{
  "schemaVersion": 3,
  "entityId": "010079",
  "canonicalName": "ATHENS LIMESTONE HOSPITAL",
  "status": "signal",
  "statusLabel": "Documented investment signal",
  "summary": "ATHENS LIMESTONE HOSPITAL appears in the source tracker as a venture-backed investment signal. This dossier does not classify that signal as completed private-equity ownership.",
  "lastReviewed": "2026-06-22",
  "review": {
    "reviewer": "Automated CMS/PESP reconciliation with editorial publication gate",
    "evidence_grade": "government-corroborated",
    "confidence": "medium",
    "source_count": 6,
    "ownership_source_count": 2,
    "identity_match_method": "CCN exact match",
    "publication_decision": "Meets the Phase 3 publication standard for its displayed status"
  },
  "identifiers": {
    "ccn": "010079",
    "npi": "1144695081",
    "historicalCcns": [],
    "aliases": [
      {
        "alias": "HH-HEALTH SYSTEM - ATHENS LIMESTONE LLC",
        "alias_type": "cms_legal_name",
        "source_id": "source-cms-hospital-enrollments"
      },
      {
        "alias": "ATHENS LIMESTONE HOSPITAL",
        "alias_type": "cms_dba",
        "source_id": "source-cms-hospital-enrollments"
      }
    ]
  },
  "ownershipHistory": [
    {
      "relationship_id": "rel-reportedowner-010079",
      "from_entity_id": "reported owner",
      "to_entity_id": "010079",
      "relationship_type": "venture_backing",
      "effective_date": "",
      "end_date": "",
      "announcement_date": "",
      "status": "signal",
      "confidence": "medium",
      "source_ids": "source-cms-hospital-all-owners|source-pesp-hospital-tracker",
      "plain_english_summary": "undefined is reported as an investment backer; this is not treated as a completed ownership claim.",
      "review_notes": "CMS corroborates the current enrolled ownership chain; the sponsor attribution comes from the research tracker."
    }
  ],
  "acquisitionEvents": [],
  "financialAndUtilizationSeries": [
    {
      "metric_id": "010079-net_patient_revenue-06-30-2024",
      "entity_id": "010079",
      "metric_name": "net_patient_revenue",
      "period_start": "07/01/2023",
      "period_end": "06/30/2024",
      "value": "92217633",
      "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": "010079-net_patient_revenue-06-30-2023",
      "entity_id": "010079",
      "metric_name": "net_patient_revenue",
      "period_start": "07/01/2022",
      "period_end": "06/30/2023",
      "value": "88872532",
      "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": "010079-net_patient_revenue-06-30-2022",
      "entity_id": "010079",
      "metric_name": "net_patient_revenue",
      "period_start": "07/01/2021",
      "period_end": "06/30/2022",
      "value": "86625290",
      "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": "010079-operating_expense-06-30-2024",
      "entity_id": "010079",
      "metric_name": "operating_expense",
      "period_start": "07/01/2023",
      "period_end": "06/30/2024",
      "value": "113571044",
      "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": "010079-operating_expense-06-30-2023",
      "entity_id": "010079",
      "metric_name": "operating_expense",
      "period_start": "07/01/2022",
      "period_end": "06/30/2023",
      "value": "107477911",
      "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": "010079-operating_expense-06-30-2022",
      "entity_id": "010079",
      "metric_name": "operating_expense",
      "period_start": "07/01/2021",
      "period_end": "06/30/2022",
      "value": "99299468",
      "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": "010079-net_income-06-30-2024",
      "entity_id": "010079",
      "metric_name": "net_income",
      "period_start": "07/01/2023",
      "period_end": "06/30/2024",
      "value": "-8725170",
      "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": "010079-net_income-06-30-2023",
      "entity_id": "010079",
      "metric_name": "net_income",
      "period_start": "07/01/2022",
      "period_end": "06/30/2023",
      "value": "-2192836",
      "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": "010079-net_income-06-30-2022",
      "entity_id": "010079",
      "metric_name": "net_income",
      "period_start": "07/01/2021",
      "period_end": "06/30/2022",
      "value": "3738365",
      "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": "010079-total_assets-06-30-2024",
      "entity_id": "010079",
      "metric_name": "total_assets",
      "period_start": "07/01/2023",
      "period_end": "06/30/2024",
      "value": "67917525",
