{
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  "canonicalName": "CORNERSTONE SPECIALTY HOSPITALS WEST MONROE",
  "status": "confirmed_pe",
  "statusLabel": "CMS-corroborated PE ownership record",
  "summary": "CORNERSTONE SPECIALTY HOSPITALS WEST MONROE is listed in the April 3, 2026 PE hospital tracker and matches current CMS enrollment and owner records for VISTA SPECIALTY HOSPITAL OF WEST MONROE LLC. The dossier distinguishes the enrolled legal owner from the broader sponsor and portfolio-company chain.",
  "lastReviewed": "2026-06-22",
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    "evidence_grade": "government-corroborated",
    "confidence": "medium",
    "source_count": 5,
    "ownership_source_count": 2,
    "identity_match_method": "CCN exact match",
    "publication_decision": "Meets the Phase 3 publication standard for its displayed status"
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  "identifiers": {
    "ccn": "192031",
    "npi": "1528855111",
    "historicalCcns": [],
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        "alias": "VISTA SPECIALTY HOSPITAL OF WEST MONROE LLC",
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      },
      {
        "alias": "CORNERSTONE SPECIALTY HOSPITALS WEST MONROE",
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      "from_entity_id": "ScionHealth",
      "to_entity_id": "0005671291",
      "relationship_type": "owns",
      "effective_date": "January 2023",
      "end_date": "",
      "announcement_date": "",
      "status": "confirmed",
      "confidence": "medium",
      "source_ids": "source-cms-hospital-all-owners|source-pesp-hospital-tracker",
      "plain_english_summary": "The tracker identifies ScionHealth in the PE ownership chain, and CMS supplies current enrolled-owner records for the facility.",
      "review_notes": "CMS corroborates the current enrolled ownership chain; the sponsor attribution comes from the research tracker."
    }
  ],
  "acquisitionEvents": [
    {
      "date": "January 2023",
      "title": "Acquisition date reported",
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  ],
  "directConnections": [
    "Reported parent system or portfolio company: ScionHealth.",
    "Reported investment sponsor: Apollo Global Management."
  ],
  "actions": [],
  "contradictions": [],
  "limitations": [
    "CMS corroborates an enrolled ownership chain, but its owner names do not independently reproduce every sponsor or portfolio-company name from the tracker."
  ],
  "unavailableFields": [
    "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": "2026-06-22",
      "url": "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
      "reliability_tier": "government",
      "research_note": "Used for facility location and basic identity context; it does not establish private-equity ownership.",
      "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": "2026-06-22",
      "url": "https://pestakeholder.org/private-equity-hospital-tracker/",
      "reliability_tier": "research",
      "research_note": "Discovery and ownership-chain baseline. A red public status also requires independent corroboration in this dossier.",
      "source_type": "public_record"
    },
    {
      "source_id": "source-cms-hospital-enrollments",
      "title": "Hospital Enrollments",
      "publisher": "Centers for Medicare & Medicaid Services",
      "publication_date": "2026-05-01",
      "retrieved_at": "2026-06-22",
      "url": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
      "reliability_tier": "government",
      "research_note": "Used to corroborate current enrollment identity, legal name, DBA, CCN, NPI, and location.",
      "source_type": "public_record"
    },
    {
      "source_id": "source-cms-hospital-all-owners",
      "title": "Hospital All Owners",
      "publisher": "Centers for Medicare & Medicaid Services",
      "publication_date": "2026-05-01",
      "retrieved_at": "2026-06-22",
      "url": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "reliability_tier": "government",
      "research_note": "Used to corroborate direct or indirect ownership, control, holding-company, investment-firm, and security-interest records.",
      "source_type": "public_record"
    },
    {
      "source_id": "source-cms-hcris",
      "title": "Hospital Provider Cost Reports",
      "publisher": "Centers for Medicare & Medicaid Services",
      "publication_date": "2015–2024",
      "retrieved_at": "2026-06-22",
      "url": "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
      "reliability_tier": "government",
      "research_note": "Financial, staffing, and utilization values. These descriptive measures do not establish causation.",
      "source_type": "public_record"
    }
  ],
  "ownershipChain": {
    "model": "Sponsor, operator, CMS legal-owner/control records, and facility are shown as separate evidence layers.",
    "confidence": "medium",
    "nodes": [
      {
        "id": "facility:0005671291",
        "label": "CORNERSTONE SPECIALTY HOSPITALS WEST MONROE",
        "kind": "hospital",
        "evidence": "public facility record"
