CII TerminalCare Infrastructure Intelligence · model v1.2
pilot · 57,911 facilities
LIVE SIGNALS
ENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFSWIFT RESPONSE INCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFRGV GUARDIANS OF CARE LLCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFDOVE HOSPICE CARE LLCTX · 2026-07-28 · HHSC: ENFORCEMENT ACTION PENDENFHANDS OF GOLD HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFCHRIST HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFAMOR CURA PHC LLCTX · 2026-07-24 · HHSC: closure noticeENFKINDER HEALTHCARE SOLUTIONS LLCTX · 2026-07-20 · HHSC: closure noticeENFSUPREME TOUCH HEALTHCARE SERVICES LLCTX · 2026-07-20 · HHSC: closure noticeENFFACO HEALTHCARE SERVICES INCTX · 2026-07-20 · HHSC: closure noticeENFSAMNENAA CARE, INCTX · 2026-07-19 · HHSC: closure noticeENFINDEPENDENCE CARE OF TEXAS LLCTX · 2026-07-18 · HHSC: ENFORCEMENT ACTION PENDENFLA FAMILIA DEL PASO INCTX · 2026-07-10 · HHSC: closure noticeENFFRONTIDA HOSPICE CARE LLCTX · 2026-07-07 · HHSC: closure noticeMOVECrouse Community Center Inc+98.5NY · composite 0.0 → 98.5MOVEHOME INSTEAD-92.9FL · composite 98.3 → 5.4MOVEHOMEWELL CARE SERVICES-92.0FL · composite 98.3 → 6.3MOVEHOME INSTEAD-90.9FL · composite 97.2 → 6.3MOVEHOME HEART FLORIDA-90.3FL · composite 97.7 → 7.4MOVEVITALCARING GROUP-87.7FL · composite 98.1 → 10.4MOVESENIOR CARE SOLUTIONS-87.6FL · composite 90.6 → 3.0MOVERIGHT AT HOME-85.6FL · composite 93.8 → 8.2EXITSCANDINAVIAN HOME INC54.7%RI · p(termination 12m)EXITBEADLES NEW BEGINNINGS37.9%OK · p(termination 12m)EXITBlue Valley Lutheran Nursing Home36.5%NE · p(termination 12m)EXITPRESBYTERIAN HOME FOR CENTRAL NEW YORK INC35.1%NY · p(termination 12m)CHOWBEARTOOTH REHABILITATION AND NURSING LLC76.9%MT · p(sale 12m)CHOWStonehaven Senior Living39.4%CA · p(sale 12m)CHOWAvoyelles Manor Nursing Home31.6%LA · p(sale 12m)CHOWKIT CARSON NURSING & REHABILITATION CENTER30.5%CA · p(sale 12m)ENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFSWIFT RESPONSE INCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFRGV GUARDIANS OF CARE LLCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFDOVE HOSPICE CARE LLCTX · 2026-07-28 · HHSC: ENFORCEMENT ACTION PENDENFHANDS OF GOLD HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFCHRIST HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFAMOR CURA PHC LLCTX · 2026-07-24 · HHSC: closure noticeENFKINDER HEALTHCARE SOLUTIONS LLCTX · 2026-07-20 · HHSC: closure noticeENFSUPREME TOUCH HEALTHCARE SERVICES LLCTX · 2026-07-20 · HHSC: closure noticeENFFACO HEALTHCARE SERVICES INCTX · 2026-07-20 · HHSC: closure noticeENFSAMNENAA