{ "schemaVersion": 4, "entityId": "341326", "canonicalName": "ANGEL MEDICAL CENTER", "status": "pe_contract", "statusLabel": "PE-backed service contract", "summary": "ANGEL MEDICAL CENTER 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": 11, "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" }, "identifiers": { "ccn": "341326", "npi": "1023593746", "historicalCcns": [], "aliases": [ { "alias": "MH ANGEL MEDICAL CENTER, LLLP", "alias_type": "cms_legal_name", "source_id": "source-cms-hospital-enrollments" }, { "alias": "ANGEL MEDICAL CENTER", "alias_type": "cms_care_compare_name", "source_id": "source-cms-care-compare" } ] }, "ownershipHistory": [ { "relationship_id": "rel-scp-health-341326", "from_entity_id": "scp-health", "to_entity_id": "341326", "relationship_type": "manages", "effective_date": "2026-09-30", "end_date": "", "announcement_date": "2026-04-07", "status": "announced", "confidence": "high", "source_ids": "source-valley-contract-reporting|source-onex-scp|source-acep-valley", "plain_english_summary": "Valley Health announced a clinical staffing and management transition to SCP Health. This is not an ownership transfer.", "review_notes": "" }, { "relationship_id": "rel-cms-owner-341326", "from_entity_id": "teamhealth", "to_entity_id": "341326", "relationship_type": "cms_owner_context", "effective_date": "02/01/2019", "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-341326", "from_entity_id": "teamhealth", "to_entity_id": "341326", "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-341326", "from_entity_id": "teamhealth", "to_entity_id": "341326", "relationship_type": "cms_owner_context", "effective_date": "02/01/2019", "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-341326", "from_entity_id": "teamhealth", "to_entity_id": "341326", "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-341326", "from_entity_id": "teamhealth", "to_entity_id": "341326", "relationship_type": "cms_owner_context", "effective_date": "02/01/2019", "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": [ { "date": "02/01/2019", "title": "CMS before/after ownership event", "detail": "ANGEL MEDICAL CENTER INC -> MH ANGEL MEDICAL CENTER, LLLP.", "sourceIds": [ "source-cms-hospital-chow" ] } ], "financialAndUtilizationSeries": [ { "metric_id": "341326-net_patient_revenue-10-31-2023", "entity_id": "341326", "metric_name": "net_patient_revenue", "period_start": "11/01/2022", "period_end": "10/31/2023", "value": "58916258", "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": "341326-net_patient_revenue-10-31-2022", "entity_id": "341326", "metric_name": "net_patient_revenue", "period_start": "11/01/2021", "period_end": "10/31/2022", "value": "49047145", "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": "341326-net_patient_revenue-10-31-2021", "entity_id": "341326", "metric_name": "net_patient_revenue", "period_start": "11/01/2020", "period_end": "10/31/2021", "value": "43308271", "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": "341326-net_patient_revenue-10-31-2020", "entity_id": "341326", "metric_name": "net_patient_revenue", "period_start": "11/01/2019", "period_end": "10/31/2020", "value": "36907195", "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": "341326-operating_expense-10-31-2023", "entity_id": "341326", "metric_name": "operating_expense", "period_start": "11/01/2022", "period_end": "10/31/2023", "value": "66806801", "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": "341326-operating_expense-10-31-2022", "entity_id": "341326", "metric_name": "operating_expense", "period_start": "11/01/2021", "period_end": "10/31/2022", "value": "58985028", "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": "341326-operating_expense-10-31-2021", "entity_id": "341326", "metric_name": "operating_expense", "period_start": "11/01/2020", "period_end": "10/31/2021", "value": "47052299", "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": "341326-operating_expense-10-31-2020", "entity_id": "341326", "metric_name": "operating_expense", "period_start": "11/01/2019", "period_end": "10/31/2020", "value": "48140717", "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": "341326-net_income-10-31-2023", "entity_id": "341326", "metric_name": "net_income", "period_start": "11/01/2022", "period_end": "10/31/2023", "value": "-6880887", "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": "341326-net_income-10-31-2022", "entity_id": "341326", "metric_name": "net_income", "period_start": "11/01/2021", "period_