{
  "schemaVersion": 4,
  "entityId": "0003382609",
  "canonicalName": "ELKHORN VALLEY REHABILITATION HOSPITAL LLC",
  "status": "confirmed_pe",
  "statusLabel": "CMS-corroborated PE ownership record",
  "summary": "ELKHORN VALLEY REHABILITATION HOSPITAL LLC has a completed Wyoming 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": "government-corroborated",
    "confidence": "medium",
    "source_count": 6,
    "ownership_source_count": 11,
    "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"
  },
  "identifiers": {
    "ccn": "533027",
    "npi": "1326233586",
    "historicalCcns": [],
    "aliases": [
      {
        "alias": "ELKHORN VALLEY REHABILITATION HOSPITAL LLC",
        "alias_type": "cms_legal_name",
        "source_id": "source-cms-hospital-enrollments"
      }
    ]
  },
  "ownershipHistory": [
    {
      "relationship_id": "rel-ernesthealth-0003382609",
      "from_entity_id": "Ernest Health",
      "to_entity_id": "0003382609",
      "relationship_type": "owns",
      "effective_date": "October 2018",
      "end_date": "",
      "announcement_date": "",
      "status": "confirmed",
      "confidence": "high",
      "source_ids": "source-cms-hospital-all-owners|source-pesp-hospital-tracker",
      "plain_english_summary": "The tracker identifies Ernest Health in the PE ownership chain, and CMS supplies current enrolled-owner records for the facility.",
      "review_notes": "CMS explicitly identifies at least one owner as an investment firm or private-equity company."
    },
    {
      "relationship_id": "rel-cms-owner-0003382609",
      "from_entity_id": "ernesthealth",
      "to_entity_id": "0003382609",
      "relationship_type": "cms_owner_context",
      "effective_date": "10/04/2018",
      "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-0003382609",
      "from_entity_id": "ernesthealth",
      "to_entity_id": "0003382609",
      "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",
      "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-0003382609",
      "from_entity_id": "ernesthealth",
      "to_entity_id": "0003382609",
      "relationship_type": "cms_owner_context",
      "effective_date": "10/04/2018",
      "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-0003382609",
      "from_entity_id": "ernesthealth",
      "to_entity_id": "0003382609",
      "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",
      "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-0003382609",
      "from_entity_id": "ernesthealth",
      "to_entity_id": "0003382609",
      "relationship_type": "cms_owner_context",
      "effective_date": "10/04/2018",
      "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": [
    {
      "date": "October 2018",
      "title": "Acquisition date reported",
      "detail": "Date supplied by the April 3, 2026 PE hospital tracker snapshot.",
      "sourceIds": [
        "source-pesp-hospital-tracker"
      ]
    }
  ],
  "financialAndUtilizationSeries": [
    {
      "metric_id": "0003382609-net_patient_revenue-05-31-2024",
      "entity_id": "0003382609",
      "metric_name": "net_patient_revenue",
      "period_start": "06/01/2023",
      "period_end": "05/31/2024",
      "value": "19749606",
      "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": "0003382609-net_patient_revenue-05-31-2023",
      "entity_id": "0003382609",
      "metric_name": "net_patient_revenue",
      "period_start": "06/01/2022",
      "period_end": "05/31/2023",
      "value": "17035800",
      "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": "0003382609-net_patient_revenue-05-31-2022",
      "entity_id": "0003382609",
      "metric_name": "net_patient_revenue",
      "period_start": "06/01/2021",
      "period_end": "05/31/2022",
      "value": "16166788",
      "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": "0003382609-net_patient_revenue-05-31-2021",
      "entity_id": "0003382609",
      "metric_name": "net_patient_revenue",
      "period_start": "06/01/2020",
      "period_end": "05/31/2021",
      "value": "17177209",
      "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": "0003382609-operating_expense-05-31-2024",
      "entity_id": "0003382609",
      "metric_name": "operating_expense",
      "period_start": "06/01/2023",
      "period_end": "05/31/2024",
      "value": "16843858",
      "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": "0003382609-operating_expense-05-31-2023",
      "entity_id": "0003382609",
      "metric_name": "operating_expense",
      "period_start": "06/01/2022",
      "period_end": "05/31/2023",
      "value": "15301404",
      "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": "0003382609-operating_expense-05-31-2022",
      "entity_id": "0003382609",
      "metric_name": "operating_expense",
      "period_start": "06/01/2021",
      "period_end": "05/31/2022",
      "value": "14286942",
      "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": "0003382609-operating_expense-05-31-2021",
      "entity_id": "0003382609",
      "metric_name": "operating_expense",
      "period_start": "06/01/2020",
      "period_end": "05/31/2021",
      "value": "14877185",
      "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": "0003382609-net_income-05-31-2024",
      "entity_id": "0003382609",
      "metric_name": "net_income",
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      "value": "2942365",
      "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": "0003382609-net_income-05-31-2023",
      "entity_id": "0003382609",
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      "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": "0003382609-net_income-05-31-2022",
      "entity_id": "0003382609",
