{
  "schemaVersion": 3,
  "entityId": "380005",
  "canonicalName": "ASANTE ASHLAND COMMUNITY HOSPITAL",
  "status": "signal",
  "statusLabel": "Documented investment signal",
  "summary": "ASANTE ASHLAND COMMUNITY HOSPITAL appears in the source tracker as a venture-backed investment signal. This dossier does not classify that signal as completed private-equity ownership.",
  "lastReviewed": "2026-06-22",
  "review": {
    "reviewer": "Automated CMS/PESP reconciliation with editorial publication gate",
    "evidence_grade": "government-corroborated",
    "confidence": "medium",
    "source_count": 6,
    "ownership_source_count": 2,
    "identity_match_method": "CCN exact match",
    "publication_decision": "Meets the Phase 3 publication standard for its displayed status"
  },
  "identifiers": {
    "ccn": "380005",
    "npi": "1730628827",
    "historicalCcns": [],
    "aliases": [
      {
        "alias": "ASANTE ASHLAND COMMUNITY HOSPITAL LLC",
        "alias_type": "cms_legal_name",
        "source_id": "source-cms-hospital-enrollments"
      }
    ]
  },
  "ownershipHistory": [
    {
      "relationship_id": "rel-reportedowner-380005",
      "from_entity_id": "reported owner",
      "to_entity_id": "380005",
      "relationship_type": "venture_backing",
      "effective_date": "",
      "end_date": "",
      "announcement_date": "",
      "status": "signal",
      "confidence": "medium",
      "source_ids": "source-cms-hospital-all-owners|source-pesp-hospital-tracker",
      "plain_english_summary": "undefined is reported as an investment backer; this is not treated as a completed ownership claim.",
      "review_notes": "CMS corroborates the current enrolled ownership chain; the sponsor attribution comes from the research tracker."
    }
  ],
  "acquisitionEvents": [],
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      "unit": "USD",
      "better_when": "context_dependent",
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      "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": "380005-net_patient_revenue-09-30-2022",
      "entity_id": "380005",
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      "period_start": "10/01/2021",
      "period_end": "09/30/2022",
      "value": "74777882",
      "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": "380005-net_patient_revenue-09-30-2021",
      "entity_id": "380005",
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      "period_end": "09/30/2021",
      "value": "72494611",
      "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": "380005-operating_expense-09-30-2023",
      "entity_id": "380005",
      "metric_name": "operating_expense",
      "period_start": "10/01/2022",
      "period_end": "09/30/2023",
      "value": "67555408",
      "unit": "USD",
      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
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      "comparable_to_prior": "review_required"
    },
    {
      "metric_id": "380005-operating_expense-09-30-2022",
      "entity_id": "380005",
      "metric_name": "operating_expense",
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      "unit": "USD",
      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
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      "comparable_to_prior": "review_required"
    },
    {
      "metric_id": "380005-operating_expense-09-30-2021",
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      "better_when": "context_dependent",
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      "comparable_to_prior": "review_required"
    },
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      "metric_id": "380005-net_income-09-30-2023",
      "entity_id": "380005",
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      "source_id": "source-cms-hcris",
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      "comparable_to_prior": "review_required"
    },
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      "metric_id": "380005-net_income-09-30-2022",
      "entity_id": "380005",
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      "comparable_to_prior": "review_required"
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      "metric_id": "380005-net_income-09-30-2021",
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      "comparable_to_prior": "review_required"
    },
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      "metric_id": "380005-total_assets-09-30-2022",
      "entity_id": "380005",
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      "comparable_to_prior": "review_required"
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    },
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      "comparable_to_prior": "review_required"
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      "comparable_to_prior": "review_required"
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      "comparable_to_prior": "review_required"
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      "source_id": "source-cms-hcris",
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      "comparable_to_prior": "review_required"
    },
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    },
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      "comparable_to_prior": "review_required"
    },
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      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "HEATHER ROWENHORST",
      "role": "CORPORATE OFFICER",
      "association_date": "05/28/2023",
      "percentage_ownership": "0",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    }
  ],
  "directConnections": [],
  "actions": [],
  "contradictions": [],
  "limitations": [
    "CMS corroborates an enrolled ownership chain, but its owner names do not independently reproduce every sponsor or portfolio-company name from the tracker.",
    "The investment signal does not establish completed private-equity ownership or a pending sale."
