{ "schemaVersion": 4, "entityId": "340023", "canonicalName": "ADVENTHEALTH HENDERSONVILLE", "status": "corporate_chain", "statusLabel": "Corporate-chain ownership/accountability warning", "summary": "ADVENTHEALTH HENDERSONVILLE 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": 8, "ownership_source_count": 15, "identity_match_method": "CMS enrollment match used where available", "publication_decision": "Publish state-template completion fields while preserving explicit unavailable/searched-not-found limitations.", "batch_id": "state-template-complete-2026-07-02-001" }, "firstGlance": { "taxOwnershipType": "Nonprofit", "operator": "AdventHealth", "directPeOwnership": "Not documented as direct PE ownership in this state-template pass", "peRelationship": "No documented PE link in current baseline sources", "institutionalShareholderContext": "No public-company shareholder layer found; use legal owner, parent-system, and governance context instead.", "populationServedEstimate": 0, "populationServedLabel": "Needs system/facility catchment estimate", "careLevel": "Acute Care Hospitals", "currentCeo": "Needs source-backed local leader research", "previousRelevantCeo": "Not identified in this automated NC pass", "confidence": "medium", "bottomLine": "ADVENTHEALTH HENDERSONVILLE is connected to AdventHealth. No public-company shareholder layer was found in this pass. 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": "HENDERSONVILLE, HENDERSON, North Carolina. Service role should be refined in manual follow-up.", "traumaCareLevel": "Acute Care Hospitals", "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": "CMS Care Compare point-in-time identity/rating context captured for the state template. This is not a quality trend or ownership-causation claim.", "sourceId": "source-cms-care-compare", "cmsOverallRating": "5", "emergencyServices": "Yes", "hospitalType": "Acute Care Hospitals", "careCompareOwnership": "Voluntary non-profit - Private" }, "leadership": [], "identifiers": { "ccn": "340023", "npi": "1427075027", "historicalCcns": [], "aliases": [ { "alias": "FLETCHER HOSPITAL INC", "alias_type": "cms_legal_name", "source_id": "source-cms-hospital-enrollments" }, { "alias": "ADVENTHEALTH HENDERSONVILLE", "alias_type": "cms_dba", "source_id": "source-cms-hospital-enrollments" }, { "alias": "ADVENTHEALTH HENDERSONVILLE", "alias_type": "cms_care_compare_name", "source_id": "source-cms-care-compare" } ] }, "ownershipHistory": [ { "relationship_id": "rel-legal-owner-340023", "from_entity_id": "fletcher-hospital-inc", "to_entity_id": "adventhealth-hendersonville", "relationship_type": "controls", "effective_date": "", "end_date": "", "announcement_date": "", "status": "current", "confidence": "high", "source_ids": "source-cms-hospital-enrollments|source-cms-hospital-all-owners|source-nc-baseline-queue", "plain_english_summary": "FLETCHER HOSPITAL INC is the best available legal-owner or enrolled-operator layer for ADVENTHEALTH HENDERSONVILLE.", "review_notes": "This legal-owner layer is separate from ultimate parent, public-company shareholders, and PE sponsor context." }, { "relationship_id": "rel-operator-340023", "from_entity_id": "adventhealth", "to_entity_id": "adventhealth-hendersonville", "relationship_type": "operates", "effective_date": "", "end_date": "", "announcement_date": "", "status": "current", "confidence": "medium", "source_ids": "source-nc-baseline-queue", "plain_english_summary": "AdventHealth is shown as the operator or parent-system layer for this facility.", "review_notes": "" }, { "relationship_id": "rel-cms-owner-340023", "from_entity_id": "adventhealth", "to_entity_id": "340023", "relationship_type": "cms_owner_context", "effective_date": "08/22/2024", "status": "current_context", "confidence": "medium", "source_ids": "source-cms-hospital-all-owners", "plain_english_summary": "CMS Hospital All Owners rows are attached as current owner/control context. They do not by themselves prove private-equity sponsorship unless the row says so or another cited source supports it.", "review_notes": "" }, { "relationship_id": "rel-state-template-operator-340023", "from_entity_id": "adventhealth", "to_entity_id": "340023", "relationship_type": "operates", "effective_date": "", "status": "current_context", "confidence": "medium", "source_ids": "source-pehw-state-template-completion-2026-07-02|source-cms-hospital-enrollments|source-cms-hospital-all-owners|source-cms-care-compare", "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-cms-owner-340023", "from_entity_id": "adventhealth", "to_entity_id": "340023", "relationship_type": "cms_owner_context", "effective_date": "08/22/2024", "status": "current_context", "confidence": "medium", "source_ids": "source-cms-hospital-all-owners", "plain_english_summary": "CMS