{ "schemaVersion": 4, "entityId": "0003028801", "canonicalName": "ASHEVILLE SPECIALTY HOSPITAL", "status": "closed", "statusLabel": "Closed / historical Mission Health facility", "summary": "ASHEVILLE SPECIALTY HOSPITAL has a completed North Carolina state-template dossier baseline with official identity, CMS enrollment/owner context when matched, CMS Care Compare point-in-time context when matched, HCRIS financial/utilization context when matched, and explicit limitations for missing fields. Unsupported ownership, compensation, labor, quality-trend, or causation claims are not inferred.", "lastReviewed": "2026-07-02", "review": { "reviewer": "Five-state state-template completion batch", "evidence_grade": "completed state-template official-source baseline", "confidence": "medium", "source_count": 19, "ownership_source_count": 7, "identity_match_method": "No CMS enrollment match in automated pass", "publication_decision": "Publish state-template completion fields while preserving explicit unavailable/searched-not-found limitations.", "batch_id": "state-template-complete-2026-07-02-001" }, "identifiers": { "ccn": "342017", "npi": null, "historicalCcns": [], "aliases": [ { "alias": "ASHEVILLE SPECIALTY HOSPITAL", "alias_type": "cms_legal_name", "source_id": "source-cms-hospital-enrollments" }, { "alias": "ASHEVILLE SPECIALTY HOSPITAL", "alias_type": "care_compare_or_facility_name", "source_id": "source-mission-health-contact-hospital-list" } ] }, "ownershipHistory": [ { "relationship_id": "rel-legal-owner-0003028801", "from_entity_id": "proprietary", "to_entity_id": "asheville-specialty-hospital", "relationship_type": "operates", "effective_date": "", "end_date": "", "announcement_date": "", "status": "current", "confidence": "medium", "source_ids": "source-nc-baseline-queue", "plain_english_summary": "PROPRIETARY is the best available legal-owner or enrolled-operator layer for ASHEVILLE SPECIALTY HOSPITAL.", "review_notes": "This legal-owner layer is separate from ultimate parent, public-company shareholders, and PE sponsor context." }, { "relationship_id": "rel-operator-0003028801", "from_entity_id": "hca-healthcare", "to_entity_id": "asheville-specialty-hospital", "relationship_type": "operates", "effective_date": "", "end_date": "", "announcement_date": "", "status": "current", "confidence": "medium", "source_ids": "source-nc-baseline-queue|source-sec-hca-proxy-2026|source-sec-hca-10k-2025", "plain_english_summary": "HCA Healthcare is shown as the operator or parent-system layer for this facility.", "review_notes": "" }, { "relationship_id": "rel-hca-healthcare-owns-0003028801", "from_entity_id": "hca-healthcare", "to_entity_id": "0003028801", "relationship_type": "formerly_owned_or_operated", "effective_date": "2019-02-01", "end_date": "2024", "announcement_date": "", "status": "historical_context", "confidence": "medium", "source_ids": "source-hca-mission-acquisition", "plain_english_summary": "ASHEVILLE SPECIALTY HOSPITAL is tied to HCA-owned Mission Health; this ownership layer is public-company ownership, not PE ownership.", "review_notes": "Displayed separately from any TeamHealth/Blackstone service-contract evidence." }, { "relationship_id": "rel-state-template-operator-0003028801", "from_entity_id": "hca", "to_entity_id": "0003028801", "relationship_type": "operates", "effective_date": "", "status": "current_context", "confidence": "low", "source_ids": "source-pehw-state-template-completion-2026-07-02", "plain_english_summary": "State-template baseline operator/owner context assembled from current hospital fields and matched official sources where available. This is not a new PE ownership claim.", "review_notes": "Used to keep the public dossier graph explicit while preserving limitations for unmatched source families." }, { "relationship_id": "rel-state-template-operator-0003028801", "from_entity_id": "hca", "to_entity_id": "0003028801", "relationship_type": "operates", "effective_date": "", "status": "current_context", "confidence": "low", "source_ids": "source-pehw-state-template-completion-2026-07-02", "plain_english_summary": "State-template baseline operator/owner context assembled from current hospital fields and matched official sources where available. This is not a new PE ownership claim.", "review_notes": "Used to keep the public dossier graph explicit while preserving limitations for unmatched source families." } ], "acquisitionEvents": [ { "date": "2019-02-01", "title": "HCA completes Mission Health purchase", "detail": "HCA announced completion of the Mission Health acquisition; CMS CHOW records align for the enrolled Mission/HCA branches where a CCN row is available.", "sourceIds": [ "source-hca-mission-acquisition" ] }, { "date": "2024-11-30", "title": "Asheville Specialty Hospital