{
  "schemaVersion": 3,
  "entityId": "0024091730",
  "canonicalName": "KINDRED HOSPITAL RANCHO",
  "status": "confirmed_pe",
  "statusLabel": "CMS-corroborated PE ownership record",
  "summary": "KINDRED HOSPITAL RANCHO is listed in the April 3, 2026 PE hospital tracker and matches current CMS enrollment and owner records for BELLIN MEMORIAL HOSPITAL INC. 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"
  },
  "identifiers": {
    "ccn": "052049",
    "npi": "1174689178",
    "historicalCcns": [],
    "aliases": [
      {
        "alias": "BELLIN MEMORIAL HOSPITAL INC",
        "alias_type": "cms_legal_name",
        "source_id": "source-cms-hospital-enrollments"
      },
      {
        "alias": "BELLIN MEMORIAL HOSPITAL REHABILITATION UNIT",
        "alias_type": "cms_dba",
        "source_id": "source-cms-hospital-enrollments"
      }
    ]
  },
  "ownershipHistory": [
    {
      "relationship_id": "rel-scionhealth-0024091730",
      "from_entity_id": "ScionHealth",
      "to_entity_id": "0024091730",
      "relationship_type": "owns",
      "effective_date": "December 2021",
      "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": "December 2021",
      "title": "Acquisition date reported",
      "detail": "Date supplied by the April 3, 2026 PE hospital tracker snapshot.",
      "sourceIds": [
        "source-pesp-hospital-tracker"
      ]
    }
  ],
  "financialAndUtilizationSeries": [
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      "period_end": "08/31/2024",
      "value": "42844579",
      "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": "0024091730-net_patient_revenue-08-31-2023",
      "entity_id": "0024091730",
      "metric_name": "net_patient_revenue",
      "period_start": "09/01/2022",
      "period_end": "08/31/2023",
      "value": "26223068",
      "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": "0024091730-net_patient_revenue-08-31-2022",
      "entity_id": "0024091730",
      "metric_name": "net_patient_revenue",
      "period_start": "09/01/2021",
      "period_end": "08/31/2022",
      "value": "33230316",
      "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": "0024091730-operating_expense-08-31-2024",
      "entity_id": "0024091730",
      "metric_name": "operating_expense",
      "period_start": "09/01/2023",
      "period_end": "08/31/2024",
      "value": "43044394",
      "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": "0024091730-operating_expense-08-31-2023",
      "entity_id": "0024091730",
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      "period_start": "09/01/2022",
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      "value": "36929289",
      "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": "0024091730-operating_expense-08-31-2022",
      "entity_id": "0024091730",
      "metric_name": "operating_expense",
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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": "0024091730-net_income-08-31-2024",
      "entity_id": "0024091730",
      "metric_name": "net_income",
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      "unit": "USD",
      "better_when": "context_dependent",
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      "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": "0024091730-net_income-08-31-2023",
      "entity_id": "0024091730",
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      "period_start": "09/01/2022",
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      "better_when": "context_dependent",
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    {
      "metric_id": "0024091730-net_income-08-31-2022",
      "entity_id": "0024091730",
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      "unit": "USD",
      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
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    },
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    {
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      "metric_id": "0024091730-total_assets-08-31-2022",
      "entity_id": "0024091730",
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      "unit": "USD",
      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
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    },
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    },
    {
      "metric_id": "0024091730-total_liabilities-08-31-2023",
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    },
    {
      "metric_id": "0024091730-total_liabilities-08-31-2022",
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    },
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      "metric_id": "0024091730-contract_labor_direct_patient_care-08-31-2022",
      "entity_id": "0024091730",
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    },
    {
      "metric_id": "0024091730-contract_labor_direct_patient_care-08-31-2020",
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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": "0024091730-fte_employees-08-31-2024",
      "entity_id": "0024091730",
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      "unit": "FTE",
      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
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    },
    {
      "metric_id": "0024091730-fte_employees-08-31-2023",
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      "unit": "FTE",
      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
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    },
    {
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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.",
