{
  "schemaVersion": 3,
  "entityId": "pe-tracker-362038",
  "canonicalName": "ADVANCED SPECIALTY HOSPITAL OF TOLEDO",
  "status": "confirmed_pe",
  "statusLabel": "CMS-corroborated PE ownership record",
  "summary": "ADVANCED SPECIALTY HOSPITAL OF TOLEDO is listed in the April 3, 2026 PE hospital tracker and matches current CMS enrollment and owner records for GARDEN II LEASING CO., LLC. The dossier distinguishes the enrolled legal owner from the broader sponsor and portfolio-company chain.",
  "lastReviewed": "2026-06-22",
  "review": {
    "reviewer": "Automated CMS/PESP reconciliation with editorial publication gate",
    "evidence_grade": "government-corroborated",
    "confidence": "medium",
    "source_count": 5,
    "ownership_source_count": 2,
    "identity_match_method": "CCN exact match",
    "publication_decision": "Meets the Phase 3 publication standard for its displayed status"
  },
  "identifiers": {
    "ccn": "362038",
    "npi": "1215110994",
    "historicalCcns": [],
    "aliases": [
      {
        "alias": "GARDEN II LEASING CO., LLC",
        "alias_type": "cms_legal_name",
        "source_id": "source-cms-hospital-enrollments"
      },
      {
        "alias": "ADVANCED SPECIALTY HOSPITAL OF TOLEDO",
        "alias_type": "cms_dba",
        "source_id": "source-cms-hospital-enrollments"
      }
    ]
  },
  "ownershipHistory": [
    {
      "relationship_id": "rel-communicarefamilyofcompanies-pe-tracker-362038",
      "from_entity_id": "CommuniCare Family of Companies",
      "to_entity_id": "pe-tracker-362038",
      "relationship_type": "owns",
      "effective_date": "",
      "end_date": "",
      "announcement_date": "",
      "status": "confirmed",
      "confidence": "medium",
      "source_ids": "source-cms-hospital-all-owners|source-pesp-hospital-tracker",
      "plain_english_summary": "The tracker identifies CommuniCare Family of Companies in the PE ownership chain, and CMS supplies current enrolled-owner records for the facility.",
      "review_notes": "CMS corroborates the current enrolled ownership chain; the sponsor attribution comes from the research tracker."
    }
  ],
  "acquisitionEvents": [],
  "financialAndUtilizationSeries": [
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      "metric_id": "pe-tracker-362038-net_patient_revenue-02-29-2024",
      "entity_id": "pe-tracker-362038",
      "metric_name": "net_patient_revenue",
      "period_start": "03/01/2023",
      "period_end": "02/29/2024",
      "value": "12710965",
      "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": "pe-tracker-362038-net_patient_revenue-02-28-2023",
      "entity_id": "pe-tracker-362038",
      "metric_name": "net_patient_revenue",
      "period_start": "03/01/2022",
      "period_end": "02/28/2023",
      "value": "9258827",
      "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": "pe-tracker-362038-net_patient_revenue-02-28-2022",
      "entity_id": "pe-tracker-362038",
      "metric_name": "net_patient_revenue",
      "period_start": "03/01/2021",
      "period_end": "02/28/2022",
      "value": "11442109",
      "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": "pe-tracker-362038-operating_expense-02-29-2024",
      "entity_id": "pe-tracker-362038",
      "metric_name": "operating_expense",
      "period_start": "03/01/2023",
      "period_end": "02/29/2024",
      "value": "13036480",
      "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": "pe-tracker-362038-operating_expense-02-28-2023",
      "entity_id": "pe-tracker-362038",
      "metric_name": "operating_expense",
      "period_start": "03/01/2022",
      "period_end": "02/28/2023",
      "value": "11601862",
      "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": "pe-tracker-362038-operating_expense-02-28-2022",
      "entity_id": "pe-tracker-362038",
      "metric_name": "operating_expense",
      "period_start": "03/01/2021",
      "period_end": "02/28/2022",
      "value": "11596665",
      "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": "pe-tracker-362038-net_income-02-29-2024",
      "entity_id": "pe-tracker-362038",
      "metric_name": "net_income",
      "period_start": "03/01/2023",
      "period_end": "02/29/2024",
      "value": "-324645",
      "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": "pe-tracker-362038-net_income-02-28-2023",
      "entity_id": "pe-tracker-362038",
      "metric_name": "net_income",
      "period_start": "03/01/2022",
      "period_end": "02/28/2023",
      "value": "-2286572",
      "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": "pe-tracker-362038-net_income-02-28-2022",
