{ "schemaVersion": 4, "entityId": "0003328335", "canonicalName": "BETSY JOHNSON HOSPITAL", "status": "corporate_chain", "statusLabel": "Corporate-chain ownership/accountability warning", "summary": "BETSY JOHNSON HOSPITAL 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": "medium", "source_count": 9, "ownership_source_count": 16, "identity_match_method": "CMS enrollment match used where available", "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": "Nonprofit", "operator": "Cape Fear Valley Health", "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. Control context is Cape Fear Valley governance and administration.", "populationServedEstimate": 0, "populationServedLabel": "Needs system/facility catchment estimate", "careLevel": "Acute Care Hospitals", "currentCeo": "Daniel Weatherly", "previousRelevantCeo": "Not identified in this automated NC pass", "confidence": "medium", "bottomLine": "BETSY JOHNSON HOSPITAL is connected to Cape Fear Valley Health. No public-company shareholder layer. Control context is Cape Fear Valley governance and administration. 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": "DUNN, HARNETT, North Carolina. Service role should be refined in manual follow-up.", "traumaCareLevel": "Acute Care Hospitals", "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": "CMS Care Compare point-in-time identity/rating context captured for the state template. This is not a quality trend or ownership-causation claim.", "sourceId": "source-cms-care-compare", "cmsOverallRating": "3", "emergencyServices": "Yes", "hospitalType": "Acute Care Hospitals", "careCompareOwnership": "Voluntary non-profit - Private" }, "leadership": [ { "name": "Daniel Weatherly", "role": "Cape Fear Valley Health Chief Executive Officer", "context": "Official administration page identifies Daniel Weatherly as CEO and president of Cape Fear Valley Medical Center.", "imageUrl": "placeholder://official-image-unavailable", "imageAlt": "Daniel Weatherly official image", "imageStatus": "official image unavailable in this automated NC pass", "sourceId": "source-cape-fear-valley-administration" } ], "identifiers": { "ccn": "340071", "npi": "1922144757", "historicalCcns": [], "aliases": [ { "alias": "HARNETT HEALTH SYSTEM INC", "alias_type": "cms_legal_name", "source_id": "source-cms-hospital-enrollments" }, { "alias": "CAPE FEAR VALLEY BETSY JOHNSON HOSPITAL", "alias_type": "cms_dba", "source_id": "source-cms-hospital-enrollments" }, { "alias": "BETSY JOHNSON REGIONAL HOSPITAL", "alias_type": "cms_care_compare_name", "source_id": "source-cms-care-compare" } ] }, "ownershipHistory": [ { "relationship_id": "rel-legal-owner-0003328335", "from_entity_id": "harnett-health-system-inc", "to_entity_id": "betsy-johnson-hospital", "relationship_type": "controls", "effective_date": "", "end_date": "", "announcement_date": "", "status": "current", "confidence": "high", "source_ids": "source-cms-hospital-enrollments|source-cms-hospital-all-owners|source-nc-baseline-queue", "plain_english_summary": "HARNETT HEALTH SYSTEM INC is the best available legal-owner or enrolled-operator layer for BETSY JOHNSON HOSPITAL.", "review_notes": "This legal-owner layer is separate from ultimate parent, public-company shareholders, and PE sponsor context." }, { "relationship_id": "rel-operator-0003328335", "from_entity_id": "cape-fear-valley-health", "to_entity_id": "betsy-johnson-hospital", "relationship_type": "operates", "effective_date": "", "end_date": "", "announcement_date": "", "status": "current", "confidence": "medium", "source_ids": "source-nc-baseline-queue|source-cape-fear-valley-administration", "plain_english_summary": "Cape Fear Valley Health is shown as the operator or parent-system layer for this facility.", "review_notes": "" }, { "relationship_id": "rel-cms-owner-0003328335", "from_entity_id": "capefearvalleyhealth", "to_entity_id": "0003328335", "relationship_type": "cms_owner_context", "effective_date": "08/31/2021", "status": "current_context", "confidence": "medium", "source_ids": "source-cms-hospital-all-owners", "plain_english_summary": "CMS Hospital All Owners rows are attached as current owner/control context. They do not by themselves prove private-equity sponsorship unless the row says so or another cited source supports it.", "review_notes": "" }, { "relationship_id": "rel-state-template-operator-0003328335", "from_entity_id": "capefearvalleyhealth", "to_entity_id": "0003328335", "relationship_type": "operates", "effective_date": "", "status": "current_context", "confidence": "medium", "source_ids": "source-pehw-state-template-completion-2026-07-02|source-cms-hospital-enrollments|source-cms-hospital-all-owners|source-cms-care-compare", "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-cms-owner-0003328335", "from_entity_id": "capefearvalleyhealth", "to_entity_id": "0003328335", "relationship_type": "cms_owner_context", "effective_date": "08/31/2021", "status": "current_context", "confidence": "medium", "source_ids": "source-cms-hospital-all-owners", "plain_english_summary": "CMS