end": "10/31/2022", "value": "-8715031", "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": "341326-net_income-10-31-2021", "entity_id": "341326", "metric_name": "net_income", "period_start": "11/01/2020", "period_end": "10/31/2021", "value": "-2929407", "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": "341326-net_income-10-31-2020", "entity_id": "341326", "metric_name": "net_income", "period_start": "11/01/2019", "period_end": "10/31/2020", "value": "-10133233", "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": "341326-total_assets-10-31-2023", "entity_id": "341326", "metric_name": "total_assets", "period_start": "11/01/2022", "period_end": "10/31/2023", "value": "78598164", "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": "341326-total_assets-10-31-2022", "entity_id": "341326", "metric_name": "total_assets", "period_start": "11/01/2021", "period_end": "10/31/2022", "value": "75905749", "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": "341326-total_assets-10-31-2021", "entity_id": "341326", "metric_name": "total_assets", "period_start": "11/01/2020", "period_end": "10/31/2021", "value": "43067309", "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": "341326-total_assets-10-31-2020", "entity_id": "341326", "metric_name": "total_assets", "period_start": "11/01/2019", "period_end": "10/31/2020", "value": "29247226", "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": "341326-total_liabilities-10-31-2023", "entity_id": "341326", "metric_name": "total_liabilities", "period_start": "11/01/2022", "period_end": "10/31/2023", "value": "88273462", "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": "341326-total_liabilities-10-31-2022", "entity_id": "341326", "metric_name": "total_liabilities", "period_start": "11/01/2021", "period_end": "10/31/2022", "value": "78700161", "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": "341326-total_liabilities-10-31-2021", "entity_id": "341326", "metric_name": "total_liabilities", "period_start": "11/01/2020", "period_end": "10/31/2021", "value": "37141634", "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": "341326-total_liabilities-10-31-2020", "entity_id": "341326", "metric_name": "total_liabilities", "period_start": "11/01/2019", "period_end": "10/31/2020", "value": "20080654", "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": "341326-fte_employees-10-31-2023", "entity_id": "341326", "metric_name": "fte_employees", "period_start": "11/01/2022", "period_end": "10/31/2023", "value": "179.81", "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": "341326-fte_employees-10-31-2022", "entity_id": "341326", "metric_name": "fte_employees", "period_start": "11/01/2021", "period_end": "10/31/2022", "value": "163.45", "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": "341326-fte_employees-10-31-2021", "entity_id": "341326", "metric_name": "fte_employees", "period_start": "11/01/2020", "period_end": "10/31/2021", "value": "200", "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": "341326-fte_employees-10-31-2020", "entity_id": "341326", "metric_name": "fte_employees", "period_start": "11/01/2019", "period_end": "10/31/2020", "value": "229.89", "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": "341326-beds-10-31-2023", "entity_id": "341326", "metric_name": "beds", "period_start": "11/01/2022", "period_end": "10/31/2023", "value": "30", "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": "341326-beds-10-31-2022", "entity_id": "341326", "metric_name": "beds", "period_start": "11/01/2021", "period_end": "10/31/2022", "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": "341326-beds-10-31-2021", "entity_id": "341326", "metric_name": "beds", "period_start": "11/01/2020", "period_end": "10/31/2021", "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": "341326-beds-10-31-2020", "entity_id": "341326", "metric_name": "beds", "period_start": "11/01/2019", "period_end": "10/31/2020", "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": "341326-patient_days-10-31-2023", "entity_id": "341326", "metric_name": "patient_days", "period_start": "11/01/2022", "period_end": "10/31/2023", "value": "6424", "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": "341326-patient_days-10-31-2022", "entity_id": "341326", "metric_name": "patient_days", "period_start": "11/01/2021", "period_end": "10/31/2022", "value": "5572", "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": "341326-patient_days-10-31-2021", "entity_id": "341326", "metric_name": "patient_days", "period_start": "11/01/2020", "period_end": "10/31/2021", "value": "5801", "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": "341326-patient_days-10-31-2020", "entity_id": "341326", "metric_name": "patient_days", "period_start": "11/01/2019", "period_end": "10/31/2020", "value": "4258", "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": "341326-discharges-10-31-2023", "entity_id": "341326", "metric_name": "discharges", "period_start": "11/01/2022", "period_end": "10/31/2023", "value": "1716", "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": "341326-discharges-10-31-2022", "entity_id": "341326", "metric_name": "discharges", "period_start": "11/01/2021", "period_end": "10/31/2022", "value": "1466", "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": "341326-discharges-10-31-2021", "entity_id": "341326", "metric_name": "discharges", "period_start": "11/01/2020", "period_end": "10/31/2021", "value": "1457", "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": "341326-discharges-10-31-2020", "entity_id": "341326", "metric_name": "discharges", "period_start": "11/01/2019", "period_end": "10/31/2020", "value": "1297", "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": "HCA INC", "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST", "association_date": "02/01/2019", "percentage_ownership": "100", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "TYLER GROESSER", "role": "CORPORATE OFFICER", "association_date": "04/30/2025", "percentage_ownership": "0", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "MH MASTER LLC", "role": "GENERAL PARTNERSHIP INTEREST", "association_date": "02/01/2019", "percentage_ownership": "1", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "ERIC SMITH", "role": "CONTRACTED MANAGING EMPLOYEE", "association_date": "03/01/2021", "percentage_ownership": "0", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "HCA HEALTHCARE INC", "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST", "association_date": "02/01/2019", "percentage_ownership": "100", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "MH HOSPITAL HOLDING INC", "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST", "association_date": "02/01/2019", "percentage_ownership": "100", "investment_firm": false, "private_equity_company": false, "holding_company": true, "management_services_company": false, "medical_staffing_company": false }, { "organization": "HERCULES HOLDING II", "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST", "association_date": "02/01/2019", "percentage_ownership": "19", "investment_firm": false, "private_equity_company": false, "holding_company": true, "management_services_company": false, "medical_staffing_company": false }, { "organization": "HEALTHTRUST INC - THE HOSPITAL COMPANY", "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST", "association_date": "02/01/2019", "percentage_ownership": "100", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "MH MASTER HOLDING LLLP", "role": "5% OR GREATER DIRECT OWNERSHIP INTEREST", "association_date": "02/01/2019", "percentage_ownership": "99", "investment_firm": false, "private_equity_company": false, "holding_company": true, "management_services_company": false, "medical_staffing_company": false }, { "organization": "MH MASTER HOLDING LLLP", "role": "LIMITED PARTNERSHIP INTEREST", "association_date": "02/01/2019", "percentage_ownership": "99", "investment_firm": false, "private_equity_company": false, "holding_company": true, "management_services_company": false, "medical_staffing_company": false }, { "organization": "FRISCO HOLDING II", "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST", "association_date": "02/01/2019", "percentage_ownership": "10.07", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "HTI HOSPITAL HOLDINGS INC", "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST", "association_date": "02/01/2019", "percentage_ownership": "100", "investment_firm": false, "private_equity_company": false, "holding_company": true, "management_services_company": false, "medical_staffing_company": false }, { "organization": "CLINT KENDALL", "role": "CORPORATE OFFICER", "association_date": "08/02/2021", "percentage_ownership": "0", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false } ], "directConnections": [ "SCP Health is the announced clinical staffing and management contractor.", "Onex identifies SCP Health as a portfolio company.", "Operator/owner context: TeamHealth.", "CMS