closure reported", "detail": "North Carolina Health News reported Mission Health would not reopen Asheville Specialty Hospital after 2024 disruption.", "sourceIds": [ "source-asheville-specialty-closure-nchn" ] } ], "financialAndUtilizationSeries": [ { "metric_id": "0003028801-net_patient_revenue-09-30-2023", "entity_id": "0003028801", "metric_name": "net_patient_revenue", "period_start": "10/01/2022", "period_end": "09/30/2023", "value": "12484445", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0003028801-net_patient_revenue-09-30-2022", "entity_id": "0003028801", "metric_name": "net_patient_revenue", "period_start": "10/01/2021", "period_end": "09/30/2022", "value": "14388655", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0003028801-net_patient_revenue-09-30-2021", "entity_id": "0003028801", "metric_name": "net_patient_revenue", "period_start": "10/01/2020", "period_end": "09/30/2021", "value": "14150182", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0003028801-net_patient_revenue-09-30-2020", "entity_id": "0003028801", "metric_name": "net_patient_revenue", "period_start": "10/01/2019", "period_end": "09/30/2020", "value": "14524502", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0003028801-operating_expense-09-30-2023", "entity_id": "0003028801", "metric_name": "operating_expense", "period_start": "10/01/2022", "period_end": "09/30/2023", "value": "18250498", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0003028801-operating_expense-09-30-2022", "entity_id": "0003028801", "metric_name": "operating_expense", "period_start": "10/01/2021", "period_end": "09/30/2022", "value": "19116647", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0003028801-operating_expense-09-30-2021", "entity_id": "0003028801", "metric_name": "operating_expense", "period_start": "10/01/2020", "period_end": "09/30/2021", "value": "15440178", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0003028801-operating_expense-09-30-2020", "entity_id": "0003028801", "metric_name": "operating_expense", "period_start": "10/01/2019", "period_end": "09/30/2020", "value": "14013508", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0003028801-net_income-09-30-2023", "entity_id": "0003028801", "metric_name": "net_income", "period_start": "10/01/2022", "period_end": "09/30/2023", "value": "-5765521", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0003028801-net_income-09-30-2022", "entity_id": "0003028801", "metric_name": "net_income", "period_start": "10/01/2021", "period_end": "09/30/2022", "value": "-4723781", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0003028801-net_income-09-30-2021", "entity_id": "0003028801", "metric_name": "net_income", "period_start": "10/01/2020", "period_end": "09/30/2021", "value": "-1580635", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0003028801-net_income-09-30-2020", "entity_id": "0003028801", "metric_name": "net_income", "period_start": "10/01/2019", "period_end": "09/30/2020", "value": "541672", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0003028801-total_assets-09-30-2023", "entity_id": "0003028801", "metric_name": "total_assets", "period_start": "10/01/2022", "period_end": "09/30/2023", "value": "2976436", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0003028801-total_assets-09-30-2022", "entity_id": "0003028801", "metric_name": "total_assets", "period_start": "10/01/2021", "period_end": "09/30/2022", "value": "4162816", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0003028801-total_assets-09-30-2021", "entity_id": "0003028801", "metric_name": "total_assets", "period_start": "10/01/2020", "period_end": "09/30/2021", "value": "4285315", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0003028801-total_assets-09-30-2020", "entity_id": "0003028801", "metric_name": "total_assets", "period_start": "10/01/2019", "period_end": "09/30/2020", "value": "4190790", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0003028801-total_liabilities-09-30-2023", "entity_id": "0003028801", "metric_name": "total_liabilities", "period_start": "10/01/2022", "period_end": "09/30/2023", "value": "13203051", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0003028801-total_liabilities-09-30-2022", "entity_id": "0003028801", "metric_name": "total_liabilities", "period_start": "10/01/2021", "period_end": "09/30/2022", "value": "9970409", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0003028801-total_liabilities-09-30-2021", "entity_id": "0003028801", "metric_name": "total_liabilities", "period_start": "10/01/2020", "period_end": "09/30/2021", "value": "5512603", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0003028801-total_liabilities-09-30-2020", "entity_id": "0003028801", "metric_name": "total_liabilities", "period_start": "10/01/2019", "period