PE Healthcare WatchEvidence behind healthcare control

Reviewed 2026-07-02

ASHEVILLE SPECIALTY HOSPITAL

Ownership, control, relationships, and source records for ASHEVILLE SPECIALTY HOSPITAL.
Ownership receipt

What we can say clearly

ASHEVILLE SPECIALTY HOSPITAL 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.

Finding
Closed / historical Mission Health facility
Last reviewed
2026-07-02
Evidence
19 cited sources
Baseline reviewClosed / historical Mission Health facility

ASHEVILLE SPECIALTY HOSPITAL 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.

Closed / historical Mission Health facility
Last verified Jul 2026
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Hospital status

CLOSED / SHUT DOWNClosed / shut down in 2024Mission Health permanently closed Asheville Specialty Hospital in 2024 after suspending services following Tropical Storm Helene.Source: North Carolina Health News

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Control Map

This leads to this

Hospital ownership/control path
HCA HealthcareMission HealthASHEVILLE SPECIALTY HOSPITAL

Evidence limits

Baseline record, research incompleteContract document missingNo CMS enrollment match in automated pass7 ownership sources checked19 total sources below
Direct PE ownershipNot documented as direct PE ownership in this state-template pass
PE relationshipNo documented PE link in current baseline sources
OperatorHCA Healthcare
Population servedNeeds system/facility catchment estimate

ASHEVILLE SPECIALTY HOSPITAL is connected to HCA Healthcare. HCA is a public company. Its 2026 proxy identifies Frist-related holdings and Vanguard beneficial-owner context. Treat Vanguard and other public-market holders as institutional shareholder context, not hospital operators. Institutional shareholder names are context only and do not override facility-level ownership evidence.

Review Note

Why this page is published

completed state-template official-source baseline

Publish state-template completion fields while preserving explicit unavailable/searched-not-found limitations.

Ownership & Control

Detailed records, kept below the answer

Facility legal owner, operator, parent company, ultimate controller, PE sponsor, and institutional shareholder context are separate evidence layers.

See the full ownership chain
operatesProprietaryASHEVILLE SPECIALTY HOSPITAL

PROPRIETARY is the best available legal-owner or enrolled-operator layer for ASHEVILLE SPECIALTY HOSPITAL.

operatesHca HealthcareASHEVILLE SPECIALTY HOSPITAL

HCA Healthcare is shown as the operator or parent-system layer for this facility.

  • Institutional shareholders such as Vanguard, BlackRock, and State Street are context nodes only; they are not hospital operators unless direct control evidence is found.
  • CMS owner rows identify enrolled owner/control roles but may not name every ultimate financial sponsor.
  • Sibling/system affiliation does not cause a facility to inherit another hospital’s red status.

Connections

Who owns, backs, staffs, or connects to this facility

Legal-owner layerPROPRIETARYFacility legal owner / enrollment layer · legal owner or enrolled operator

PROPRIETARY is shown separately from the parent system and ultimate financial/control context.

Operator layerHCA HealthcarePublic for-profit hospital company · corporate owner/operator

This connection identifies the operating or system layer used for the public map and dossier.

Shareholder contextInstitutional shareholders / governance contextShareholder or governance context · context only, not hospital operation

HCA is a public company. Its 2026 proxy identifies Frist-related holdings and Vanguard beneficial-owner context. Treat Vanguard and other public-market holders as institutional shareholder context, not hospital operators.

Corporate-chain backedHCA HealthcarePublic mega-corporation / hospital chain · owned or operated Mission Health facility before closure

HCA is the public-company corporate chain behind Mission Health. This layer is shown separately from private-equity or staffing-contract evidence.

Mission Health system threadMission HealthRegional health system / HCA division · historical system affiliation

Mission Health ties the Asheville flagship, regional acute-care hospitals, CarePartners, Mission Children's, and Asheville Specialty into one HCA-owned family thread.

Closed HCA/Mission branchAsheville Specialty Hospital closureClosed facility context · reported permanent closure

This row remains in the Mission Health thread as historical/closed context rather than a current operating branch.

Leadership

Current accountability and official image status

HCA Healthcare Chief Executive OfficerSamuel N. Hazen

Corporate-level HCA accountability context; local facility leadership should remain separate when a local source is available.

official image unavailable in this automated NC pass

Compensation context: Corporate executive compensation is disclosed in the HCA 2026 proxy; local hospital CEO compensation was not identified.

System Thread

Connected facilities and system family

  • ANGEL MEDICAL CENTERMission Health · FRANKLIN, NC · connected NC facility
  • ASHEVILLE SPECIALTY HOSPITALMission Health · ASHEVILLE, NC · current record
  • BLUE RIDGE REGIONAL HOSPITALMission Health · SPRUCE PINE, NC · connected NC facility
  • CAREPARTNERS REHABILITATION HOSPITALMission Health · ASHEVILLE, NC · connected NC facility
  • CAREPARTNERS REHABILITATION HOSPITALMission Health · ASHEVILLE, NC · connected NC facility
  • HIGHLANDS - CASHIERS HOSPITALMission Health · HIGHLANDS, NC · connected NC facility
  • MISSION HOSPITALMission Health · ASHEVILLE, NC · connected NC facility
  • MISSION HOSPITAL MCDOWELLMission Health · MARION, NC · connected NC facility
  • TRANSYLVANIA REGIONAL HOSPITALMission Health · BREVARD, NC · connected NC facility

Timeline

Ownership history and events

  1. HCA completes Mission Health purchase

    HCA announced completion of the Mission Health acquisition; CMS CHOW records align for the enrolled Mission/HCA branches where a CCN row is available.

