{
  "schemaVersion": 3,
  "entityId": "130066",
  "canonicalName": "NORTHWEST SPECIALTY HOSPITAL",
  "status": "confirmed_pe",
  "statusLabel": "CMS-corroborated PE ownership record",
  "summary": "NORTHWEST SPECIALTY HOSPITAL is listed in the April 3, 2026 PE hospital tracker and matches current CMS enrollment and owner records for NORTH IDAHO DAY SURGERY LLC. The dossier distinguishes the enrolled legal owner from the broader sponsor and portfolio-company chain.",
  "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"
  },
  "identifiers": {
    "ccn": "130066",
    "npi": "1104824739",
    "historicalCcns": [],
    "aliases": [
      {
        "alias": "NORTH IDAHO DAY SURGERY LLC",
        "alias_type": "cms_legal_name",
        "source_id": "source-cms-hospital-enrollments"
      },
      {
        "alias": "NORTHWEST SPECIALTY HOSPITAL",
        "alias_type": "cms_dba",
        "source_id": "source-cms-hospital-enrollments"
      }
    ]
  },
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    {
      "relationship_id": "rel-hammespartners-130066",
      "from_entity_id": "Hammes Partners",
      "to_entity_id": "130066",
      "relationship_type": "owns",
      "effective_date": "August 2022",
      "end_date": "",
      "announcement_date": "",
      "status": "confirmed",
      "confidence": "medium",
      "source_ids": "source-cms-hospital-all-owners|source-pesp-hospital-tracker",
      "plain_english_summary": "The tracker identifies Hammes Partners in the PE ownership chain, and CMS supplies current enrolled-owner records for the facility.",
      "review_notes": "CMS corroborates the current enrolled ownership chain; the sponsor attribution comes from the research tracker."
    }
  ],
  "acquisitionEvents": [
    {
      "date": "August 2022",
      "title": "Acquisition date reported",
      "detail": "Date supplied by the April 3, 2026 PE hospital tracker snapshot.",
      "sourceIds": [
        "source-pesp-hospital-tracker"
      ]
    }
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    },
    {
      "organization": "NSH NORTH IDAHO, LLC",
      "role": "5% OR GREATER DIRECT OWNERSHIP INTEREST",
      "association_date": "09/17/2020",
      "percentage_ownership": "57.9",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "MVH NWSH LLC",
      "role": "5% OR GREATER DIRECT OWNERSHIP INTEREST",
      "association_date": "09/17/2020",
      "percentage_ownership": "13.63",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "HARRISON BANE",
      "role": "OTHER",
      "association_date": "09/01/2024",
      "percentage_ownership": "0",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "SYMBION HOLDINGS LLC",
      "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST",
      "association_date": "05/26/2021",
      "percentage_ownership": "9.45",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "SMBI IDAHO LLC",
      "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST",
      "association_date": "05/26/2021",
      "percentage_ownership": "9.45",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "ROGER DUNTEMAN",
      "role": "5% OR GREATER DIRECT OWNERSHIP INTEREST",
      "association_date": "09/17/2020",
      "percentage_ownership": "7",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "SURGERY CENTER HOLDINGS LLC",
      "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST",
      "association_date": "09/17/2020",
      "percentage_ownership": "67.35",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    }
  ],
  "directConnections": [
    "Reported investment sponsor: Hammes Partners."
  ],
  "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."
