{
  "schemaVersion": 4,
  "entityId": "0000000013",
  "canonicalName": "NAVAL MEDICAL CENTER CAMP LEJEUNE",
  "status": "verified_independent",
  "statusLabel": "No documented PE link",
  "summary": "NAVAL MEDICAL CENTER CAMP LEJEUNE 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.",
  "lastReviewed": "2026-07-02",
  "review": {
    "reviewer": "Five-state state-template completion batch",
    "evidence_grade": "completed state-template official-source baseline",
    "confidence": "low",
    "source_count": 4,
    "ownership_source_count": 4,
    "identity_match_method": "No CMS enrollment match in automated pass",
    "publication_decision": "Publish state-template completion fields while preserving explicit unavailable/searched-not-found limitations.",
    "batch_id": "state-template-complete-2026-07-02-001"
  },
  "firstGlance": {
    "taxOwnershipType": "Government / public",
    "operator": "U.S. Department of Defense",
    "directPeOwnership": "Not documented as direct PE ownership in this state-template pass",
    "peRelationship": "No documented PE link in current baseline sources",
    "institutionalShareholderContext": "No public-company shareholder layer found; use legal owner, parent-system, and governance context instead.",
    "populationServedEstimate": 0,
    "populationServedLabel": "Needs system/facility catchment estimate",
    "careLevel": "MILITARY",
    "currentCeo": "Needs source-backed local leader research",
    "previousRelevantCeo": "Not identified in this automated NC pass",
    "confidence": "low",
    "bottomLine": "NAVAL MEDICAL CENTER CAMP LEJEUNE is connected to U.S. Department of Defense. No public-company shareholder layer was found in this pass. Institutional shareholder names are context only and do not override facility-level ownership evidence."
  },
  "communityImpact": {
    "populationServedEstimate": 0,
    "populationServedLabel": "Needs system/facility catchment estimate",
    "estimateMethod": "Not estimated in automated NC pass",
    "catchmentDescription": "CAMP LEJEUNE, ONSLOW, North Carolina. Service role should be refined in manual follow-up.",
    "traumaCareLevel": "MILITARY",
    "publicFacingCaveat": "Community role is sourced from facility type and location until a deeper local-service review is completed."
  },
  "qualityAndLaborContext": {
    "immediateJeopardy2026SourceStatus": "Not specifically identified in this automated NC pass",
    "noCausationClaim": true,
    "note": "No conservative CMS Care Compare match was captured for this facility in the state-template completion pass.",
    "sourceId": "",
    "cmsOverallRating": "not available",
    "emergencyServices": "not available",
    "hospitalType": "MILITARY",
    "careCompareOwnership": "not available"
  },
  "leadership": [],
  "identifiers": {
    "ccn": null,
    "npi": null,
    "historicalCcns": [],
    "aliases": []
  },
  "ownershipHistory": [
    {
      "relationship_id": "rel-legal-owner-0000000013",
      "from_entity_id": "government-federal",
      "to_entity_id": "naval-medical-center-camp-lejeune",
      "relationship_type": "operates",
      "effective_date": "",
      "end_date": "",
      "announcement_date": "",
      "status": "current",
      "confidence": "medium",
      "source_ids": "source-nc-baseline-queue",
      "plain_english_summary": "GOVERNMENT - FEDERAL is the best available legal-owner or enrolled-operator layer for NAVAL MEDICAL CENTER CAMP LEJEUNE.",
      "review_notes": "This legal-owner layer is separate from ultimate parent, public-company shareholders, and PE sponsor context."