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    },
    {
      "metric_id": "0024091730-beds-08-31-2024",
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      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
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    },
    {
      "metric_id": "0024091730-beds-08-31-2023",
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      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
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      "comparable_to_prior": "review_required"
    },
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      "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"
    },
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      "entity_id": "0024091730",
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      "unit": "days",
      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
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    },
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      "metric_id": "0024091730-patient_days-08-31-2023",
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      "unit": "days",
      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
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    },
    {
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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": "0024091730-discharges-08-31-2024",
      "entity_id": "0024091730",
      "metric_name": "discharges",
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      "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.",
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    },
    {
      "metric_id": "0024091730-discharges-08-31-2023",
      "entity_id": "0024091730",
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      "source_id": "source-cms-hcris",
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    },
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      "metric_id": "0024091730-discharges-08-31-2022",
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      "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": "MICHAEL LANDRUM",
      "role": "CORPORATE DIRECTOR",
      "association_date": "12/01/2025",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "SCOTT RATHGABER",
      "role": "CORPORATE DIRECTOR",
      "association_date": "12/01/2022",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "DEBRA VAN PAY",
      "role": "CORPORATE DIRECTOR",
      "association_date": "12/01/2025",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "DEBRA VAN PAY",
      "role": "W-2 MANAGING EMPLOYEE",
      "association_date": "12/01/2025",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "SHARLA BAENEN",
      "role": "CORPORATE DIRECTOR",
      "association_date": "10/01/2022",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "SARA ARNDT",
      "role": "W-2 MANAGING EMPLOYEE",
      "association_date": "10/01/2022",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "BELLIN GUNDERSEN HEALTH SYSTEM INC",
      "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST",
      "association_date": "12/01/2022",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "BELLIN HEALTH SYSTEMS, INC.",
      "role": "5% OR GREATER DIRECT OWNERSHIP INTEREST",
      "association_date": "10/01/2022",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "LAURA HIEB",
      "role": "CORPORATE DIRECTOR",
      "association_date": "10/01/2022",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "PETER VANDENHOUTEN",
      "role": "CORPORATE DIRECTOR",
      "association_date": "10/01/2022",
      "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: 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": [
    "Official facility URL",
    "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:0024091730",
        "label": "KINDRED HOSPITAL RANCHO",
        "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:kentucky-hospital-holdings-jv-lp",
        "label": "Kentucky Hospital Holdings JV LP",
        "kind": "portfolio_company_or_operator",
        "evidence": "research tracker or primary organizational source"
      },
      {
        "id": "cms-owner:michael-landrum:0",
        "label": "MICHAEL LANDRUM",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:scott-rathgaber:1",
        "label": "SCOTT RATHGABER",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:debra-van-pay:2",
        "label": "DEBRA VAN PAY",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:debra-van-pay:3",
        "label": "DEBRA VAN PAY",
        "kind": "cms_owner_or_controller",
        "evidence": "W-2 MANAGING EMPLOYEE"
      },
      {
        "id": "cms-owner:sharla-baenen:4",
        "label": "SHARLA BAENEN",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:sara-arndt:5",
        "label": "SARA ARNDT",
        "kind": "cms_owner_or_controller",
        "evidence": "W-2 MANAGING EMPLOYEE"
      },
      {
        "id": "cms-owner:bellin-gundersen-health-system-inc:6",
        "label": "BELLIN GUNDERSEN HEALTH SYSTEM INC",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:bellin-health-systems-inc:7",
        "label": "BELLIN HEALTH SYSTEMS, INC.",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER DIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:laura-hieb:8",
        "label": "LAURA HIEB",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:peter-vandenhouten:9",
        "label": "PETER VANDENHOUTEN",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      }
    ],
    "edges": [
      {
        "id": "organization:apollo-global-management->organization:kentucky-hospital-holdings-jv-lp",
