{
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  "canonicalName": "MARY FREE BED REHABILITATION HOSPITAL",
  "status": "confirmed_pe",
  "statusLabel": "CMS-corroborated PE ownership record",
  "summary": "MARY FREE BED REHABILITATION HOSPITAL is listed in the April 3, 2026 PE hospital tracker and matches current CMS enrollment and owner records for MARY FREE BED REHABILITATION HOSPITAL. The dossier distinguishes the enrolled legal owner from the broader sponsor and portfolio-company chain.",
  "lastReviewed": "2026-06-22",
  "review": {
    "reviewer": "Automated CMS/PESP reconciliation with editorial publication gate",
    "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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    "ccn": "233026",
    "npi": "1730133463",
    "historicalCcns": [],
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        "alias_type": "cms_legal_name",
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  },
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      "relationship_id": "rel-maryfreebedrehabilitation-0006849503",
      "from_entity_id": "Mary Free Bed Rehabilitation Hospital",
      "to_entity_id": "0006849503",
      "relationship_type": "owns",
      "effective_date": "April 2022",
      "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 Mary Free Bed Rehabilitation Hospital 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."
    }
  ],
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    {
      "date": "April 2022",
      "title": "Acquisition date reported",
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      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "LAURA PUFF",
      "role": "CORPORATE DIRECTOR",
      "association_date": "09/26/2017",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "CAROL SPRINGER",
      "role": "CORPORATE DIRECTOR",
      "association_date": "08/26/2014",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "JULIE RIDENOUR",
      "role": "CORPORATE DIRECTOR",
      "association_date": "02/24/2006",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "KENT RIDDLE",
      "role": "CORPORATE DIRECTOR",
      "association_date": "02/24/2006",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "SCOTT LEWIS",
      "role": "CORPORATE DIRECTOR",
      "association_date": "09/26/2017",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "ROGER SPOELMAN",
      "role": "CORPORATE DIRECTOR",
      "association_date": "06/01/2013",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "INGRID CHESLEK",
      "role": "CORPORATE DIRECTOR",
      "association_date": "09/26/2017",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "DIANNE DEROSEAU",
      "role": "CORPORATE DIRECTOR",
      "association_date": "09/26/2017",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "MOLLY KRAUSS",
      "role": "CORPORATE DIRECTOR",
      "association_date": "07/01/2010",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "HOLLY PETERSON",
      "role": "CORPORATE DIRECTOR",
      "association_date": "09/26/2017",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "RYAN PODVIN",
      "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": "MICHELE SUCHOVSKY",
      "role": "CORPORATE DIRECTOR",
      "association_date": "09/26/2017",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    }
  ],
  "directConnections": [
    "Reported parent system or portfolio company: Mary Free Bed Rehabilitation Hospital.",
    "Reported investment sponsor: Graham Healthcare Capital."