  ],
  "unavailableFields": [
    "Precise acquisition date"
  ],
  "sources": [
    {
      "source_id": "source-hifld-hospitals",
      "title": "Hospitals RAPT",
      "publisher": "Homeland Infrastructure Foundation-Level Data",
      "publication_date": "current public layer",
      "retrieved_at": "2026-06-22",
      "url": "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
      "reliability_tier": "government",
      "research_note": "Used for facility location and basic identity context; it does not establish private-equity ownership.",
      "source_type": "public_record"
    },
    {
      "source_id": "source-pesp-hospital-tracker",
      "title": "Private Equity Hospital Tracker",
      "publisher": "Private Equity Stakeholder Project",
      "publication_date": "2026-04-03 snapshot",
      "retrieved_at": "2026-06-22",
      "url": "https://pestakeholder.org/private-equity-hospital-tracker/",
      "reliability_tier": "research",
      "research_note": "Discovery and ownership-chain baseline. A red public status also requires independent corroboration in this dossier.",
      "source_type": "public_record"
    },
    {
      "source_id": "source-cms-hospital-enrollments",
      "title": "Hospital Enrollments",
      "publisher": "Centers for Medicare & Medicaid Services",
      "publication_date": "2026-05-01",
      "retrieved_at": "2026-06-22",
      "url": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
      "reliability_tier": "government",
      "research_note": "Used to corroborate current enrollment identity, legal name, DBA, CCN, NPI, and location.",
      "source_type": "public_record"
    },
    {
      "source_id": "source-cms-hospital-all-owners",
      "title": "Hospital All Owners",
      "publisher": "Centers for Medicare & Medicaid Services",
      "publication_date": "2026-05-01",
      "retrieved_at": "2026-06-22",
      "url": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "reliability_tier": "government",
      "research_note": "Used to corroborate direct or indirect ownership, control, holding-company, investment-firm, and security-interest records.",
      "source_type": "public_record"
    },
    {
      "source_id": "source-cms-hcris",
      "title": "Hospital Provider Cost Reports",
      "publisher": "Centers for Medicare & Medicaid Services",
      "publication_date": "2015–2024",
      "retrieved_at": "2026-06-22",
      "url": "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
      "reliability_tier": "government",
      "research_note": "Financial, staffing, and utilization values. These descriptive measures do not establish causation.",
      "source_type": "public_record"
    },
    {
      "source_id": "source-cms-care-compare",
      "title": "Hospital General Information",
      "publisher": "Centers for Medicare & Medicaid Services",
      "publication_date": "2026",
      "retrieved_at": "2026-06-22",
      "url": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "reliability_tier": "government",
      "research_note": "Used for current facility identity, hospital type, ownership category, and overall rating when available.",
      "source_type": "public_record"
    }
  ],
  "ownershipChain": {
    "model": "Sponsor, operator, CMS legal-owner/control records, and facility are shown as separate evidence layers.",
    "confidence": "medium",
    "nodes": [
      {
        "id": "facility:380005",
        "label": "ASANTE ASHLAND COMMUNITY HOSPITAL",
        "kind": "hospital",
        "evidence": "public facility record"
      },
      {
        "id": "organization:asante",
        "label": "ASANTE",
        "kind": "portfolio_company_or_operator",
        "evidence": "research tracker or primary organizational source"
      },
      {
        "id": "cms-owner:asante:0",
        "label": "ASANTE",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER DIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:asante:1",
        "label": "ASANTE",
        "kind": "cms_owner_or_controller",
        "evidence": "OPERATIONAL/MANAGERIAL CONTROL"
      },
      {
        "id": "cms-owner:winford-howard:2",
        "label": "WINFORD HOWARD",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:patricia-wintemute:3",
        "label": "PATRICIA WINTEMUTE",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:stephen-roe:4",
        "label": "STEPHEN ROE",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:christina-medina:5",
        "label": "CHRISTINA MEDINA",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:peter-angstadt:6",
        "label": "PETER ANGSTADT",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:carl-christlieb:7",
        "label": "CARL CHRISTLIEB",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:andrew-porter:8",
        "label": "ANDREW PORTER",
        "kind": "cms_owner_or_controller",
        "evidence": "W-2 MANAGING EMPLOYEE"
      },
      {
        "id": "cms-owner:kate-lasky:9",
        "label": "KATE LASKY",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:thomas-gessel:10",
        "label": "THOMAS GESSEL",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:thomas-walker:11",
        "label": "THOMAS WALKER",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:brian-gross:12",
