Change-of-ownership deal feed
A dated list of hospital, nursing home, home health and hospice acquisitions and new ownership filings, with the buyer, the seller where CMS records one, and the sponsor behind the buyer.
A dated feed of ownership changes at Medicare-certified hospitals, skilled nursing facilities, home health agencies and hospices: who bought which facility, when, from whom, and whether a financial sponsor sits behind the buyer. One row per deal record, from two sources stacked in one table and told apart by deal_source:
Sponsor attribution uses the same classifier as the Facility Ownership and PE Sponsor Map: an owner is a financial sponsor when CMS's private-equity flag is Y on any filing by that owner, or its name reads as a fund vehicle. Read that dictionary's "How a financial sponsor is identified" section before relying on sponsor_buyer.
Built for deal teams: comps and precedent transactions by segment and state, sponsor activity tracking, add-on cadence of a platform, and seller identification in diligence.
Precedent transactions and comps by segment and state. Sponsor activity and a platform's add-on cadence. Seller and prior-owner checks in diligence.
- Two sources in one table. A change-of-ownership row is a deal CMS processed; a filing row is a date new owners were associated with a facility, which also catches recapitalizations and holdco reorganizations. Filter on deal_source.
- One row per facility, so a multi-site platform deal appears once per facility. CMS records no deal price.
- Home health and hospice have no change-of-ownership file, so they carry no seller and start in 2023. Sponsor attribution reflects the buyer's current owners, not its owners on the deal date.
- Rows
- 15,322 deal rows: 6,329 CHOW records and 8,993 new-ownership filings (2026-10-24 export of the 2026-09-29 snapshot).
- Product cadence
- Monthly, ownership loaded on the 2nd ahead of the export on the 3rd
- Lag
- Weeks for ownership filings; CMS change-of-ownership records post a quarter or more after the effective date
- Lookback shipped
- 15,322 rows: change-of-ownership records for hospitals and SNFs from 2016-01 to 2026-06, and new-ownership filings for all four types from 2023-09
- Backfill available
- Earlier new-ownership filings derived from monthly CMS snapshots back to 2022, on request
- Vintage
- 2026-09-29 (the CMS ownership snapshot date).
- Tables
- 1
- Licence
- $500 per month per firm, or inside the suite
Where every row comes from.
| Source | Source cadence | History |
|---|---|---|
| CMS Change of Ownership files, hospital and SNF (data.cms.gov) | Quarterly | Effective dates from January 2016 |
| CMS All Owners and Enrollments files, all four facility types | Monthly for hospitals and SNFs; quarterly for home health and hospice | New owners filed in the last three years |
| Healthparse sponsor classification and operator crosswalk | Monthly | Current owners of each buyer |
Dictionary source line: CMS Change of Ownership files for hospitals and SNFs (data.cms.gov); CMS All Owners and Enrollments files for hospitals, SNFs, home health agencies and hospices (data.cms.gov; monthly for hospitals and SNFs, quarterly for home health and hospice); Care Compare for facility names and locations; the Healthparse operator crosswalk for the current operator.
1 table, three meta columns each.
Every table carries _dataset, _vintage and _exported_at in addition to the columns in the dictionary.
| Table | Snowflake path | Columns | Rows |
|---|---|---|---|
| pe_ownership_deals | HEALTHPARSE_DATA.PE_DEAL_FEED.PE_OWNERSHIP_DEALS | 17 | 15,322 deal rows: 6,329 CHOW records and 8,993 new-ownership filings |
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