Hospital All Owners rows are attached as current owner/control context. They do not by themselves prove private-equity sponsorship unless the row says so or another cited source supports it.", "review_notes": "" }, { "relationship_id": "rel-state-template-operator-0003328335", "from_entity_id": "capefearvalleyhealth", "to_entity_id": "0003328335", "relationship_type": "operates", "effective_date": "", "status": "current_context", "confidence": "medium", "source_ids": "source-pehw-state-template-completion-2026-07-02|source-cms-hospital-enrollments|source-cms-hospital-all-owners|source-cms-care-compare", "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-cms-owner-0003328335", "from_entity_id": "capefearvalleyhealth", "to_entity_id": "0003328335", "relationship_type": "cms_owner_context", "effective_date": "08/31/2021", "status": "current_context", "confidence": "medium", "source_ids": "source-cms-hospital-all-owners", "plain_english_summary": "CMS Hospital All Owners rows are attached as current owner/control context. They do not by themselves prove private-equity sponsorship unless the row says so or another cited source supports it.", "review_notes": "" } ], "acquisitionEvents": [], "financialAndUtilizationSeries": [ { "metric_id": "0003328335-net_patient_revenue-09-30-2023", "entity_id": "0003328335", "metric_name": "net_patient_revenue", "period_start": "10/01/2022", "period_end": "09/30/2023", "value": "114365856", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0003328335-net_patient_revenue-09-30-2022", "entity_id": "0003328335", "metric_name": "net_patient_revenue", "period_start": "10/01/2021", "period_end": "09/30/2022", "value": "121655937", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0003328335-net_patient_revenue-09-30-2021", "entity_id": "0003328335", "metric_name": "net_patient_revenue", "period_start": "10/01/2020", "period_end": "09/30/2021", "value": "118492645", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0003328335-net_patient_revenue-09-30-2020", "entity_id": "0003328335", "metric_name": "net_patient_revenue", "period_start": "10/01/2019", "period_end": "09/30/2020", "value": "101527733", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0003328335-operating_expense-09-30-2023", "entity_id": "0003328335", "metric_name": "operating_expense", "period_start": "10/01/2022", "period_end": "09/30/2023", "value": "129542073", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0003328335-operating_expense-09-30-2022", "entity_id": "0003328335", "metric_name": "operating_expense", "period_start": "10/01/2021", "period_end": "09/30/2022", "value": "131531313", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0003328335-operating_expense-09-30-2021", "entity_id": "0003328335", "metric_name": "operating_expense", "period_start": "10/01/2020", "period_end": "09/30/2021", "value": "121320116", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0003328335-operating_expense-09-30-2020", "entity_id": "0003328335", "metric_name": "operating_expense", "period_start": "10/01/2019", "period_end": "09/30/2020", "value": "104425466", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0003328335-net_income-09-30-2023", "entity_id": "0003328335", "metric_name": "net_income", "period_start": "10/01/2022", "period_end": "09/30/2023", "value": "1003896", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0003328335-net_income-09-30-2022", "entity_id": "0003328335", "metric_name": "net_income", "period_start": "10/01/2021", "period_end": "09/30/2022", "value": "-5153619", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0003328335-net_income-09-30-2021", "entity_id": "0003328335", "metric_name": "net_income", "period_start": "10/01/2020", "period_end": "09/30/2021", "value": "16517230", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0003328335-net_income-09-30-2020", "entity_id": "0003328335", "metric_name": "net_income", "period_start": "10/01/2019", "period_end": "09/30/2020", "value": "7472225", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0003328335-total_assets-09-30-2023", "entity_id": "0003328335", "metric_name": "total_assets", "period_start": "10/01/2022", "period_end": "09/30/2023", "value": "344651643", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0003328335-total_assets-09-30-2022", "entity_id": "0003328335", "metric_name": "total_assets", "period_start": "10/01/2021", "period_end": "09/30/2022", "value": "108068049", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0003328335-total_assets-09-30-2021", "entity_id": "0003328335", "metric_name": "total_assets", "period_start": "10/01/2020", "period_end": "09/30/2021", "value": "119584605", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0003328335-total_assets-09-30-2020", "entity_id": "0003328335", "metric_name": "total_assets", "period_start": "10/01/2019", "period_end": "09/30/2020", "value": "121704323", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0003328335-total_liabilities-09-30-2023", "entity_id": "0003328335", "metric_name": "total_liabilities", "period_start": "10/01/2022", "period_end": "09/30/2023", "value": "332212079", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0003328335-total_liabilities-09-30-2022", "entity_id": "0003328335", "metric_name": "total_liabilities", "period_start": "10/01/2021", "period_end": "09/30/2022", "value": "96632377", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0003328335-total_liabilities-09-30-2021", "entity_id": "0003328335", "metric_name": "total_liabilities", "period_start": "10/01/2020", "period_end": "09/30/2021", "value": "102995314", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0003328335-total_liabilities-09-30-2020", "entity_id": "0003328335", "metric_name": "total_liabilities", "period_start": "10/01/2019", "period_end": "09/30/2020", "value": "121766779", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0003328335-contract_labor_direct_patient_care-09-30-2023", "entity_id": "0003328335", "metric_name": "contract_labor_direct_patient_care", "period_start": "10/01/2022", "period_end": "09/30/2023", "value": "10600486", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0003328335-contract_labor_direct_patient_care-09-30-2022", "entity_id": "0003328335", "metric_name": "contract_labor_direct_patient_care", "period_start": "10/01/2021", "period_end": "09/30/2022", "value": "10095701", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0003328335-contract_labor_direct_patient_care-09-30-2021", "entity_id": "0003328335", "metric_name": "contract_labor_direct_patient_care", "period_start": "10/01/2020", "period_end": "09/30/2021", "value": "5129583", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0003328335-contract_labor_direct_patient_care-09-30-2020", "entity_id": "0003328335", "metric_name": "contract_labor_direct_patient_care", "period_start": "10/01/2019", "period_end": "09/30/2020", "value": "1886694", "unit": "USD", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0003328335-fte_employees-09-30-2023", "entity_id": "0003328335", "metric_name": "fte_employees", "period_start": "10/01/2022", "period_end": "09/30/2023", "value": "686", "unit": "FTE", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0003328335-fte_employees-09-30-2022", "entity_id": "0003328335", "metric_name": "fte_employees", "period_start": "10/01/2021", "period_end": "09/30/2022", "value": "941.11", "unit": "FTE", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0003328335-fte_employees-09-30-2021", "entity_id": "0003328335", "metric_name": "fte_employees", "period_start": "10/01/2020", "period_end": "09/30/2021", "value": "967.54", "unit": "FTE", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0003328335-fte_employees-09-30-2020", "entity_id": "0003328335", "metric_name": "fte_employees", "period_start": "10/01/2019", "period_end": "09/30/2020", "value": "745.97", "unit": "FTE", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0003328335-beds-09-30-2023", "entity_id": "0003328335", "metric_name": "beds", "period_start": "10/01/2022", "period_end": "09/30/2023", "value": "74", "unit": "beds", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0003328335-beds-09-30-2022", "entity_id": "0003328335", "metric_name": "beds", "period_start": "10/01/2021", "period_end": "09/30/2022", "value": "126", "unit": "beds", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0003328335-beds-09-30-2021", "entity_id": "0003328335", "metric_name": "beds", "period_start": "10/01/2020", "period_end": "09/30/2021", "value": "126", "unit": "beds", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0003328335-beds-09-30-2020", "entity_id": "0003328335", "metric_name": "beds", "period_start": "10/01/2019", "period_end": "09/30/2020", "value": "126", "unit": "beds", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0003328335-patient_days-09-30-2023", "entity_id": "0003328335", "metric_name": "patient_days", "period_start": "10/01/2022", "period_end": "09/30/2023", "value": "21403", "unit": "days", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0003328335-patient_days-09-30-2022", "entity_id": "0003328335", "metric_name": "patient_days", "period_start": "10/01/2021", "period_end": "09/30/2022", "value": "27856", "unit": "days", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0003328335-patient_days-09-30-2021", "entity_id": "0003328335", "metric_name": "patient_days", "period_start": "10/01/2020", "period_end": "09/30/2021", "value": "26438", "unit": "days", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0003328335-patient_days-09-30-2020", "entity_id": "0003328335", "metric_name": "patient_days", "period_start": "10/01/2019", "period_end": "09/30/2020", "value": "20916", "unit": "days", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0003328335-discharges-09-30-2023", "entity_id": "0003328335", "metric_name": "discharges", "period_start": "10/01/2022", "period_end": "09/30/2023", "value": "5362", "unit": "discharges", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0003328335-discharges-09-30-2022", "entity_id": "0003328335", "metric_name": "discharges", "period_start": "10/01/2021", "period_end": "09/30/2022", "value": "5593", "unit": "discharges", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0003328335-discharges-09-30-2021", "entity_id": "0003328335", "metric_name": "discharges", "period_start": "10/01/2020", "period_end": "09/30/2021", "value": "5343", "unit": "discharges", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" }, { "metric_id": "0003328335-discharges-09-30-2020", "entity_id": "0003328335", "metric_name": "discharges", "period_start": "10/01/2019", "period_end": "09/30/2020", "value": "5439", "unit": "discharges", "better_when": "context_dependent", "source_id": "source-cms-hcris", "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.", "comparable_to_prior": "review_required" } ], "cmsOwnerRecords": [ { "organization": "CUMBERLAND COUNTY HOSPITAL SYSTEM INC", "role": "5% OR GREATER DIRECT OWNERSHIP INTEREST", "association_date": "08/31/2021", "percentage_ownership": "100", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "JAMES LEWIS", "role": "CORPORATE DIRECTOR", "association_date": "04/01/2021", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "WALTER MASSEY", "role": "CORPORATE DIRECTOR", "association_date": "04/01/2021", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "NEIL EMORY", "role": "CORPORATE DIRECTOR", "association_date": "04/01/2021", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "TEDDY BYRD", "role": "CORPORATE DIRECTOR", "association_date": "04/01/2021", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "MICHAEL NAGOWSKI", "role": "CORPORATE DIRECTOR", "association_date": "08/31/2021", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "MICHAEL NAGOWSKI", "role": "OTHER", "association_date": "08/31/2021", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "CORY HESS", "role": "CORPORATE OFFICER", "association_date": "08/15/2018", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "BRET JOHNSON", "role": "CORPORATE OFFICER", "association_date": "08/31/2021", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "JOSEPH FISER", "role": "W-2 MANAGING EMPLOYEE", "association_date": "08/31/2021", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "MILFORD QUINN", "role": "CORPORATE DIRECTOR", "association_date": "04/01/2022", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "ERIC TRUESDALE", "role": "CORPORATE DIRECTOR", "association_date": "04/01/2021", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "TERRILL BROWN", "role": "CORPORATE DIRECTOR", "association_date": "04/01/2021", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false } ], "ownershipChain": { "model": "Facility legal owner, operator, parent company, ultimate controller, PE sponsor, and institutional shareholder context are separate evidence layers.", "confidence": "medium", "nodes": [ { "id": "harnett-health-system-inc", "label": "Harnett Health System Inc", "kind": "organization", "evidence": "source-cms-hospital-enrollments|source-cms-hospital-all-owners|source-nc-baseline-queue" }, { "id": "betsy-johnson-hospital", "label": "BETSY JOHNSON HOSPITAL", "kind": "hospital", "evidence": "source-cms-hospital-enrollments|source-cms-hospital-all-owners|source-nc-baseline-queue" }, { "id": "cape-fear-valley-health", "label": "Cape Fear Valley Health", "kind": "organization", "evidence": "source-nc-baseline-queue|source-cape-fear-valley-administration" } ], "edges": [ { "id": "rel-legal-owner-0003328335", "from": "harnett-health-system-inc", "to": "betsy-johnson-hospital", "relationship": "controls", "confidence": "high", "sourceIds": [ "source-cms-hospital-enrollments", "source-cms-hospital-all-owners", "source-nc-baseline-queue" ], "note": "HARNETT HEALTH SYSTEM INC is the best available legal-owner or enrolled-operator layer for BETSY JOHNSON HOSPITAL." }, { "id": "rel-operator-0003328335", "from": "cape-fear-valley-health", "to": "betsy-johnson-hospital", "relationship": "operates", "confidence": "medium", "sourceIds": [ "source-nc-baseline-queue", "source-cape-fear-valley-administration" ], "note": "Cape Fear Valley Health 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": "HARNETT HEALTH SYSTEM INC", "entityKind": "Facility legal owner / enrollment layer", "relationship": "legal owner or enrolled operator", "classification": "Legal-owner layer", "evidenceSourceIds": [ "source-cms-hospital-enrollments", "source-cms-hospital-all-owners", "source-nc-baseline-queue" ], "note": "HARNETT HEALTH SYSTEM INC is shown separately from the parent system and ultimate financial/control context." }, { "entityName": "Cape Fear Valley Health", "entityKind": "Regional nonprofit/public-serving health system", "relationship": "health system operator", "classification": "Operator layer", "evidenceSourceIds": [ "source-nc-baseline-queue", "source-cape-fear-valley-administration" ], "note": "This connection identifies the operating or system layer used for the public map and dossier." }, { "entityName": "Institutional shareholders / governance context", "entityKind": "Shareholder or governance context", "relationship": "context only, not hospital operation", "classification": "Shareholder context", "evidenceSourceIds": [ "source-cape-fear-valley-administration" ], "note": "No public-company shareholder layer. Control context is Cape Fear Valley governance and administration." } ], "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." }, { "label": "Hospital Enrollments", "url": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments", "sourceId": "source-cms-hospital-enrollments", "note": "Used for legal name, DBA, CCN, NPI, enrollment identity, and location matching." }, { "label": "Hospital All Owners", "url": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners", "sourceId": "source-cms-hospital-all-owners", "note": "Used for current CMS owner, officer, managerial, holding-company, investment-firm, and security-interest rows." }, { "label": "Hospital General Information", "url": "https://data.cms.gov/provider-data/dataset/xubh-q36u", "sourceId": "source-cms-care-compare", "note": "Facility type, ownership category, emergency services, and overall rating context." }, { "label": "Hospital Provider Cost Reports", "url": "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report", "sourceId": "source-cms-hcris", "note": "Financial, staffing, and utilization values; descriptive only and not causal evidence." }, { "label": "Cape Fear Valley Health administration", "url": "https://www.capefearvalley.com/administration", "sourceId": "source-cape-fear-valley-administration", "note": "Official administration page identifying Daniel Weatherly as CEO in 2026." } ], "systemConnections": [ { "systemName": "Cape Fear Valley Health", "relationship": "shared North Carolina system / branch family", "evidenceSourceIds": [ "source-nc-baseline-queue" ], "facilities": [ { "name": "BETSY JOHNSON HOSPITAL", "role": "current record", "city": "DUNN", "state": "NC", "recordId": "0003328335", "note": "This facility is the center of the dossier." }, { "name": "CAPE FEAR VALLEY - BLADEN COUNTY HOSPITAL", "role": "connected NC facility", "city": "ELIZABETHTOWN", "state": "NC", "recordId": "341315", "note": "Connected by shared parent/operator/system field; status remains facility-specific." }, { "name": "CAPE FEAR VALLEY HOKE HOSPITAL", "role": "connected NC facility", "city": "RAEFORD", "state": "NC", "recordId": "340188", "note": "Connected by shared parent/operator/system field; status remains facility-specific." }, { "name": "CAPE FEAR VALLEY MEDICAL CENTER", "role": "connected NC facility", "city": "FAYETTEVILLE", "state": "NC", "recordId": "340028", "note": "Connected by shared parent/operator/system field; status remains facility-specific." }, { "name": "GOOD HOPE HOSPITAL, INC", "role": "connected NC facility", "city": "ERWIN", "state": "NC", "recordId": "344029", "note": "Connected by shared parent/operator/system field; status remains facility-specific." }, { "name": "HIGHSMITH - RAINEY SPECIALTY HOSPITAL", "role": "connected NC facility", "city": "FAYETTEVILLE", "state": "NC", "recordId": "0008028301", "note": "Connected by shared parent/operator/system field; status remains facility-specific." } ] } ], "directConnections": [ "Legal/enrollment layer: HARNETT HEALTH SYSTEM INC.", "Operator layer: Cape Fear Valley Health.", "Ultimate parent/controller context: Cape Fear Valley Health.", "Shareholder/governance context: No public-company shareholder layer. Control context is Cape Fear Valley governance and administration.", "Operator/owner context: Cape Fear Valley Health.", "CMS Care Compare ownership category: Voluntary non-profit - Private." ], "actions": [], "contradictions": [], "limitations": [ "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": [ "official CEO image URL", "source-backed local CEO/current leader", "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-cms-hospital-enrollments", "title": "Hospital Enrollments", "publisher": "Centers for Medicare & Medicaid Services", "publication_date": "current cached official file", "retrieved_at": "2026-07-02", "url": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments", "reliability_tier": "government", "research_note": "Used for legal name, DBA, CCN, NPI, enrollment identity, and location matching.", "source_type": "public_record" }, { "source_id": "source-cms-hospital-all-owners", "title": "Hospital All Owners", "publisher": "Centers for Medicare & Medicaid Services", "publication_date": "current cached official file", "retrieved_at": "2026-07-02", "url": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners", "reliability_tier": "government", "research_note": "Used for current CMS owner, officer, managerial, holding-company, investment-firm, and security-interest rows.", "source_type": "public_record" }, { "source_id": "source-cms-care-compare", "title": "Hospital General Information", "publisher": "Centers for Medicare & Medicaid Services", "publication_date": "current cached official file", "retrieved_at": "2026-07-02", "url": "https://data.cms.gov/provider-data/dataset/xubh-q36u", "reliability_tier": "government", "research_note": "Facility type, ownership category, emergency services, and overall rating context.", "source_type": "public_record" }, { "source_id": "source-cms-hcris", "title": "Hospital Provider Cost Reports", "publisher": "Centers for Medicare & Medicaid Services", "publication_date": "2015-2024 cached official files", "retrieved_at": "2026-07-02", "url": "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report", "reliability_tier": "government", "research_note": "Financial, staffing, and utilization values; descriptive only and not causal evidence.", "source_type": "public_record" }, { "source_id": "source-cape-fear-valley-administration", "title": "Cape Fear Valley Health administration", "publisher": "Cape Fear Valley Health", "publication_date": "current public page", "retrieved_at": "2026-06-26", "url": "https://www.capefearvalley.com/administration", "reliability_tier": "primary", "research_note": "Official administration page identifying Daniel Weatherly as CEO in 2026.", "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": [ { "metric": "net_patient_revenue", "earliestPeriod": "09/30/2020", "latestPeriod": "09/30/2023", "earliestValue": 101527733, "latestValue": 114365856, "absoluteChange": 12838123, "percentChange": 12.644942047509325, "unit": "USD" }, { "metric": "operating_expense", "earliestPeriod": "09/30/2020", "latestPeriod": "09/30/2023", "earliestValue": 104425466, "latestValue": 129542073, "absoluteChange": 25116607, "percentChange": 24.05218569960703, "unit": "USD" }, { "metric": "net_income", "earliestPeriod": "09/30/2020", "latestPeriod": "09/30/2023", "earliestValue": 7472225, "latestValue": 1003896, "absoluteChange": -6468329, "percentChange": -86.56496558923212, "unit": "USD" }, { "metric": "total_assets", "earliestPeriod": "09/30/2020", "latestPeriod": "09/30/2023", "earliestValue": 121704323, "latestValue": 344651643, "absoluteChange": 222947320, "percentChange": 183.1876752644193, "unit": "USD" }, { "metric": "total_liabilities", "earliestPeriod": "09/30/2020", "latestPeriod": "09/30/2023", "earliestValue": 121766779, "latestValue": 332212079, "absoluteChange": 210445300, "percentChange": 172.82653095389836, "unit": "USD" }, { "metric": "contract_labor_direct_patient_care", "earliestPeriod": "09/30/2020", "latestPeriod": "09/30/2023", "earliestValue": 1886694, "latestValue": 10600486, "absoluteChange": 8713792, "percentChange": 461.8550755978447, "unit": "USD" }, { "metric": "fte_employees", "earliestPeriod": "09/30/2020", "latestPeriod": "09/30/2023", "earliestValue": 745.97, "latestValue": 686, "absoluteChange": -59.97000000000003, "percentChange": -8.039197286754163, "unit": "FTE" }, { "metric": "beds", "earliestPeriod": "09/30/2020", "latestPeriod": "09/30/2023", "earliestValue": 126, "latestValue": 74, "absoluteChange": -52, "percentChange": -41.269841269841265, "unit": "beds" }, { "metric": "patient_days", "earliestPeriod": "09/30/2020", "latestPeriod": "09/30/2023", "earliestValue": 20916, "latestValue": 21403, "absoluteChange": 487, "percentChange": 2.328361063300822, "unit": "days" }, { "metric": "discharges", "earliestPeriod": "09/30/2020", "latestPeriod": "09/30/2023", "earliestValue": 5439, "latestValue": 5362, "absoluteChange": -77, "percentChange": -1.4157014157014158, "unit": "discharges" } ] }