CARE, INCTX · 2026-07-19 · HHSC: closure noticeENFINDEPENDENCE CARE OF TEXAS LLCTX · 2026-07-18 · HHSC: ENFORCEMENT ACTION PENDENFLA FAMILIA DEL PASO INCTX · 2026-07-10 · HHSC: closure noticeENFFRONTIDA HOSPICE CARE LLCTX · 2026-07-07 · HHSC: closure noticeMOVECrouse Community Center Inc+98.5NY · composite 0.0 → 98.5MOVEHOME INSTEAD-92.9FL · composite 98.3 → 5.4MOVEHOMEWELL CARE SERVICES-92.0FL · composite 98.3 → 6.3MOVEHOME INSTEAD-90.9FL · composite 97.2 → 6.3MOVEHOME HEART FLORIDA-90.3FL · composite 97.7 → 7.4MOVEVITALCARING GROUP-87.7FL · composite 98.1 → 10.4MOVESENIOR CARE SOLUTIONS-87.6FL · composite 90.6 → 3.0MOVERIGHT AT HOME-85.6FL · composite 93.8 → 8.2EXITSCANDINAVIAN HOME INC54.7%RI · p(termination 12m)EXITBEADLES NEW BEGINNINGS37.9%OK · p(termination 12m)EXITBlue Valley Lutheran Nursing Home36.5%NE · p(termination 12m)EXITPRESBYTERIAN HOME FOR CENTRAL NEW YORK INC35.1%NY · p(termination 12m)CHOWBEARTOOTH REHABILITATION AND NURSING LLC76.9%MT · p(sale 12m)CHOWStonehaven Senior Living39.4%CA · p(sale 12m)CHOWAvoyelles Manor Nursing Home31.6%LA · p(sale 12m)CHOWKIT CARSON NURSING & REHABILITATION CENTER30.5%CA · p(sale 12m)
AS OF 2026-08-04 18:51 UTC
Owners / MARGARET PEMBERTON

MARGARET PEMBERTON

individual · canonical key MARGA PEMBE · max disclosed stake 100%
Facilities
133
across 26 states
Chains touched
4
operating names in fleet
Certified beds
Fleet mean score
62.6
composite percentile
D/F facilities
24
Open ML connections
1

Parallel-engine connections

1
RelationStrengthEvidenceFirst seen
cross_chain_owner4.001142026-07-29

Fleet

133
FacilityStSettingChainBedsStakeRoleScoreGrade
EMBRACE HOSPICETXhospicePHOENIX GUARANTOR INCCORPORATE DIRECTOR97.1F
COMPASSIONCARE HOSPICE OF RENONVhospicePHOENIX GUARANTOR INCCORPORATE DIRECTOR95.8F
@HEART HOSPICEVAhospicePHOENIX GUARANTOR INCCORPORATE DIRECTOR95.2F
EMBRACE HOSPICETXhospicePHOENIX GUARANTOR INCCORPORATE OFFICER95.2F
ADORATION HOSPICEINhospicePHOENIX GUARANTOR INCCORPORATE DIRECTOR94.6D
ADORATION HOSPICE CARE OHIO LLCOHhospicePHOENIX GUARANTOR INCW-2 MANAGING EMPLOYEE92.0D
ADORATION HOME HEALTH CARE RHODE ISLANDRIhome healthPHOENIX GUARANTOR INCCORPORATE OFFICER91.8D
SPRINGHILL HOME HEALTH AND HOSPICEALhospicePHOENIX GUARANTOR INCCORPORATE DIRECTOR91.7D
COMPASSIONCARE HOSPICENVhospicePHOENIX GUARANTOR INCCORPORATE OFFICER91.6D
AMEDISYS HOME HEALTH OF BREWTONALhome healthPHOENIX GUARANTOR INCCORPORATE OFFICER90.3D
ATHC - HOSPICE, LLCVAhospicePHOENIX GUARANTOR INCCORPORATE DIRECTOR90.3D
ADORATION HOSPICEALhospicePHOENIX GUARANTOR INCCORPORATE OFFICER89.8D
AT HOME CAREVAhome healthPHOENIX GUARANTOR INCCORPORATE DIRECTOR89.7D
