{
  "schemaVersion": 3,
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  "canonicalName": "ADVENTHEALTH HEART OF FLORIDA",
  "status": "signal",
  "statusLabel": "Documented investment signal",
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  "lastReviewed": "2026-06-22",
  "review": {
    "reviewer": "Automated CMS/PESP reconciliation with editorial publication gate",
    "evidence_grade": "government-corroborated",
    "confidence": "medium",
    "source_count": 6,
    "ownership_source_count": 2,
    "identity_match_method": "CCN exact match",
    "publication_decision": "Meets the Phase 3 publication standard for its displayed status"
  },
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    "npi": "1801457510",
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      {
        "alias": "ADVENTHEALTH HEART OF FLORIDA",
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      "relationship_type": "venture_backing",
      "effective_date": "",
      "end_date": "",
      "announcement_date": "",
      "status": "signal",
      "confidence": "medium",
      "source_ids": "source-cms-hospital-all-owners|source-pesp-hospital-tracker",
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    },
    {
      "organization": "ALAN HENGESBACH",
      "role": "CONTRACTED MANAGING EMPLOYEE",
      "association_date": "01/02/2022",
      "percentage_ownership": "0",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "ALAN HENGESBACH",
      "role": "CORPORATE OFFICER",
      "association_date": "01/02/2022",
      "percentage_ownership": "0",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "ALAN HENGESBACH",
      "role": "OPERATIONAL/MANAGERIAL CONTROL",
      "association_date": "01/02/2022",
      "percentage_ownership": "0",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "AMANDA BRADY",
      "role": "CORPORATE OFFICER",
      "association_date": "04/07/2022",
      "percentage_ownership": "0",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "TONI BERRIOS",
      "role": "CORPORATE OFFICER",
      "association_date": "01/01/2023",
      "percentage_ownership": "0",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "DAVID BANKS",
      "role": "CORPORATE OFFICER",
      "association_date": "08/25/2022",
      "percentage_ownership": "0",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "JENNIFER WANDERSLEBEN",
      "role": "CORPORATE OFFICER",
      "association_date": "12/08/2022",
      "percentage_ownership": "0",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "JENNIFER WANDERSLEBEN",
      "role": "CORPORATE DIRECTOR",
      "association_date": "12/01/2021",
      "percentage_ownership": "0",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "HANEY VINCENT",
      "role": "CORPORATE OFFICER",
      "association_date": "12/09/2021",
      "percentage_ownership": "0",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "DAVID HUFFMAN",
      "role": "CORPORATE OFFICER",
      "association_date": "04/07/2022",
      "percentage_ownership": "0",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "ROBERT FOLTZ",
      "role": "CORPORATE OFFICER",
      "association_date": "04/07/2022",
      "percentage_ownership": "0",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "LYNN ADDISCOTT",
      "role": "CORPORATE OFFICER",
      "association_date": "04/07/2022",
      "percentage_ownership": "0",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "JANICE HAGENSICKER",
      "role": "CORPORATE DIRECTOR",
      "association_date": "01/01/2024",
      "percentage_ownership": "0",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "JAMES SANTANA",
      "role": "OPERATIONAL/MANAGERIAL CONTROL",
      "association_date": "08/01/2023",
      "percentage_ownership": "0",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    }
  ],
  "directConnections": [
    "Reported parent system or portfolio company: AdventHealth."
  ],
  "actions": [],
  "contradictions": [],
  "limitations": [
    "CMS corroborates an enrolled ownership chain, but its owner names do not independently reproduce every sponsor or portfolio-company name from the tracker.",
    "The investment signal does not establish completed private-equity ownership or a pending sale."