Hospital All Owners rows are attached as current owner/control context. They do not by themselves prove private-equity sponsorship unless the row says so or another cited source supports it.", "review_notes": "" }, { "relationship_id": "rel-state-template-operator-340023", "from_entity_id": "adventhealth", "to_entity_id": "340023", "relationship_type": "operates", "effective_date": "", "status": "current_context", "confidence": "medium", "source_ids": "source-pehw-state-template-completion-2026-07-02|source-cms-hospital-enrollments|source-cms-hospital-all-owners|source-cms-care-compare", "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-cms-owner-340023", "from_entity_id": "adventhealth", "to_entity_id": "340023", "relationship_type": "cms_owner_context", "effective_date": "08/22/2024", "status": "current_context", "confidence": "medium", "source_ids": "source-cms-hospital-all-owners", "plain_english_summary": "CMS Hospital All Owners rows are attached as current owner/control context. They do not by themselves prove private-equity sponsorship unless the row says so or another cited source supports it.", "review_notes": "" } ], "acquisitionEvents": [], "financialAndUtilizationSeries": [ { "metric_id": "340023-net_patient_revenue-12-31-2023", "entity_id": "340023", "metric_name": "net_patient_revenue", "period_start": "01/01/2023", "period_end": "12/31/2023", "value": "276529730", "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": "340023-net_patient_revenue-12-31-2022", "entity_id": "340023", "metric_name": "net_patient_revenue", "period_start": "01/01/2022", "period_end": "12/31/2022", "value": "227141926", "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": "340023-net_patient_revenue-12-31-2021", "entity_id": "340023", "metric_name": "net_patient_revenue", "period_start": "01/01/2021", "period_end": "12/31/2021", "value": "233674305", "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": "340023-net_patient_revenue-12-31-2020", "entity_id": "340023", "metric_name": "net_patient_revenue", "period_start": "01/01/2020", "period_end": "12/31/2020", "value": "197905227", "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": "340023-operating_expense-12-31-2023", "entity_id": "340023", "metric_name": "operating_expense", "period_start": "01/01/2023", "period_end": "12/31/2023", "value": "265483857", "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": "340023-operating_expense-12-31-2022", "entity_id": "340023", "metric_name": "operating_expense", "period_start": "01/01/2022", "period_end": "12/31/2022", "value": "236510693", "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": "340023-operating_expense-12-31-2021", "entity_id": "340023", "metric_name": "operating_expense", "period_start": "01/01/2021", "period_end": "12/31/2021", "value": "236583326", "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": "340023-operating_expense-12-31-2020", "entity_id": "340023", "metric_name": "operating_expense", "period_start": "01/01/2020", "period_end": "12/31/2020", "value": "209376651", "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": "340023-net_income-12-31-2023", "entity_id": "340023", "metric_name": "net_income", "period_start": "01/01/2023", "period_end": "12/31/2023", "value": "32179262", "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": "340023-net_income-12-31-2022", "entity_id": "340023", "metric_name": "net_income", "period_start": "01/01/2022", "period_end": "12/31/2022", "value": "-26277693", "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": "340023-net_income-12-31-2021", "entity_id": "340023", "metric_name": "net_income", "period_start": "01/01/2021", "period_end": "12/31/2021", "value": "25313408", "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": "340023-net_income-12-31-2020", "entity_id": "340023", "metric_name": "net_income", "period_start": "01/01/2020", "period_end": "12/31/2020", "value": "16735036", "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": "340023-total_assets-12-31-2023", "entity_id": "340023", "metric_name": "total_assets", "period_start": "01/01/2023", "period_end": "12/31/2023", "value": "281887393", "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": "340023-total_assets-12-31-2022", "entity_id": "340023", "metric_name": "total_assets", "period_start": "01/01/2022", "period_end": "12/31/2022", "value": "251870726", "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": "340023-total_assets-12-31-2021", "entity_id": "340023", "metric_name": "total_assets", "period_start": "01/01/2021", "period_end": "12/31/2021", "value": "309247462", "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": "340023-total_assets-12-31-2020", "entity_id": "340023", "metric_name": "total_assets", "period_start": "01/01/2020", "period_end": "12/31/2020", "value": "273620804", "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": "340023-total_liabilities-12-31-2023", "entity_id": "340023", "metric_name": "total_liabilities", "period_start": "01/01/2023", "period_end": "12/31/2023", "value": "61646708", "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": "340023-total_liabilities-12-31-2022", "entity_id": "340023", "metric_name": "total_liabilities", "period_start": "01/01/2022", "period_end": "12/31/2022", "value": "60841957", "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": "340023-total_liabilities-12-31-2021", "entity_id": "340023", "metric_name": "total_liabilities", "period_start": "01/01/2021", "period_end": "12/31/2021", "value": "88958979", "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": "340023-total_liabilities-12-31-2020", "entity_id": "340023", "metric_name": "total_liabilities", "period_start": "01/01/2020", "period_end": "12/31/2020", "value": "87017786", "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": "340023-contract_labor_direct_patient_care-12-31-2023", "entity_id": "340023", "metric_name": "contract_labor_direct_patient_care", "period_start": "01/01/2023", "period_end": "12/31/2023", "value": "12113942", "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": "340023-contract_labor_direct_patient_care-12-31-2022", "entity_id": "340023", "metric_name": "contract_labor_direct_patient_care", "period_start": "01/01/2022", "period_end": "12/31/2022", "value": "14001367", "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": "340023-contract_labor_direct_patient_care-12-31-2021", "entity_id": "340023", "metric_name": "contract_labor_direct_patient_care", "period_start": "01/01/2021", "period_end": "12/31/2021", "value": "10925518", "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": "340023-contract_labor_direct_patient_care-12-31-2020", "entity_id": "340023", "metric_name": "contract_labor_direct_patient_care", "period_start": "01/01/2020", "period_end": "12/31/2020", "value": "6792776", "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": "340023-fte_employees-12-31-2023", "entity_id": "340023", "metric_name": "fte_employees", "period_start": "01/01/2023", "period_end": "12/31/2023", "value": "1115.72", "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": "340023-fte_employees-12-31-2022", "entity_id": "340023", "metric_name": "fte_employees", "period_start": "01/01/2022", "period_end": "12/31/2022", "value": "970.72", "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": "340023-fte_employees-12-31-2021", "entity_id": "340023", "metric_name": "fte_employees", "period_start": "01/01/2021", "period_end": "12/31/2021", "value": "935.5", "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": "340023-fte_employees-12-31-2020", "entity_id": "340023", "metric_name": "fte_employees", "period_start": "01/01/2020", "period_end": "12/31/2020", "value": "958.74", "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": "340023-beds-12-31-2023", "entity_id": "340023", "metric_name": "beds", "period_start": "01/01/2023", "period_end": "12/31/2023", "value": "98", "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": "340023-beds-12-31-2022", "entity_id": "340023", "metric_name": "beds", "period_start": "01/01/2022", "period_end": "12/31/2022", "value": "73", "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": "340023-beds-12-31-2021", "entity_id": "340023", "metric_name": "beds", "period_start": "01/01/2021", "period_end": "12/31/2021", "value": "73", "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": "340023-beds-12-31-2020", "entity_id": "340023", "metric_name": "beds", "period_start": "01/01/2020", "period_end": "12/31/2020", "value": "73", "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": "340023-patient_days-12-31-2023", "entity_id": "340023", "metric_name": "patient_days", "period_start": "01/01/2023", "period_end": "12/31/2023", "value": "19984", "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