_end": "09/30/2020", "value": "4311345", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0003028801-fte_employees-09-30-2023", "entity_id": "0003028801", "metric_name": "fte_employees", "period_start": "10/01/2022", "period_end": "09/30/2023", "value": "89.16", "unit": "FTE", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0003028801-fte_employees-09-30-2022", "entity_id": "0003028801", "metric_name": "fte_employees", "period_start": "10/01/2021", "period_end": "09/30/2022", "value": "90.21", "unit": "FTE", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0003028801-fte_employees-09-30-2021", "entity_id": "0003028801", "metric_name": "fte_employees", "period_start": "10/01/2020", "period_end": "09/30/2021", "value": "92.3", "unit": "FTE", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0003028801-fte_employees-09-30-2020", "entity_id": "0003028801", "metric_name": "fte_employees", "period_start": "10/01/2019", "period_end": "09/30/2020", "value": "89.06", "unit": "FTE", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0003028801-beds-09-30-2023", "entity_id": "0003028801", "metric_name": "beds", "period_start": "10/01/2022", "period_end": "09/30/2023", "value": "34", "unit": "beds", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0003028801-beds-09-30-2022", "entity_id": "0003028801", "metric_name": "beds", "period_start": "10/01/2021", "period_end": "09/30/2022", "value": "34", "unit": "beds", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0003028801-beds-09-30-2021", "entity_id": "0003028801", "metric_name": "beds", "period_start": "10/01/2020", "period_end": "09/30/2021", "value": "34", "unit": "beds", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0003028801-beds-09-30-2020", "entity_id": "0003028801", "metric_name": "beds", "period_start": "10/01/2019", "period_end": "09/30/2020", "value": "34", "unit": "beds", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0003028801-patient_days-09-30-2023", "entity_id": "0003028801", "metric_name": "patient_days", "period_start": "10/01/2022", "period_end": "09/30/2023", "value": "8751", "unit": "days", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0003028801-patient_days-09-30-2022", "entity_id": "0003028801", "metric_name": "patient_days", "period_start": "10/01/2021", "period_end": "09/30/2022", "value": "9602", "unit": "days", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0003028801-patient_days-09-30-2021", "entity_id": "0003028801", "metric_name": "patient_days", "period_start": "10/01/2020", "period_end": "09/30/2021", "value": "8913", "unit": "days", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0003028801-patient_days-09-30-2020", "entity_id": "0003028801", "metric_name": "patient_days", "period_start": "10/01/2019", "period_end": "09/30/2020", "value": "8513", "unit": "days", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0003028801-discharges-09-30-2023", "entity_id": "0003028801", "metric_name": "discharges", "period_start": "10/01/2022", "period_end": "09/30/2023", "value": "305", "unit": "discharges", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0003028801-discharges-09-30-2022", "entity_id": "0003028801", "metric_name": "discharges", "period_start": "10/01/2021", "period_end": "09/30/2022", "value": "323", "unit": "discharges", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0003028801-discharges-09-30-2021", "entity_id": "0003028801", "metric_name": "discharges", "period_start": "10/01/2020", "period_end": "09/30/2021", "value": "296", "unit": "discharges", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0003028801-discharges-09-30-2020", "entity_id": "0003028801", "metric_name": "discharges", "period_start": "10/01/2019", "period_end": "09/30/2020", "value": "288", "unit": "discharges", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" } ], "cmsOwnerRecords": [], "directConnections": [ "mission-health", "hca-healthcare", "340002", "Legal/enrollment layer: PROPRIETARY.", "Operator layer: HCA Healthcare.", "Ultimate parent/controller context: HCA Healthcare, Inc..", "Shareholder/governance context: HCA is a public company. Its 2026 proxy identifies Frist-related holdings and Vanguard beneficial-owner context. Treat Vanguard and other public-market holders as institutional shareholder context, not hospital operators.", "Operator/owner context: HCA Healthcare." ], "actions": [ "Keep this branch connected to Mission Health while avoiding a PE warning absent supporting evidence.", "Recheck TeamHealth recruiting and hospital service-line pages in future reviews.", "Preserve HCA/Mission public-company ownership separately from Blackstone/TeamHealth service-contract evidence." ], "contradictions": [], "limitations": [ "No TeamHealth/Blackstone staffing-contract evidence was located