      },
      {
        "id": "organization:apollo-global-management",
        "label": "Apollo Global Management",
        "kind": "pe_sponsor",
        "evidence": "research tracker or primary portfolio source"
      },
      {
        "id": "organization:specialty-healthcare-holdings-llc",
        "label": "SPECIALTY HEALTHCARE HOLDINGS LLC",
        "kind": "portfolio_company_or_operator",
        "evidence": "research tracker or primary organizational source"
      },
      {
        "id": "cms-owner:specialty-healthcare-holdings-llc:0",
        "label": "SPECIALTY HEALTHCARE HOLDINGS LLC",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER DIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:specialty-investment-group-llc:1",
        "label": "SPECIALTY INVESTMENT GROUP LLC",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:swenda-beitpoulice:2",
        "label": "SWENDA BEITPOULICE",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:swenda-beitpoulice:3",
        "label": "SWENDA BEITPOULICE",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:swenda-beitpoulice:4",
        "label": "SWENDA BEITPOULICE",
        "kind": "cms_owner_or_controller",
        "evidence": "OPERATIONAL/MANAGERIAL CONTROL"
      },
      {
        "id": "cms-owner:twenty-four-healthcare-group-inc:5",
        "label": "TWENTY-FOUR HEALTHCARE GROUP, INC.",
        "kind": "cms_holding_company",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:brian-k-reynolds-spousal-tr-ua:6",
        "label": "BRIAN K REYNOLDS SPOUSAL TR UA",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:brian-reynolds:7",
        "label": "BRIAN REYNOLDS",
        "kind": "cms_owner_or_controller",
        "evidence": "OTHER"
      },
      {
        "id": "cms-owner:antoinette-saldivar:8",
        "label": "ANTOINETTE SALDIVAR",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:arb-op-ventures-llc:9",
        "label": "ARB OP VENTURES LLC",
        "kind": "cms_holding_company",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:finbar-scully-spousal-trust-agreement:10",
        "label": "FINBAR SCULLY SPOUSAL TRUST AGREEMENT",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:br-mr-spousal-trust-holdings-llc:11",
        "label": "BR MR SPOUSAL TRUST HOLDINGS LLC",
        "kind": "cms_holding_company",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:finbar-scully:12",
        "label": "FINBAR SCULLY",
        "kind": "cms_owner_or_controller",
        "evidence": "OTHER"
      },
      {
        "id": "cms-owner:post-acute-solutions-llc:13",
        "label": "POST ACUTE SOLUTIONS LLC",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:marc-ferrell:14",
        "label": "MARC FERRELL",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      }
    ],
    "edges": [
      {
        "id": "organization:apollo-global-management->organization:specialty-healthcare-holdings-llc",
        "from": "organization:apollo-global-management",
        "to": "organization:specialty-healthcare-holdings-llc",
        "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:specialty-healthcare-holdings-llc->facility:0005671291",
        "from": "organization:specialty-healthcare-holdings-llc",
        "to": "facility:0005671291",
        "relationship": "reported ownership or operating chain",
        "confidence": "medium",
        "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:specialty-healthcare-holdings-llc:0->facility:0005671291",
        "from": "cms-owner:specialty-healthcare-holdings-llc:0",
        "to": "facility:0005671291",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER DIRECT OWNERSHIP INTEREST · 100% reported ownership · associated 07/01/2025"
      },
      {
        "id": "cms-owner:specialty-investment-group-llc:1->facility:0005671291",
        "from": "cms-owner:specialty-investment-group-llc:1",
        "to": "facility:0005671291",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 30% reported ownership · associated 07/01/2025"
      },
      {
        "id": "cms-owner:swenda-beitpoulice:2->facility:0005671291",
        "from": "cms-owner:swenda-beitpoulice:2",
        "to": "facility:0005671291",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 31.5% reported ownership · associated 07/01/2025"
      },
      {
        "id": "cms-owner:swenda-beitpoulice:3->facility:0005671291",
        "from": "cms-owner:swenda-beitpoulice:3",
        "to": "facility:0005671291",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 07/01/2025"
      },
      {
        "id": "cms-owner:swenda-beitpoulice:4->facility:0005671291",
        "from": "cms-owner:swenda-beitpoulice:4",
        "to": "facility:0005671291",
        "relationship": "controls or manages",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "OPERATIONAL/MANAGERIAL CONTROL · associated 07/01/2025"
      },
      {
        "id": "cms-owner:twenty-four-healthcare-group-inc:5->facility:0005671291",
        "from": "cms-owner:twenty-four-healthcare-group-inc:5",
        "to": "facility:0005671291",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 31.5% reported ownership · associated 07/01/2025"
