{
  "schemaVersion": 4,
  "entityId": "341325",
  "canonicalName": "ASHE MEMORIAL HOSPITAL, INC",
  "status": "verified_independent",
  "statusLabel": "No documented PE link",
  "summary": "ASHE MEMORIAL HOSPITAL, INC 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": 14,
    "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": "Ashe Memorial Hospital",
    "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": "Critical Access Hospitals",
    "currentCeo": "Needs source-backed local leader research",
    "previousRelevantCeo": "Not identified in this automated NC pass",
    "confidence": "medium",
    "bottomLine": "ASHE MEMORIAL HOSPITAL, INC is connected to Ashe Memorial Hospital. 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": "JEFFERSON, ASHE, North Carolina. Service role should be refined in manual follow-up.",
    "traumaCareLevel": "Critical Access 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": "3",
    "emergencyServices": "Yes",
    "hospitalType": "Critical Access Hospitals",
    "careCompareOwnership": "Voluntary non-profit - Private"
  },
  "leadership": [],
  "identifiers": {
    "ccn": "341325",
    "npi": "1376671370",
    "historicalCcns": [],
    "aliases": [
      {
        "alias": "ASHE MEMORIAL HOSPITAL INC",
        "alias_type": "cms_legal_name",
        "source_id": "source-cms-hospital-enrollments"
      },
      {
        "alias": "ASHE MEMORIAL HOSPITAL",
        "alias_type": "cms_care_compare_name",
        "source_id": "source-cms-care-compare"
      }
    ]
  },
  "ownershipHistory": [
    {
      "relationship_id": "rel-legal-owner-341325",
      "from_entity_id": "ashe-memorial-hospital-inc",
      "to_entity_id": "ashe-memorial-hospital-inc",
      "relationship_type": "operates",
      "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": "ASHE MEMORIAL HOSPITAL INC is the best available legal-owner or enrolled-operator layer for ASHE MEMORIAL HOSPITAL, INC.",
      "review_notes": "This legal-owner layer is separate from ultimate parent, public-company shareholders, and PE sponsor context."
    },
    {
      "relationship_id": "rel-cms-owner-341325",
      "from_entity_id": "ashememorial",
      "to_entity_id": "341325",
      "relationship_type": "cms_owner_context",
      "effective_date": "01/12/2015",
      "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-341325",
      "from_entity_id": "ashememorial",
      "to_entity_id": "341325",
      "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-341325",
      "from_entity_id": "ashememorial",
      "to_entity_id": "341325",
      "relationship_type": "cms_owner_context",
      "effective_date": "01/12/2015",
      "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-341325",
      "from_entity_id": "ashememorial",
      "to_entity_id": "341325",
      "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-341325",
      "from_entity_id": "ashememorial",
      "to_entity_id": "341325",
      "relationship_type": "cms_owner_context",
      "effective_date": "01/12/2015",
      "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": "341325-net_patient_revenue-12-31-2023",
      "entity_id": "341325",
      "metric_name": "net_patient_revenue",
      "period_start": "01/01/2023",
      "period_end": "12/31/2023",
      "value": "47599628",
      "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": "341325-net_patient_revenue-12-31-2022",
      "entity_id": "341325",
      "metric_name": "net_patient_revenue",
      "period_start": "01/01/2022",
      "period_end": "12/31/2022",
      "value": "41642999",
      "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": "341325-net_patient_revenue-12-31-2021",
      "entity_id": "341325",
      "metric_name": "net_patient_revenue",
      "period_start": "01/01/2021",
      "period_end": "12/31/2021",
      "value": "34759784",
      "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": "341325-net_patient_revenue-12-31-2020",
      "entity_id": "341325",
      "metric_name": "net_patient_revenue",
      "period_start": "01/01/2020",
      "period_end": "12/31/2020",
      "value": "29811422",
      "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": "341325-operating_expense-12-31-2023",
      "entity_id": "341325",
      "metric_name": "operating_expense",
      "period_start": "01/01/2023",
      "period_end": "12/31/2023",
      "value": "48846684",
      "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": "341325-operating_expense-12-31-2022",
      "entity_id": "341325",
      "metric_name": "operating_expense",
      "period_start": "01/01/2022",
      "period_end": "12/31/2022",
      "value": "45896898",
      "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": "341325-operating_expense-12-31-2021",
      "entity_id": "341325",
      "metric_name": "operating_expense",
      "period_start": "01/01/2021",
      "period_end": "12/31/2021",
      "value": "34620894",
      "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": "341325-operating_expense-12-31-2020",
      "entity_id": "341325",
      "metric_name": "operating_expense",
      "period_start": "01/01/2020",
      "period_end": "12/31/2020",
      "value": "31834875",
      "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": "341325-net_income-12-31-2023",
      "entity_id": "341325",
      "metric_name": "net_income",
      "period_start": "01/01/2023",