SACRED JOURNEY HOSPICE-GWINNETTGAhospicePHOENIX GUARANTOR INCOPERATIONAL/MANAGERIAL CONTROL89.4D
AMEDISYS HOME HEALTHALhome healthPHOENIX GUARANTOR INCCORPORATE DIRECTOR89.3D
CLAY COUNTY HOSPITAL HOME CARE, LLCALhome healthLHC GROUP INCCORPORATE DIRECTOR88.5D
ABODE HOSPICE OF COLORADOCOhospicePHOENIX GUARANTOR INCCORPORATE OFFICER88.2D
FAMILY HOME HEALTH CARE, LLC DBA ADORATION HOME HEALTHKYhome healthPHOENIX GUARANTOR INC0%CORPORATE OFFICER86.9D
SPRING VALLLEY HOSPICE OF TUPELOMShospicePHOENIX GUARANTOR INCCORPORATE DIRECTOR; CORPORATE OFFICER86.9D
ADORATION HOME HEALTHGAhome healthPHOENIX GUARANTOR INC0%OPERATIONAL/MANAGERIAL CONTROL86.9D
ADORATION HOME HEALTHARhome healthPHOENIX GUARANTOR INCCORPORATE OFFICER86.2D
FAMILY HOME HEALTH CARE, LLC DBA ADORATION HOME HEALTHKYhome healthPHOENIX GUARANTOR INC0%OPERATIONAL/MANAGERIAL CONTROL86.0D
UAMS HEALTH-HOME HEALTHARhome healthPHOENIX GUARANTOR INC0%CORPORATE DIRECTOR85.4D
OASIS HEALTHCARE - MOODYALhospicePHOENIX GUARANTOR INCCORPORATE DIRECTOR85.4D
ADORATION HOME HEALTHALhome healthPHOENIX GUARANTOR INCCORPORATE OFFICER84.8C
HOSPICE OF NORTH ALABAMA, LLCALhospicePHOENIX GUARANTOR INCCORPORATE DIRECTOR84.5C
AMEDISYS HOME HEALTH OF FLORENCEALhome healthPHOENIX GUARANTOR INCCORPORATE OFFICER84.4C
OCHSNER HOME HEALTH OF BATON ROUGELAhome healthUNITEDHEALTH GROUP INCORPORATEDCORPORATE OFFICER84.3C
ADORATION HOME HEALTH WESTMINSTERMDhome healthPHOENIX GUARANTOR INCCORPORATE OFFICER83.6C
OHIO VALLEY HOSPICEOHhospicePHOENIX GUARANTOR INCCORPORATE OFFICER83.1C
HOUSECALLS HOME HEALTHOHhome healthPHOENIX GUARANTOR INCCORPORATE DIRECTOR81.4C
SACRED JOURNEY HOSPICE, INCGAhospicePHOENIX GUARANTOR INCCORPORATE OFFICER80.4C
ADORATION HOME HEALTHMShome healthPHOENIX GUARANTOR INC100%OPERATIONAL/MANAGERIAL CONTROL80.3C
ADORATION HOME HEALTHINhome healthPHOENIX GUARANTOR INC0%CORPORATE OFFICER80.3C
AMEDISYS SP-KY, LLC DBA ADORATION HOME HEALTHKYhome healthPHOENIX GUARANTOR INCCORPORATE DIRECTOR79.3C
@HEART HOMECAREVAhome healthPHOENIX GUARANTOR INCCORPORATE DIRECTOR77.8C
ADORATION HOME HEALTHTNhome healthPHOENIX GUARANTOR INCCORPORATE OFFICER76.8C
EMBRACE HOSPICETXhospicePHOENIX GUARANTOR INCCORPORATE DIRECTOR76.3C
EMBRACE HOSPICETXhospicePHOENIX GUARANTOR INCCORPORATE DIRECTOR76.1C
ATHC - HOSPICE LLCVAhospicePHOENIX GUARANTOR INCCORPORATE DIRECTOR75.7C
ATHC-HOSPICE, LLCVAhospicePHOENIX GUARANTOR INCCORPORATE DIRECTOR75.4C
AMEDISYS HOME HEALTHARhome healthAMEDISYS INCCORPORATE DIRECTOR75.1C
ADORATION HOME HEALTHINhome healthPHOENIX GUARANTOR INC0%OPERATIONAL/MANAGERIAL CONTROL75.0C
ADORATION HOME HEALTHCOhome healthPHOENIX GUARANTOR INCCORPORATE OFFICER74.7C