      "entity_id": "pe-tracker-362038",
      "metric_name": "net_income",
      "period_start": "03/01/2021",
      "period_end": "02/28/2022",
      "value": "1279004",
      "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": "pe-tracker-362038-total_assets-02-29-2024",
      "entity_id": "pe-tracker-362038",
      "metric_name": "total_assets",
      "period_start": "03/01/2023",
      "period_end": "02/29/2024",
      "value": "13087780",
      "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": "pe-tracker-362038-total_assets-02-28-2023",
      "entity_id": "pe-tracker-362038",
      "metric_name": "total_assets",
      "period_start": "03/01/2022",
      "period_end": "02/28/2023",
      "value": "7651566",
      "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": "pe-tracker-362038-total_assets-02-28-2022",
      "entity_id": "pe-tracker-362038",
      "metric_name": "total_assets",
      "period_start": "03/01/2021",
      "period_end": "02/28/2022",
      "value": "4105877",
      "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": "pe-tracker-362038-total_liabilities-02-29-2024",
      "entity_id": "pe-tracker-362038",
      "metric_name": "total_liabilities",
      "period_start": "03/01/2023",
      "period_end": "02/29/2024",
      "value": "1690709",
      "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": "pe-tracker-362038-total_liabilities-02-28-2023",
      "entity_id": "pe-tracker-362038",
      "metric_name": "total_liabilities",
      "period_start": "03/01/2022",
      "period_end": "02/28/2023",
      "value": "1659371",
      "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": "pe-tracker-362038-total_liabilities-02-28-2022",
      "entity_id": "pe-tracker-362038",
      "metric_name": "total_liabilities",
      "period_start": "03/01/2021",
      "period_end": "02/28/2022",
      "value": "548752",
      "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": "pe-tracker-362038-fte_employees-02-29-2024",
      "entity_id": "pe-tracker-362038",
      "metric_name": "fte_employees",
      "period_start": "03/01/2023",
      "period_end": "02/29/2024",
      "value": "64.51",
      "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": "pe-tracker-362038-fte_employees-02-28-2023",
      "entity_id": "pe-tracker-362038",
      "metric_name": "fte_employees",
      "period_start": "03/01/2022",
      "period_end": "02/28/2023",
      "value": "53.1",
      "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": "pe-tracker-362038-fte_employees-02-28-2022",
      "entity_id": "pe-tracker-362038",
      "metric_name": "fte_employees",
      "period_start": "03/01/2021",
      "period_end": "02/28/2022",
      "value": "57.53",
      "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": "pe-tracker-362038-beds-02-29-2024",
      "entity_id": "pe-tracker-362038",
      "metric_name": "beds",
      "period_start": "03/01/2023",
      "period_end": "02/29/2024",
      "value": "35",
      "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": "pe-tracker-362038-beds-02-28-2023",
      "entity_id": "pe-tracker-362038",
      "metric_name": "beds",
      "period_start": "03/01/2022",
      "period_end": "02/28/2023",
      "value": "40",
      "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": "pe-tracker-362038-beds-02-28-2022",
      "entity_id": "pe-tracker-362038",
      "metric_name": "beds",
      "period_start": "03/01/2021",
      "period_end": "02/28/2022",
      "value": "40",
      "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": "pe-tracker-362038-patient_days-02-29-2024",
      "entity_id": "pe-tracker-362038",
      "metric_name": "patient_days",
      "period_start": "03/01/2023",
      "period_end": "02/29/2024",
      "value": "7260",
      "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": "pe-tracker-362038-patient_days-02-28-2023",
      "entity_id": "pe-tracker-362038",
      "metric_name": "patient_days",
      "period_start": "03/01/2022",
      "period_end": "02/28/2023",
      "value": "5163",
      "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": "pe-tracker-362038-patient_days-02-28-2022",
      "entity_id": "pe-tracker-362038",
      "metric_name": "patient_days",
      "period_start": "03/01/2021",
      "period_end": "02/28/2022",
      "value": "7266",
      "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": "pe-tracker-362038-discharges-02-29-2024",
      "entity_id": "pe-tracker-362038",
      "metric_name": "discharges",
      "period_start": "03/01/2023",