        "from": "organization:apollo-global-management",
        "to": "organization:kentucky-hospital-holdings-jv-lp",
        "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:kentucky-hospital-holdings-jv-lp->facility:0024091730",
        "from": "organization:kentucky-hospital-holdings-jv-lp",
        "to": "facility:0024091730",
        "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:michael-landrum:0->facility:0024091730",
        "from": "cms-owner:michael-landrum:0",
        "to": "facility:0024091730",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 12/01/2025"
      },
      {
        "id": "cms-owner:scott-rathgaber:1->facility:0024091730",
        "from": "cms-owner:scott-rathgaber:1",
        "to": "facility:0024091730",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 12/01/2022"
      },
      {
        "id": "cms-owner:debra-van-pay:2->facility:0024091730",
        "from": "cms-owner:debra-van-pay:2",
        "to": "facility:0024091730",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 12/01/2025"
      },
      {
        "id": "cms-owner:debra-van-pay:3->facility:0024091730",
        "from": "cms-owner:debra-van-pay:3",
        "to": "facility:0024091730",
        "relationship": "is associated with",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "W-2 MANAGING EMPLOYEE · associated 12/01/2025"
      },
      {
        "id": "cms-owner:sharla-baenen:4->facility:0024091730",
        "from": "cms-owner:sharla-baenen:4",
        "to": "facility:0024091730",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 10/01/2022"
      },
      {
        "id": "cms-owner:sara-arndt:5->facility:0024091730",
        "from": "cms-owner:sara-arndt:5",
        "to": "facility:0024091730",
        "relationship": "is associated with",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "W-2 MANAGING EMPLOYEE · associated 10/01/2022"
      },
      {
        "id": "cms-owner:bellin-gundersen-health-system-inc:6->facility:0024091730",
        "from": "cms-owner:bellin-gundersen-health-system-inc:6",
        "to": "facility:0024091730",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · associated 12/01/2022"
      },
      {
        "id": "cms-owner:bellin-health-systems-inc:7->facility:0024091730",
        "from": "cms-owner:bellin-health-systems-inc:7",
        "to": "facility:0024091730",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER DIRECT OWNERSHIP INTEREST · associated 10/01/2022"
      },
      {
        "id": "cms-owner:laura-hieb:8->facility:0024091730",
        "from": "cms-owner:laura-hieb:8",
        "to": "facility:0024091730",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 10/01/2022"
      },
      {
        "id": "cms-owner:peter-vandenhouten:9->facility:0024091730",
        "from": "cms-owner:peter-vandenhouten:9",
        "to": "facility:0024091730",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 10/01/2022"
      }
    ],
    "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": 33230316,
      "latestValue": 42844579,
      "absoluteChange": 9614263,
      "percentChange": 28.932204556826964,
      "unit": "USD"
    },
    {
      "metric": "operating_expense",
      "earliestPeriod": "08/31/2022",
      "latestPeriod": "08/31/2024",
      "earliestValue": 40068736,
      "latestValue": 43044394,
      "absoluteChange": 2975658,
      "percentChange": 7.426383502589151,
      "unit": "USD"
    },
    {
      "metric": "net_income",
      "earliestPeriod": "08/31/2022",
      "latestPeriod": "08/31/2024",
      "earliestValue": -6238289,
      "latestValue": 224473,
      "absoluteChange": 6462762,
      "percentChange": 103.59831037003897,
      "unit": "USD"
    },
    {
      "metric": "total_assets",
      "earliestPeriod": "08/31/2022",
      "latestPeriod": "08/31/2024",
      "earliestValue": 41297412,
      "latestValue": 43215627,
      "absoluteChange": 1918215,
      "percentChange": 4.644879441840084,
      "unit": "USD"
    },
    {
      "metric": "total_liabilities",
      "earliestPeriod": "08/31/2022",
      "latestPeriod": "08/31/2024",
      "earliestValue": 33590684,
      "latestValue": 45782520,
      "absoluteChange": 12191836,
      "percentChange": 36.295289491574515,
      "unit": "USD"
    },
    {
      "metric": "contract_labor_direct_patient_care",
      "earliestPeriod": "08/31/2020",
      "latestPeriod": "08/31/2022",
      "earliestValue": 1487842,
      "latestValue": 5272756,
      "absoluteChange": 3784914,
      "percentChange": 254.3895117895583,
      "unit": "USD"
    },
    {
      "metric": "fte_employees",
      "earliestPeriod": "08/31/2022",
      "latestPeriod": "08/31/2024",
      "earliestValue": 174.1,
      "latestValue": 196.6,
      "absoluteChange": 22.5,
      "percentChange": 12.92360712234348,
      "unit": "FTE"
    },
    {
      "metric": "beds",
      "earliestPeriod": "08/31/2022",
      "latestPeriod": "08/31/2024",
      "earliestValue": 55,
      "latestValue": 53,
      "absoluteChange": -2,
      "percentChange": -3.6363636363636362,
      "unit": "beds"
    },
    {
      "metric": "patient_days",
      "earliestPeriod": "08/31/2022",
      "latestPeriod": "08/31/2024",
      "earliestValue": 15255,
      "latestValue": 17318,
      "absoluteChange": 2063,
      "percentChange": 13.523434939364144,
      "unit": "days"
    },
    {
      "metric": "discharges",
      "earliestPeriod": "08/31/2022",
      "latestPeriod": "08/31/2024",
      "earliestValue": 484,
      "latestValue": 568,
      "absoluteChange": 84,
      "percentChange": 17.355371900826448,
      "unit": "discharges"
    }
  ]
}