{
  "schemaVersion": 3,
  "entityId": "390026",
  "canonicalName": "CHESTNUT HILL HOSPITAL",
  "status": "signal",
  "statusLabel": "Documented investment signal",
  "summary": "CHESTNUT HILL 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"
  },
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    "ccn": "390026",
    "npi": "1437865953",
    "historicalCcns": [],
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      {
        "alias": "CHH COMMUNITY HEALTH",
        "alias_type": "cms_legal_name",
        "source_id": "source-cms-hospital-enrollments"
      },
      {
        "alias": "TEMPLE HEALTH - CHESTNUT HILL HOSPITAL",
        "alias_type": "cms_dba",
        "source_id": "source-cms-hospital-enrollments"
      }
    ]
  },
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      "relationship_id": "rel-reportedowner-390026",
      "from_entity_id": "reported owner",
      "to_entity_id": "390026",
      "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."
    }
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    },
    {
      "organization": "RICHARD NEWELL JR",
      "role": "CORPORATE DIRECTOR",
      "association_date": "04/08/2024",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "RICHARD NEWELL JR",
      "role": "OPERATIONAL/MANAGERIAL CONTROL",
      "association_date": "04/08/2024",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "MICHAEL YOUNG",
      "role": "CORPORATE DIRECTOR",
      "association_date": "01/01/2023",
      "percentage_ownership": "",
      "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:390026",
        "label": "CHESTNUT HILL HOSPITAL",
        "kind": "hospital",
        "evidence": "public facility record"
      },
      {
        "id": "organization:temple-university-health-system-inc",
        "label": "TEMPLE UNIVERSITY HEALTH SYSTEM INC",
        "kind": "portfolio_company_or_operator",
        "evidence": "research tracker or primary organizational source"
      },
      {
        "id": "cms-owner:christopher-snyder:0",
        "label": "CHRISTOPHER SNYDER",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:john-ryan:1",
        "label": "JOHN RYAN",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:philadelphia-college-of-osteopathic-medicine:2",
        "label": "PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:claire-raab:3",
        "label": "CLAIRE RAAB",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:joseph-marshall:4",
        "label": "JOSEPH MARSHALL",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:joseph-marshall:5",
        "label": "JOSEPH MARSHALL",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:kenneth-veit:6",
        "label": "KENNETH VEIT",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:jay-feldstein:7",
        "label": "JAY FELDSTEIN",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:gerald-oetzel:8",
        "label": "GERALD OETZEL",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:abhinav-rastogi:9",
        "label": "ABHINAV RASTOGI",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:tausha-saunders:10",
        "label": "TAUSHA SAUNDERS",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:amy-montour:11",
        "label": "AMY MONTOUR",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:temple-university-health-system-inc:12",
        "label": "TEMPLE UNIVERSITY HEALTH SYSTEM INC",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:michael-difranco:13",
        "label": "MICHAEL DIFRANCO",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:carl-sirio:14",
        "label": "CARL SIRIO",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:richard-newell-jr:15",
        "label": "RICHARD NEWELL JR",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      }
    ],
    "edges": [
      {
        "id": "organization:temple-university-health-system-inc->facility:390026",
        "from": "organization:temple-university-health-system-inc",
        "to": "facility:390026",
        "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:christopher-snyder:0->facility:390026",
        "from": "cms-owner:christopher-snyder:0",
        "to": "facility:390026",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 03/05/2024"
      },
      {
        "id": "cms-owner:john-ryan:1->facility:390026",
        "from": "cms-owner:john-ryan:1",
        "to": "facility:390026",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 01/01/2023"
      },
      {
        "id": "cms-owner:philadelphia-college-of-osteopathic-medicine:2->facility:390026",
        "from": "cms-owner:philadelphia-college-of-osteopathic-medicine:2",
        "to": "facility:390026",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 20% reported ownership · associated 05/03/2022"
      },
      {
        "id": "cms-owner:claire-raab:3->facility:390026",
        "from": "cms-owner:claire-raab:3",
        "to": "facility:390026",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 01/01/2023"
      },
      {
        "id": "cms-owner:joseph-marshall:4->facility:390026",