for this branch in the reviewed sources.", "HCA/Mission ownership is public-company ownership and should not be classified as current PE ownership.", "No current CMS enrollment or CHOW row for Asheville Specialty Hospital was located in the local CMS cache used for this pass.", "No current CMS enrollment match was found by CCN or unique name/city/state match.", "No matching CMS Care Compare general-information row was found.", "This automated NC pass searched mandatory official/source systems and records missing items; it does not claim the entire internet was exhausted.", "This five-state template completion pass used official cached CMS/HIFLD/PESP/HCRIS sources and records missing items; it does not claim the entire internet was exhausted." ], "unavailableFields": [ "contract_document", "contract_start_date", "contract_terms", "NPI", "official CEO image URL", "current CMS overall rating", "source-backed local CEO/current leader", "facility-level CEO compensation amount" ], "sources": [ { "source_id": "source-cms-care-compare", "title": "Hospital General Information", "publisher": "Centers for Medicare and Medicaid Services", "publication_date": "2026", "retrieved_at": "2026-06-23", "url": "https://data.cms.gov/provider-data/dataset/xubh-q36u", "reliability_tier": "government", "research_note": "Facility identity and Care Compare attributes where a CCN match is available." }, { "source_id": "source-cms-hospital-all-owners", "title": "Hospital All Owners", "publisher": "Centers for Medicare and Medicaid Services", "publication_date": "2026", "retrieved_at": "2026-06-23", "url": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners", "reliability_tier": "government", "research_note": "CMS legal owner and control rows for enrolled Mission/HCA entities." }, { "source_id": "source-cms-hospital-chow", "title": "Hospital Change of Ownership", "publisher": "Centers for Medicare and Medicaid Services", "publication_date": "2026", "retrieved_at": "2026-06-23", "url": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-change-of-ownership", "reliability_tier": "government", "research_note": "CMS CHOW rows identify the 2019 ownership change for Mission/HCA legal entities." }, { "source_id": "source-cms-hospital-enrollments", "title": "Hospital Enrollments", "publisher": "Centers for Medicare and Medicaid Services", "publication_date": "2026", "retrieved_at": "2026-06-23", "url": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments", "reliability_tier": "government", "research_note": "CMS enrollment rows match Mission/HCA legal names to CCNs and NPIs." }, { "source_id": "source-hca-mission-acquisition", "title": "HCA Healthcare Completes Purchase of Mission Health", "publisher": "HCA Healthcare", "publication_date": "2019-02-01", "retrieved_at": "2026-06-23", "url": "https://investor.hcahealthcare.com/news/news-details/2019/HCA-Healthcare-Completes-Purchase-of-Mission-Health/default.aspx", "reliability_tier": "primary", "research_note": "HCA announced completion of the Mission Health acquisition." }, { "source_id": "source-mission-health-contact-hospital-list", "title": "Contact Us", "publisher": "Mission Health", "publication_date": "2026", "retrieved_at": "2026-06-23", "url": "https://www.missionhealth.org/contact-us", "reliability_tier": "primary", "research_note": "Mission Health lists hospitals and emergency departments in its Western North Carolina system." }, { "source_id": "source-mission-health-history-system-list", "title": "Our History", "publisher": "Mission Health", "publication_date": "2026", "retrieved_at": "2026-06-23", "url": "https://www.missionhealth.org/about-us/our-history", "reliability_tier": "primary", "research_note": "Mission Health lists community hospitals and locations in its system history page." }, { "source_id": "source-mission-health-locations", "title": "Locations", "publisher": "Mission Health", "publication_date": "2026", "retrieved_at": "2026-06-23", "url": "https://www.missionhealth.org/locations", "reliability_tier": "primary", "research_note": "Mission Health location directory corroborates the branch relationship." }, { "source_id": "source-pe-tracker-no-current-pe", "title": "Private Equity Hospital Tracker import snapshot", "publisher": "PE Stakeholder Project / repo import", "publication_date": "2026-04-03", "retrieved_at": "2026-06-23", "url": "research/imports/pe-hospital-tracker-2026-04-03.csv", "reliability_tier": "research", "research_note": "Imported tracker rows mark these Mission/HCA branches as not currently PE-owned." }, { "source_id": "source-asheville-specialty-closure-nchn", "title": "Asheville Specialty Hospital won't reopen", "publisher": "North Carolina Health