        "label": "BRIAN GROSS",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:suzin-hagar:13",
        "label": "SUZIN HAGAR",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:stephen-gambee:14",
        "label": "STEPHEN GAMBEE",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:joan-mcbee:15",
        "label": "JOAN MCBEE",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      }
    ],
    "edges": [
      {
        "id": "organization:asante->facility:380005",
        "from": "organization:asante",
        "to": "facility:380005",
        "relationship": "reported ownership or operating chain",
        "confidence": "medium",
        "sourceIds": [
          "source-cms-hospital-all-owners",
          "source-pesp-hospital-tracker"
        ],
        "note": "The platform attribution comes from the research tracker and is displayed separately from CMS legal-owner rows."
      },
      {
        "id": "cms-owner:asante:0->facility:380005",
        "from": "cms-owner:asante:0",
        "to": "facility:380005",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER DIRECT OWNERSHIP INTEREST · 100% reported ownership · associated 02/27/2017"
      },
      {
        "id": "cms-owner:asante:1->facility:380005",
        "from": "cms-owner:asante:1",
        "to": "facility:380005",
        "relationship": "controls or manages",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "OPERATIONAL/MANAGERIAL CONTROL · 100% reported ownership · associated 02/28/2017"
      },
      {
        "id": "cms-owner:winford-howard:2->facility:380005",
        "from": "cms-owner:winford-howard:2",
        "to": "facility:380005",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · 0% reported ownership · associated 04/09/2023"
      },
      {
        "id": "cms-owner:patricia-wintemute:3->facility:380005",
        "from": "cms-owner:patricia-wintemute:3",
        "to": "facility:380005",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · 0% reported ownership · associated 10/01/2022"
      },
      {
        "id": "cms-owner:stephen-roe:4->facility:380005",
        "from": "cms-owner:stephen-roe:4",
        "to": "facility:380005",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · 0% reported ownership · associated 07/17/2023"
      },
      {
        "id": "cms-owner:christina-medina:5->facility:380005",
        "from": "cms-owner:christina-medina:5",
        "to": "facility:380005",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · 0% reported ownership · associated 01/01/2022"
      },
      {
        "id": "cms-owner:peter-angstadt:6->facility:380005",
        "from": "cms-owner:peter-angstadt:6",
        "to": "facility:380005",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · 0% reported ownership · associated 01/01/2015"
      },
      {
        "id": "cms-owner:carl-christlieb:7->facility:380005",
        "from": "cms-owner:carl-christlieb:7",
        "to": "facility:380005",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · 0% reported ownership · associated 01/01/2022"
      },
      {
        "id": "cms-owner:andrew-porter:8->facility:380005",
        "from": "cms-owner:andrew-porter:8",
        "to": "facility:380005",
        "relationship": "is associated with",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "W-2 MANAGING EMPLOYEE · associated 05/01/2022"
      },
      {
        "id": "cms-owner:kate-lasky:9->facility:380005",
        "from": "cms-owner:kate-lasky:9",
        "to": "facility:380005",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · 0% reported ownership · associated 01/01/2022"
      },
      {
        "id": "cms-owner:thomas-gessel:10->facility:380005",
        "from": "cms-owner:thomas-gessel:10",
        "to": "facility:380005",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · 0% reported ownership · associated 09/18/2023"
      },
      {
        "id": "cms-owner:thomas-walker:11->facility:380005",
        "from": "cms-owner:thomas-walker:11",
        "to": "facility:380005",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 01/01/2024"
      },
      {
        "id": "cms-owner:brian-gross:12->facility:380005",
        "from": "cms-owner:brian-gross:12",
        "to": "facility:380005",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · 0% reported ownership · associated 01/01/2020"
      },
      {
        "id": "cms-owner:suzin-hagar:13->facility:380005",
        "from": "cms-owner:suzin-hagar:13",
        "to": "facility:380005",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · 0% reported ownership · associated 01/01/2022"
      },
      {
        "id": "cms-owner:stephen-gambee:14->facility:380005",
        "from": "cms-owner:stephen-gambee:14",
        "to": "facility:380005",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · 0% reported ownership · associated 01/01/2020"
      },
      {
        "id": "cms-owner:joan-mcbee:15->facility:380005",
        "from": "cms-owner:joan-mcbee:15",
        "to": "facility:380005",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 01/01/2024"
      }
    ],
    "caveats": [
      "CMS owner rows establish enrolled legal ownership or control roles; they do not always name the ultimate financial sponsor."