      "period_end": "12/31/2023",
      "value": "2738611",
      "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": "341325-net_income-12-31-2022",
      "entity_id": "341325",
      "metric_name": "net_income",
      "period_start": "01/01/2022",
      "period_end": "12/31/2022",
      "value": "654658",
      "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": "341325-net_income-12-31-2021",
      "entity_id": "341325",
      "metric_name": "net_income",
      "period_start": "01/01/2021",
      "period_end": "12/31/2021",
      "value": "4049212",
      "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": "341325-net_income-12-31-2020",
      "entity_id": "341325",
      "metric_name": "net_income",
      "period_start": "01/01/2020",
      "period_end": "12/31/2020",
      "value": "217822",
      "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": "341325-total_assets-12-31-2023",
      "entity_id": "341325",
      "metric_name": "total_assets",
      "period_start": "01/01/2023",
      "period_end": "12/31/2023",
      "value": "24403772",
      "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": "341325-total_assets-12-31-2022",
      "entity_id": "341325",
      "metric_name": "total_assets",
      "period_start": "01/01/2022",
      "period_end": "12/31/2022",
      "value": "22408795",
      "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": "341325-total_assets-12-31-2021",
      "entity_id": "341325",
      "metric_name": "total_assets",
      "period_start": "01/01/2021",
      "period_end": "12/31/2021",
      "value": "21122297",
      "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": "341325-total_assets-12-31-2020",
      "entity_id": "341325",
      "metric_name": "total_assets",
      "period_start": "01/01/2020",
      "period_end": "12/31/2020",
      "value": "21989522",
      "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": "341325-total_liabilities-12-31-2023",
      "entity_id": "341325",
      "metric_name": "total_liabilities",
      "period_start": "01/01/2023",
      "period_end": "12/31/2023",
      "value": "5145059",
      "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": "341325-total_liabilities-12-31-2022",
      "entity_id": "341325",
      "metric_name": "total_liabilities",
      "period_start": "01/01/2022",
      "period_end": "12/31/2022",
      "value": "5280835",
      "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": "341325-total_liabilities-12-31-2021",
      "entity_id": "341325",
      "metric_name": "total_liabilities",
      "period_start": "01/01/2021",
      "period_end": "12/31/2021",
      "value": "7256593",
      "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": "341325-total_liabilities-12-31-2020",
      "entity_id": "341325",
      "metric_name": "total_liabilities",
      "period_start": "01/01/2020",
      "period_end": "12/31/2020",
      "value": "11749509",
      "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": "341325-fte_employees-12-31-2023",
      "entity_id": "341325",
      "metric_name": "fte_employees",
      "period_start": "01/01/2023",
      "period_end": "12/31/2023",
      "value": "245.56",
      "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": "341325-fte_employees-12-31-2022",
      "entity_id": "341325",
      "metric_name": "fte_employees",
      "period_start": "01/01/2022",
      "period_end": "12/31/2022",
      "value": "245.48",
      "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": "341325-fte_employees-12-31-2021",
      "entity_id": "341325",
      "metric_name": "fte_employees",
      "period_start": "01/01/2021",
      "period_end": "12/31/2021",
      "value": "198.2",
      "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": "341325-fte_employees-12-31-2020",
      "entity_id": "341325",
      "metric_name": "fte_employees",
      "period_start": "01/01/2020",
      "period_end": "12/31/2020",
      "value": "211.67",
      "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": "341325-beds-12-31-2023",
      "entity_id": "341325",
      "metric_name": "beds",
      "period_start": "01/01/2023",
      "period_end": "12/31/2023",
      "value": "25",
      "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": "341325-beds-12-31-2022",
      "entity_id": "341325",
      "metric_name": "beds",
      "period_start": "01/01/2022",
      "period_end": "12/31/2022",
      "value": "25",
      "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": "341325-beds-12-31-2021",
      "entity_id": "341325",
      "metric_name": "beds",
      "period_start": "01/01/2021",
      "period_end": "12/31/2021",
      "value": "25",
      "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": "341325-beds-12-31-2020",
      "entity_id": "341325",
      "metric_name": "beds",
      "period_start": "01/01/2020",
      "period_end": "12/31/2020",
      "value": "25",
      "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": "341325-patient_days-12-31-2023",
      "entity_id": "341325",
      "metric_name": "patient_days",
      "period_start": "01/01/2023",
      "period_end": "12/31/2023",
      "value": "3237",
      "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": "341325-patient_days-12-31-2022",
      "entity_id": "341325",
      "metric_name": "patient_days",
      "period_start": "01/01/2022",