News", "publication_date": "2024-11-30", "retrieved_at": "2026-06-23", "url": "https://www.northcarolinahealthnews.org/2024/11/30/mission-health-permanently-shutters-asheville-specialty-hospital/", "reliability_tier": "reporting", "research_note": "Reporting says Mission Health permanently closed Asheville Specialty Hospital in 2024 and reopened CarePartners after Helene-related disruption." }, { "source_id": "source-hifld-hospitals", "title": "Hospitals RAPT", "publisher": "Homeland Infrastructure Foundation-Level Data", "publication_date": "current public layer", "retrieved_at": "2026-07-02", "url": "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about", "reliability_tier": "government", "research_note": "Facility location and identity source; does not establish ownership or control.", "source_type": "public_record" }, { "source_id": "source-nc-baseline-queue", "title": "North Carolina baseline classification queue", "publisher": "PE Healthcare Watch", "publication_date": "2026-06-24", "retrieved_at": "2026-06-26", "url": "/data/releases/release-2026-06-24-nc-baseline.json", "reliability_tier": "research", "research_note": "Internal queue used to ensure every current NC map record receives a dossier package.", "source_type": "public_record" }, { "source_id": "source-nc-dhsr-hospital-license-data", "title": "North Carolina hospital license data", "publisher": "North Carolina Division of Health Service Regulation", "publication_date": "current public listing", "retrieved_at": "2026-06-26", "url": "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html", "reliability_tier": "government", "research_note": "State-level hospital licensing context for North Carolina facilities.", "source_type": "public_record" }, { "source_id": "source-cms-hcris", "title": "Hospital Provider Cost Reports", "publisher": "Centers for Medicare & Medicaid Services", "publication_date": "2015-2024 cached official files", "retrieved_at": "2026-07-02", "url": "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report", "reliability_tier": "government", "research_note": "Financial, staffing, and utilization values; descriptive only and not causal evidence.", "source_type": "public_record" }, { "source_id": "source-sec-hca-proxy-2026", "title": "HCA Healthcare 2026 proxy statement", "publisher": "Securities and Exchange Commission", "publication_date": "2026-03-13", "retrieved_at": "2026-06-26", "url": "https://www.sec.gov/Archives/edgar/data/860730/000119312526106142/d939252ddef14a.htm", "reliability_tier": "primary", "research_note": "Public-company governance and beneficial-owner context; passive shareholders are not hospital operators.", "source_type": "public_record" }, { "source_id": "source-sec-hca-10k-2025", "title": "HCA Healthcare 2025 Form 10-K", "publisher": "Securities and Exchange Commission", "publication_date": "2026-02-10", "retrieved_at": "2026-06-26", "url": "https://www.sec.gov/Archives/edgar/data/860730/000119312526044769/hca-20251231.htm", "reliability_tier": "primary", "research_note": "Corporate parent and public-company operating context for HCA Healthcare.", "source_type": "public_record" }, { "source_id": "source-hospital-universe-0003028801", "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": "source-pesp-hospital-tracker", "title": "Private Equity Hospital Tracker", "publisher": "Private Equity Stakeholder Project", "publication_date": "2026-04-03 snapshot", "retrieved_at": "2026-07-02", "url": "https://pestakeholder.org/private-equity-hospital-tracker/", "reliability_tier": "research", "research_note": "Discovery source for PE, contract, and transaction-signal follow-up; not enough by itself for direct control claims.", "source_type": "public_record" }, { "source_id": "source-pehw-state-template-completion-2026-07-02", "title": "PE Healthcare Watch five-state template completion batch", "publisher": "PE Healthcare Watch", "publication_date": "2026-07-02", "retrieved_at": "2026-07-02", "url": "/data/releases/release-2026-07-02-state-template-complete-001.json", "reliability_tier": "research", "research_note": "Internal public release marker for the five-state template completion. It documents scope and limitations; it is not independent ownership evidence.", "source_type": "public_record" } ], "systemConnections": [ { "systemName": "Mission Health", "relationship": "shared North Carolina system / branch family", "evidenceSourceIds": [ "source-nc-baseline-queue" ], "facilities": [ { "name": "ANGEL MEDICAL CENTER", "role": "connected NC facility", "city": "FRANKLIN", "state": "NC", "recordId": "341326", "note": "Connected by shared parent/operator/system field; status remains facility-specific." }, { "name": "ASHEVILLE SPECIALTY HOSPITAL", "role": "current record", "city": "ASHEVILLE", "state": "NC", "recordId": "0003028801", "note": "This facility is the center of the dossier." }, { "name": "BLUE