  ],
  "unavailableFields": [
    "Precise acquisition date"
  ],
  "sources": [
    {
      "source_id": "source-hifld-hospitals",
      "title": "Hospitals RAPT",
      "publisher": "Homeland Infrastructure Foundation-Level Data",
      "publication_date": "current public layer",
      "retrieved_at": "2026-06-22",
      "url": "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
      "reliability_tier": "government",
      "research_note": "Used for facility location and basic identity context; it does not establish private-equity ownership.",
      "source_type": "public_record"
    },
    {
      "source_id": "source-pesp-hospital-tracker",
      "title": "Private Equity Hospital Tracker",
      "publisher": "Private Equity Stakeholder Project",
      "publication_date": "2026-04-03 snapshot",
      "retrieved_at": "2026-06-22",
      "url": "https://pestakeholder.org/private-equity-hospital-tracker/",
      "reliability_tier": "research",
      "research_note": "Discovery and ownership-chain baseline. A red public status also requires independent corroboration in this dossier.",
      "source_type": "public_record"
    },
    {
      "source_id": "source-cms-hospital-enrollments",
      "title": "Hospital Enrollments",
      "publisher": "Centers for Medicare & Medicaid Services",
      "publication_date": "2026-05-01",
      "retrieved_at": "2026-06-22",
      "url": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
      "reliability_tier": "government",
      "research_note": "Used to corroborate current enrollment identity, legal name, DBA, CCN, NPI, and location.",
      "source_type": "public_record"
    },
    {
      "source_id": "source-cms-hospital-all-owners",
      "title": "Hospital All Owners",
      "publisher": "Centers for Medicare & Medicaid Services",
      "publication_date": "2026-05-01",
      "retrieved_at": "2026-06-22",
      "url": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "reliability_tier": "government",
      "research_note": "Used to corroborate direct or indirect ownership, control, holding-company, investment-firm, and security-interest records.",
      "source_type": "public_record"
    },
    {
      "source_id": "source-cms-hcris",
      "title": "Hospital Provider Cost Reports",
      "publisher": "Centers for Medicare & Medicaid Services",
      "publication_date": "2015–2024",
      "retrieved_at": "2026-06-22",
      "url": "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
      "reliability_tier": "government",
      "research_note": "Financial, staffing, and utilization values. These descriptive measures do not establish causation.",
      "source_type": "public_record"
    },
    {
      "source_id": "source-cms-care-compare",
      "title": "Hospital General Information",
      "publisher": "Centers for Medicare & Medicaid Services",
      "publication_date": "2026",
      "retrieved_at": "2026-06-22",
      "url": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "reliability_tier": "government",
      "research_note": "Used for current facility identity, hospital type, ownership category, and overall rating when available.",
      "source_type": "public_record"
    }
  ],
  "ownershipChain": {
    "model": "Sponsor, operator, CMS legal-owner/control records, and facility are shown as separate evidence layers.",
    "confidence": "medium",
    "nodes": [
      {
        "id": "facility:100137",
        "label": "ADVENTHEALTH HEART OF FLORIDA",
        "kind": "hospital",
        "evidence": "public facility record"
      },
      {
        "id": "organization:adventist-health-system-sunbelt-healthcare-corporation",
        "label": "ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION",
        "kind": "portfolio_company_or_operator",
        "evidence": "research tracker or primary organizational source"
      },
      {
        "id": "cms-owner:james-guth:0",
        "label": "JAMES GUTH",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:jason-dunkel:1",
        "label": "JASON DUNKEL",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:douglas-harcombe:2",
        "label": "DOUGLAS HARCOMBE",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:douglas-hilliard:3",
        "label": "DOUGLAS HILLIARD",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:shane-bedward:4",
        "label": "SHANE BEDWARD",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:jeffrey-graff:5",
        "label": "JEFFREY GRAFF",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:gregory-littleton:6",
        "label": "GREGORY LITTLETON",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:timothy-clark:7",
        "label": "TIMOTHY CLARK",
        "kind": "cms_owner_or_controller",
        "evidence": "CONTRACTED MANAGING EMPLOYEE"
      },
      {
        "id": "cms-owner:timothy-clark:8",
        "label": "TIMOTHY CLARK",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:timothy-clark:9",
        "label": "TIMOTHY CLARK",
        "kind": "cms_owner_or_controller",
        "evidence": "OPERATIONAL/MANAGERIAL CONTROL"
      },
      {
        "id": "cms-owner:michael-saunders:10",
        "label": "MICHAEL SAUNDERS",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:royce-brown:11",
        "label": "ROYCE BROWN",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:amy-bratten:12",
        "label": "AMY BRATTEN",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:adventist-health-system-sunbelt-healthcare-corporation:13",
        "label": "ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER DIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:james-nelson:14",
        "label": "JAMES NELSON",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:alan-hengesbach:15",
        "label": "ALAN HENGESBACH",
        "kind": "cms_owner_or_controller",
        "evidence": "CONTRACTED MANAGING EMPLOYEE"
      }
    ],
    "edges": [
      {
        "id": "organization:adventist-health-system-sunbelt-healthcare-corporation->facility:100137",
        "from": "organization:adventist-health-system-sunbelt-healthcare-corporation",
        "to": "facility:100137",
        "relationship": "reported ownership or operating chain",
        "confidence": "medium",
        "sourceIds": [
          "source-cms-hospital-all-owners",
          "source-pesp-hospital-tracker"
        ],
        "note": "The platform attribution comes from the research tracker and is displayed separately from CMS legal-owner rows."
