{ "schemaVersion": 4, "entityId": "0196785350", "canonicalName": "SELECT SPECIALTY HOSPITAL - DURHAM", "status": "corporate_chain", "statusLabel": "Corporate-chain ownership/accountability warning", "summary": "SELECT SPECIALTY HOSPITAL - DURHAM has a completed North Carolina state-template dossier baseline with official identity, CMS enrollment/owner context when matched, CMS Care Compare point-in-time context when matched, HCRIS financial/utilization context when matched, and explicit limitations for missing fields. Unsupported ownership, compensation, labor, quality-trend, or causation claims are not inferred.", "lastReviewed": "2026-07-02", "review": { "reviewer": "Five-state state-template completion batch", "evidence_grade": "completed state-template official-source baseline", "confidence": "medium", "source_count": 8, "ownership_source_count": 16, "identity_match_method": "CMS enrollment match used where available", "publication_decision": "Publish state-template completion fields while preserving explicit unavailable/searched-not-found limitations.", "batch_id": "state-template-complete-2026-07-02-001" }, "firstGlance": { "taxOwnershipType": "Unknown", "operator": "Select Medical", "directPeOwnership": "Not documented as direct PE ownership in this state-template pass", "peRelationship": "No documented PE link in current baseline sources", "institutionalShareholderContext": "Select Medical is public. Its 2026 proxy contains Welsh Carson, Concentra, Vanguard, and BlackRock context. Treat institutional holders as shareholder context unless direct control evidence is found.", "populationServedEstimate": 0, "populationServedLabel": "Needs system/facility catchment estimate", "careLevel": "LONG TERM CARE", "currentCeo": "Robert A. Ortenzio", "previousRelevantCeo": "Not identified in this automated NC pass", "confidence": "medium", "bottomLine": "SELECT SPECIALTY HOSPITAL - DURHAM is connected to Select Medical. Select Medical is public. Its 2026 proxy contains Welsh Carson, Concentra, Vanguard, and BlackRock context. Treat institutional holders as shareholder context unless direct control evidence is found. Institutional shareholder names are context only and do not override facility-level ownership evidence." }, "communityImpact": { "populationServedEstimate": 0, "populationServedLabel": "Needs system/facility catchment estimate", "estimateMethod": "Not estimated in automated NC pass", "catchmentDescription": "DURHAM, DURHAM, North Carolina. Service role should be refined in manual follow-up.", "traumaCareLevel": "LONG TERM CARE", "publicFacingCaveat": "Community role is sourced from facility type and location until a deeper local-service review is completed." }, "qualityAndLaborContext": { "immediateJeopardy2026SourceStatus": "Not specifically identified in this automated NC pass", "noCausationClaim": true, "note": "No conservative CMS Care Compare match was captured for this facility in the state-template completion pass.", "sourceId": "", "cmsOverallRating": "not available", "emergencyServices": "not available", "hospitalType": "LONG TERM CARE", "careCompareOwnership": "not available" }, "leadership": [ { "name": "Robert A. Ortenzio", "role": "Select Medical Executive Chairman / corporate leadership context", "context": "Select Medical proxy/source context should be reviewed for current CEO and compensation details before using local facility-level claims.", "imageUrl": "placeholder://official-image-unavailable", "imageAlt": "Robert A. Ortenzio official image", "imageStatus": "official image unavailable in this automated NC pass", "sourceId": "source-sec-select-medical-proxy-2026", "compensation": "Corporate compensation is disclosed in the Select Medical 2026 proxy.", "compensationSourceId": "source-sec-select-medical-proxy-2026" } ], "identifiers": { "ccn": "342018", "npi": "1306845482", "historicalCcns": [], "aliases": [ { "alias": "SELECT SPECIALTY HOSPITAL - DURHAM, INC.", "alias_type": "cms_legal_name", "source_id": "source-cms-hospital-enrollments" } ] }, "ownershipHistory": [ { "relationship_id": "rel-legal-owner-0196785350", "from_entity_id": "select-specialty-hospital-durham-inc", "to_entity_id": "select-specialty-hospital-durham", "relationship_type": "controls", "effective_date": "", "end_date": "", "announcement_date": "", "status": "current", "confidence": "high", "source_ids": "source-cms-hospital-enrollments|source-cms-hospital-all-owners|source-nc-baseline-queue", "plain_english_summary": "SELECT