      "period_end": "02/29/2024",
      "value": "217",
      "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": "pe-tracker-362038-discharges-02-28-2023",
      "entity_id": "pe-tracker-362038",
      "metric_name": "discharges",
      "period_start": "03/01/2022",
      "period_end": "02/28/2023",
      "value": "186",
      "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": "pe-tracker-362038-discharges-02-28-2022",
      "entity_id": "pe-tracker-362038",
      "metric_name": "discharges",
      "period_start": "03/01/2021",
      "period_end": "02/28/2022",
      "value": "291",
      "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": "MINORITY REPORT LLC",
      "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST",
      "association_date": "11/02/2018",
      "percentage_ownership": "6.52",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "TOLEDO HC HOLDINGS LLC",
      "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST",
      "association_date": "11/02/2018",
      "percentage_ownership": "93.48",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "RONALD WILHEIM",
      "role": "CORPORATE OFFICER",
      "association_date": "11/02/2018",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "RONALD WILHEIM",
      "role": "W-2 MANAGING EMPLOYEE",
      "association_date": "11/02/2018",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "GARY ZACIEWSKI",
      "role": "W-2 MANAGING EMPLOYEE",
      "association_date": "09/08/2022",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "COBALT I IRREVOCABLE TRUST",
      "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST",
      "association_date": "11/02/2018",
      "percentage_ownership": "31.16",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "COBALT II IRREVOCABLE TRUST",
      "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST",
      "association_date": "11/02/2018",
      "percentage_ownership": "31.16",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "COBALT III IRREVOCABLE TRUST",
      "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST",
      "association_date": "11/02/2018",
      "percentage_ownership": "31.16",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "COBALT IV IRREVOCABLE TRUST",
      "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST",
      "association_date": "11/02/2018",
      "percentage_ownership": "6.52",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "TOLEDO MSTR CO LLC",
      "role": "5% OR GREATER DIRECT OWNERSHIP INTEREST",
      "association_date": "11/02/2018",
      "percentage_ownership": "100",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "HEALTH CARE FACILITY MANAGEMENT, LLC",
      "role": "OPERATIONAL/MANAGERIAL CONTROL",
      "association_date": "02/18/2004",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "CHARLES STOLTZ",
      "role": "CORPORATE OFFICER",
      "association_date": "11/01/2003",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "CHARLES STOLTZ",
      "role": "W-2 MANAGING EMPLOYEE",
      "association_date": "11/01/2003",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    }
  ],
  "directConnections": [
    "Reported parent system or portfolio company: CommuniCare Family of Companies.",
    "Reported investment sponsor: Longevity Venture Partners."
  ],
  "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."
  ],
  "unavailableFields": [
    "Precise acquisition date",
    "Official facility URL",
    "Current CMS overall rating"
  ],
  "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"
    }
  ],
  "ownershipChain": {
    "model": "Sponsor, operator, CMS legal-owner/control records, and facility are shown as separate evidence layers.",
    "confidence": "medium",
    "nodes": [
      {
        "id": "facility:pe-tracker-362038",
        "label": "ADVANCED SPECIALTY HOSPITAL OF TOLEDO",
        "kind": "hospital",
        "evidence": "public facility record"
      },
      {
        "id": "organization:longevity-venture-partners",
        "label": "Longevity Venture Partners",
        "kind": "pe_sponsor",
        "evidence": "research tracker or primary portfolio source"
      },
      {
        "id": "organization:health-care-facility-management-llc",
        "label": "HEALTH CARE FACILITY MANAGEMENT, LLC",
        "kind": "portfolio_company_or_operator",
        "evidence": "research tracker or primary organizational source"
      },
      {
        "id": "cms-owner:minority-report-llc:0",
        "label": "MINORITY REPORT LLC",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:toledo-hc-holdings-llc:1",