      },
      {
        "id": "cms-owner:brian-k-reynolds-spousal-tr-ua:6->facility:0005671291",
        "from": "cms-owner:brian-k-reynolds-spousal-tr-ua:6",
        "to": "facility:0005671291",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 13.77% reported ownership · associated 07/01/2025"
      },
      {
        "id": "cms-owner:brian-reynolds:7->facility:0005671291",
        "from": "cms-owner:brian-reynolds:7",
        "to": "facility:0005671291",
        "relationship": "is associated with",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "OTHER · associated 07/01/2025"
      },
      {
        "id": "cms-owner:antoinette-saldivar:8->facility:0005671291",
        "from": "cms-owner:antoinette-saldivar:8",
        "to": "facility:0005671291",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 7% reported ownership · associated 07/01/2025"
      },
      {
        "id": "cms-owner:arb-op-ventures-llc:9->facility:0005671291",
        "from": "cms-owner:arb-op-ventures-llc:9",
        "to": "facility:0005671291",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 14.7% reported ownership · associated 07/01/2025"
      },
      {
        "id": "cms-owner:finbar-scully-spousal-trust-agreement:10->facility:0005671291",
        "from": "cms-owner:finbar-scully-spousal-trust-agreement:10",
        "to": "facility:0005671291",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 11.76% reported ownership · associated 07/01/2025"
      },
      {
        "id": "cms-owner:br-mr-spousal-trust-holdings-llc:11->facility:0005671291",
        "from": "cms-owner:br-mr-spousal-trust-holdings-llc:11",
        "to": "facility:0005671291",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 15.3% reported ownership · associated 07/01/2025"
      },
      {
        "id": "cms-owner:finbar-scully:12->facility:0005671291",
        "from": "cms-owner:finbar-scully:12",
        "to": "facility:0005671291",
        "relationship": "is associated with",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "OTHER · associated 07/01/2025"
      },
      {
        "id": "cms-owner:post-acute-solutions-llc:13->facility:0005671291",
        "from": "cms-owner:post-acute-solutions-llc:13",
        "to": "facility:0005671291",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 70% reported ownership · associated 07/01/2025"
      },
      {
        "id": "cms-owner:marc-ferrell:14->facility:0005671291",
        "from": "cms-owner:marc-ferrell:14",
        "to": "facility:0005671291",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 31.5% reported ownership · associated 07/01/2025"
      }
    ],
    "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": "08/31/2022",
      "latestPeriod": "08/31/2024",
      "earliestValue": 17013128,
      "latestValue": 11912804,
      "absoluteChange": -5100324,
      "percentChange": -29.978755229491018,
      "unit": "USD"
    },
    {
      "metric": "operating_expense",
      "earliestPeriod": "08/31/2022",
      "latestPeriod": "08/31/2024",
      "earliestValue": 15604734,
      "latestValue": 16961492,
      "absoluteChange": 1356758,
      "percentChange": 8.69452821175933,
      "unit": "USD"
    },
    {
      "metric": "net_income",
      "earliestPeriod": "08/31/2022",
      "latestPeriod": "08/31/2024",
      "earliestValue": 1444455,
      "latestValue": -4451909,
      "absoluteChange": -5896364,
      "percentChange": -408.2068323346868,
      "unit": "USD"
    },
    {
      "metric": "total_assets",
      "earliestPeriod": "08/31/2022",
      "latestPeriod": "08/31/2024",
      "earliestValue": 22520928,
      "latestValue": 6773634,
      "absoluteChange": -15747294,
      "percentChange": -69.92293568009276,
      "unit": "USD"
    },
    {
      "metric": "total_liabilities",
      "earliestPeriod": "08/31/2022",
      "latestPeriod": "08/31/2024",
      "earliestValue": 1015349,
      "latestValue": 11525691,
      "absoluteChange": 10510342,
      "percentChange": 1035.1457479152489,
      "unit": "USD"
    },
    {
      "metric": "fte_employees",
      "earliestPeriod": "08/31/2022",
      "latestPeriod": "08/31/2024",
      "earliestValue": 82.38,
      "latestValue": 80,
      "absoluteChange": -2.3799999999999955,
      "percentChange": -2.889050740470983,
      "unit": "FTE"
    },
    {
      "metric": "beds",
      "earliestPeriod": "08/31/2022",
      "latestPeriod": "08/31/2024",
      "earliestValue": 47,
      "latestValue": 41,
      "absoluteChange": -6,
      "percentChange": -12.76595744680851,
      "unit": "beds"
    },
    {
      "metric": "patient_days",
      "earliestPeriod": "08/31/2022",
      "latestPeriod": "08/31/2024",
      "earliestValue": 12373,
      "latestValue": 8684,
      "absoluteChange": -3689,
      "percentChange": -29.8149195829629,
      "unit": "days"
    },
    {
      "metric": "discharges",
      "earliestPeriod": "08/31/2022",
      "latestPeriod": "08/31/2024",
      "earliestValue": 478,
      "latestValue": 314,
      "absoluteChange": -164,
      "percentChange": -34.30962343096235,
      "unit": "discharges"
    }
  ]
}