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      "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.",
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    },
    {
      "metric_id": "0003382609-net_income-05-31-2021",
      "entity_id": "0003382609",
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      "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.",
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    },
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      "metric_id": "0003382609-total_assets-05-31-2024",
      "entity_id": "0003382609",
      "metric_name": "total_assets",
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      "period_end": "05/31/2024",
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      "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": "0003382609-total_assets-05-31-2023",
      "entity_id": "0003382609",
      "metric_name": "total_assets",
      "period_start": "06/01/2022",
      "period_end": "05/31/2023",
      "value": "406116510",
      "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": "0003382609-total_assets-05-31-2022",
      "entity_id": "0003382609",
      "metric_name": "total_assets",
      "period_start": "06/01/2021",
      "period_end": "05/31/2022",
      "value": "344462252",
      "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": "0003382609-total_assets-05-31-2021",
      "entity_id": "0003382609",
      "metric_name": "total_assets",
      "period_start": "06/01/2020",
      "period_end": "05/31/2021",
      "value": "297408610",
      "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": "0003382609-total_liabilities-05-31-2024",
      "entity_id": "0003382609",
      "metric_name": "total_liabilities",
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      "period_end": "05/31/2024",
      "value": "403637679",
      "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": "0003382609-total_liabilities-05-31-2023",
      "entity_id": "0003382609",
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      "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": "0003382609-total_liabilities-05-31-2022",
      "entity_id": "0003382609",
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      "period_end": "05/31/2022",
      "value": "328463786",
      "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": "0003382609-total_liabilities-05-31-2021",
      "entity_id": "0003382609",
      "metric_name": "total_liabilities",
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      "period_end": "05/31/2021",
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      "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": "0003382609-fte_employees-05-31-2024",
      "entity_id": "0003382609",
      "metric_name": "fte_employees",
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      "period_end": "05/31/2024",
      "value": "107.17",
      "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": "0003382609-fte_employees-05-31-2023",
      "entity_id": "0003382609",
      "metric_name": "fte_employees",
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      "value": "106",
      "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": "0003382609-fte_employees-05-31-2022",
      "entity_id": "0003382609",
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      "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": "0003382609-fte_employees-05-31-2021",
      "entity_id": "0003382609",
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      "period_end": "05/31/2021",
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      "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": "0003382609-beds-05-31-2024",
      "entity_id": "0003382609",
      "metric_name": "beds",
      "period_start": "06/01/2023",
      "period_end": "05/31/2024",
      "value": "40",
      "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": "0003382609-beds-05-31-2023",
      "entity_id": "0003382609",
      "metric_name": "beds",
      "period_start": "06/01/2022",
      "period_end": "05/31/2023",
      "value": "40",
      "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": "0003382609-beds-05-31-2022",
      "entity_id": "0003382609",
      "metric_name": "beds",
      "period_start": "06/01/2021",
      "period_end": "05/31/2022",
      "value": "40",
      "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": "0003382609-beds-05-31-2021",
      "entity_id": "0003382609",
      "metric_name": "beds",
      "period_start": "06/01/2020",
      "period_end": "05/31/2021",
      "value": "40",
      "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": "0003382609-patient_days-05-31-2024",
      "entity_id": "0003382609",
      "metric_name": "patient_days",
      "period_start": "06/01/2023",
      "period_end": "05/31/2024",
      "value": "10055",
      "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": "0003382609-patient_days-05-31-2023",
      "entity_id": "0003382609",
      "metric_name": "patient_days",
      "period_start": "06/01/2022",
      "period_end": "05/31/2023",
      "value": "9886",
      "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": "0003382609-patient_days-05-31-2022",
      "entity_id": "0003382609",
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      "period_start": "06/01/2021",
      "period_end": "05/31/2022",
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      "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": "0003382609-patient_days-05-31-2021",
      "entity_id": "0003382609",
      "metric_name": "patient_days",
      "period_start": "06/01/2020",
      "period_end": "05/31/2021",
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      "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"
    },
    {