  ],
  "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:0006849503",
        "label": "MARY FREE BED REHABILITATION HOSPITAL",
        "kind": "hospital",
        "evidence": "public facility record"
      },
      {
        "id": "organization:graham-healthcare-capital",
        "label": "Graham Healthcare Capital",
        "kind": "pe_sponsor",
        "evidence": "research tracker or primary portfolio source"
      },
      {
        "id": "organization:mary-free-bed-guild-of-grand-rapids-michigan",
        "label": "MARY FREE BED GUILD OF GRAND RAPIDS MICHIGAN",
        "kind": "portfolio_company_or_operator",
        "evidence": "research tracker or primary organizational source"
      },
      {
        "id": "cms-owner:mary-free-bed-guild-of-grand-rapids-michigan:0",
        "label": "MARY FREE BED GUILD OF GRAND RAPIDS MICHIGAN",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER DIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:jeanne-skilton:1",
        "label": "JEANNE SKILTON",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:michael-jakubowski:2",
        "label": "MICHAEL JAKUBOWSKI",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:gregory-conway:3",
        "label": "GREGORY CONWAY",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:james-moyer:4",
        "label": "JAMES MOYER",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:chad-bush:5",
        "label": "CHAD BUSH",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:judy-tamer:6",
        "label": "JUDY TAMER",
        "kind": "cms_owner_or_controller",
        "evidence": "W-2 MANAGING EMPLOYEE"
      },
      {
        "id": "cms-owner:leanne-dimartino:7",
        "label": "LEANNE DIMARTINO",
        "kind": "cms_owner_or_controller",
        "evidence": "W-2 MANAGING EMPLOYEE"
      },
      {
        "id": "cms-owner:michael-williams:8",
        "label": "MICHAEL WILLIAMS",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:bruce-brasser:9",
        "label": "BRUCE BRASSER",
        "kind": "cms_owner_or_controller",
        "evidence": "W-2 MANAGING EMPLOYEE"
      },
      {
        "id": "cms-owner:david-muir:10",
        "label": "DAVID MUIR",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:nathaniel-guzman:11",
        "label": "NATHANIEL GUZMAN",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:ellen-nelson:12",
        "label": "ELLEN NELSON",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:michael-andary:13",
        "label": "MICHAEL ANDARY",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:susan-shannon:14",
        "label": "SUSAN SHANNON",
        "kind": "cms_owner_or_controller",
        "evidence": "W-2 MANAGING EMPLOYEE"
      }
    ],
    "edges": [
      {
        "id": "organization:graham-healthcare-capital->organization:mary-free-bed-guild-of-grand-rapids-michigan",
        "from": "organization:graham-healthcare-capital",
        "to": "organization:mary-free-bed-guild-of-grand-rapids-michigan",
        "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:mary-free-bed-guild-of-grand-rapids-michigan->facility:0006849503",
        "from": "organization:mary-free-bed-guild-of-grand-rapids-michigan",
        "to": "facility:0006849503",
        "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:mary-free-bed-guild-of-grand-rapids-michigan:0->facility:0006849503",
        "from": "cms-owner:mary-free-bed-guild-of-grand-rapids-michigan:0",
        "to": "facility:0006849503",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER DIRECT OWNERSHIP INTEREST · 100% reported ownership · associated 12/03/1985"
      },
      {
        "id": "cms-owner:jeanne-skilton:1->facility:0006849503",
        "from": "cms-owner:jeanne-skilton:1",
        "to": "facility:0006849503",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 09/26/2017"
      },
      {
        "id": "cms-owner:michael-jakubowski:2->facility:0006849503",
        "from": "cms-owner:michael-jakubowski:2",
        "to": "facility:0006849503",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 08/03/2012"
      },
      {
        "id": "cms-owner:gregory-conway:3->facility:0006849503",
        "from": "cms-owner:gregory-conway:3",
        "to": "facility:0006849503",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 11/22/2011"
      },
      {
        "id": "cms-owner:james-moyer:4->facility:0006849503",
        "from": "cms-owner:james-moyer:4",
        "to": "facility:0006849503",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 12/15/2011"
      },
      {
        "id": "cms-owner:chad-bush:5->facility:0006849503",
        "from": "cms-owner:chad-bush:5",
        "to": "facility:0006849503",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 07/01/2010"
      },
      {
        "id": "cms-owner:judy-tamer:6->facility:0006849503",