        "label": "TOLEDO HC HOLDINGS LLC",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:ronald-wilheim:2",
        "label": "RONALD WILHEIM",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:ronald-wilheim:3",
        "label": "RONALD WILHEIM",
        "kind": "cms_owner_or_controller",
        "evidence": "W-2 MANAGING EMPLOYEE"
      },
      {
        "id": "cms-owner:gary-zaciewski:4",
        "label": "GARY ZACIEWSKI",
        "kind": "cms_owner_or_controller",
        "evidence": "W-2 MANAGING EMPLOYEE"
      },
      {
        "id": "cms-owner:cobalt-i-irrevocable-trust:5",
        "label": "COBALT I IRREVOCABLE TRUST",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:cobalt-ii-irrevocable-trust:6",
        "label": "COBALT II IRREVOCABLE TRUST",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:cobalt-iii-irrevocable-trust:7",
        "label": "COBALT III IRREVOCABLE TRUST",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:cobalt-iv-irrevocable-trust:8",
        "label": "COBALT IV IRREVOCABLE TRUST",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:toledo-mstr-co-llc:9",
        "label": "TOLEDO MSTR CO LLC",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER DIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:health-care-facility-management-llc:10",
        "label": "HEALTH CARE FACILITY MANAGEMENT, LLC",
        "kind": "cms_owner_or_controller",
        "evidence": "OPERATIONAL/MANAGERIAL CONTROL"
      },
      {
        "id": "cms-owner:charles-stoltz:11",
        "label": "CHARLES STOLTZ",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:charles-stoltz:12",
        "label": "CHARLES STOLTZ",
        "kind": "cms_owner_or_controller",
        "evidence": "W-2 MANAGING EMPLOYEE"
      }
    ],
    "edges": [
      {
        "id": "organization:longevity-venture-partners->organization:health-care-facility-management-llc",
        "from": "organization:longevity-venture-partners",
        "to": "organization:health-care-facility-management-llc",
        "relationship": "sponsors",
        "confidence": "medium",
        "sourceIds": [
          "source-cms-hospital-all-owners",
          "source-pesp-hospital-tracker"
        ],
        "note": "The tracker supplies the sponsor-to-platform attribution; CMS does not independently reproduce every sponsor name."
      },
      {
        "id": "organization:health-care-facility-management-llc->facility:pe-tracker-362038",
        "from": "organization:health-care-facility-management-llc",
        "to": "facility:pe-tracker-362038",
        "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:minority-report-llc:0->facility:pe-tracker-362038",
        "from": "cms-owner:minority-report-llc:0",
        "to": "facility:pe-tracker-362038",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 6.52% reported ownership · associated 11/02/2018"
      },
      {
        "id": "cms-owner:toledo-hc-holdings-llc:1->facility:pe-tracker-362038",
        "from": "cms-owner:toledo-hc-holdings-llc:1",
        "to": "facility:pe-tracker-362038",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 93.48% reported ownership · associated 11/02/2018"
      },
      {
        "id": "cms-owner:ronald-wilheim:2->facility:pe-tracker-362038",
        "from": "cms-owner:ronald-wilheim:2",
        "to": "facility:pe-tracker-362038",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 11/02/2018"
      },
      {
        "id": "cms-owner:ronald-wilheim:3->facility:pe-tracker-362038",
        "from": "cms-owner:ronald-wilheim:3",
        "to": "facility:pe-tracker-362038",
        "relationship": "is associated with",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "W-2 MANAGING EMPLOYEE · associated 11/02/2018"
      },
      {
        "id": "cms-owner:gary-zaciewski:4->facility:pe-tracker-362038",
        "from": "cms-owner:gary-zaciewski:4",
        "to": "facility:pe-tracker-362038",
        "relationship": "is associated with",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "W-2 MANAGING EMPLOYEE · associated 09/08/2022"
      },
      {
        "id": "cms-owner:cobalt-i-irrevocable-trust:5->facility:pe-tracker-362038",
        "from": "cms-owner:cobalt-i-irrevocable-trust:5",
        "to": "facility:pe-tracker-362038",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 31.16% reported ownership · associated 11/02/2018"
      },
      {
        "id": "cms-owner:cobalt-ii-irrevocable-trust:6->facility:pe-tracker-362038",
        "from": "cms-owner:cobalt-ii-irrevocable-trust:6",
