US Hospital Ownership Records — CMS Owner Organizations

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.

Sample output

Real rows from a live run of this actor (first 5 rows, selected columns).

One full record from the same run, exactly as delivered:

{
  "enrollment_id": "O20020812000015",
  "provider_associate_id": "5193632180",
  "provider_organization_name": "SOUTHERN TENNESSEE MEDICAL CENTER LLC",
  "owner_associate_id": "0244144871",
  "owner_role_code": "35",
  "owner_role_text": "5% OR GREATER INDIRECT OWNERSHIP INTEREST",
  "owner_association_date": "2025-03-01",
  "owner_organization_name": "LIFEPOINT HOLDINGS 2 LLC",
  "owner_doing_business_as": null,
  "owner_city": "BRENTWOOD",
  "owner_state": "TN",
  "owner_zip": "370275098",
  "percentage_ownership": 80,
  "created_for_acquisition": "N",
  "owner_is_corporation": "N",
  "owner_is_llc": "N",
  "owner_is_medical_provider": "N",
  "owner_is_management_services": "N",
  "owner_is_medical_staffing": "N",
  "owner_is_holding_company": "N",
  "owner_is_investment_firm": "N",
  "owner_is_financial_institution": "N",
  "owner_is_consulting_firm": "N",
  "owner_is_for_profit": "Y",
  "owner_is_non_profit": "N",
  "owner_is_private_equity": null,
  "owner_is_reit": null,
  "owner_is_chain_home_office": null,
  "owner_is_other_type": "N",
  "owner_other_type_text": null,
  "owner_owned_by_another": "N",
  "record_id": "O20020812000015:0244144871",
  "owner_type": "Organization",
  "source": "US CMS provider ownership file",
  "source_url": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities",
  "licence": "US CMS (Centers for Medicare & Medicaid Services) hospital/provider ownership data — a work of the US federal government, no copyright, public domain (17 U.S.C. §105). Free to reuse with attribution to CMS.",
  "attribution": "Data from the US Centers for Medicare & Medicaid Services (CMS) provider ownership file.",
  "disclaimer": "One organization-to-facility ownership relationship as self-reported to CMS Medicare enrollment. Organization owners only (TYPE=O) — individual-owner rows and every natural-person name/title field are structurally excluded and never emitted. Ownership percentages and flags are as reported; this is not a verified corporate-registry record or legal determination. Values as published by CMS.",
  "observed_at": "2026-09-25T17:28:04Z"
}

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
hospitalNames	array	—	Optional. Text in the enrolled hospital's name as CMS holds it (often the legal entity). Any entry may match.
ownerNames	array	—	Optional. Text in the owner organization's name or doing-business-as name. Any entry may match.
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	10	Ceiling on records delivered and billed.

Default changed on 30 Sep 2026: if you leave maxRecords out, a run now returns up to 10 records (it was 500). Set maxRecords yourself to get more — the maximum is unchanged.

Look up an owner or a hospital: {"ownerNames": ["Lifepoint"], "maxRecords": 10} returns hospitals where an organization named Lifepoint is a listed owner; {"hospitalNames": ["Mayo"], "ownerNames": ["Mayo Clinic"]} narrows to Mayo facilities owned by Mayo Clinic organizations. Names are sent to the CMS data API as case-insensitive "contains" filters, so only matching rows are read. Each record keeps CMS's own identifiers (enrollment_id, provider_associate_id, owner_associate_id) and the ownership role and percentage as reported. CMS holds legal names, so a hospital may appear under its operating company (e.g. HTI MEMORIAL HOSPITAL CORPORATION). Private-equity status is only what the owner reported: a blank flag is not treated as "not private equity" or as "private equity". No match = nothing charged.

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

This actor is the ownership / M&A edge layer from CMS — 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."

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.