      "period_end": "12/31/2022",
      "value": "3862",
      "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": "341325-patient_days-12-31-2021",
      "entity_id": "341325",
      "metric_name": "patient_days",
      "period_start": "01/01/2021",
      "period_end": "12/31/2021",
      "value": "4124",
      "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": "341325-patient_days-12-31-2020",
      "entity_id": "341325",
      "metric_name": "patient_days",
      "period_start": "01/01/2020",
      "period_end": "12/31/2020",
      "value": "4332",
      "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": "341325-discharges-12-31-2023",
      "entity_id": "341325",
      "metric_name": "discharges",
      "period_start": "01/01/2023",
      "period_end": "12/31/2023",
      "value": "844",
      "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": "341325-discharges-12-31-2022",
      "entity_id": "341325",
      "metric_name": "discharges",
      "period_start": "01/01/2022",
      "period_end": "12/31/2022",
      "value": "1043",
      "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": "341325-discharges-12-31-2021",
      "entity_id": "341325",
      "metric_name": "discharges",
      "period_start": "01/01/2021",
      "period_end": "12/31/2021",
      "value": "1058",
      "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": "341325-discharges-12-31-2020",
      "entity_id": "341325",
      "metric_name": "discharges",
      "period_start": "01/01/2020",
      "period_end": "12/31/2020",
      "value": "1126",
      "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": "CHARLES WRIGHT",
      "role": "CORPORATE OFFICER",
      "association_date": "01/12/2015",
      "percentage_ownership": "5",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "CHARLES JONES",
      "role": "CORPORATE OFFICER",
      "association_date": "01/19/2022",
      "percentage_ownership": "5",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "STEPHEN SHOEMAKER",
      "role": "CORPORATE OFFICER",
      "association_date": "11/18/2007",
      "percentage_ownership": "5",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "CHARLES JONES",
      "role": "CORPORATE OFFICER",
      "association_date": "11/21/2008",
      "percentage_ownership": "5",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "MARTIN LITTLE",
      "role": "CORPORATE OFFICER",
      "association_date": "01/19/2022",
      "percentage_ownership": "5",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "KAREN POWELL",
      "role": "CORPORATE OFFICER",
      "association_date": "01/19/2022",
      "percentage_ownership": "5",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "JANE LONON",
      "role": "CORPORATE OFFICER",
      "association_date": "01/19/2022",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "WILLIAM VANNOY",
      "role": "CORPORATE OFFICER",
      "association_date": "01/19/2022",
      "percentage_ownership": "5",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "SHANA ANDERSON",
      "role": "W-2 MANAGING EMPLOYEE",
      "association_date": "07/24/1994",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "JOEY THORE",
      "role": "CORPORATE OFFICER",
      "association_date": "11/19/1999",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "DONDA TONEY",
      "role": "CORPORATE DIRECTOR",
      "association_date": "06/28/2021",
      "percentage_ownership": "5",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "DONDA TONEY",
      "role": "W-2 MANAGING EMPLOYEE",
      "association_date": "06/28/2021",
      "percentage_ownership": "5",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "SUE HAMPTON",
      "role": "CORPORATE OFFICER",
      "association_date": "11/20/2019",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "HORACE THOMPSON",
      "role": "CORPORATE OFFICER",
      "association_date": "01/19/2022",
      "percentage_ownership": "5",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "WALTER DAVIS",
      "role": "CORPORATE OFFICER",
      "association_date": "01/19/2022",
      "percentage_ownership": "5",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "EDWARD MILLER",
      "role": "CORPORATE OFFICER",
      "association_date": "11/15/1996",
      "percentage_ownership": "5",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "EISA COX",
      "role": "CORPORATE OFFICER",
      "association_date": "01/19/2022",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "GREG BOWER",
      "role": "CORPORATE OFFICER",
      "association_date": "03/16/2012",
      "percentage_ownership": "",
      "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": "ashe-memorial-hospital-inc",
        "label": "ASHE MEMORIAL HOSPITAL, INC",
        "kind": "organization",
        "evidence": "source-cms-hospital-enrollments|source-cms-hospital-all-owners|source-nc-baseline-queue"
      }
    ],
    "edges": [
      {
        "id": "rel-legal-owner-341325",
        "from": "ashe-memorial-hospital-inc",
        "to": "ashe-memorial-hospital-inc",
        "relationship": "operates",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-enrollments",
          "source-cms-hospital-all-owners",
          "source-nc-baseline-queue"
        ],
        "note": "ASHE MEMORIAL HOSPITAL INC is the best available legal-owner or enrolled-operator layer for ASHE MEMORIAL HOSPITAL, INC."