ADORATION HOME HEALTH CARE MISSISSIPPIMShome healthPHOENIX GUARANTOR INCCORPORATE DIRECTOR74.2C
ADORATION HOME HEALTHGAhome healthPHOENIX GUARANTOR INC0%CORPORATE OFFICER73.0C
ABODE HOSPICE OF COLORADOCOhospicePHOENIX GUARANTOR INCCORPORATE OFFICER72.2C
ADORATION HOME HEALTHMShome healthPHOENIX GUARANTOR INC0%OPERATIONAL/MANAGERIAL CONTROL72.0C
ALABAMA HOMECARE OF MONTGOMERYALhome healthLHC GROUP INCCORPORATE OFFICER71.9C
ADORATION HOME HEALTHARhome healthPHOENIX GUARANTOR INC0%OPERATIONAL/MANAGERIAL CONTROL71.7C
ADORATION HOME HEALTHGAhome healthPHOENIX GUARANTOR INC0%OPERATIONAL/MANAGERIAL CONTROL71.4C
ATHC-HOSPICE LLCVAhospicePHOENIX GUARANTOR INCCORPORATE DIRECTOR71.1C
AMEDISYS HOME HEALTH OF MONROEVILLEALhome healthPHOENIX GUARANTOR INCCORPORATE OFFICER70.4C
ADORATION HOME HEALTH AND HOSPICENChome healthPHOENIX GUARANTOR INCCORPORATE OFFICER70.0C
ALABAMA HOMECARE OF GADSDENALhome healthPHOENIX GUARANTOR INCCORPORATE OFFICER69.5C
ADORATION HOME HEALTHCOhome healthPHOENIX GUARANTOR INCCORPORATE DIRECTOR69.4C
SPRING VALLEY HOSPICEMShospicePHOENIX GUARANTOR INCCORPORATE DIRECTOR; CORPORATE OFFICER69.0C
AT HOME CAREVAhome healthPHOENIX GUARANTOR INCCORPORATE DIRECTOR68.7C
HOSPICE OF THE MIDWESTMNhospicePHOENIX GUARANTOR INCCORPORATE DIRECTOR68.4C
REVIVAL HOMECARE AGENCYVAhome healthPHOENIX GUARANTOR INCCORPORATE OFFICER68.1C
ADORATION HOME HEALTH & HOSPICE CARE EAST TENNESSETNhospicePHOENIX GUARANTOR INCCORPORATE DIRECTOR67.9C
CAROLINAS HOME HEALTHSChome healthPHOENIX GUARANTOR INCCORPORATE DIRECTOR67.3C
GENERATIONS HOSPICEWIhospicePHOENIX GUARANTOR INCCORPORATE DIRECTOR65.7C
AMEDISYS HOME HEALTH OF HUNTSVILLEALhome healthPHOENIX GUARANTOR INCCORPORATE DIRECTOR65.7C
ADORATION HOME HEALTHTNhome healthPHOENIX GUARANTOR INCCORPORATE OFFICER65.0C
ADORATION HOME HEALTHSChome healthPHOENIX GUARANTOR INCCORPORATE OFFICER64.5C
ALLAY HOSPICEWIhospicePHOENIX GUARANTOR INCCORPORATE DIRECTOR64.1C
ADORATION HOME HEALTHTNhome healthPHOENIX GUARANTOR INCW-2 MANAGING EMPLOYEE64.1C
ADORATION HOME HEALTHTXhome healthPHOENIX GUARANTOR INCCORPORATE OFFICER63.4C
AMEDISYS HOME HEALTH OF FORT PAYNEALhome healthAMEDISYS INCCORPORATE DIRECTOR63.3C
ADORATION HOME HEALTHGAhome healthPHOENIX GUARANTOR INC0%CORPORATE OFFICER63.2C
ADORATION HOME HEALTH AND HOSPICE CARE MISSISSIPPIMShome healthPHOENIX GUARANTOR INCCORPORATE DIRECTOR63.1C
ADORATION HOME HEALTH BROWNSVILLETNhome healthPHOENIX GUARANTOR INCCORPORATE OFFICER63.0C
SOUTHAMPTON MEMORIAL HOME HEALTHVAhome healthPHOENIX GUARANTOR INCCORPORATE OFFICER62.9C
ADORATION HOSPICETNhospicePHOENIX GUARANTOR INCCORPORATE OFFICER61.8C
SUNCREST HOME HEALTHALhome healthPHOENIX GUARANTOR INCCORPORATE OFFICER61.7C