  2. Asheville Specialty Hospital closure reported

    North Carolina Health News reported Mission Health would not reopen Asheville Specialty Hospital after 2024 disruption.

  3. operates

    PROPRIETARY is the best available legal-owner or enrolled-operator layer for ASHEVILLE SPECIALTY HOSPITAL.

  4. operates

    HCA Healthcare is shown as the operator or parent-system layer for this facility.

  5. formerly owned or operated

    ASHEVILLE SPECIALTY HOSPITAL is tied to HCA-owned Mission Health; this ownership layer is public-company ownership, not PE ownership.

  6. operates

    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.

Metrics

Financial and utilization series

MetricPeriodValueMethod note
net patient revenue10/01/2022 to 09/30/2023$12,484,445Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.
net patient revenue10/01/2021 to 09/30/2022$14,388,655Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.
net patient revenue10/01/2020 to 09/30/2021$14,150,182Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.
net patient revenue10/01/2019 to 09/30/2020$14,524,502Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.
operating expense10/01/2022 to 09/30/2023$18,250,498Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.
operating expense10/01/2021 to 09/30/2022$19,116,647Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.
operating expense10/01/2020 to 09/30/2021$15,440,178Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.
operating expense10/01/2019 to 09/30/2020$14,013,508Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.
net income10/01/2022 to 09/30/2023-$5,765,521Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.
net income10/01/2021 to 09/30/2022-$4,723,781Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.
net income10/01/2020 to 09/30/2021-$1,580,635Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.
net income10/01/2019 to 09/30/2020$541,672Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.
total assets10/01/2022 to 09/30/2023$2,976,436Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.
total assets10/01/2021 to 09/30/2022$4,162,816Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.
total assets10/01/2020 to 09/30/2021$4,285,315Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.
total assets10/01/2019 to 09/30/2020$4,190,790Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.
total liabilities10/01/2022 to 09/30/2023$13,203,051Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.
total liabilities10/01/2021 to 09/30/2022$9,970,409Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.
total liabilities10/01/2020 to 09/30/2021$5,512,603Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.
total liabilities10/01/2019 to 09/30/2020$4,311,345Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.
fte employees10/01/2022 to 09/30/202389.16 FTEHospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.
fte employees10/01/2021 to 09/30/202290.21 FTEHospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.
fte employees10/01/2020 to 09/30/202192.3 FTEHospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.
fte employees10/01/2019 to 09/30/202089.06 FTEHospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.
beds10/01/2022 to 09/30/202334 bedsHospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.
beds10/01/2021 to 09/30/202234 bedsHospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.
beds10/01/2020 to 09/30/202134 bedsHospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.
beds10/01/2019 to 09/30/202034 bedsHospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.
patient days10/01/2022 to 09/30/20238,751 daysHospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.
patient days10/01/2021 to 09/30/20229,602 daysHospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.
patient days10/01/2020 to 09/30/20218,913 daysHospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.
patient days10/01/2019 to 09/30/20208,513 daysHospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.
discharges10/01/2022 to 09/30/2023305 dischargesHospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.
discharges10/01/2021 to 09/30/2022323 dischargesHospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.
discharges10/01/2020 to 09/30/2021296 dischargesHospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.
discharges10/01/2019 to 09/30/2020288 dischargesHospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.

Evidence Notes

Contradictions, limitations, and unavailable fields

Open evidence notes
Limitation

No TeamHealth/Blackstone staffing-contract evidence was located for this branch in the reviewed sources.

Limitation

HCA/Mission ownership is public-company ownership and should not be classified as current PE ownership.

Limitation

No current CMS enrollment or CHOW row for Asheville Specialty Hospital was located in the local CMS cache used for this pass.

Limitation

No current CMS enrollment match was found by CCN or unique name/city/state match.

Limitation

No matching CMS Care Compare general-information row was found.

Limitation

This automated NC pass searched mandatory official/source systems and records missing items; it does not claim the entire internet was exhausted.

Limitation

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.

Unavailable

contract_document

Unavailable

contract_start_date

Unavailable

contract_terms

Unavailable

NPI

Unavailable

official CEO image URL

Unavailable

current CMS overall rating

Unavailable

source-backed local CEO/current leader

Unavailable

facility-level CEO compensation amount

Direct connection

mission-health

Direct connection

hca-healthcare

Direct connection

340002

Direct connection

Legal/enrollment layer: PROPRIETARY.

Direct connection

Operator layer: HCA Healthcare.

Direct connection

Ultimate parent/controller context: HCA Healthcare, Inc..

Direct connection

Shareholder/governance context: HCA is a public company. Its 2026 proxy identifies Frist-related holdings and Vanguard beneficial-owner context. Treat Vanguard and other public-market holders as institutional shareholder context, not hospital operators.

Direct connection

Operator/owner context: HCA Healthcare.

Action / event

Keep this branch connected to Mission Health while avoiding a PE warning absent supporting evidence.

Action / event

Recheck TeamHealth recruiting and hospital service-line pages in future reviews.

Action / event

Preserve HCA/Mission public-company ownership separately from Blackstone/TeamHealth service-contract evidence.

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Sources

Evidence and source documents