    },
    {
      "relationship_id": "rel-operator-0000000013",
      "from_entity_id": "u-s-department-of-defense",
      "to_entity_id": "naval-medical-center-camp-lejeune",
      "relationship_type": "operates",
      "effective_date": "",
      "end_date": "",
      "announcement_date": "",
      "status": "current",
      "confidence": "medium",
      "source_ids": "source-nc-baseline-queue",
      "plain_english_summary": "U.S. Department of Defense is shown as the operator or parent-system layer for this facility.",
      "review_notes": ""
    },
    {
      "relationship_id": "rel-state-template-operator-0000000013",
      "from_entity_id": "usdepartmentofdefense",
      "to_entity_id": "0000000013",
      "relationship_type": "operates",
      "effective_date": "",
      "status": "current_context",
      "confidence": "low",
      "source_ids": "source-pehw-state-template-completion-2026-07-02",
      "plain_english_summary": "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.",
      "review_notes": "Used to keep the public dossier graph explicit while preserving limitations for unmatched source families."
    },
    {
      "relationship_id": "rel-state-template-operator-0000000013",
      "from_entity_id": "usdepartmentofdefense",
      "to_entity_id": "0000000013",
      "relationship_type": "operates",
      "effective_date": "",
      "status": "current_context",
      "confidence": "low",
      "source_ids": "source-pehw-state-template-completion-2026-07-02",
      "plain_english_summary": "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.",
      "review_notes": "Used to keep the public dossier graph explicit while preserving limitations for unmatched source families."
    }
  ],
  "acquisitionEvents": [],
  "financialAndUtilizationSeries": [],
  "cmsOwnerRecords": [],
  "ownershipChain": {
    "model": "Facility legal owner, operator, parent company, ultimate controller, PE sponsor, and institutional shareholder context are separate evidence layers.",
    "confidence": "low",
    "nodes": [
      {
        "id": "government-federal",
        "label": "Government Federal",
        "kind": "organization",
        "evidence": "source-nc-baseline-queue"
      },
      {
        "id": "naval-medical-center-camp-lejeune",
        "label": "NAVAL MEDICAL CENTER CAMP LEJEUNE",
        "kind": "hospital",
        "evidence": "source-nc-baseline-queue"
      },
      {
        "id": "u-s-department-of-defense",
        "label": "U S Department Of Defense",
        "kind": "organization",
        "evidence": "source-nc-baseline-queue"
      }
    ],
    "edges": [
      {
        "id": "rel-legal-owner-0000000013",
        "from": "government-federal",
        "to": "naval-medical-center-camp-lejeune",
        "relationship": "operates",
        "confidence": "medium",
        "sourceIds": [
          "source-nc-baseline-queue"
        ],
        "note": "GOVERNMENT - FEDERAL is the best available legal-owner or enrolled-operator layer for NAVAL MEDICAL CENTER CAMP LEJEUNE."
      },
      {
        "id": "rel-operator-0000000013",
        "from": "u-s-department-of-defense",
        "to": "naval-medical-center-camp-lejeune",
        "relationship": "operates",
        "confidence": "medium",
        "sourceIds": [
          "source-nc-baseline-queue"
        ],
        "note": "U.S. Department of Defense is shown as the operator or parent-system layer for this facility."
      }
    ],
    "caveats": [
      "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."
    ]
  },
  "ownershipConnections": [
    {
      "entityName": "GOVERNMENT - FEDERAL",
      "entityKind": "Facility legal owner / enrollment layer",
      "relationship": "legal owner or enrolled operator",
      "classification": "Legal-owner layer",
      "evidenceSourceIds": [
        "source-nc-baseline-queue"
      ],
      "note": "GOVERNMENT - FEDERAL is shown separately from the parent system and ultimate financial/control context."
    },
    {
      "entityName": "U.S. Department of Defense",
      "entityKind": "Hospital operator or parent system",
      "relationship": "operator / parent-system context",
      "classification": "Operator layer",
      "evidenceSourceIds": [
        "source-nc-baseline-queue"
      ],
      "note": "This connection identifies the operating or system layer used for the public map and dossier."
    }
  ],
  "importantLinks": [
    {
      "label": "Hospitals RAPT",
      "url": "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
      "sourceId": "source-hifld-hospitals",
      "note": "Facility location and identity source; does not establish ownership or control."
    },
    {
      "label": "North Carolina hospital license data",
      "url": "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
      "sourceId": "source-nc-dhsr-hospital-license-data",
      "note": "State-level hospital licensing context for North Carolina facilities."