": "340023-patient_days-12-31-2022", "entity_id": "340023", "metric_name": "patient_days", "period_start": "01/01/2022", "period_end": "12/31/2022", "value": "19529", "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": "340023-patient_days-12-31-2021", "entity_id": "340023", "metric_name": "patient_days", "period_start": "01/01/2021", "period_end": "12/31/2021", "value": "17102", "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": "340023-patient_days-12-31-2020", "entity_id": "340023", "metric_name": "patient_days", "period_start": "01/01/2020", "period_end": "12/31/2020", "value": "12614", "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": "340023-discharges-12-31-2023", "entity_id": "340023", "metric_name": "discharges", "period_start": "01/01/2023", "period_end": "12/31/2023", "value": "4462", "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": "340023-discharges-12-31-2022", "entity_id": "340023", "metric_name": "discharges", "period_start": "01/01/2022", "period_end": "12/31/2022", "value": "4132", "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": "340023-discharges-12-31-2021", "entity_id": "340023", "metric_name": "discharges", "period_start": "01/01/2021", "period_end": "12/31/2021", "value": "3734", "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": "340023-discharges-12-31-2020", "entity_id": "340023", "metric_name": "discharges", "period_start": "01/01/2020", "period_end": "12/31/2020", "value": "3198", "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": [ { "organization": "SHERRI HOLBERT", "role": "CORPORATE DIRECTOR", "association_date": "08/22/2024", "percentage_ownership": "0", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "FAIR NABERS WAGGONER", "role": "CORPORATE DIRECTOR", "association_date": "08/24/2023", "percentage_ownership": "0", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "ALAN GUYTON, JR", "role": "CORPORATE DIRECTOR", "association_date": "06/04/2020", "percentage_ownership": "0", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "JEFFREY GRAFF", "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": "STEVEN BURROUGHS", "role": "CONTRACTED MANAGING EMPLOYEE", "association_date": "03/13/2023", "percentage_ownership": "0", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "STEVEN BURROUGHS", "role": "CORPORATE OFFICER", "association_date": "03/13/2023", "percentage_ownership": "0", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "STEVEN BURROUGHS", "role": "OPERATIONAL/MANAGERIAL CONTROL", "association_date": "03/13/2023", "percentage_ownership": "0", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "DIANE GODFREY", "role": "CORPORATE OFFICER", "association_date": "12/11/2025", "percentage_ownership": "0", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "JEFFREY GARRIS", "role": "CORPORATE DIRECTOR", "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": "LEWIS SOMMERVILLE", "role": "CORPORATE DIRECTOR", "association_date": "11/15/2023", "percentage_ownership": "0", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "TRISTAN HAMILTON", "role": "CORPORATE DIRECTOR", "association_date": "02/09/2022", "percentage_ownership": "0", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "MICHAEL SAUNDERS", "role": "CORPORATE OFFICER", "association_date": "02/26/2007", "percentage_ownership": "0", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "LESLIE LOUIS", "role": "CORPORATE DIRECTOR", "association_date": "03/01/2012", "percentage_ownership": "0", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "AUDREY GREGORY", "role": "CORPORATE OFFICER", "association_date": "08/21/2025", "percentage_ownership": "0", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "AUDREY GREGORY", "role": "CORPORATE DIRECTOR", "association_date": "08/21/2025", "percentage_ownership": "0", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "MICHAEL THOMPSON", "role": "CORPORATE OFFICER", "association_date": "01/29/2023", "percentage_ownership": "0", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "MICHAEL THOMPSON", "role": "CORPORATE DIRECTOR", "association_date": "01/29/2023", "percentage_ownership": "0", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "PAUL RATHBUN", "role": "CORPORATE OFFICER", "association_date": "09/11/2014", "percentage_ownership": "0", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION", "role": "5% OR GREATER DIRECT OWNERSHIP INTEREST", "association_date": "10/01/2021", "percentage_ownership": "100", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "DANIEL