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      "entity_id": "0003382609",
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      "period_start": "06/01/2023",
      "period_end": "05/31/2024",
      "value": "681",
      "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": "0003382609-discharges-05-31-2023",
      "entity_id": "0003382609",
      "metric_name": "discharges",
      "period_start": "06/01/2022",
      "period_end": "05/31/2023",
      "value": "628",
      "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": "0003382609-discharges-05-31-2022",
      "entity_id": "0003382609",
      "metric_name": "discharges",
      "period_start": "06/01/2021",
      "period_end": "05/31/2022",
      "value": "636",
      "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": "0003382609-discharges-05-31-2021",
      "entity_id": "0003382609",
      "metric_name": "discharges",
      "period_start": "06/01/2020",
      "period_end": "05/31/2021",
      "value": "684",
      "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": "JACOB SOCHA",
      "role": "CORPORATE DIRECTOR",
      "association_date": "10/04/2018",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "JACOB SOCHA",
      "role": "OTHER",
      "association_date": "06/01/2023",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "ONE EQUITY PARTNERS VII-B LP",
      "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST",
      "association_date": "10/04/2018",
      "percentage_ownership": "9.3",
      "investment_firm": false,
      "private_equity_company": true,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "MPT OF CASPER LLC",
      "role": "5% OR GREATER SECURITY INTEREST",
      "association_date": "01/01/2019",
      "percentage_ownership": "35.4",
      "investment_firm": true,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "WYOMING MEDICAL CENTER INC",
      "role": "5% OR GREATER DIRECT OWNERSHIP INTEREST",
      "association_date": "12/01/2007",
      "percentage_ownership": "25",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "RACHEL BRYANT",
      "role": "CORPORATE DIRECTOR",
      "association_date": "12/15/2020",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "ERNEST HEALTH, INC",
      "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST",
      "association_date": "09/14/2006",
      "percentage_ownership": "75",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "ERNEST HEALTH, INC",
      "role": "OTHER",
      "association_date": "12/01/2007",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "EPOCH PARENT INC",
      "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST",
      "association_date": "10/04/2018",
      "percentage_ownership": "75",
      "investment_firm": true,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "ONE EQUITY PARTNERS VII LP",
      "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST",
      "association_date": "10/04/2018",
      "percentage_ownership": "43.5",
      "investment_firm": false,
      "private_equity_company": true,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "LANCE PORTER",
      "role": "CORPORATE DIRECTOR",
      "association_date": "12/15/2020",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "EPOCH PARENT HOLDINGS LLC",
      "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST",
      "association_date": "10/04/2018",
      "percentage_ownership": "75",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": true,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "ERNEST HEALTH HOLDINGS LLC",
      "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST",
      "association_date": "02/29/2012",
      "percentage_ownership": "75",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "EPOCH MIDCO, INC",
      "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST",
      "association_date": "10/04/2018",
      "percentage_ownership": "75",
      "investment_firm": true,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "CONNIE LONGWELL",
      "role": "CORPORATE DIRECTOR",
      "association_date": "03/21/2019",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "CONNIE LONGWELL",
      "role": "W-2 MANAGING EMPLOYEE",
      "association_date": "01/04/2016",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "CAPITAL ONE NA",
      "role": "5% OR GREATER SECURITY INTEREST",
      "association_date": "10/04/2018",
      "percentage_ownership": "64.6",
      "investment_firm": true,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "EUDORA CANNON",
      "role": "OTHER",
      "association_date": "06/01/2023",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "ELKHORN VALLEY REHABILITATION HOSPITAL HOLDINGS INC",
      "role": "5% OR GREATER DIRECT OWNERSHIP INTEREST",
      "association_date": "12/01/2007",
      "percentage_ownership": "75",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "ONE EQUITY PARTNERS VII-A LP",
      "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST",
      "association_date": "10/04/2018",
      "percentage_ownership": "22.28",
      "investment_firm": false,
      "private_equity_company": true,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "DENISE KANN",
      "role": "CORPORATE DIRECTOR",
      "association_date": "02/29/2012",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "EPOCH ACQUISITION INC",
      "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST",
      "association_date": "10/04/2018",
      "percentage_ownership": "75",
      "investment_firm": true,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    }
  ],
  "directConnections": [
    "Reported parent system or portfolio company: Ernest Health.",
    "Reported investment sponsor: One Equity Partners.",
    "Operator/owner context: Ernest Health."