  ],
  "unavailableFields": [
    "Official facility URL"
  ],
  "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:130066",
        "label": "NORTHWEST SPECIALTY HOSPITAL",
        "kind": "hospital",
        "evidence": "public facility record"
      },
      {
        "id": "organization:hammes-partners",
        "label": "Hammes Partners",
        "kind": "pe_sponsor",
        "evidence": "research tracker or primary portfolio source"
      },
      {
        "id": "organization:sp-management-services",
        "label": "SP Management Services",
        "kind": "portfolio_company_or_operator",
        "evidence": "research tracker or primary organizational source"
      },
      {
        "id": "cms-owner:sp-holdco-i-inc:0",
        "label": "SP HOLDCO I INC",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:national-surgical-hospitals-llc:1",
        "label": "NATIONAL SURGICAL HOSPITALS, LLC",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:sgry-holdings-lp:2",
        "label": "SGRY HOLDINGS, LP",
        "kind": "cms_holding_company",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:jennifer-baldock:3",
        "label": "JENNIFER BALDOCK",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:fmr-llc:4",
        "label": "FMR LLC",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:sp-management-services-inc:5",
        "label": "SP MANAGEMENT SERVICES INC",
        "kind": "cms_owner_or_controller",
        "evidence": "OPERATIONAL/MANAGERIAL CONTROL"
      },
      {
        "id": "cms-owner:bcpe-seminole-holdings-lp:6",
        "label": "BCPE SEMINOLE HOLDINGS, LP",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:sgry-llc:7",
        "label": "SGRY, LLC",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:rick-rasmussen:8",
        "label": "RICK RASMUSSEN",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:rick-rasmussen:9",
        "label": "RICK RASMUSSEN",
        "kind": "cms_owner_or_controller",
        "evidence": "W-2 MANAGING EMPLOYEE"
      },
      {
        "id": "cms-owner:surgery-partners-inc:10",
        "label": "SURGERY PARTNERS INC",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:mountain-view-hospital-llc:11",
        "label": "MOUNTAIN VIEW HOSPITAL LLC",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:surgery-center-holdings-inc:12",
        "label": "SURGERY CENTER HOLDINGS INC",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:nsh-north-idaho-llc:13",
        "label": "NSH NORTH IDAHO, LLC",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER DIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:mvh-nwsh-llc:14",
        "label": "MVH NWSH LLC",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER DIRECT OWNERSHIP INTEREST"
      }
    ],
    "edges": [
      {
        "id": "organization:hammes-partners->organization:sp-management-services",
        "from": "organization:hammes-partners",
        "to": "organization:sp-management-services",
        "relationship": "sponsors",
        "confidence": "medium",
        "sourceIds": [
          "source-cms-hospital-all-owners",
          "source-pesp-hospital-tracker"
        ],
        "note": "The tracker supplies the sponsor-to-platform attribution; CMS does not independently reproduce every sponsor name."
      },
      {
        "id": "organization:sp-management-services->facility:130066",
        "from": "organization:sp-management-services",
        "to": "facility:130066",
        "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:sp-holdco-i-inc:0->facility:130066",
        "from": "cms-owner:sp-holdco-i-inc:0",
        "to": "facility:130066",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 67.35% reported ownership · associated 05/16/2021"
      },
      {
        "id": "cms-owner:national-surgical-hospitals-llc:1->facility:130066",
        "from": "cms-owner:national-surgical-hospitals-llc:1",
        "to": "facility:130066",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 57.9% reported ownership · associated 05/16/2021"
      },
      {
        "id": "cms-owner:sgry-holdings-lp:2->facility:130066",
        "from": "cms-owner:sgry-holdings-lp:2",
        "to": "facility:130066",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 9.45% reported ownership · associated 05/26/2021"
      },
      {
        "id": "cms-owner:jennifer-baldock:3->facility:130066",
        "from": "cms-owner:jennifer-baldock:3",
        "to": "facility:130066",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · 0% reported ownership · associated 09/01/2017"
      },
      {
        "id": "cms-owner:fmr-llc:4->facility:130066",
        "from": "cms-owner:fmr-llc:4",
        "to": "facility:130066",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 8.89% reported ownership · associated 11/21/2022"
      },
      {
        "id": "cms-owner:sp-management-services-inc:5->facility:130066",
        "from": "cms-owner:sp-management-services-inc:5",
        "to": "facility:130066",
        "relationship": "controls or manages",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "OPERATIONAL/MANAGERIAL CONTROL · 100% reported ownership · associated 09/17/2020"
      },
      {
        "id": "cms-owner:bcpe-seminole-holdings-lp:6->facility:130066",
        "from": "cms-owner:bcpe-seminole-holdings-lp:6",