    ]
  },
  "descriptiveTrends": [
    {
      "metric": "net_patient_revenue",
      "earliestPeriod": "09/30/2021",
      "latestPeriod": "09/30/2023",
      "earliestValue": 72494611,
      "latestValue": 66320812,
      "absoluteChange": -6173799,
      "percentChange": -8.516217846868646,
      "unit": "USD"
    },
    {
      "metric": "operating_expense",
      "earliestPeriod": "09/30/2021",
      "latestPeriod": "09/30/2023",
      "earliestValue": 71397046,
      "latestValue": 67555408,
      "absoluteChange": -3841638,
      "percentChange": -5.380667990101439,
      "unit": "USD"
    },
    {
      "metric": "net_income",
      "earliestPeriod": "09/30/2021",
      "latestPeriod": "09/30/2023",
      "earliestValue": 15394922,
      "latestValue": 3298519,
      "absoluteChange": -12096403,
      "percentChange": -78.57398043328833,
      "unit": "USD"
    },
    {
      "metric": "total_assets",
      "earliestPeriod": "09/30/2021",
      "latestPeriod": "09/30/2023",
      "earliestValue": 46912632,
      "latestValue": 47760227,
      "absoluteChange": 847595,
      "percentChange": 1.8067521771108472,
      "unit": "USD"
    },
    {
      "metric": "total_liabilities",
      "earliestPeriod": "09/30/2021",
      "latestPeriod": "09/30/2023",
      "earliestValue": 13531074,
      "latestValue": 5227493,
      "absoluteChange": -8303581,
      "percentChange": -61.366754774972044,
      "unit": "USD"
    },
    {
      "metric": "contract_labor_direct_patient_care",
      "earliestPeriod": "09/30/2021",
      "latestPeriod": "09/30/2023",
      "earliestValue": 4656448,
      "latestValue": 4844790,
      "absoluteChange": 188342,
      "percentChange": 4.044756861882705,
      "unit": "USD"
    },
    {
      "metric": "fte_employees",
      "earliestPeriod": "09/30/2021",
      "latestPeriod": "09/30/2023",
      "earliestValue": 59.21,
      "latestValue": 59.58,
      "absoluteChange": 0.36999999999999744,
      "percentChange": 0.6248944435061602,
      "unit": "FTE"
    },
    {
      "metric": "beds",
      "earliestPeriod": "09/30/2021",
      "latestPeriod": "09/30/2023",
      "earliestValue": 36,
      "latestValue": 41,
      "absoluteChange": 5,
      "percentChange": 13.88888888888889,
      "unit": "beds"
    },
    {
      "metric": "patient_days",
      "earliestPeriod": "09/30/2021",
      "latestPeriod": "09/30/2023",
      "earliestValue": 7430,
      "latestValue": 6372,
      "absoluteChange": -1058,
      "percentChange": -14.23956931359354,
      "unit": "days"
    },
    {
      "metric": "discharges",
      "earliestPeriod": "09/30/2021",
      "latestPeriod": "09/30/2023",
      "earliestValue": 1645,
      "latestValue": 1527,
      "absoluteChange": -118,
      "percentChange": -7.173252279635259,
      "unit": "discharges"
    }
  ]
}
