation." } ], "caveats": [ "Closed-campus markers are not active hospital-operation claims.", "Former PE/operator context is retained for accountability and is not treated as current ownership." ] }, "acquisitionEvents": [ { "date": "2022-03", "title": "Full closure (abrupt suspension)", "detail": "Audrain Community Hospital is recorded as closed or without inpatient hospital services. Historical operator/parent: Noble Health (later Platinum Health). Historical PE sponsor/context: Nueterra Capital. The source record describes community impact and financial context, but acquisition before closure does not by itself prove causation.", "sourceIds": [ "source-closure-0001365265", "pe-acquisition-0001365265" ] } ], "leadership": [], "communityImpact": [ { "topic": "Closure", "summary": "Audrain Community Hospital is recorded as closed or without inpatient hospital services. Historical operator/parent: Noble Health (later Platinum Health). Historical PE sponsor/context: Nueterra Capital. The source record describes community impact and financial context, but acquisition before closure does not by itself prove causation.", "sourceIds": [ "source-closure-0001365265", "pe-acquisition-0001365265" ] }, { "topic": "Community impact", "summary": "Emergency patients now stabilized and rushed to Columbia with hourslong ER waits; employees stuck with medical bills; DOL and state AG investigations", "sourceIds": [ "source-closure-0001365265", "pe-acquisition-0001365265" ] }, { "topic": "Building / campus fate", "summary": "Padlocked; still closed years later", "sourceIds": [ "source-closure-0001365265", "pe-acquisition-0001365265" ] } ], "qualityAndLaborContext": [], "cmsOwnerRecords": [], "financialAndUtilizationSeries": [], "descriptiveTrends": [], "contradictions": [], "limitations": [ "This is a closure overlay dossier. Current property ownership and any future reuse require fresh source review before changing the marker." ], "importantLinks": [ { "label": "PESP — rural hospitals and private-equity ownership", "url": "https://pestakeholder.org/news/new-data-reveals-extent-of-pe-ownership-of-rural-hospitals/" } ], "directConnections": [], "systemConnections": [], "ownershipConnections": [], "unavailableFields": [ "Current hospital operator", "Current hospital CEO", "Current inpatient or emergency service status beyond closure source" ], "actions": [ "Open closure source: https://pestakeholder.org/news/new-data-reveals-extent-of-pe-ownership-of-rural-hospitals/" ] }