SPECIALTY HOSPITAL - DURHAM, INC. is the best available legal-owner or enrolled-operator layer for SELECT SPECIALTY HOSPITAL - DURHAM.", "review_notes": "This legal-owner layer is separate from ultimate parent, public-company shareholders, and PE sponsor context." }, { "relationship_id": "rel-operator-0196785350", "from_entity_id": "select-medical", "to_entity_id": "select-specialty-hospital-durham", "relationship_type": "operates", "effective_date": "", "end_date": "", "announcement_date": "", "status": "current", "confidence": "medium", "source_ids": "source-nc-baseline-queue|source-sec-select-medical-proxy-2026", "plain_english_summary": "Select Medical is shown as the operator or parent-system layer for this facility.", "review_notes": "" }, { "relationship_id": "rel-ultimate-parent-0196785350", "from_entity_id": "select-medical-holdings-corporation", "to_entity_id": "select-medical", "relationship_type": "parent_company_or_controller", "effective_date": "", "end_date": "", "announcement_date": "", "status": "current", "confidence": "medium", "source_ids": "source-sec-select-medical-proxy-2026|source-nc-baseline-queue", "plain_english_summary": "Select Medical Holdings Corporation is the best available ultimate parent, sponsor, or controller context for Select Medical.", "review_notes": "" }, { "relationship_id": "rel-cms-owner-0196785350", "from_entity_id": "selectmedical", "to_entity_id": "0196785350", "relationship_type": "cms_owner_context", "effective_date": "01/01/1998", "status": "current_context", "confidence": "medium", "source_ids": "source-cms-hospital-all-owners", "plain_english_summary": "CMS Hospital All Owners rows are attached as current owner/control context. They do not by themselves prove private-equity sponsorship unless the row says so or another cited source supports it.", "review_notes": "" }, { "relationship_id": "rel-state-template-operator-0196785350", "from_entity_id": "selectmedical", "to_entity_id": "0196785350", "relationship_type": "operates", "effective_date": "", "status": "current_context", "confidence": "medium", "source_ids": "source-pehw-state-template-completion-2026-07-02|source-cms-hospital-enrollments|source-cms-hospital-all-owners", "plain_english_summary": "State-template baseline operator/owner context assembled from current hospital fields and matched official sources where available. This is not a new PE ownership claim.", "review_notes": "Used to keep the public dossier graph explicit while preserving limitations for unmatched source families." }, { "relationship_id": "rel-cms-owner-0196785350", "from_entity_id": "selectmedical", "to_entity_id": "0196785350", "relationship_type": "cms_owner_context", "effective_date": "01/01/1998", "status": "current_context", "confidence": "medium", "source_ids": "source-cms-hospital-all-owners", "plain_english_summary": "CMS Hospital All Owners rows are attached as current owner/control context. They do not by themselves prove private-equity sponsorship unless the row says so or another cited source supports it.", "review_notes": "" }, { "relationship_id": "rel-state-template-operator-0196785350", "from_entity_id": "selectmedical", "to_entity_id": "0196785350", "relationship_type": "operates", "effective_date": "", "status": "current_context", "confidence": "medium", "source_ids": "source-pehw-state-template-completion-2026-07-02|source-cms-hospital-enrollments|source-cms-hospital-all-owners", "plain_english_summary": "State-template baseline operator/owner context assembled from current hospital fields and matched official sources where available. This is not a new PE ownership claim.", "review_notes": "Used to keep the public dossier graph explicit while preserving limitations for unmatched source families." }, { "relationship_id": "rel-cms-owner-0196785350", "from_entity_id": "selectmedical", "to_entity_id": "0196785350", "relationship_type": "cms_owner_context", "effective_date": "01/01/1998", "status": "current_context", "confidence": "medium", "source_ids": "source-cms-hospital-all-owners", "plain_english_summary": "CMS Hospital All Owners rows are attached as current