TRYON", "role": "CONTRACTED MANAGING EMPLOYEE", "association_date": "09/22/2025", "percentage_ownership": "0", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "DANIEL TRYON", "role": "CORPORATE OFFICER", "association_date": "09/22/2025", "percentage_ownership": "0", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "DANIEL TRYON", "role": "CORPORATE DIRECTOR", "association_date": "09/22/2025", "percentage_ownership": "0", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "DANIEL TRYON", "role": "OPERATIONAL/MANAGERIAL CONTROL", "association_date": "09/22/2025", "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": "02/27/2020", "percentage_ownership": "0", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "JEFFREY COSTON", "role": "CORPORATE DIRECTOR", "association_date": "06/07/2018", "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": "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": "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": "02/27/2020", "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": "06/04/2020", "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": "01/01/2006", "percentage_ownership": "0", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "LOWELL STEWART GRIFFIN", "role": "CORPORATE DIRECTOR", "association_date": "08/24/2023", "percentage_ownership": "0", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "PRESTON BLAKELY", "role": "CORPORATE DIRECTOR", "association_date": "08/22/2024", "percentage_ownership": "0", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "BEVERLY MORGAN", "role": "CORPORATE OFFICER", "association_date": "08/21/2025", "percentage_ownership": "0", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false } ], "ownershipChain": { "model": "Facility legal owner, operator, parent company, ultimate controller, PE sponsor, and institutional shareholder context are separate evidence layers.", "confidence": "medium", "nodes": [ { "id": "fletcher-hospital-inc", "label": "Fletcher Hospital Inc", "kind": "organization", "evidence": "source-cms-hospital-enrollments|source-cms-hospital-all-owners|source-nc-baseline-queue" }, { "id": "adventhealth-hendersonville", "label": "ADVENTHEALTH HENDERSONVILLE", "kind": "hospital", "evidence": "source-cms-hospital-enrollments|source-cms-hospital-all-owners|source-nc-baseline-queue" }, { "id": "adventhealth", "label": "Adventhealth", "kind": "organization", "evidence": "source-nc-baseline-queue" } ], "edges": [ { "id": "rel-legal-owner-340023", "from": "fletcher-hospital-inc", "to": "adventhealth-hendersonville", "relationship": "controls", "confidence": "high", "sourceIds": [ "source-cms-hospital-enrollments", "source-cms-hospital-all-owners", "source-nc-baseline-queue" ], "note": "FLETCHER HOSPITAL INC is the best available legal-owner or enrolled-operator layer for ADVENTHEALTH HENDERSONVILLE." }, { "id": "rel-operator-340023", "from": "adventhealth", "to": "adventhealth-hendersonville", "relationship": "operates", "confidence": "medium", "sourceIds": [ "source-nc-baseline-queue" ], "note": "AdventHealth 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." ] }, "ownershipConnections": [ { "entityName": "FLETCHER HOSPITAL INC", "entityKind": "Facility legal owner / enrollment layer", "relationship": "legal owner or enrolled operator", "classification": "Legal-owner layer", "evidenceSourceIds": [ "source-cms-hospital-enrollments", "source-cms-hospital-all-owners", "source-nc-baseline-queue" ], "note": "FLETCHER HOSPITAL INC is shown separately from the parent system and ultimate financial/control context." }, { "entityName": "AdventHealth", "entityKind": "Hospital operator or parent system", "relationship": "operator / parent-system context", "classification": "Operator layer", "evidenceSourceIds": [ "source-nc-baseline-queue" ], "note": "This connection identifies the operating or system layer used for the public map and dossier." } ], "importantLinks": [ { "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 Enrollments", "url": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments", "sourceId": "source-cms-hospital-enrollments", "note": "Used for legal name, DBA, CCN, NPI, enrollment identity, and location matching." }, { "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": "Used for current CMS owner, officer, managerial, holding-company, investment-firm, and security-interest rows." }, { "label": "Hospital General Information", "url": "https://data.cms.gov/provider-data/dataset/xubh-q36u", "sourceId": "source-cms-care-compare", "note": "Facility