Care Compare ownership category: Voluntary non-profit - Private." ], "actions": [], "contradictions": [], "limitations": [ "CMS corroborates an enrolled ownership chain, but its owner names do not independently reproduce every sponsor or portfolio-company name from the tracker.", "The documented relationship is a clinical service contract. Valley Health remains a nonprofit system; this is not an ownership claim.", "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": [ "Precise acquisition date", "Official facility URL", "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-pesp-hospital-tracker", "title": "Private Equity Hospital Tracker", "publisher": "Private Equity Stakeholder Project", "publication_date": "2026-04-03 snapshot", "retrieved_at": "2026-07-02", "url": "https://pestakeholder.org/private-equity-hospital-tracker/", "reliability_tier": "research", "research_note": "Discovery source for PE, contract, and transaction-signal follow-up; not enough by itself for direct control claims.", "source_type": "public_record" }, { "source_id": "source-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-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-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-valley-contract-reporting", "title": "Virginia system consolidates physician management, closes observation unit", "publisher": "Becker's Hospital Review", "publication_date": "2026-04-07", "retrieved_at": "2026-06-22", "url": "https://www.beckershospitalreview.com/quality/hospital-physician-relationships/virginia-system-to-close-observation-unit-shift-physician-staffing/", "reliability_tier": "reporting", "research_note": "Documents the contract scope, transition dates, stated rationale, and expected savings.", "source_type": "public_record" }, { "source_id": "source-onex-scp", "title": "SCP Health portfolio profile", "publisher": "Onex", "publication_date": "current portfolio page", "retrieved_at": "2026-06-22", "url": "https://www.onex.com/portfolio/OP-OpCo-SCPHealth", "reliability_tier": "primary", "research_note": "Primary-source confirmation that SCP Health is held through Onex Partners.", "source_type": "public_record" }, { "source_id": "source-acep-valley", "title": "Joint statement on due process, transparency, and due diligence in emergency medicine contracting", "publisher": "ACEP and VACEP", "publication_date": "2026-04-16", "retrieved_at": "2026-06-22", "url": "https://www.acep.org/news/acep-newsroom-articles/4-16-26-joint-statement-from-the-american-college-of-emergency-physicians-and-virginia-college-of-emergency-physicians", "reliability_tier": "primary", "research_note": "Professional-association response requesting notice, transparency, and physician involvement.", "source_type": "public_record" }, { "source_id": "source-cms-hospital-chow", "title": "Hospital Change of Ownership", "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-change-of-ownership", "reliability_tier": "government", "research_note": "Used for before/after ownership and enrollment transfer events when a matching CHOW row exists.", "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" } ], "ownershipChain": { "model": "Sponsor, operator, CMS legal-owner/control records, and facility are shown as separate evidence layers.", "confidence": "high", "nodes": [ { "id": "facility:341326", "label": "ANGEL MEDICAL CENTER", "kind": "hospital", "evidence": "public facility record" }, { "id": "organization:blackstone", "label": "Blackstone", "kind": "pe_sponsor", "evidence": "research tracker or primary portfolio source" }, { "id": "organization:teamhealth", "label": "TeamHealth", "kind": "contractor", "evidence": "research tracker or primary organizational source" }, { "id": "cms-owner:hca-inc:0", "label": "HCA INC", "kind": "cms_owner_or_controller", "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST" }, { "id": "cms-owner:tyler-groesser:1", "label": "TYLER GROESSER", "kind": "cms_owner_or_controller", "evidence": "CORPORATE OFFICER" }, { "id": "cms-owner:mh-master-llc:2", "label": "MH MASTER LLC", "kind": "cms_owner_or_controller", "evidence": "GENERAL PARTNERSHIP INTEREST" }, { "id": "cms-owner:eric-smith:3", "label": "ERIC SMITH", "kind": "cms_owner_or_controller", "evidence": "CONTRACTED MANAGING EMPLOYEE" }, { "id": "cms-owner:hca-healthcare-inc:4", "label": "HCA HEALTHCARE INC", "kind": "cms_owner_or_controller", "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST" }, { "id": "cms-owner:mh-hospital-holding-inc:5", "label": "MH HOSPITAL