  ],
  "actions": [],
  "contradictions": [],
  "limitations": [
    "No matching CMS Care Compare general-information row was found.",
    "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 facility URL",
    "Current CMS overall rating",
    "source-backed local CEO/current leader",
    "official CEO image URL",
    "facility-level CEO compensation amount",
    "current CMS overall rating"
  ],
  "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-pesp-hospital-tracker",
      "title": "Private Equity Hospital Tracker",
      "publisher": "Private Equity Stakeholder Project",
      "publication_date": "2026-04-03 snapshot",
      "retrieved_at": "2026-07-02",
      "url": "https://pestakeholder.org/private-equity-hospital-tracker/",
      "reliability_tier": "research",
      "research_note": "Discovery source for PE, contract, and transaction-signal follow-up; not enough by itself for direct control claims.",
      "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-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-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"
    }
  ],
  "ownershipChain": {
    "model": "Sponsor, operator, CMS legal-owner/control records, and facility are shown as separate evidence layers.",
    "confidence": "high",
    "nodes": [
      {
        "id": "facility:0003382609",
        "label": "ELKHORN VALLEY REHABILITATION HOSPITAL LLC",
        "kind": "hospital",
        "evidence": "public facility record"
      },
      {
        "id": "organization:one-equity-partners",
        "label": "One Equity Partners",
        "kind": "pe_sponsor",
        "evidence": "research tracker or primary portfolio source"
      },
      {
        "id": "organization:ernest-health",
        "label": "Ernest Health",
        "kind": "portfolio_company_or_operator",
        "evidence": "research tracker or primary organizational source"
      },
      {
        "id": "cms-owner:jacob-socha:0",
        "label": "JACOB SOCHA",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:jacob-socha:1",
        "label": "JACOB SOCHA",
        "kind": "cms_owner_or_controller",
        "evidence": "OTHER"
      },
      {
        "id": "cms-owner:one-equity-partners-vii-b-lp:2",
        "label": "ONE EQUITY PARTNERS VII-B LP",
        "kind": "cms_private_equity_company",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:mpt-of-casper-llc:3",
        "label": "MPT OF CASPER LLC",
        "kind": "cms_investment_firm",
        "evidence": "5% OR GREATER SECURITY INTEREST"
      },
      {
        "id": "cms-owner:wyoming-medical-center-inc:4",
        "label": "WYOMING MEDICAL CENTER INC",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER DIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:rachel-bryant:5",
        "label": "RACHEL BRYANT",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:ernest-health-inc:6",
        "label": "ERNEST HEALTH, INC",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:ernest-health-inc:7",
        "label": "ERNEST HEALTH, INC",
        "kind": "cms_owner_or_controller",
        "evidence": "OTHER"
      },
      {
        "id": "cms-owner:epoch-parent-inc:8",
        "label": "EPOCH PARENT INC",
        "kind": "cms_investment_firm",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:one-equity-partners-vii-lp:9",
        "label": "ONE EQUITY PARTNERS VII LP",
        "kind": "cms_private_equity_company",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:lance-porter:10",
        "label": "LANCE PORTER",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:epoch-parent-holdings-llc:11",
        "label": "EPOCH PARENT HOLDINGS LLC",
        "kind": "cms_holding_company",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:ernest-health-holdings-llc:12",
        "label": "ERNEST HEALTH HOLDINGS LLC",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:epoch-midco-inc:13",
        "label": "EPOCH MIDCO, INC",
        "kind": "cms_investment_firm",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:connie-longwell:14",
        "label": "CONNIE LONGWELL",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      }
    ],
    "edges": [
      {
        "id": "organization:one-equity-partners->organization:ernest-health",
        "from": "organization:one-equity-partners",
        "to": "organization:ernest-health",
        "relationship": "sponsors",
        "confidence": "medium",
        "sourceIds": [
          "source-cms-hospital-all-owners",
          "source-pesp-hospital-tracker"
        ],
        "note": "The tracker supplies the sponsor-to-platform attribution; CMS does not independently reproduce every sponsor name."
