{
  "schemaVersion": 3,
  "entityId": "0006125411",
  "canonicalName": "WAR MEMORIAL HOSPITAL INC",
  "status": "pe_contract",
  "statusLabel": "PE-backed service contract",
  "summary": "WAR MEMORIAL HOSPITAL INC is part of the Valley Health case. The documented PE relationship is a clinical staffing or management contract with SCP Health, an Onex portfolio company; it is not a sale of the hospital.",
  "lastReviewed": "2026-06-22",
  "review": {
    "reviewer": "Automated CMS/PESP reconciliation with editorial publication gate",
    "evidence_grade": "primary-source contract documentation",
    "confidence": "high",
    "source_count": 5,
    "ownership_source_count": 3,
    "identity_match_method": "No current CMS enrollment match",
    "publication_decision": "Meets the Phase 3 publication standard for its displayed status"
  },
  "identifiers": {
    "ccn": null,
    "npi": null,
    "historicalCcns": [],
    "aliases": []
  },
  "ownershipHistory": [
    {
      "relationship_id": "rel-scp-health-0006125411",
      "from_entity_id": "scp-health",
      "to_entity_id": "0006125411",
      "relationship_type": "manages",
      "effective_date": "2026-09-30",
      "end_date": "",
      "announcement_date": "2026-04-07",
      "status": "announced",
      "confidence": "high",
      "source_ids": "source-valley-contract-reporting|source-onex-scp|source-acep-valley",
      "plain_english_summary": "Valley Health announced a clinical staffing and management transition to SCP Health. This is not an ownership transfer.",
      "review_notes": ""
    }
  ],
  "acquisitionEvents": [],
  "financialAndUtilizationSeries": [],
  "cmsOwnerRecords": [],
  "directConnections": [
    "SCP Health is the announced clinical staffing and management contractor.",
    "Onex identifies SCP Health as a portfolio company."
  ],
  "actions": [],
  "contradictions": [],
  "limitations": [
    "No matching current CMS hospital enrollment was found by CCN or a unique facility-name, city, and state match.",
    "No compatible HCRIS cost-report rows were matched to the resolved CCN.",
    "The documented relationship is a clinical service contract. Valley Health remains a nonprofit system; this is not an ownership claim."
  ],
  "unavailableFields": [
    "CMS Certification Number",
    "NPI",
    "Precise acquisition date",
    "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-valley-contract-reporting",
      "title": "Virginia system consolidates physician management, closes observation unit",
      "publisher": "Becker's Hospital Review",
      "publication_date": "2026-04-07",
      "retrieved_at": "2026-06-22",
      "url": "https://www.beckershospitalreview.com/quality/hospital-physician-relationships/virginia-system-to-close-observation-unit-shift-physician-staffing/",
      "reliability_tier": "reporting",
      "research_note": "Documents the contract scope, transition dates, stated rationale, and expected savings.",
      "source_type": "public_record"
    },
    {
      "source_id": "source-onex-scp",
      "title": "SCP Health portfolio profile",
      "publisher": "Onex",
      "publication_date": "current portfolio page",
      "retrieved_at": "2026-06-22",
      "url": "https://www.onex.com/portfolio/OP-OpCo-SCPHealth",
      "reliability_tier": "primary",
      "research_note": "Primary-source confirmation that SCP Health is held through Onex Partners.",
      "source_type": "public_record"
    },
    {
      "source_id": "source-acep-valley",
      "title": "Joint statement on due process, transparency, and due diligence in emergency medicine contracting",
      "publisher": "ACEP and VACEP",
      "publication_date": "2026-04-16",
      "retrieved_at": "2026-06-22",
      "url": "https://www.acep.org/news/acep-newsroom-articles/4-16-26-joint-statement-from-the-american-college-of-emergency-physicians-and-virginia-college-of-emergency-physicians",
      "reliability_tier": "primary",
      "research_note": "Professional-association response requesting notice, transparency, and physician involvement.",
      "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:0006125411",
        "label": "WAR MEMORIAL HOSPITAL INC",
        "kind": "hospital",
        "evidence": "public facility record"
      },
      {
        "id": "organization:onex-partners",
        "label": "Onex Partners",
        "kind": "pe_sponsor",
        "evidence": "research tracker or primary portfolio source"
      },
      {
        "id": "organization:east-mountain-health-advantage-inc",
        "label": "EAST MOUNTAIN HEALTH ADVANTAGE INC",
        "kind": "contractor",
        "evidence": "research tracker or primary organizational source"
      }
    ],
    "edges": [
      {
        "id": "organization:onex-partners->organization:east-mountain-health-advantage-inc",
        "from": "organization:onex-partners",
        "to": "organization:east-mountain-health-advantage-inc",
        "relationship": "sponsors",
        "confidence": "high",
        "sourceIds": [
          "source-valley-contract-reporting",
          "source-onex-scp",
          "source-acep-valley"
        ],
        "note": "Primary portfolio evidence identifies the contractor as a sponsor portfolio company."
      },
      {
        "id": "organization:east-mountain-health-advantage-inc->facility:0006125411",
        "from": "organization:east-mountain-health-advantage-inc",
        "to": "facility:0006125411",
        "relationship": "manages or staffs under contract",
        "confidence": "high",
        "sourceIds": [
          "source-valley-contract-reporting",
          "source-onex-scp",
          "source-acep-valley"
        ],
        "note": "This is a service contract, not an ownership transfer."
      }
    ],
    "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.",
      "A management or staffing contract is not hospital ownership."
    ]
  },
  "descriptiveTrends": []
}