US Hospital Ownership Records — CMS Owner Edges

Keyless. Pay per record. Who owns America's hospitals — organization by organization.

This actor turns the US CMS (Centers for Medicare & Medicaid Services) provider-ownership file into clean, per-edge records — the official map of which organizations own which Medicare-enrolled hospitals and facilities. Each run reads CMS's keyless data API and delivers one row per ownership relationship: the facility, the owning organization, the ownership percentage and role, the association date, and a full set of owner-type flags (for-profit, non-profit, private equity, REIT, holding company, investment firm, and more). Organization-to-facility grain, structured for engineering use, in the public domain, with a hard person-gate: only organization owners are emitted, and every natural-person name, title, and street-address field is structurally excluded.

What this is, in one paragraph

CMS requires Medicare-enrolled hospitals and facilities to report their owners. This actor reads that file, keeps only the organization owners (owner TYPE = O), and flattens each into a single analysis-ready ownership edge: which organization owns which facility, at what percentage, in what role, since when — plus the owner's self-declared type flags that reveal private-equity, REIT, holding-company, and investment-firm ownership. This is the ownership/M&A layer of US healthcare, not a quality-ratings dataset. Values are exactly as reported to CMS. You are billed only for records actually delivered.

Who buys this and for what job

• Healthcare M&A, private-equity, and investment analysts tracking who owns which facilities, private-equity and REIT penetration, and consolidation by chain.
• Policy researchers and journalists studying hospital consolidation, PE ownership, and holding-company structures.
• Payers, competitors, and diligence teams mapping the ownership tree behind a facility before contracting or a transaction.
• Data engineers who want the CMS ownership edges as clean rows without paging the raw API and filtering owner types by hand.

Public-domain data — organization owners only

Two honesty riders travel on every record. First, licensing: CMS provider-ownership data is a work of the US federal government — no copyright, public domain under 17 U.S.C. §105 — free to reuse with attribution to CMS. Second, fitness: each row is one ownership relationship as self-reported to CMS Medicare enrollment; ownership percentages and type flags are as reported, and this is not a verified corporate-registry record or a legal determination.

Hard person-gate — no individual owners, no person fields

The source file contains individual owners (real people, with first/middle/last name, title, and home address) alongside organization owners. This actor emits only organization owners (owner TYPE = O): every individual-owner row is dropped, and every natural-person field — owner first/middle/last name, title, and street address — is excluded structurally (those source columns are not in the field map at all), with a person-key guard on every record as a backstop. The acceptance suite feeds an individual-owner row carrying a real person's name, title, and street address and asserts none of it can ever appear in output.

Pricing

Event	Free plan	Bronze	Silver	Gold / Platinum / Diamond
ownership_record	$0.05	$0.045	$0.04	$0.0335

Delivered before charged. Blocked runs and empty results cost nothing.

Input

Field	Type	Default	Description
state	string	—	Optional. Keep only owners in this 2-letter state (e.g. TN, TX).
privateEquityOnly	boolean	false	If true, keep only owners flagged as a private-equity company.
maxRecords	integer	500	Ceiling on records delivered and billed.

Output

One JSON object per organization-to-facility ownership edge. Real example (values as reported to CMS):

{
  "record_id": "O20020812000015:0244144871",
  "enrollment_id": "O20020812000015",
  "provider_organization_name": "SOUTHERN TENNESSEE MEDICAL CENTER LLC",
  "owner_associate_id": "0244144871",
  "owner_organization_name": "LIFEPOINT HOLDINGS 2 LLC",
  "owner_role_text": "5% OR GREATER INDIRECT OWNERSHIP INTEREST",
  "owner_association_date": "2025-03-01",
  "owner_city": "BRENTWOOD",
  "owner_state": "TN",
  "percentage_ownership": 80.0,
  "owner_is_for_profit": "Y",
  "owner_is_private_equity": null,
  "owner_is_holding_company": "N",
  "owner_type": "Organization",
  "source": "US CMS provider ownership file",
  "licence": "US CMS ... public domain (17 U.S.C. §105) ...",
  "disclaimer": "One organization-to-facility ownership relationship ... individual-owner rows ... excluded ...",
  "observed_at": "2026-08-21T00:00:00Z"
}

An unbilled RUN_RECEIPT records the robots check, the filters, source rows seen, organization owners matched and delivered, whether charged equals delivered, and a note that individual owners and person fields are excluded.

