{
  "schemaVersion": 4,
  "entityId": "0016530165",
  "canonicalName": "REDMOND REGIONAL MEDICAL CENTER",
  "status": "corporate_chain",
  "statusLabel": "Corporate or major-system control baseline",
  "summary": "REDMOND REGIONAL MEDICAL CENTER completed the NEXT source-family checklist. The current public status is retained unless facility-level evidence and explicit editorial approval support a change.",
  "lastReviewed": "2026-07-01",
  "review": {
    "reviewer": "Codex NEXT source-family review",
    "evidence_grade": "source-family review complete; classification retained",
    "confidence": "low",
    "source_count": 5,
    "ownership_source_count": 2,
    "identity_match_method": "Facility identity and location context",
    "publication_decision": "Publish the research audit trail only after exact-batch approval; do not infer a stronger label."
  },
  "identifiers": {
    "ccn": null,
    "npi": null,
    "historicalCcns": [],
    "aliases": []
  },
  "ownershipHistory": [
    {
      "relationship_id": "next-review-0016530165",
      "from_entity_id": "next-review:proprietary",
      "to_entity_id": "0016530165",
      "relationship_type": "operates",
      "effective_date": "",
      "end_date": "",
      "announcement_date": "",
      "status": "baseline",
      "confidence": "low",
      "source_ids": "source-hhs-oig-leie-2026-05|source-pesp-tracker-2026-04-03",
      "plain_english_summary": "The existing public corporate_chain classification is retained pending any separately approved change.",
      "review_notes": "This relationship records the current public context and does not independently promote a stronger ownership claim."
    }
  ],
  "acquisitionEvents": [],
  "financialAndUtilizationSeries": [],
  "cmsOwnerRecords": [],
  "directConnections": [],
  "actions": [],
  "contradictions": [],
  "limitations": [
    "5 source-family rows were blocked or manual.",
    "17 source-family searches returned no matching record.",
    "Searched-not-found and blocked results do not prove independence or absence of PE, corporate, contract, or faith-affiliation exposure."
  ],
  "unavailableFields": [],
  "sources": [
    {
      "source_id": "source-hhs-oig-leie-2026-05",
      "title": "LEIE Updated Database",
      "publisher": "HHS Office of Inspector General",
      "publication_date": "2026-05",
      "retrieved_at": "2026-07-01",
      "url": "https://oig.hhs.gov/exclusions/downloadables/UPDATED.csv",
      "archive_url": "",
      "reliability_tier": "government",
      "source_type": "dataset",
      "research_note": "Supports possible OIG exclusion match that requires manual adjudication. A possible name match is not proof the assigned hospital/operator is excluded without exact entity confirmation."
    },
    {
      "source_id": "source-pesp-tracker-2026-04-03",
      "title": "Web Pass: Ownership / Transaction Terms",
      "publisher": "PESP tracker plus captured primary/operator/sponsor sources",
      "publication_date": "",
      "retrieved_at": "2026-07-01",
      "url": "https://pestakeholder.org/private-equity-hospital-tracker/",
      "archive_url": "",
      "reliability_tier": "primary_or_public",
      "source_type": "web_search_and_source_catalog",
      "research_note": "Supports why the hospital remains in an ownership-warning research queue and identifies source-backed operator/sponsor leads. Does not resolve final ownership, independence, PE ownership, contract exposure, or color without full adjudication."
    },
    {
      "source_id": "source-cms-hcris-2023",
      "title": "Web Pass: Financial / Quality / Community Context",
      "publisher": "CMS/HHS public datasets plus targeted web-pass context",
      "publication_date": "",
      "retrieved_at": "2026-07-01",
      "url": "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
      "archive_url": "",
      "reliability_tier": "primary_or_public",
      "source_type": "official_dataset_context",
      "research_note": "Supports baseline financial/quality/context search-family completion. Does not prove PE caused any financial, quality, labor, or service-line outcome."
    },
    {
      "source_id": "source-cms-care-compare-2026",
      "title": "Web Pass: Financial / Quality / Community Context",
      "publisher": "CMS/HHS public datasets plus targeted web-pass context",
      "publication_date": "",
      "retrieved_at": "2026-07-01",
      "url": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "archive_url": "",
      "reliability_tier": "primary_or_public",
      "source_type": "official_dataset_context",
      "research_note": "Supports baseline financial/quality/context search-family completion. Does not prove PE caused any financial, quality, labor, or service-line outcome."
    },
    {
      "source_id": "source-hhs-provider-relief-fund-2026-06-28",
      "title": "Web Pass: Financial / Quality / Community Context",
      "publisher": "CMS/HHS public datasets plus targeted web-pass context",
      "publication_date": "",
      "retrieved_at": "2026-07-01",
      "url": "https://data.cdc.gov/Administrative/HHS-Provider-Relief-Fund/kh8y-3es6",
      "archive_url": "",
      "reliability_tier": "primary_or_public",
      "source_type": "official_dataset_context",
      "research_note": "Supports baseline financial/quality/context search-family completion. Does not prove PE caused any financial, quality, labor, or service-line outcome."
    }
  ],
  "ownershipChain": {
    "model": "NEXT audit context keeps the facility separate from operator, owner, affiliation, and unresolved-review nodes.",
    "confidence": "low",
    "nodes": [
      {
        "id": "next-review:proprietary",
        "label": "PROPRIETARY",
        "kind": "operator_or_control_context",
        "evidence": "source-hhs-oig-leie-2026-05|source-pesp-tracker-2026-04-03"
      },
      {
        "id": "facility:0016530165",
        "label": "REDMOND REGIONAL MEDICAL CENTER",
        "kind": "hospital",
        "evidence": "public facility record"
      }
    ],
    "edges": [
      {
        "id": "next-review:proprietary->facility:0016530165",
        "from": "next-review:proprietary",
        "to": "facility:0016530165",
        "relationship": "operates",
        "confidence": "low",
        "sourceIds": [
          "source-hhs-oig-leie-2026-05",
          "source-pesp-tracker-2026-04-03"
        ],
        "note": "This edge records the retained public context or unresolved review state; it is not an automatic label promotion."
      }
    ],
    "caveats": [
      "The NEXT checklist is a reproducible research audit, not automatic approval of a stronger public classification."
    ]
  },
  "nextReview": {
    "batchId": "next-50-2026-07-01-002",
    "reviewedAt": "2026-07-01",
    "sourceFamilyRows": 29,
    "statusCounts": {
      "blocked": 5,
      "searched_not_found": 17,
      "found": 3,
      "not_applicable": 4
    },
    "approvalStatus": "approved_partial_retain_existing_public_labels_only",
    "retainedExistingPublicLabelOnly": true,
    "publicationPolicy": "Completing the source-family checklist does not automatically approve a stronger ownership, control, contract, independence, sibling, or faith-affiliation claim."
  },
  "descriptiveTrends": []
}