RIDGE REGIONAL HOSPITAL", "role": "connected NC facility", "city": "SPRUCE PINE", "state": "NC", "recordId": "341329", "note": "Connected by shared parent/operator/system field; status remains facility-specific." }, { "name": "CAREPARTNERS REHABILITATION HOSPITAL", "role": "connected NC facility", "city": "ASHEVILLE", "state": "NC", "recordId": "0004028813", "note": "Connected by shared parent/operator/system field; status remains facility-specific." }, { "name": "CAREPARTNERS REHABILITATION HOSPITAL", "role": "connected NC facility", "city": "ASHEVILLE", "state": "NC", "recordId": "0196785506", "note": "Connected by shared parent/operator/system field; status remains facility-specific." }, { "name": "HIGHLANDS - CASHIERS HOSPITAL", "role": "connected NC facility", "city": "HIGHLANDS", "state": "NC", "recordId": "341316", "note": "Connected by shared parent/operator/system field; status remains facility-specific." }, { "name": "MISSION HOSPITAL", "role": "connected NC facility", "city": "ASHEVILLE", "state": "NC", "recordId": "340002", "note": "Connected by shared parent/operator/system field; status remains facility-specific." }, { "name": "MISSION HOSPITAL MCDOWELL", "role": "connected NC facility", "city": "MARION", "state": "NC", "recordId": "0010728752", "note": "Connected by shared parent/operator/system field; status remains facility-specific." }, { "name": "TRANSYLVANIA REGIONAL HOSPITAL", "role": "connected NC facility", "city": "BREVARD", "state": "NC", "recordId": "341319", "note": "Connected by shared parent/operator/system field; status remains facility-specific." } ] } ], "ownershipChain": { "model": "Facility legal owner, operator, parent company, ultimate controller, PE sponsor, and institutional shareholder context are separate evidence layers.", "confidence": "medium", "nodes": [ { "id": "proprietary", "label": "Proprietary", "kind": "organization", "evidence": "source-nc-baseline-queue" }, { "id": "asheville-specialty-hospital", "label": "ASHEVILLE SPECIALTY HOSPITAL", "kind": "hospital", "evidence": "source-nc-baseline-queue" }, { "id": "hca-healthcare", "label": "Hca Healthcare", "kind": "organization", "evidence": "source-nc-baseline-queue|source-sec-hca-proxy-2026|source-sec-hca-10k-2025" } ], "edges": [ { "id": "rel-legal-owner-0003028801", "from": "proprietary", "to": "asheville-specialty-hospital", "relationship": "operates", "confidence": "medium", "sourceIds": [ "source-nc-baseline-queue" ], "note": "PROPRIETARY is the best available legal-owner or enrolled-operator layer for ASHEVILLE SPECIALTY HOSPITAL." }, { "id": "rel-operator-0003028801", "from": "hca-healthcare", "to": "asheville-specialty-hospital", "relationship": "operates", "confidence": "medium", "sourceIds": [ "source-nc-baseline-queue", "source-sec-hca-proxy-2026", "source-sec-hca-10k-2025" ], "note": "HCA Healthcare is shown as the operator or parent-system layer for this facility." } ], "caveats": [ "Institutional shareholders such as Vanguard, BlackRock, and State Street are context nodes only; they are not hospital operators unless direct control evidence is found.", "CMS owner rows identify enrolled owner/control roles but may not name every ultimate financial sponsor.", "Sibling/system affiliation does not cause a facility to inherit another hospital’s red status." ] }, "descriptiveTrends": [ { "metric": "net_patient_revenue", "earliestPeriod": "09/30/2020", "latestPeriod": "09/30/2023", "earliestValue": 14524502, "latestValue": 12484445, "absoluteChange": -2040057, "percentChange": -14.045624421408734, "unit": "USD" }, { "metric": "operating_expense", "earliestPeriod": "09/30/2020", "latestPeriod": "09/30/2023", "earliestValue": 14013508, "latestValue": 18250498, "absoluteChange": 4236990, "percentChange": 30.23504178967893, "unit": "USD" }, { "metric": "net_income", "earliestPeriod": "09/30/2020", "latestPeriod": "09/30/2023", "earliestValue": 541672, "latestValue": -5765521, "absoluteChange": -6307193, "percentChange": -1164.3933967419398, "unit": "USD" }, { "metric": "total_assets", "earliestPeriod": "09/30/2020", "latestPeriod": "09/30/2023", "earliestValue": 4190790, "latestValue": 2976436, "absoluteChange": -1214354, "percentChange": -28.976732310614466, "unit": "USD" }, { "metric": "total_liabilities", "earliestPeriod": "09/30/2020", "latestPeriod": "09/30/2023", "earliestValue": 4311345, "latestValue": 13203051, "absoluteChange": 8891706, "percentChange": 206.23972333459744, "unit": "USD" }, { "metric": "fte_employees", "earliestPeriod": "09/30/2020", "latestPeriod": "09/30/2023", "earliestValue": 89.06, "latestValue": 89.16, "absoluteChange": 0.09999999999999432, "percentChange": 0.11228385358184854, "unit": "FTE" }, { "metric": "beds", "earliestPeriod": "09/30/2020", "latestPeriod": "09/30/2023", "earliestValue": 