ALABAMA HOMECAREALhome healthPHOENIX GUARANTOR INCCORPORATE OFFICER61.2C
ADORATION HOME HEALTHMOhome healthPHOENIX GUARANTOR INC0%CORPORATE OFFICER61.1C
CHEROKEE HOME HEALTHALhome healthPHOENIX GUARANTOR INCCORPORATE OFFICER59.7B
ADORATION HOME HEALTHCOhome healthPHOENIX GUARANTOR INCCORPORATE DIRECTOR59.3B
HAVEN HOSPICEFLhospicePHOENIX GUARANTOR INC0%CORPORATE DIRECTOR59.2B
ADORATION HOME HEALTHNChome healthPHOENIX GUARANTOR INCCORPORATE DIRECTOR58.3B
ADORATION HOME HEALTH, LLCTNhome healthPHOENIX GUARANTOR INCCORPORATE OFFICER57.9B
APREVA HOSPICECAhospicePHOENIX GUARANTOR INCCORPORATE DIRECTOR; CORPORATE OFFICER56.4B
GRANE HOSPICE CAREPAhospicePHOENIX GUARANTOR INCCORPORATE DIRECTOR54.6B
ADORATION HOME HEALTH AND HOSPICE CARE MISSISSIPPIMShospicePHOENIX GUARANTOR INCCORPORATE DIRECTOR51.4B
ADORATION HOME HEALTHVAhome healthPHOENIX GUARANTOR INCCORPORATE OFFICER51.2B
ADORATION HOME HEALTHGAhome healthLHC GROUP INC0%OPERATIONAL/MANAGERIAL CONTROL51.0B
ADORATION HOME HEALTH MARTINTNhome healthPHOENIX GUARANTOR INCCORPORATE DIRECTOR50.8B
SPRINGHILL HOME HEALTH AND HOSPICEALhome healthPHOENIX GUARANTOR INCCORPORATE DIRECTOR50.8B
ADORATION HOME HEALTHINhome healthPHOENIX GUARANTOR INCCORPORATE OFFICER50.2B
FAMILY HOME HEALTH CARE, LLC DBA ADORATION HOME HEALTHKYhome healthPHOENIX GUARANTOR INC0%CORPORATE OFFICER49.8B
ADORATION HOME HEALTHWVhome healthPHOENIX GUARANTOR INC0%OPERATIONAL/MANAGERIAL CONTROL49.4B
ADORATION HOME HEALTH BALTIMOREMDhome healthPHOENIX GUARANTOR INCCORPORATE OFFICER49.4B
HOSPICE HOME CARE LLCARhospicePHOENIX GUARANTOR INCCORPORATE DIRECTOR; CORPORATE OFFICER49.0B
HOMECARE OF EAST ALABAMA MEDICAL CENTERALhome healthPHOENIX GUARANTOR INCCORPORATE OFFICER49.0B
ADORATION HOME HEALTH MARLBOROMDhome healthPHOENIX GUARANTOR INCCORPORATE OFFICER48.1B
ADORATION HOSPICEMDhospicePHOENIX GUARANTOR INCCORPORATE OFFICER47.6B
ABODE HOSPICE OF COLORADOCOhospicePHOENIX GUARANTOR INCCORPORATE DIRECTOR46.3B
ADORATION HOME HEALTH NASHVILLE SOUTHTNhome healthPHOENIX GUARANTOR INCCORPORATE DIRECTOR45.8B
ADORATION HOME HEALTHNChome healthPHOENIX GUARANTOR INCCORPORATE OFFICER45.7B
ADORATION HOME HEALTHFLhome healthPHOENIX GUARANTOR INC0%OPERATIONAL/MANAGERIAL CONTROL45.6B
ADORATION HOME HEALTHSChome healthPHOENIX GUARANTOR INCCORPORATE OFFICER45.2B
ADORATION HOME HEALTH CARE WEST TENNESSEETNhome healthPHOENIX GUARANTOR INCCORPORATE DIRECTOR45.1B
FAYETTE MEDICAL CENTER HOMECAREALhome healthLHC GROUP INCCORPORATE OFFICER45.0B
ADORATION HOME HEALTH MCMINNVILLETNhome healthPHOENIX GUARANTOR INCCORPORATE DIRECTOR44.5B