      "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": "010079-total_assets-06-30-2023",
      "entity_id": "010079",
      "metric_name": "total_assets",
      "period_start": "07/01/2022",
      "period_end": "06/30/2023",
      "value": "76965847",
      "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": "010079-total_assets-06-30-2022",
      "entity_id": "010079",
      "metric_name": "total_assets",
      "period_start": "07/01/2021",
      "period_end": "06/30/2022",
      "value": "83502868",
      "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": "010079-total_liabilities-06-30-2024",
      "entity_id": "010079",
      "metric_name": "total_liabilities",
      "period_start": "07/01/2023",
      "period_end": "06/30/2024",
      "value": "19956353",
      "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": "010079-total_liabilities-06-30-2023",
      "entity_id": "010079",
      "metric_name": "total_liabilities",
      "period_start": "07/01/2022",
      "period_end": "06/30/2023",
      "value": "20279507",
      "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": "010079-total_liabilities-06-30-2022",
      "entity_id": "010079",
      "metric_name": "total_liabilities",
      "period_start": "07/01/2021",
      "period_end": "06/30/2022",
      "value": "24623682",
      "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": "010079-contract_labor_direct_patient_care-06-30-2024",
      "entity_id": "010079",
      "metric_name": "contract_labor_direct_patient_care",
      "period_start": "07/01/2023",
      "period_end": "06/30/2024",
      "value": "74720",
      "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": "010079-contract_labor_direct_patient_care-06-30-2023",
      "entity_id": "010079",
      "metric_name": "contract_labor_direct_patient_care",
      "period_start": "07/01/2022",
      "period_end": "06/30/2023",
      "value": "66930",
      "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": "010079-contract_labor_direct_patient_care-06-30-2022",
      "entity_id": "010079",
      "metric_name": "contract_labor_direct_patient_care",
      "period_start": "07/01/2021",
      "period_end": "06/30/2022",
      "value": "60856",
      "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": "010079-fte_employees-06-30-2024",
      "entity_id": "010079",
      "metric_name": "fte_employees",
      "period_start": "07/01/2023",
      "period_end": "06/30/2024",
      "value": "630.88",
      "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.",
      "comparable_to_prior": "review_required"
    },
    {
      "metric_id": "010079-fte_employees-06-30-2023",
      "entity_id": "010079",
      "metric_name": "fte_employees",
      "period_start": "07/01/2022",
      "period_end": "06/30/2023",
      "value": "602.3",
      "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.",
      "comparable_to_prior": "review_required"
    },
    {
      "metric_id": "010079-fte_employees-06-30-2022",
      "entity_id": "010079",
      "metric_name": "fte_employees",
      "period_start": "07/01/2021",
      "period_end": "06/30/2022",
      "value": "600.55",
      "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.",
      "comparable_to_prior": "review_required"
    },
    {
      "metric_id": "010079-beds-06-30-2024",
      "entity_id": "010079",
      "metric_name": "beds",
      "period_start": "07/01/2023",
      "period_end": "06/30/2024",
      "value": "66",
      "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"
    },
    {
      "metric_id": "010079-beds-06-30-2023",
      "entity_id": "010079",
      "metric_name": "beds",
      "period_start": "07/01/2022",
      "period_end": "06/30/2023",
      "value": "66",
      "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"
    },
    {
      "metric_id": "010079-beds-06-30-2022",
      "entity_id": "010079",
      "metric_name": "beds",
      "period_start": "07/01/2021",
      "period_end": "06/30/2022",
      "value": "66",
      "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"
    },
    {
      "metric_id": "010079-patient_days-06-30-2024",
      "entity_id": "010079",
      "metric_name": "patient_days",
      "period_start": "07/01/2023",
      "period_end": "06/30/2024",
      "value": "14221",
      "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": "010079-patient_days-06-30-2023",
      "entity_id": "010079",
      "metric_name": "patient_days",
      "period_start": "07/01/2022",
      "period_end": "06/30/2023",
      "value": "14220",
      "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": "010079-patient_days-06-30-2022",