Field reference

Each record is one ownership edge. Facility: enrollment_id, provider_associate_id, and provider_organization_name. Owner: owner_associate_id, owner_organization_name, owner_doing_business_as, owner_city, owner_state, and owner_zip. Relationship: owner_role_code, owner_role_text, owner_association_date, percentage_ownership, and created_for_acquisition. Owner type flags (Y/N): owner_is_corporation, owner_is_llc, owner_is_medical_provider, owner_is_management_services, owner_is_medical_staffing, owner_is_holding_company, owner_is_investment_firm, owner_is_financial_institution, owner_is_consulting_firm, owner_is_for_profit, owner_is_non_profit, owner_is_private_equity, owner_is_reit, owner_is_chain_home_office, owner_is_other_type, owner_other_type_text, and owner_owned_by_another. Provenance: owner_type, source, source_url, licence, attribution, disclaimer, and observed_at.

How a run works

A run first re-reads the source host's robots posture from your runtime — CMS's data host serves no directives, a no-policy posture — and paces requests conservatively regardless. It then pages the CMS ownership dataset through the data API, and for each row keeps only organization owners (TYPE = O), applying your optional state and privateEquityOnly filters before delivery. Each matching edge is flattened to one record — reading only organization and relationship fields, never a person name, title, or street address — and delivered before it is charged, so a blocked or empty run costs you nothing. The actor stops at your maxRecords ceiling and records charge_equals_delivered in the receipt.

Coverage and scope

The ownership file holds well over a hundred thousand owner relationships across US Medicare-enrolled hospitals and facilities; the organization-owner subset this actor emits is tens of thousands of edges. Because each edge carries the owner-type flags, the private-equity, REIT, investment-firm, and holding-company relationships are trivial to surface — pass privateEquityOnly for the PE map, or a state for a regional consolidation view. Ownership trees are visible through owner_owned_by_another and the owner_organization_name chain.

Cost guidance

One ownership_record per delivered edge: cost = edges delivered × your plan's per-record price. Scope with state or privateEquityOnly to keep runs bounded — one state's ownership edges is typically a few hundred to a few thousand. 1,000 edges is $50 (Free) / $33.50 (Gold).

Honest limitations

• As self-reported. Ownership percentages, roles, and type flags are as reported to CMS Medicare enrollment, not independently verified.
• Organization owners only. Individual owners are excluded by design — this is the organization/entity ownership layer, not a person dataset.
• Ownership, not quality. This is the ownership/M&A layer; facility quality, ratings, and outcomes are a separate CMS product.
• Edge grain. One row is one owner-to-facility relationship; a facility with several owners appears as several edges.
• No person data — individual owners and every name/title/street-address field are excluded.

Differentiation

The NexGenData fleet ships cms-hospital-compare (facility quality, ratings, and characteristics) and other CMS facility/quality cells. This actor is a different job on a different CMS file: the ownership / M&A edge layer — which organization owns which facility, at what percentage, and of what type (private equity, REIT, holding company). Quality ratings ≠ ownership edges; this cell answers "who owns it and how," not "how good is it," and names the quality sibling so buyers pick the right one.

The NexGen Signal family

Part of the NexGen Signal family of pay-per-record data products:

• Mine Operator & Safety Records — US MSHA
• Airport Facility Records — US FAA NASR
• EPA Facility Compliance Records — Envirofacts
• Organization Sanctions & LEI Risk
• Higher-Ed Institution Records — US IPEDS

Source: US CMS provider-ownership file (data.cms.gov). CMS data is a work of the US federal government, no copyright, public domain (17 U.S.C. §105); free to reuse with attribution to CMS. Organization owners only; individual owners and all natural-person name/title/street-address fields are structurally excluded and never emitted. Ownership as self-reported, not a verified registry or legal determination.