      },
      {
        "id": "organization:ernest-health->facility:0003382609",
        "from": "organization:ernest-health",
        "to": "facility:0003382609",
        "relationship": "reported ownership or operating chain",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners",
          "source-pesp-hospital-tracker"
        ],
        "note": "The platform attribution comes from the research tracker and is displayed separately from CMS legal-owner rows."
      },
      {
        "id": "cms-owner:jacob-socha:0->facility:0003382609",
        "from": "cms-owner:jacob-socha:0",
        "to": "facility:0003382609",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 10/04/2018"
      },
      {
        "id": "cms-owner:jacob-socha:1->facility:0003382609",
        "from": "cms-owner:jacob-socha:1",
        "to": "facility:0003382609",
        "relationship": "is associated with",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "OTHER · associated 06/01/2023"
      },
      {
        "id": "cms-owner:one-equity-partners-vii-b-lp:2->facility:0003382609",
        "from": "cms-owner:one-equity-partners-vii-b-lp:2",
        "to": "facility:0003382609",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 9.3% reported ownership · associated 10/04/2018"
      },
      {
        "id": "cms-owner:mpt-of-casper-llc:3->facility:0003382609",
        "from": "cms-owner:mpt-of-casper-llc:3",
        "to": "facility:0003382609",
        "relationship": "holds a security interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER SECURITY INTEREST · 35.4% reported ownership · associated 01/01/2019"
      },
      {
        "id": "cms-owner:wyoming-medical-center-inc:4->facility:0003382609",
        "from": "cms-owner:wyoming-medical-center-inc:4",
        "to": "facility:0003382609",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER DIRECT OWNERSHIP INTEREST · 25% reported ownership · associated 12/01/2007"
      },
      {
        "id": "cms-owner:rachel-bryant:5->facility:0003382609",
        "from": "cms-owner:rachel-bryant:5",
        "to": "facility:0003382609",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 12/15/2020"
      },
      {
        "id": "cms-owner:ernest-health-inc:6->facility:0003382609",
        "from": "cms-owner:ernest-health-inc:6",
        "to": "facility:0003382609",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 75% reported ownership · associated 09/14/2006"
      },
      {
        "id": "cms-owner:ernest-health-inc:7->facility:0003382609",
        "from": "cms-owner:ernest-health-inc:7",
        "to": "facility:0003382609",
        "relationship": "is associated with",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "OTHER · associated 12/01/2007"
      },
      {
        "id": "cms-owner:epoch-parent-inc:8->facility:0003382609",
        "from": "cms-owner:epoch-parent-inc:8",
        "to": "facility:0003382609",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 75% reported ownership · associated 10/04/2018"
      },
      {
        "id": "cms-owner:one-equity-partners-vii-lp:9->facility:0003382609",
        "from": "cms-owner:one-equity-partners-vii-lp:9",
        "to": "facility:0003382609",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 43.5% reported ownership · associated 10/04/2018"
      },
      {
        "id": "cms-owner:lance-porter:10->facility:0003382609",
        "from": "cms-owner:lance-porter:10",
        "to": "facility:0003382609",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 12/15/2020"
      },
      {
        "id": "cms-owner:epoch-parent-holdings-llc:11->facility:0003382609",
        "from": "cms-owner:epoch-parent-holdings-llc:11",
        "to": "facility:0003382609",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 75% reported ownership · associated 10/04/2018"
      },
      {
        "id": "cms-owner:ernest-health-holdings-llc:12->facility:0003382609",
        "from": "cms-owner:ernest-health-holdings-llc:12",
        "to": "facility:0003382609",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 75% reported ownership · associated 02/29/2012"
      },
      {
        "id": "cms-owner:epoch-midco-inc:13->facility:0003382609",
        "from": "cms-owner:epoch-midco-inc:13",
        "to": "facility:0003382609",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 75% reported ownership · associated 10/04/2018"
      },
      {
        "id": "cms-owner:connie-longwell:14->facility:0003382609",
        "from": "cms-owner:connie-longwell:14",
        "to": "facility:0003382609",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 03/21/2019"
      }
    ],
    "caveats": [
      "CMS owner rows establish enrolled legal ownership or control roles; they do not always name the ultimate financial sponsor.",
      "Sponsor and portfolio-company labels come from the cited tracker or primary portfolio evidence."