34, "latestValue": 34, "absoluteChange": 0, "percentChange": 0, "unit": "beds" }, { "metric": "patient_days", "earliestPeriod": "09/30/2020", "latestPeriod": "09/30/2023", "earliestValue": 8513, "latestValue": 8751, "absoluteChange": 238, "percentChange": 2.795724186538236, "unit": "days" }, { "metric": "discharges", "earliestPeriod": "09/30/2020", "latestPeriod": "09/30/2023", "earliestValue": 288, "latestValue": 305, "absoluteChange": 17, "percentChange": 5.902777777777778, "unit": "discharges" } ], "ownershipConnections": [ { "entityName": "PROPRIETARY", "entityKind": "Facility legal owner / enrollment layer", "relationship": "legal owner or enrolled operator", "classification": "Legal-owner layer", "evidenceSourceIds": [ "source-nc-baseline-queue" ], "note": "PROPRIETARY is shown separately from the parent system and ultimate financial/control context." }, { "entityName": "HCA Healthcare", "entityKind": "Public for-profit hospital company", "relationship": "corporate owner/operator", "classification": "Operator layer", "evidenceSourceIds": [ "source-nc-baseline-queue", "source-sec-hca-proxy-2026", "source-sec-hca-10k-2025" ], "note": "This connection identifies the operating or system layer used for the public map and dossier." }, { "entityName": "Institutional shareholders / governance context", "entityKind": "Shareholder or governance context", "relationship": "context only, not hospital operation", "classification": "Shareholder context", "evidenceSourceIds": [ "source-sec-hca-proxy-2026", "source-sec-hca-10k-2025" ], "note": "HCA is a public company. Its 2026 proxy identifies Frist-related holdings and Vanguard beneficial-owner context. Treat Vanguard and other public-market holders as institutional shareholder context, not hospital operators." }, { "entityName": "HCA Healthcare", "entityKind": "Public mega-corporation / hospital chain", "relationship": "owned or operated Mission Health facility before closure", "classification": "Corporate-chain backed", "evidenceSourceIds": [ "source-hca-mission-acquisition", "source-cms-hospital-all-owners", "source-cms-hospital-chow" ], "note": "HCA is the public-company corporate chain behind Mission Health. This layer is shown separately from private-equity or staffing-contract evidence." }, { "entityName": "Mission Health", "entityKind": "Regional health system / HCA division", "relationship": "historical system affiliation", "classification": "Mission Health system thread", "evidenceSourceIds": [ "source-mission-health-history-system-list", "source-mission-health-contact-hospital-list", "source-mission-health-locations" ], "note": "Mission Health ties the Asheville flagship, regional acute-care hospitals, CarePartners, Mission Children's, and Asheville Specialty into one HCA-owned family thread." }, { "entityName": "Asheville Specialty Hospital closure", "entityKind": "Closed facility context", "relationship": "reported permanent closure", "classification": "Closed HCA/Mission branch", "evidenceSourceIds": [ "source-asheville-specialty-closure-nchn" ], "note": "This row remains in the Mission Health thread as historical/closed context rather than a current operating branch." } ], "importantLinks": [ { "label": "Hospital General Information", "url": "https://data.cms.gov/provider-data/dataset/xubh-q36u", "sourceId": "source-cms-care-compare", "note": "Facility identity and Care Compare attributes where a CCN match is available." }, { "label": "Hospital All Owners", "url": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners", "sourceId": "source-cms-hospital-all-owners", "note": "CMS legal owner and control rows for enrolled Mission/HCA entities." }, { "label": "Hospital Change of Ownership", "url": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-change-of-ownership", "sourceId": "source-cms-hospital-chow", "note": "CMS CHOW rows identify the 2019 ownership change for Mission/HCA legal entities." }, { "label": "Hospital Enrollments", "url": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments", "sourceId": "source-cms-hospital-enrollments", "note": "CMS enrollment rows match Mission/HCA legal names to CCNs and NPIs." }, { "label": "HCA Healthcare Completes Purchase of Mission Health", "url": "https://investor.hcahealthcare.com/news/news-details/2019/HCA-Healthcare-Completes-Purchase-of-Mission-Health/default.aspx", "sourceId": "source-hca-mission-acquisition", "note": "HCA announced completion of the Mission Health acquisition." }, { "label": "Contact Us", "url": "https://www.missionhealth.org/contact-us", "sourceId": "source-mission-health-contact-hospital-list", "note": "Mission Health lists hospitals and emergency departments in its Western North Carolina system." }, { "label": "Our