      "entity_id": "010079",
      "metric_name": "patient_days",
      "period_start": "07/01/2021",
      "period_end": "06/30/2022",
      "value": "14794",
      "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": "010079-discharges-06-30-2024",
      "entity_id": "010079",
      "metric_name": "discharges",
      "period_start": "07/01/2023",
      "period_end": "06/30/2024",
      "value": "3992",
      "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.",
      "comparable_to_prior": "review_required"
    },
    {
      "metric_id": "010079-discharges-06-30-2023",
      "entity_id": "010079",
      "metric_name": "discharges",
      "period_start": "07/01/2022",
      "period_end": "06/30/2023",
      "value": "3825",
      "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.",
      "comparable_to_prior": "review_required"
    },
    {
      "metric_id": "010079-discharges-06-30-2022",
      "entity_id": "010079",
      "metric_name": "discharges",
      "period_start": "07/01/2021",
      "period_end": "06/30/2022",
      "value": "3689",
      "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.",
      "comparable_to_prior": "review_required"
    }
  ],
  "cmsOwnerRecords": [
    {
      "organization": "JAMES COMER",
      "role": "W-2 MANAGING EMPLOYEE",
      "association_date": "01/01/2016",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "CLINTON CARTER",
      "role": "CORPORATE OFFICER",
      "association_date": "10/01/2021",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "CLINTON CARTER",
      "role": "W-2 MANAGING EMPLOYEE",
      "association_date": "10/01/2021",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "JEFFREY SAMZ",
      "role": "CORPORATE OFFICER",
      "association_date": "10/01/2021",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "JEFFREY SAMZ",
      "role": "W-2 MANAGING EMPLOYEE",
      "association_date": "10/01/2021",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "TRACI COLLINS",
      "role": "CORPORATE OFFICER",
      "association_date": "10/01/2021",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "TRACI COLLINS",
      "role": "W-2 MANAGING EMPLOYEE",
      "association_date": "10/01/2021",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    }
  ],
  "directConnections": [],
  "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.",
    "The investment signal does not establish completed private-equity ownership or a pending sale."
  ],
  "unavailableFields": [
    "Precise acquisition date"
  ],
  "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"
    },
    {
      "source_id": "source-cms-care-compare",
      "title": "Hospital General Information",
      "publisher": "Centers for Medicare & Medicaid Services",
      "publication_date": "2026",
      "retrieved_at": "2026-06-22",
      "url": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "reliability_tier": "government",
      "research_note": "Used for current facility identity, hospital type, ownership category, and overall rating when available.",
      "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:010079",
        "label": "ATHENS LIMESTONE HOSPITAL",
        "kind": "hospital",
        "evidence": "public facility record"
      },
      {
        "id": "organization:hh-health-system-athens-limestone-llc",
        "label": "HH-HEALTH SYSTEM - ATHENS LIMESTONE LLC",
        "kind": "portfolio_company_or_operator",
        "evidence": "research tracker or primary organizational source"
      },
      {
        "id": "cms-owner:james-comer:0",
        "label": "JAMES COMER",
        "kind": "cms_owner_or_controller",
        "evidence": "W-2 MANAGING EMPLOYEE"
      },
      {
        "id": "cms-owner:clinton-carter:1",
        "label": "CLINTON CARTER",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:clinton-carter:2",
        "label": "CLINTON CARTER",
        "kind": "cms_owner_or_controller",
        "evidence": "W-2 MANAGING EMPLOYEE"
      },
      {
        "id": "cms-owner:jeffrey-samz:3",
        "label": "JEFFREY SAMZ",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:jeffrey-samz:4",
        "label": "JEFFREY SAMZ",
        "kind": "cms_owner_or_controller",
        "evidence": "W-2 MANAGING EMPLOYEE"
      },
      {
        "id": "cms-owner:traci-collins:5",
        "label": "TRACI COLLINS",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:traci-collins:6",
        "label": "TRACI COLLINS",
        "kind": "cms_owner_or_controller",
        "evidence": "W-2 MANAGING EMPLOYEE"
      }
    ],
    "edges": [
      {