ADORATION HOME HEALTH AND HOSPICE CARE EAST TNTNhome healthPHOENIX GUARANTOR INCCORPORATE DIRECTOR43.2B
ADORATION HOME HEALTHNChome healthPHOENIX GUARANTOR INCCORPORATE OFFICER42.7B
EAMC - LANIER HOME HEALTHALhome healthLHC GROUP INCCORPORATE DIRECTOR42.7B
ALL SAINTS HOSPICELAhospicePHOENIX GUARANTOR INCCORPORATE DIRECTOR; CORPORATE OFFICER42.5B
ADORATION HOME HEALTHPAhome healthPHOENIX GUARANTOR INC0%CORPORATE OFFICER42.2B
GRANE HOSPICE CARE, INCPAhospicePHOENIX GUARANTOR INCCORPORATE OFFICER42.1B
ADORATION HOME HEALTHNChome healthPHOENIX GUARANTOR INCCORPORATE OFFICER39.5B
GRANE HOSPICE CARE INCPAhospicePHOENIX GUARANTOR INCCORPORATE OFFICER37.7B
ADORATION HOSPICE CARE MISSISSIPPIMShospicePHOENIX GUARANTOR INCCORPORATE DIRECTOR37.0B
SACRED JOURNEY HOSPICE, LLCGAhospicePHOENIX GUARANTOR INCCORPORATE OFFICER36.0B
ADORATION HOME HEALTHNChome healthPHOENIX GUARANTOR INCCORPORATE OFFICER33.4B
ADORATION HOME HEALTHNChome healthPHOENIX GUARANTOR INCCORPORATE OFFICER33.3B
HOSPICE HOME CARE OF PINE BLUFF PLLCARhospicePHOENIX GUARANTOR INCCORPORATE DIRECTOR; CORPORATE OFFICER32.6B
SACRED JOURNEY HOSPICE, DALTONGAhospicePHOENIX GUARANTOR INCOPERATIONAL/MANAGERIAL CONTROL32.1B
ADORATION HOME HEALTHDChome healthPHOENIX GUARANTOR INCCORPORATE OFFICER32.0B
ADORATION HOME HEALTH AND HOSPICE NChospicePHOENIX GUARANTOR INCCORPORATE OFFICER30.3B
GRANE HOSPICE CAREPAhospicePHOENIX GUARANTOR INCCORPORATE OFFICER30.1B
ADORATION HOME HEALTHNChome healthPHOENIX GUARANTOR INCCORPORATE DIRECTOR29.8A
HOSPICE OF THE MIDWEST, LLCIAhospicePHOENIX GUARANTOR INCCORPORATE DIRECTOR29.7A
ADORATION HOME HEALTHNChome healthPHOENIX GUARANTOR INCCORPORATE OFFICER27.9A
ADORATION HOME HEALTHNChome healthPHOENIX GUARANTOR INCCORPORATE OFFICER25.5A
ADORATION HOME HEALTHNChome healthPHOENIX GUARANTOR INCCORPORATE OFFICER25.3A
HOSPICE OF MIDWESTIAhospicePHOENIX GUARANTOR INCCORPORATE OFFICER24.3A
HOSPICE HOME CARE OF MONTICELLOARhospicePHOENIX GUARANTOR INCCORPORATE DIRECTOR; CORPORATE OFFICER24.0A
ABODE HOSPICE OF COLORADOCOhospicePHOENIX GUARANTOR INCCORPORATE OFFICER22.9A
ADORATION HOME HEALTHNChome healthPHOENIX GUARANTOR INCCORPORATE OFFICER22.8A
ADORATION HOME HEALTHFLhome healthPHOENIX GUARANTOR INC0%CORPORATE DIRECTOR13.2A
role and stake are per CMS ownership disclosure; score is the deterministic composite percentile

Deal history

0
No CHOW events match this owner's disclosed organization name as buyer or seller.
exact organization-name matches against the CMS CHOW tape — deterministic, no fuzzy merging

Deal history is exact case-insensitive organization-name matches against the CMS CHOW tape - deterministic, no fuzzy merging. ML signals come from the parallel engine.