        "to": "facility:pe-tracker-362038",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 31.16% reported ownership · associated 11/02/2018"
      },
      {
        "id": "cms-owner:cobalt-iii-irrevocable-trust:7->facility:pe-tracker-362038",
        "from": "cms-owner:cobalt-iii-irrevocable-trust:7",
        "to": "facility:pe-tracker-362038",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 31.16% reported ownership · associated 11/02/2018"
      },
      {
        "id": "cms-owner:cobalt-iv-irrevocable-trust:8->facility:pe-tracker-362038",
        "from": "cms-owner:cobalt-iv-irrevocable-trust:8",
        "to": "facility:pe-tracker-362038",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 6.52% reported ownership · associated 11/02/2018"
      },
      {
        "id": "cms-owner:toledo-mstr-co-llc:9->facility:pe-tracker-362038",
        "from": "cms-owner:toledo-mstr-co-llc:9",
        "to": "facility:pe-tracker-362038",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER DIRECT OWNERSHIP INTEREST · 100% reported ownership · associated 11/02/2018"
      },
      {
        "id": "cms-owner:health-care-facility-management-llc:10->facility:pe-tracker-362038",
        "from": "cms-owner:health-care-facility-management-llc:10",
        "to": "facility:pe-tracker-362038",
        "relationship": "controls or manages",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "OPERATIONAL/MANAGERIAL CONTROL · associated 02/18/2004"
      },
      {
        "id": "cms-owner:charles-stoltz:11->facility:pe-tracker-362038",
        "from": "cms-owner:charles-stoltz:11",
        "to": "facility:pe-tracker-362038",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 11/01/2003"
      },
      {
        "id": "cms-owner:charles-stoltz:12->facility:pe-tracker-362038",
        "from": "cms-owner:charles-stoltz:12",
        "to": "facility:pe-tracker-362038",
        "relationship": "is associated with",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "W-2 MANAGING EMPLOYEE · associated 11/01/2003"
      }
    ],
    "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."
    ]
  },
  "descriptiveTrends": [
    {
      "metric": "net_patient_revenue",
      "earliestPeriod": "02/28/2022",
      "latestPeriod": "02/29/2024",
      "earliestValue": 11442109,
      "latestValue": 12710965,
      "absoluteChange": 1268856,
      "percentChange": 11.089354244047142,
      "unit": "USD"
    },
    {
      "metric": "operating_expense",
      "earliestPeriod": "02/28/2022",
      "latestPeriod": "02/29/2024",
      "earliestValue": 11596665,
      "latestValue": 13036480,
      "absoluteChange": 1439815,
      "percentChange": 12.415767809107187,
      "unit": "USD"
    },
    {
      "metric": "net_income",
      "earliestPeriod": "02/28/2022",
      "latestPeriod": "02/29/2024",
      "earliestValue": 1279004,
      "latestValue": -324645,
      "absoluteChange": -1603649,
      "percentChange": -125.38264149291167,
      "unit": "USD"
    },
    {
      "metric": "total_assets",
      "earliestPeriod": "02/28/2022",
      "latestPeriod": "02/29/2024",
      "earliestValue": 4105877,
      "latestValue": 13087780,
      "absoluteChange": 8981903,
      "percentChange": 218.75723505599413,
      "unit": "USD"
    },
    {
      "metric": "total_liabilities",
      "earliestPeriod": "02/28/2022",
      "latestPeriod": "02/29/2024",
      "earliestValue": 548752,
      "latestValue": 1690709,
      "absoluteChange": 1141957,
      "percentChange": 208.1007449631163,
      "unit": "USD"
    },
    {
      "metric": "fte_employees",
      "earliestPeriod": "02/28/2022",
      "latestPeriod": "02/29/2024",
      "earliestValue": 57.53,
      "latestValue": 64.51,
      "absoluteChange": 6.980000000000004,
      "percentChange": 12.132800278115772,
      "unit": "FTE"
    },
    {
      "metric": "beds",
      "earliestPeriod": "02/28/2022",
      "latestPeriod": "02/29/2024",
      "earliestValue": 40,
      "latestValue": 35,
      "absoluteChange": -5,
      "percentChange": -12.5,
      "unit": "beds"
    },
    {
      "metric": "patient_days",
      "earliestPeriod": "02/28/2022",
      "latestPeriod": "02/29/2024",
      "earliestValue": 7266,
      "latestValue": 7260,
      "absoluteChange": -6,
      "percentChange": -0.08257638315441783,
      "unit": "days"
    },
    {
      "metric": "discharges",
      "earliestPeriod": "02/28/2022",
      "latestPeriod": "02/29/2024",
      "earliestValue": 291,
      "latestValue": 217,
      "absoluteChange": -74,
      "percentChange": -25.42955326460481,
      "unit": "discharges"
    }
  ]
}