      }
    ],
    "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": "ASHE MEMORIAL 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": "ASHE MEMORIAL HOSPITAL INC is shown separately from the parent system and ultimate financial/control context."
    },
    {
      "entityName": "Ashe Memorial Hospital",
      "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: ASHE MEMORIAL HOSPITAL INC.",
    "Operator layer: Ashe Memorial Hospital.",
    "Ultimate parent/controller context: Ashe Memorial Hospital.",
    "Operator/owner context: Ashe Memorial Hospital.",
    "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": 29811422,
      "latestValue": 47599628,
      "absoluteChange": 17788206,
      "percentChange": 59.669095959260176,
      "unit": "USD"
    },
    {
      "metric": "operating_expense",
      "earliestPeriod": "12/31/2020",
      "latestPeriod": "12/31/2023",
      "earliestValue": 31834875,
      "latestValue": 48846684,
      "absoluteChange": 17011809,
      "percentChange": 53.43764974732898,
      "unit": "USD"
    },
    {
      "metric": "net_income",
      "earliestPeriod": "12/31/2020",
      "latestPeriod": "12/31/2023",
      "earliestValue": 217822,
      "latestValue": 2738611,
      "absoluteChange": 2520789,
      "percentChange": 1157.2701563662072,
      "unit": "USD"
    },
    {
      "metric": "total_assets",
      "earliestPeriod": "12/31/2020",
      "latestPeriod": "12/31/2023",
      "earliestValue": 21989522,
      "latestValue": 24403772,
      "absoluteChange": 2414250,
      "percentChange": 10.979092678776738,
      "unit": "USD"
    },
    {
      "metric": "total_liabilities",
      "earliestPeriod": "12/31/2020",
      "latestPeriod": "12/31/2023",
      "earliestValue": 11749509,
      "latestValue": 5145059,
      "absoluteChange": -6604450,
      "percentChange": -56.21043398494354,
      "unit": "USD"
    },
    {
      "metric": "fte_employees",
      "earliestPeriod": "12/31/2020",
      "latestPeriod": "12/31/2023",
      "earliestValue": 211.67,
      "latestValue": 245.56,
      "absoluteChange": 33.890000000000015,
      "percentChange": 16.010771483913647,
      "unit": "FTE"
    },
    {
      "metric": "beds",
      "earliestPeriod": "12/31/2020",
      "latestPeriod": "12/31/2023",
      "earliestValue": 25,
      "latestValue": 25,
      "absoluteChange": 0,
      "percentChange": 0,
      "unit": "beds"
    },
    {
      "metric": "patient_days",
      "earliestPeriod": "12/31/2020",
      "latestPeriod": "12/31/2023",
      "earliestValue": 4332,
      "latestValue": 3237,
      "absoluteChange": -1095,
      "percentChange": -25.277008310249304,
      "unit": "days"
    },
    {
      "metric": "discharges",
      "earliestPeriod": "12/31/2020",
      "latestPeriod": "12/31/2023",
      "earliestValue": 1126,
      "latestValue": 844,
      "absoluteChange": -282,
      "percentChange": -25.044404973357015,
      "unit": "discharges"
    }
  ]
}