        "from": "cms-owner:judy-tamer:6",
        "to": "facility:0006849503",
        "relationship": "is associated with",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "W-2 MANAGING EMPLOYEE · associated 01/04/2021"
      },
      {
        "id": "cms-owner:leanne-dimartino:7->facility:0006849503",
        "from": "cms-owner:leanne-dimartino:7",
        "to": "facility:0006849503",
        "relationship": "is associated with",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "W-2 MANAGING EMPLOYEE · associated 05/17/2021"
      },
      {
        "id": "cms-owner:michael-williams:8->facility:0006849503",
        "from": "cms-owner:michael-williams:8",
        "to": "facility:0006849503",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 11/22/2011"
      },
      {
        "id": "cms-owner:bruce-brasser:9->facility:0006849503",
        "from": "cms-owner:bruce-brasser:9",
        "to": "facility:0006849503",
        "relationship": "is associated with",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "W-2 MANAGING EMPLOYEE · associated 10/07/2002"
      },
      {
        "id": "cms-owner:david-muir:10->facility:0006849503",
        "from": "cms-owner:david-muir:10",
        "to": "facility:0006849503",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 07/01/2010"
      },
      {
        "id": "cms-owner:nathaniel-guzman:11->facility:0006849503",
        "from": "cms-owner:nathaniel-guzman:11",
        "to": "facility:0006849503",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 04/01/2021"
      },
      {
        "id": "cms-owner:ellen-nelson:12->facility:0006849503",
        "from": "cms-owner:ellen-nelson:12",
        "to": "facility:0006849503",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 09/26/2017"
      },
      {
        "id": "cms-owner:michael-andary:13->facility:0006849503",
        "from": "cms-owner:michael-andary:13",
        "to": "facility:0006849503",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 06/01/2013"
      },
      {
        "id": "cms-owner:susan-shannon:14->facility:0006849503",
        "from": "cms-owner:susan-shannon:14",
        "to": "facility:0006849503",
        "relationship": "is associated with",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "W-2 MANAGING EMPLOYEE · associated 12/01/2017"
      }
    ],
    "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": "03/31/2022",
      "latestPeriod": "03/31/2024",
      "earliestValue": 107436529,
      "latestValue": 102153962,
      "absoluteChange": -5282567,
      "percentChange": -4.916918900088442,
      "unit": "USD"
    },
    {
      "metric": "operating_expense",
      "earliestPeriod": "03/31/2022",
      "latestPeriod": "03/31/2024",
      "earliestValue": 135123143,
      "latestValue": 111649832,
      "absoluteChange": -23473311,
      "percentChange": -17.37179174406859,
      "unit": "USD"
    },
    {
      "metric": "net_income",
      "earliestPeriod": "03/31/2022",
      "latestPeriod": "03/31/2024",
      "earliestValue": 8343130,
      "latestValue": 16411915,
      "absoluteChange": 8068785,
      "percentChange": 96.71172569527263,
      "unit": "USD"
    },
    {
      "metric": "total_assets",
      "earliestPeriod": "03/31/2022",
      "latestPeriod": "03/31/2024",
      "earliestValue": 305073027,
      "latestValue": 348583918,
      "absoluteChange": 43510891,
      "percentChange": 14.262451003247822,
      "unit": "USD"
    },
    {
      "metric": "total_liabilities",
      "earliestPeriod": "03/31/2022",
      "latestPeriod": "03/31/2024",
      "earliestValue": 83215162,
      "latestValue": 86121475,
      "absoluteChange": 2906313,
      "percentChange": 3.4925282005699874,
      "unit": "USD"
    },
    {
      "metric": "fte_employees",
      "earliestPeriod": "03/31/2022",
      "latestPeriod": "03/31/2024",
      "earliestValue": 1488.49,
      "latestValue": 1583.95,
      "absoluteChange": 95.46000000000004,
      "percentChange": 6.413210703464587,
      "unit": "FTE"
    },
    {
      "metric": "beds",
      "earliestPeriod": "03/31/2022",
      "latestPeriod": "03/31/2024",
      "earliestValue": 133,
      "latestValue": 139,
      "absoluteChange": 6,
      "percentChange": 4.511278195488721,
      "unit": "beds"
    },
    {
      "metric": "patient_days",
      "earliestPeriod": "03/31/2022",
      "latestPeriod": "03/31/2024",
      "earliestValue": 38219,
      "latestValue": 40893,
      "absoluteChange": 2674,
      "percentChange": 6.9965200554697935,
      "unit": "days"
    },
    {
      "metric": "discharges",
      "earliestPeriod": "03/31/2022",
      "latestPeriod": "03/31/2024",
      "earliestValue": 2315,
      "latestValue": 2578,
      "absoluteChange": 263,
      "percentChange": 11.360691144708424,
      "unit": "discharges"
    }
  ]
}