type, ownership category, emergency services, and overall rating context." }, { "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." } ], "systemConnections": [], "directConnections": [ "Legal/enrollment layer: FLETCHER HOSPITAL INC.", "Operator layer: AdventHealth.", "Ultimate parent/controller context: AdventHealth.", "Operator/owner context: AdventHealth.", "CMS Care Compare ownership category: Voluntary non-profit - Private." ], "actions": [], "contradictions": [], "limitations": [ "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": [ "source-backed CEO/current leader", "source-backed local CEO/current leader", "official CEO image URL", "facility-level CEO compensation amount" ], "sources": [ { "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-hospital-enrollments", "title": "Hospital Enrollments", "publisher": "Centers for Medicare & Medicaid Services", "publication_date": "current cached official file", "retrieved_at": "2026-07-02", "url": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments", "reliability_tier": "government", "research_note": "Used for legal name, DBA, CCN, NPI, enrollment identity, and location matching.", "source_type": "public_record" }, { "source_id": "source-cms-hospital-all-owners", "title": "Hospital All Owners", "publisher": "Centers for Medicare & Medicaid Services", "publication_date": "current cached official file", "retrieved_at": "2026-07-02", "url": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners", "reliability_tier": "government", "research_note": "Used for current CMS owner, officer, managerial, holding-company, investment-firm, and security-interest rows.", "source_type": "public_record" }, { "source_id": "source-cms-care-compare", "title": "Hospital General Information", "publisher": "Centers for Medicare & Medicaid Services", "publication_date": "current cached official file", "retrieved_at": "2026-07-02", "url": "https://data.cms.gov/provider-data/dataset/xubh-q36u", "reliability_tier": "government", "research_note": "Facility type, ownership category, emergency services, and overall rating context.", "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-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" } ], "descriptiveTrends": [ { "metric": "net_patient_revenue", "earliestPeriod": "12/31/2020", "latestPeriod": "12/31/2023", "earliestValue": 197905227, "latestValue": 276529730, "absoluteChange": 78624503, "percentChange": 39.72836098967715, "unit": "USD" }, { "metric": "operating_expense", "earliestPeriod": "12/31/2020", "latestPeriod": "12/31/2023", "earliestValue": 209376651, "latestValue": 265483857, "absoluteChange": 56107206, "percentChange": 26.79726021599228, "unit": "USD" }, { "metric": "net_income", "earliestPeriod": "12/31/2020", "latestPeriod": "12/31/2023", "earliestValue": 16735036, "latestValue": 32179262, "absoluteChange": 15444226, "percentChange": 92.28678085903131, "unit": "USD" }, { "metric": "total_assets", "earliestPeriod": "12/31/2020", "latestPeriod": "12/31/2023", "earliestValue": 273620804, "latestValue": 281887393, "absoluteChange": 8266589, "percentChange": 3.021184383333659, "unit": "USD" }, { "metric": "total_liabilities", "earliestPeriod": "12/31/2020", "latestPeriod": "12/31/2023", "earliestValue": 87017786, "latestValue": 61646708, "absoluteChange": -25371078, "percentChange": -29.1561980214022, "unit": "USD" }, { "metric": "contract_labor_direct_patient_care", "earliestPeriod": "12/31/2020", "latestPeriod": "12/31/2023", "earliestValue": 6792776, "latestValue": 12113942, "absoluteChange": 5321166, "percentChange": 78.33566129664808, "unit": "USD" }, { "metric": "fte_employees", "earliestPeriod": "12/31/2020", "latestPeriod": "12/31/2023", "earliestValue": 958.74, "latestValue": 1115.72, "absoluteChange": 156.98000000000002, "percentChange": 16.373573648747318, "unit": "FTE" }, { "metric": "beds", "earliestPeriod": "12/31/2020", "latestPeriod": "12/31/2023", "earliestValue": 73, "latestValue": 98, "absoluteChange": 25, "percentChange": 34.24657534246575, "unit": "beds" }, { "metric": "patient_days", "earliestPeriod": "12/31/2020", "latestPeriod": "12/31/2023", "earliestValue": 12614, "latestValue": 19984, "absoluteChange": 7370, "percentChange": 58.42714444268273, "unit": "days" }, { "metric": "discharges", "earliestPeriod": "12/31/2020", "latestPeriod": "12/31/2023", "earliestValue": 3198, "latestValue": 4462, "absoluteChange": 1264, "percentChange": 39.52470293933709, "unit": "discharges" } ] }