    ]
  },
  "descriptiveTrends": [
    {
      "metric": "net_patient_revenue",
      "earliestPeriod": "05/31/2021",
      "latestPeriod": "05/31/2024",
      "earliestValue": 17177209,
      "latestValue": 19749606,
      "absoluteChange": 2572397,
      "percentChange": 14.975640105444372,
      "unit": "USD"
    },
    {
      "metric": "operating_expense",
      "earliestPeriod": "05/31/2021",
      "latestPeriod": "05/31/2024",
      "earliestValue": 14877185,
      "latestValue": 16843858,
      "absoluteChange": 1966673,
      "percentChange": 13.219389286346846,
      "unit": "USD"
    },
    {
      "metric": "net_income",
      "earliestPeriod": "05/31/2021",
      "latestPeriod": "05/31/2024",
      "earliestValue": 3086070,
      "latestValue": 2942365,
      "absoluteChange": -143705,
      "percentChange": -4.656569682476419,
      "unit": "USD"
    },
    {
      "metric": "total_assets",
      "earliestPeriod": "05/31/2021",
      "latestPeriod": "05/31/2024",
      "earliestValue": 297408610,
      "latestValue": 433038454,
      "absoluteChange": 135629844,
      "percentChange": 45.60387273253455,
      "unit": "USD"
    },
    {
      "metric": "total_liabilities",
      "earliestPeriod": "05/31/2021",
      "latestPeriod": "05/31/2024",
      "earliestValue": 283637509,
      "latestValue": 403637679,
      "absoluteChange": 120000170,
      "percentChange": 42.3075813996096,
      "unit": "USD"
    },
    {
      "metric": "fte_employees",
      "earliestPeriod": "05/31/2021",
      "latestPeriod": "05/31/2024",
      "earliestValue": 105.41,
      "latestValue": 107.17,
      "absoluteChange": 1.7600000000000051,
      "percentChange": 1.6696708092211414,
      "unit": "FTE"
    },
    {
      "metric": "beds",
      "earliestPeriod": "05/31/2021",
      "latestPeriod": "05/31/2024",
      "earliestValue": 40,
      "latestValue": 40,
      "absoluteChange": 0,
      "percentChange": 0,
      "unit": "beds"
    },
    {
      "metric": "patient_days",
      "earliestPeriod": "05/31/2021",
      "latestPeriod": "05/31/2024",
      "earliestValue": 10406,
      "latestValue": 10055,
      "absoluteChange": -351,
      "percentChange": -3.373054007303479,
      "unit": "days"
    },
    {
      "metric": "discharges",
      "earliestPeriod": "05/31/2021",
      "latestPeriod": "05/31/2024",
      "earliestValue": 684,
      "latestValue": 681,
      "absoluteChange": -3,
      "percentChange": -0.43859649122807015,
      "unit": "discharges"
    }
  ],
  "firstGlance": {
    "taxOwnershipType": "For-profit",
    "operator": "Ernest Health",
    "directPeOwnership": "Documented PE ownership/control signal",
    "peRelationship": "PE-owned or PE-controlled in reviewed sources",
    "careLevel": "REHABILITATION",
    "currentCeo": "Needs source-backed local leader research",
    "bottomLine": "ELKHORN VALLEY REHABILITATION HOSPITAL LLC is shown with official-source baseline context for Wyoming. Missing fields remain visible instead of being inferred."
  },
  "communityImpact": {
    "populationServedEstimate": 0,
    "populationServedLabel": "Needs system/facility catchment estimate",
    "estimateMethod": "Not estimated in this state-template completion pass",
    "catchmentDescription": "CASPER, NATRONA, Wyoming. Service role should be refined in manual follow-up.",
    "traumaCareLevel": "REHABILITATION",
    "publicFacingCaveat": "Community role is sourced from facility type and location until a deeper local-service review is completed."
  },
  "qualityAndLaborContext": {
    "sourceId": "",
    "cmsOverallRating": "not available",
    "emergencyServices": "not available",
    "hospitalType": "REHABILITATION",
    "careCompareOwnership": "not available",
    "note": "No conservative CMS Care Compare match was captured for this facility in the state-template completion pass.",
    "noCausationClaim": true
  }
}