      },
      {
        "id": "cms-owner:james-guth:0->facility:100137",
        "from": "cms-owner:james-guth:0",
        "to": "facility:100137",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · 0% reported ownership · associated 01/01/2024"
      },
      {
        "id": "cms-owner:jason-dunkel:1->facility:100137",
        "from": "cms-owner:jason-dunkel:1",
        "to": "facility:100137",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · 0% reported ownership · associated 01/01/2024"
      },
      {
        "id": "cms-owner:douglas-harcombe:2->facility:100137",
        "from": "cms-owner:douglas-harcombe:2",
        "to": "facility:100137",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · 0% reported ownership · associated 01/01/2024"
      },
      {
        "id": "cms-owner:douglas-hilliard:3->facility:100137",
        "from": "cms-owner:douglas-hilliard:3",
        "to": "facility:100137",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · 0% reported ownership · associated 01/01/2024"
      },
      {
        "id": "cms-owner:shane-bedward:4->facility:100137",
        "from": "cms-owner:shane-bedward:4",
        "to": "facility:100137",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · 0% reported ownership · associated 04/03/2025"
      },
      {
        "id": "cms-owner:jeffrey-graff:5->facility:100137",
        "from": "cms-owner:jeffrey-graff:5",
        "to": "facility:100137",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · 0% reported ownership · associated 04/07/2022"
      },
      {
        "id": "cms-owner:gregory-littleton:6->facility:100137",
        "from": "cms-owner:gregory-littleton:6",
        "to": "facility:100137",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · 0% reported ownership · associated 01/01/2024"
      },
      {
        "id": "cms-owner:timothy-clark:7->facility:100137",
        "from": "cms-owner:timothy-clark:7",
        "to": "facility:100137",
        "relationship": "is associated with",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CONTRACTED MANAGING EMPLOYEE · 0% reported ownership · associated 06/13/2022"
      },
      {
        "id": "cms-owner:timothy-clark:8->facility:100137",
        "from": "cms-owner:timothy-clark:8",
        "to": "facility:100137",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · 0% reported ownership · associated 06/13/2022"
      },
      {
        "id": "cms-owner:timothy-clark:9->facility:100137",
        "from": "cms-owner:timothy-clark:9",
        "to": "facility:100137",
        "relationship": "controls or manages",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "OPERATIONAL/MANAGERIAL CONTROL · 0% reported ownership · associated 06/13/2022"
      },
      {
        "id": "cms-owner:michael-saunders:10->facility:100137",
        "from": "cms-owner:michael-saunders:10",
        "to": "facility:100137",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · 0% reported ownership · associated 04/07/2022"
      },
      {
        "id": "cms-owner:royce-brown:11->facility:100137",
        "from": "cms-owner:royce-brown:11",
        "to": "facility:100137",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · 0% reported ownership · associated 12/12/2024"
      },
      {
        "id": "cms-owner:amy-bratten:12->facility:100137",
        "from": "cms-owner:amy-bratten:12",
        "to": "facility:100137",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · 0% reported ownership · associated 12/12/2024"
      },
      {
        "id": "cms-owner:adventist-health-system-sunbelt-healthcare-corporation:13->facility:100137",
        "from": "cms-owner:adventist-health-system-sunbelt-healthcare-corporation:13",
        "to": "facility:100137",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER DIRECT OWNERSHIP INTEREST · 100% reported ownership · associated 09/01/2019"
      },
      {
        "id": "cms-owner:james-nelson:14->facility:100137",
        "from": "cms-owner:james-nelson:14",
        "to": "facility:100137",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · 0% reported ownership · associated 09/17/2020"
      },
      {
        "id": "cms-owner:alan-hengesbach:15->facility:100137",
        "from": "cms-owner:alan-hengesbach:15",
        "to": "facility:100137",
        "relationship": "is associated with",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CONTRACTED MANAGING EMPLOYEE · 0% reported ownership · associated 01/02/2022"
      }
    ],
    "caveats": [
      "CMS owner rows establish enrolled legal ownership or control roles; they do not always name the ultimate financial sponsor."
    ]
  },
  "descriptiveTrends": [
    {
      "metric": "net_patient_revenue",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 251979420,
      "latestValue": 298857435,
      "absoluteChange": 46878015,
      "percentChange": 18.603906223770178,
      "unit": "USD"
    },
    {
      "metric": "operating_expense",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 224561152,
      "latestValue": 257267163,
      "absoluteChange": 32706011,
      "percentChange": 14.564411835578756,
      "unit": "USD"
    },
    {
      "metric": "net_income",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 17527030,
      "latestValue": 64704474,
      "absoluteChange": 47177444,
      "percentChange": 269.16964254639834,
      "unit": "USD"
    },
    {
      "metric": "total_assets",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 298936602,
      "latestValue": 392389918,
      "absoluteChange": 93453316,
      "percentChange": 31.261918204315442,
      "unit": "USD"
    },
    {
      "metric": "total_liabilities",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 63968387,
      "latestValue": 71620994,
      "absoluteChange": 7652607,
      "percentChange": 11.963107651909372,
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    },
    {
      "metric": "contract_labor_direct_patient_care",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 14511582,
      "latestValue": 1252119,
      "absoluteChange": -13259463,
      "percentChange": -91.37158856973691,
      "unit": "USD"
    },
    {
      "metric": "fte_employees",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 837.77,
      "latestValue": 916.87,
      "absoluteChange": 79.10000000000002,
      "percentChange": 9.441732217673112,
      "unit": "FTE"
    },
    {
      "metric": "beds",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 193,
      "latestValue": 202,
      "absoluteChange": 9,
      "percentChange": 4.66321243523316,
      "unit": "beds"
    },
    {
      "metric": "patient_days",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 44993,
      "latestValue": 44726,
      "absoluteChange": -267,
      "percentChange": -0.5934256439890649,
      "unit": "days"
    },
    {
      "metric": "discharges",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 8979,
      "latestValue": 9726,
      "absoluteChange": 747,
      "percentChange": 8.319411961242901,
      "unit": "discharges"
    }
  ]
}