History", "url": "https://www.missionhealth.org/about-us/our-history", "sourceId": "source-mission-health-history-system-list", "note": "Mission Health lists community hospitals and locations in its system history page." }, { "label": "Locations", "url": "https://www.missionhealth.org/locations", "sourceId": "source-mission-health-locations", "note": "Mission Health location directory corroborates the branch relationship." }, { "label": "Asheville Specialty Hospital won't reopen", "url": "https://www.northcarolinahealthnews.org/2024/11/30/mission-health-permanently-shutters-asheville-specialty-hospital/", "sourceId": "source-asheville-specialty-closure-nchn", "note": "Reporting says Mission Health permanently closed Asheville Specialty Hospital in 2024 and reopened CarePartners after Helene-related disruption." }, { "label": "Hospitals RAPT", "url": "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about", "sourceId": "source-hifld-hospitals", "note": "Facility location and identity source; does not establish ownership or control." }, { "label": "North Carolina hospital license data", "url": "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html", "sourceId": "source-nc-dhsr-hospital-license-data", "note": "State-level hospital licensing context for North Carolina facilities." }, { "label": "Hospital Provider Cost Reports", "url": "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report", "sourceId": "source-cms-hcris", "note": "Financial, staffing, and utilization values; descriptive only and not causal evidence." }, { "label": "HCA Healthcare 2026 proxy statement", "url": "https://www.sec.gov/Archives/edgar/data/860730/000119312526106142/d939252ddef14a.htm", "sourceId": "source-sec-hca-proxy-2026", "note": "Public-company governance and beneficial-owner context; passive shareholders are not hospital operators." }, { "label": "HCA Healthcare 2025 Form 10-K", "url": "https://www.sec.gov/Archives/edgar/data/860730/000119312526044769/hca-20251231.htm", "sourceId": "source-sec-hca-10k-2025", "note": "Corporate parent and public-company operating context for HCA Healthcare." } ], "firstGlance": { "taxOwnershipType": "For-profit", "operator": "HCA Healthcare", "directPeOwnership": "Not documented as direct PE ownership in this state-template pass", "peRelationship": "No documented PE link in current baseline sources", "institutionalShareholderContext": "HCA is a public company. Its 2026 proxy identifies Frist-related holdings and Vanguard beneficial-owner context. Treat Vanguard and other public-market holders as institutional shareholder context, not hospital operators.", "populationServedEstimate": 0, "populationServedLabel": "Needs system/facility catchment estimate", "careLevel": "LONG TERM CARE", "currentCeo": "Samuel N. Hazen", "previousRelevantCeo": "Not identified in this automated NC pass", "confidence": "medium", "bottomLine": "ASHEVILLE SPECIALTY HOSPITAL is connected to HCA Healthcare. HCA is a public company. Its 2026 proxy identifies Frist-related holdings and Vanguard beneficial-owner context. Treat Vanguard and other public-market holders as institutional shareholder context, not hospital operators. Institutional shareholder names are context only and do not override facility-level ownership evidence." }, "communityImpact": { "populationServedEstimate": 0, "populationServedLabel": "Needs system/facility catchment estimate", "estimateMethod": "Not estimated in automated NC pass", "catchmentDescription": "ASHEVILLE, BUNCOMBE, North Carolina. Service role should be refined in manual follow-up.", "traumaCareLevel": "LONG TERM CARE", "publicFacingCaveat": "Community role is sourced from facility type and location until a deeper local-service review is completed." }, "qualityAndLaborContext": { "immediateJeopardy2026SourceStatus": "Not specifically identified in this automated NC pass", "noCausationClaim": true, "note": "No conservative CMS Care Compare match was captured for this facility in the state-template completion pass.", "sourceId": "", "cmsOverallRating": "not available", "emergencyServices": "not available", "hospitalType": "LONG TERM CARE", "careCompareOwnership": "not available" }, "leadership": [ { "name": "Samuel N. Hazen", "role": "HCA Healthcare Chief Executive Officer", "context": "Corporate-level HCA accountability context; local facility leadership should remain separate when a local source is available.", "imageUrl": "placeholder://official-image-unavailable", "imageAlt": "Samuel N. Hazen official image", "imageStatus": "official image unavailable in this automated NC pass", "sourceId": "source-sec-hca-proxy-2026", "compensation": "Corporate executive compensation is disclosed in the HCA 2026 proxy; local hospital CEO compensation was not identified.", "compensationSourceId": "source-sec-hca-proxy-2026" } ] }