        "to": "facility:130066",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 20.21% reported ownership · associated 05/16/2021"
      },
      {
        "id": "cms-owner:sgry-llc:7->facility:130066",
        "from": "cms-owner:sgry-llc:7",
        "to": "facility:130066",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 9.45% reported ownership · associated 05/26/2021"
      },
      {
        "id": "cms-owner:rick-rasmussen:8->facility:130066",
        "from": "cms-owner:rick-rasmussen:8",
        "to": "facility:130066",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 07/01/2012"
      },
      {
        "id": "cms-owner:rick-rasmussen:9->facility:130066",
        "from": "cms-owner:rick-rasmussen:9",
        "to": "facility:130066",
        "relationship": "is associated with",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "W-2 MANAGING EMPLOYEE · associated 07/01/2012"
      },
      {
        "id": "cms-owner:surgery-partners-inc:10->facility:130066",
        "from": "cms-owner:surgery-partners-inc:10",
        "to": "facility:130066",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 67.35% reported ownership · associated 09/17/2020"
      },
      {
        "id": "cms-owner:mountain-view-hospital-llc:11->facility:130066",
        "from": "cms-owner:mountain-view-hospital-llc:11",
        "to": "facility:130066",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 13.63% reported ownership · associated 09/17/2020"
      },
      {
        "id": "cms-owner:surgery-center-holdings-inc:12->facility:130066",
        "from": "cms-owner:surgery-center-holdings-inc:12",
        "to": "facility:130066",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 67.35% reported ownership · associated 09/17/2020"
      },
      {
        "id": "cms-owner:nsh-north-idaho-llc:13->facility:130066",
        "from": "cms-owner:nsh-north-idaho-llc:13",
        "to": "facility:130066",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER DIRECT OWNERSHIP INTEREST · 57.9% reported ownership · associated 09/17/2020"
      },
      {
        "id": "cms-owner:mvh-nwsh-llc:14->facility:130066",
        "from": "cms-owner:mvh-nwsh-llc:14",
        "to": "facility:130066",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER DIRECT OWNERSHIP INTEREST · 13.63% reported ownership · associated 09/17/2020"
      }
    ],
    "caveats": [
      "CMS owner rows establish enrolled legal ownership or control roles; they do not always name the ultimate financial sponsor.",
      "Sponsor and portfolio-company labels come from the cited tracker or primary portfolio evidence."
    ]
  },
  "descriptiveTrends": [
    {
      "metric": "net_patient_revenue",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "12/31/2023",
      "earliestValue": 108295736,
      "latestValue": 143437312,
      "absoluteChange": 35141576,
      "percentChange": 32.44963956844986,
      "unit": "USD"
    },
    {
      "metric": "operating_expense",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "12/31/2023",
      "earliestValue": 100023555,
      "latestValue": 139552007,
      "absoluteChange": 39528452,
      "percentChange": 39.51914326580374,
      "unit": "USD"
    },
    {
      "metric": "net_income",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "12/31/2023",
      "earliestValue": 9459086,
      "latestValue": 5311356,
      "absoluteChange": -4147730,
      "percentChange": -43.84916259351062,
      "unit": "USD"
    },
    {
      "metric": "total_assets",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "12/31/2023",
      "earliestValue": 51577765,
      "latestValue": 118228935,
      "absoluteChange": 66651170,
      "percentChange": 129.22461839903298,
      "unit": "USD"
    },
    {
      "metric": "total_liabilities",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "12/31/2023",
      "earliestValue": 46978754,
      "latestValue": 114478767,
      "absoluteChange": 67500013,
      "percentChange": 143.68199931398777,
      "unit": "USD"
    },
    {
      "metric": "contract_labor_direct_patient_care",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "12/31/2023",
      "earliestValue": 625932,
      "latestValue": 1089673,
      "absoluteChange": 463741,
      "percentChange": 74.08807985531975,
      "unit": "USD"
    },
    {
      "metric": "fte_employees",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "12/31/2023",
      "earliestValue": 441.66,
      "latestValue": 581,
      "absoluteChange": 139.33999999999997,
      "percentChange": 31.549155458950317,
      "unit": "FTE"
    },
    {
      "metric": "beds",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "12/31/2023",
      "earliestValue": 32,
      "latestValue": 31,
      "absoluteChange": -1,
      "percentChange": -3.125,
      "unit": "beds"
    },
    {
      "metric": "patient_days",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "12/31/2023",
      "earliestValue": 2521,
      "latestValue": 1924,
      "absoluteChange": -597,
      "percentChange": -23.68107893692979,
      "unit": "days"
    },
    {
      "metric": "discharges",
      "earliestPeriod": "12/31/2021",
      "latestPeriod": "12/31/2023",
      "earliestValue": 1118,
      "latestValue": 969,
      "absoluteChange": -149,
      "percentChange": -13.327370304114492,
      "unit": "discharges"
    }
  ]
}