        "from": "cms-owner:joseph-marshall:4",
        "to": "facility:390026",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 01/01/2023"
      },
      {
        "id": "cms-owner:joseph-marshall:5->facility:390026",
        "from": "cms-owner:joseph-marshall:5",
        "to": "facility:390026",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 01/01/2023"
      },
      {
        "id": "cms-owner:kenneth-veit:6->facility:390026",
        "from": "cms-owner:kenneth-veit:6",
        "to": "facility:390026",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 01/01/2023"
      },
      {
        "id": "cms-owner:jay-feldstein:7->facility:390026",
        "from": "cms-owner:jay-feldstein:7",
        "to": "facility:390026",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 01/01/2023"
      },
      {
        "id": "cms-owner:gerald-oetzel:8->facility:390026",
        "from": "cms-owner:gerald-oetzel:8",
        "to": "facility:390026",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 07/06/2023"
      },
      {
        "id": "cms-owner:abhinav-rastogi:9->facility:390026",
        "from": "cms-owner:abhinav-rastogi:9",
        "to": "facility:390026",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 01/01/2023"
      },
      {
        "id": "cms-owner:tausha-saunders:10->facility:390026",
        "from": "cms-owner:tausha-saunders:10",
        "to": "facility:390026",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 01/01/2023"
      },
      {
        "id": "cms-owner:amy-montour:11->facility:390026",
        "from": "cms-owner:amy-montour:11",
        "to": "facility:390026",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 08/28/2025"
      },
      {
        "id": "cms-owner:temple-university-health-system-inc:12->facility:390026",
        "from": "cms-owner:temple-university-health-system-inc:12",
        "to": "facility:390026",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 80% reported ownership · associated 05/03/2022"
      },
      {
        "id": "cms-owner:michael-difranco:13->facility:390026",
        "from": "cms-owner:michael-difranco:13",
        "to": "facility:390026",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 08/28/2025"
      },
      {
        "id": "cms-owner:carl-sirio:14->facility:390026",
        "from": "cms-owner:carl-sirio:14",
        "to": "facility:390026",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 01/01/2023"
      },
      {
        "id": "cms-owner:richard-newell-jr:15->facility:390026",
        "from": "cms-owner:richard-newell-jr:15",
        "to": "facility:390026",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 04/08/2024"
      }
    ],
    "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": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 113921086,
      "latestValue": 116714647,
      "absoluteChange": 2793561,
      "percentChange": 2.452189579723634,
      "unit": "USD"
    },
    {
      "metric": "operating_expense",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 141745617,
      "latestValue": 129854980,
      "absoluteChange": -11890637,
      "percentChange": -8.38871582180915,
      "unit": "USD"
    },
    {
      "metric": "net_income",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": -57073513,
      "latestValue": -11738200,
      "absoluteChange": 45335313,
      "percentChange": 79.43319171539345,
      "unit": "USD"
    },
    {
      "metric": "total_assets",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": -14759066,
      "latestValue": 89146986,
      "absoluteChange": 103906052,
      "percentChange": 704.0150914698803,
      "unit": "USD"
    },
    {
      "metric": "total_liabilities",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 12866775,
      "latestValue": 84596451,
      "absoluteChange": 71729676,
      "percentChange": 557.479834690511,
      "unit": "USD"
    },
    {
      "metric": "contract_labor_direct_patient_care",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 3352973,
      "latestValue": 3901086,
      "absoluteChange": 548113,
      "percentChange": 16.347074670747425,
      "unit": "USD"
    },
    {
      "metric": "fte_employees",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 549.23,
      "latestValue": 451.21,
      "absoluteChange": -98.02000000000004,
      "percentChange": -17.846803707008,
      "unit": "FTE"
    },
    {
      "metric": "beds",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 128,
      "latestValue": 128,
      "absoluteChange": 0,
      "percentChange": 0,
      "unit": "beds"
    },
    {
      "metric": "patient_days",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 31227,
      "latestValue": 25487,
      "absoluteChange": -5740,
      "percentChange": -18.381528805200627,
      "unit": "days"
    },
    {
      "metric": "discharges",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 6512,
      "latestValue": 5100,
      "absoluteChange": -1412,
      "percentChange": -21.683046683046683,
      "unit": "discharges"
    }
  ]
}