        "id": "organization:hh-health-system-athens-limestone-llc->facility:010079",
        "from": "organization:hh-health-system-athens-limestone-llc",
        "to": "facility:010079",
        "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:james-comer:0->facility:010079",
        "from": "cms-owner:james-comer:0",
        "to": "facility:010079",
        "relationship": "is associated with",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "W-2 MANAGING EMPLOYEE · associated 01/01/2016"
      },
      {
        "id": "cms-owner:clinton-carter:1->facility:010079",
        "from": "cms-owner:clinton-carter:1",
        "to": "facility:010079",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 10/01/2021"
      },
      {
        "id": "cms-owner:clinton-carter:2->facility:010079",
        "from": "cms-owner:clinton-carter:2",
        "to": "facility:010079",
        "relationship": "is associated with",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "W-2 MANAGING EMPLOYEE · associated 10/01/2021"
      },
      {
        "id": "cms-owner:jeffrey-samz:3->facility:010079",
        "from": "cms-owner:jeffrey-samz:3",
        "to": "facility:010079",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 10/01/2021"
      },
      {
        "id": "cms-owner:jeffrey-samz:4->facility:010079",
        "from": "cms-owner:jeffrey-samz:4",
        "to": "facility:010079",
        "relationship": "is associated with",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "W-2 MANAGING EMPLOYEE · associated 10/01/2021"
      },
      {
        "id": "cms-owner:traci-collins:5->facility:010079",
        "from": "cms-owner:traci-collins:5",
        "to": "facility:010079",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 10/01/2021"
      },
      {
        "id": "cms-owner:traci-collins:6->facility:010079",
        "from": "cms-owner:traci-collins:6",
        "to": "facility:010079",
        "relationship": "is associated with",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "W-2 MANAGING EMPLOYEE · associated 10/01/2021"
      }
    ],
    "caveats": [
      "CMS owner rows establish enrolled legal ownership or control roles; they do not always name the ultimate financial sponsor."
    ]
  },
  "descriptiveTrends": [
    {
      "metric": "net_patient_revenue",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 86625290,
      "latestValue": 92217633,
      "absoluteChange": 5592343,
      "percentChange": 6.455785602564794,
      "unit": "USD"
    },
    {
      "metric": "operating_expense",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 99299468,
      "latestValue": 113571044,
      "absoluteChange": 14271576,
      "percentChange": 14.372258268292033,
      "unit": "USD"
    },
    {
      "metric": "net_income",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 3738365,
      "latestValue": -8725170,
      "absoluteChange": -12463535,
      "percentChange": -333.39534796629005,
      "unit": "USD"
    },
    {
      "metric": "total_assets",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 83502868,
      "latestValue": 67917525,
      "absoluteChange": -15585343,
      "percentChange": -18.664440363892652,
      "unit": "USD"
    },
    {
      "metric": "total_liabilities",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 24623682,
      "latestValue": 19956353,
      "absoluteChange": -4667329,
      "percentChange": -18.954634810504782,
      "unit": "USD"
    },
    {
      "metric": "contract_labor_direct_patient_care",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 60856,
      "latestValue": 74720,
      "absoluteChange": 13864,
      "percentChange": 22.78164848166163,
      "unit": "USD"
    },
    {
      "metric": "fte_employees",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 600.55,
      "latestValue": 630.88,
      "absoluteChange": 30.33000000000004,
      "percentChange": 5.0503704937141025,
      "unit": "FTE"
    },
    {
      "metric": "beds",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 66,
      "latestValue": 66,
      "absoluteChange": 0,
      "percentChange": 0,
      "unit": "beds"
    },
    {
      "metric": "patient_days",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 14794,
      "latestValue": 14221,
      "absoluteChange": -573,
      "percentChange": -3.873191834527511,
      "unit": "days"
    },
    {
      "metric": "discharges",
      "earliestPeriod": "06/30/2022",
      "latestPeriod": "06/30/2024",
      "earliestValue": 3689,
      "latestValue": 3992,
      "absoluteChange": 303,
      "percentChange": 8.213608023854704,
      "unit": "discharges"
    }
  ]
}