    }
  ],
  "systemConnections": [
    {
      "systemName": "U.S. Department of Defense",
      "relationship": "shared North Carolina system / branch family",
      "evidenceSourceIds": [
        "source-nc-baseline-queue"
      ],
      "facilities": [
        {
          "name": "LINDEN OAKS MEDICAL HOME",
          "role": "connected NC facility",
          "city": "CAMERON",
          "state": "NC",
          "recordId": "0196784535",
          "note": "Connected by shared parent/operator/system field; status remains facility-specific."
        },
        {
          "name": "NAVAL MEDICAL CENTER CAMP LEJEUNE",
          "role": "current record",
          "city": "CAMP LEJEUNE",
          "state": "NC",
          "recordId": "0000000013",
          "note": "This facility is the center of the dossier."
        },
        {
          "name": "WOMACK ARMY MEDICAL CENTER",
          "role": "connected NC facility",
          "city": "FORT BRAGG",
          "state": "NC",
          "recordId": "0000000037",
          "note": "Connected by shared parent/operator/system field; status remains facility-specific."
        }
      ]
    }
  ],
  "directConnections": [
    "Legal/enrollment layer: GOVERNMENT - FEDERAL.",
    "Operator layer: U.S. Department of Defense.",
    "Ultimate parent/controller context: U.S. Department of Defense.",
    "Operator/owner context: U.S. Department of Defense."
  ],
  "actions": [],
  "contradictions": [],
  "limitations": [
    "No current CMS enrollment match was found by CCN or unique name/city/state match.",
    "No matching CMS Care Compare general-information row was found.",
    "No compatible HCRIS cost-report rows were matched to the resolved CCN.",
    "This automated NC pass searched mandatory official/source systems and records missing items; it does not claim the entire internet was exhausted.",
    "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."
  ],
  "unavailableFields": [
    "CMS Certification Number",
    "NPI",
    "source-backed CEO/current leader",
    "current CMS overall rating",
    "source-backed local CEO/current leader",
    "official CEO image URL",
    "facility-level CEO compensation amount"
  ],
  "sources": [
    {
      "source_id": "source-hifld-hospitals",
      "title": "Hospitals RAPT",
      "publisher": "Homeland Infrastructure Foundation-Level Data",
      "publication_date": "current public layer",
      "retrieved_at": "2026-07-02",
      "url": "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
      "reliability_tier": "government",
      "research_note": "Facility location and identity source; does not establish ownership or control.",
      "source_type": "public_record"
    },
    {
      "source_id": "source-nc-baseline-queue",
      "title": "North Carolina baseline classification queue",
      "publisher": "PE Healthcare Watch",
      "publication_date": "2026-06-24",
      "retrieved_at": "2026-06-26",
      "url": "/data/releases/release-2026-06-24-nc-baseline.json",
      "reliability_tier": "research",
      "research_note": "Internal queue used to ensure every current NC map record receives a dossier package.",
      "source_type": "public_record"
    },
    {
      "source_id": "source-nc-dhsr-hospital-license-data",
      "title": "North Carolina hospital license data",
      "publisher": "North Carolina Division of Health Service Regulation",
      "publication_date": "current public listing",
      "retrieved_at": "2026-06-26",
      "url": "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html",
      "reliability_tier": "government",
      "research_note": "State-level hospital licensing context for North Carolina facilities.",
      "source_type": "public_record"
    },
    {
      "source_id": "source-pehw-state-template-completion-2026-07-02",
      "title": "PE Healthcare Watch five-state template completion batch",
      "publisher": "PE Healthcare Watch",
      "publication_date": "2026-07-02",
      "retrieved_at": "2026-07-02",
      "url": "/data/releases/release-2026-07-02-state-template-complete-001.json",
      "reliability_tier": "research",
      "research_note": "Internal public release marker for the five-state template completion. It documents scope and limitations; it is not independent ownership evidence.",
      "source_type": "public_record"
    }
  ],
  "descriptiveTrends": []
}