HOLDING INC", "kind": "cms_holding_company", "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST" }, { "id": "cms-owner:hercules-holding-ii:6", "label": "HERCULES HOLDING II", "kind": "cms_holding_company", "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST" }, { "id": "cms-owner:healthtrust-inc-the-hospital-company:7", "label": "HEALTHTRUST INC - THE HOSPITAL COMPANY", "kind": "cms_owner_or_controller", "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST" }, { "id": "cms-owner:mh-master-holding-lllp:8", "label": "MH MASTER HOLDING LLLP", "kind": "cms_holding_company", "evidence": "5% OR GREATER DIRECT OWNERSHIP INTEREST" }, { "id": "cms-owner:mh-master-holding-lllp:9", "label": "MH MASTER HOLDING LLLP", "kind": "cms_holding_company", "evidence": "LIMITED PARTNERSHIP INTEREST" }, { "id": "cms-owner:frisco-holding-ii:10", "label": "FRISCO HOLDING II", "kind": "cms_owner_or_controller", "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST" }, { "id": "cms-owner:hti-hospital-holdings-inc:11", "label": "HTI HOSPITAL HOLDINGS INC", "kind": "cms_holding_company", "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST" }, { "id": "cms-owner:clint-kendall:12", "label": "CLINT KENDALL", "kind": "cms_owner_or_controller", "evidence": "CORPORATE OFFICER" } ], "edges": [ { "id": "organization:blackstone->organization:teamhealth", "from": "organization:blackstone", "to": "organization:teamhealth", "relationship": "sponsors", "confidence": "high", "sourceIds": [ "source-valley-contract-reporting", "source-onex-scp", "source-acep-valley" ], "note": "Primary portfolio evidence identifies the contractor as a sponsor portfolio company." }, { "id": "organization:teamhealth->facility:341326", "from": "organization:teamhealth", "to": "facility:341326", "relationship": "manages or staffs under contract", "confidence": "high", "sourceIds": [ "source-valley-contract-reporting", "source-onex-scp", "source-acep-valley" ], "note": "This is a service contract, not an ownership transfer." }, { "id": "cms-owner:hca-inc:0->facility:341326", "from": "cms-owner:hca-inc:0", "to": "facility:341326", "relationship": "owns an interest in", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 100% reported ownership · associated 02/01/2019" }, { "id": "cms-owner:tyler-groesser:1->facility:341326", "from": "cms-owner:tyler-groesser:1", "to": "facility:341326", "relationship": "governs", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "CORPORATE OFFICER · 0% reported ownership · associated 04/30/2025" }, { "id": "cms-owner:mh-master-llc:2->facility:341326", "from": "cms-owner:mh-master-llc:2", "to": "facility:341326", "relationship": "is associated with", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "GENERAL PARTNERSHIP INTEREST · 1% reported ownership · associated 02/01/2019" }, { "id": "cms-owner:eric-smith:3->facility:341326", "from": "cms-owner:eric-smith:3", "to": "facility:341326", "relationship": "is associated with", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "CONTRACTED MANAGING EMPLOYEE · 0% reported ownership · associated 03/01/2021" }, { "id": "cms-owner:hca-healthcare-inc:4->facility:341326", "from": "cms-owner:hca-healthcare-inc:4", "to": "facility:341326", "relationship": "owns an interest in", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 100% reported ownership · associated 02/01/2019" }, { "id": "cms-owner:mh-hospital-holding-inc:5->facility:341326", "from": "cms-owner:mh-hospital-holding-inc:5", "to": "facility:341326", "relationship": "owns an interest in", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 100% reported ownership · associated 02/01/2019" }, { "id": "cms-owner:hercules-holding-ii:6->facility:341326", "from": "cms-owner:hercules-holding-ii:6", "to": "facility:341326", "relationship": "owns an interest in", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 19% reported ownership · associated 02/01/2019" }, { "id": "cms-owner:healthtrust-inc-the-hospital-company:7->facility:341326", "from": "cms-owner:healthtrust-inc-the-hospital-company:7", "to": "facility:341326", "relationship": "owns an interest in", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 100% reported ownership · associated 02/01/2019" }, { "id": "cms-owner:mh-master-holding-lllp:8->facility:341326", "from": "cms-owner:mh-master-holding-lllp:8", "to": "facility:341326", "relationship": "owns an interest in", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "5% OR GREATER DIRECT OWNERSHIP INTEREST · 99% reported ownership · associated 02/01/2019" }, { "id": "cms-owner:mh-master-holding-lllp:9->facility:341326", "from": "cms-owner:mh-master-holding-lllp:9", "to": "facility:341326", "relationship": "is associated with", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "LIMITED PARTNERSHIP INTEREST · 99% reported ownership · associated 02/01/2019" }, { "id": "cms-owner:frisco-holding-ii:10->facility:341326", "from": "cms-owner:frisco-holding-ii:10", "to": "facility:341326", "relationship": "owns an interest in", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 10.07% reported ownership · associated 02/01/2019" }, { "id": "cms-owner:hti-hospital-holdings-inc:11->facility:341326", "from": "cms-owner:hti-hospital-holdings-inc:11", "to": "facility:341326", "relationship": "owns an interest in", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 100% reported ownership · associated 02/01/2019" }, { "id": "cms-owner:clint-kendall:12->facility:341326", "from": "cms-owner:clint-kendall:12", "to": "facility:341326", "relationship": "governs", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "CORPORATE OFFICER · 0% reported ownership · associated 08/02/2021" } ], "caveats": [ "CMS owner rows establish enrolled legal ownership or control roles; they do not always name the ultimate financial sponsor.", "Sponsor and portfolio-company labels come from the cited tracker or primary portfolio evidence.", "A management or staffing contract is not hospital ownership." ] }, "descriptiveTrends": [ { "metric": "net_patient_revenue", "earliestPeriod": "10/31/2020", "latestPeriod": "10/31/2023", "earliestValue": 36907195, "latestValue": 58916258, "absoluteChange": 22009063, "percentChange": 59.6335294513712, "unit": "USD" }, { "metric": "operating_expense", "earliestPeriod": "10/31/2020", "latestPeriod": "10/31/2023", "earliestValue": 48140717, "latestValue": 66806801, "absoluteChange": 18666084, "percentChange": 38.774004965484835, "unit": "USD" }, { "metric": "net_income", "earliestPeriod": "10/31/2020", "latestPeriod": "10/31/2023", "earliestValue": -10133233, "latestValue": -6880887, "absoluteChange": 3252346, "percentChange": 32.095837527864994, "unit": "USD" }, { "metric": "total_assets", "earliestPeriod": "10/31/2020", "latestPeriod": "10/31/2023", "earliestValue": 29247226, "latestValue": 78598164, "absoluteChange": 49350938, "percentChange": 168.7371581838223, "unit": "USD" }, { "metric": "total_liabilities", "earliestPeriod": "10/31/2020", "latestPeriod": "10/31/2023", "earliestValue": 20080654, "latestValue": 88273462, "absoluteChange": 68192808, "percentChange": 339.59455702986565, "unit": "USD" }, { "metric": "fte_employees", "earliestPeriod": "10/31/2020", "latestPeriod": "10/31/2023", "earliestValue": 229.89, "latestValue": 179.81, "absoluteChange": -50.079999999999984, "percentChange": -21.7843316368698, "unit": "FTE" }, { "metric": "beds", "earliestPeriod": "10/31/2020", "latestPeriod": "10/31/2023", "earliestValue": 25, "latestValue": 30, "absoluteChange": 5, "percentChange": 20, "unit": "beds" }, { "metric": "patient_days", "earliestPeriod": "10/31/2020", "latestPeriod": "10/31/2023", "earliestValue": 4258, "latestValue": 6424, "absoluteChange": 2166, "percentChange": 50.86895255988727, "unit": "days" }, { "metric": "discharges", "earliestPeriod": "10/31/2020", "latestPeriod": "10/31/2023", "earliestValue": 1297, "latestValue": 1716, "absoluteChange": 419, "percentChange": 32.305319969159605, "unit": "discharges" } ], "firstGlance": { "taxOwnershipType": "Nonprofit", "operator": "TeamHealth", "directPeOwnership": "No direct PE ownership claim; PE-backed contract warning", "peRelationship": "PE-backed service or staffing contract", "careLevel": "Critical Access Hospitals", "currentCeo": "Needs source-backed local leader research", "bottomLine": "ANGEL MEDICAL CENTER is shown with official-source baseline context for North Carolina. Missing fields remain visible instead of being inferred." }, "communityImpact": { "populationServedEstimate": 0, "populationServedLabel": "Needs system/facility catchment estimate", "estimateMethod": "Not estimated in this state-template completion pass", "catchmentDescription": "FRANKLIN, MACON, 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": { "sourceId": "source-cms-care-compare", "cmsOverallRating": "2", "emergencyServices": "Yes", "hospitalType": "Critical Access Hospitals", "careCompareOwnership": "Voluntary non-profit - Private", "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.", "noCausationClaim": true } }