owner/control context. They do not by themselves prove private-equity sponsorship unless the row says so or another cited source supports it.", "review_notes": "" } ], "acquisitionEvents": [], "financialAndUtilizationSeries": [ { "metric_id": "0196785350-net_patient_revenue-01-31-2024", "entity_id": "0196785350", "metric_name": "net_patient_revenue", "period_start": "02/01/2023", "period_end": "01/31/2024", "value": "18334043", "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": "0196785350-net_patient_revenue-01-31-2023", "entity_id": "0196785350", "metric_name": "net_patient_revenue", "period_start": "02/01/2022", "period_end": "01/31/2023", "value": "18383828", "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": "0196785350-net_patient_revenue-01-31-2022", "entity_id": "0196785350", "metric_name": "net_patient_revenue", "period_start": "02/01/2021", "period_end": "01/31/2022", "value": "18862629", "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": "0196785350-net_patient_revenue-01-31-2021", "entity_id": "0196785350", "metric_name": "net_patient_revenue", "period_start": "02/01/2020", "period_end": "01/31/2021", "value": "19532872", "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": "0196785350-operating_expense-01-31-2024", "entity_id": "0196785350", "metric_name": "operating_expense", "period_start": "02/01/2023", "period_end": "01/31/2024", "value": "18304008", "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": "0196785350-operating_expense-01-31-2023", "entity_id": "0196785350", "metric_name": "operating_expense", "period_start": "02/01/2022", "period_end": "01/31/2023", "value": "18992529", "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": "0196785350-operating_expense-01-31-2022", "entity_id": "0196785350", "metric_name": "operating_expense", "period_start": "02/01/2021", "period_end": "01/31/2022", "value": "19502669", "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": "0196785350-operating_expense-01-31-2021", "entity_id": "0196785350", "metric_name": "operating_expense", "period_start": "02/01/2020", "period_end": "01/31/2021", "value": "20027548", "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": "0196785350-net_income-01-31-2024", "entity_id": "0196785350", "metric_name": "net_income", "period_start": "02/01/2023", "period_end": "01/31/2024", "value": "-380442", "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": "0196785350-net_income-01-31-2023", "entity_id": "0196785350", "metric_name": "net_income", "period_start": "02/01/2022", "period_end": "01/31/2023", "value": "-1787222", "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": "0196785350-net_income-01-31-2022", "entity_id": "0196785350", "metric_name": "net_income", "period_start": "02/01/2021", "period_end": "01/31/2022", "value": "1169882", "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": "0196785350-net_income-01-31-2021", "entity_id": "0196785350", "metric_name": "net_income", "period_start": "02/01/2020", "period_end": "01/31/2021", "value": "2776541", "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": "0196785350-total_assets-01-31-2024", "entity_id": "0196785350", "metric_name": "total_assets", "period_start": "02/01/2023", "period_end": "01/31/2024", "value": "129111", "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": "0196785350-total_assets-01-31-2023", "entity_id": "0196785350", "metric_name": "total_assets", "period_start": "02/01/2022", "period_end": "01/31/2023", "value": "1138103", "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": "0196785350-total_assets-01-31-2022", "entity_id": "0196785350", "metric_name": "total_assets", "period_start": "02/01/2021", "period_end": "01/31/2022", "value": "2289213", "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": "0196785350-total_assets-01-31-2021", "entity_id": "0196785350", "metric_name": "total_assets", "period_start": "02/01/2020", "period_end": "01/31/2021", "value": "5647912", "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": "0196785350-total_liabilities-01-31-2024", "entity_id": "0196785350", "metric_name": "total_liabilities", "period_start": "02/01/2023", "period_end": "01/31/2024", "value": "4944921", "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": "0196785350-total_liabilities-01-31-2023", "entity_id": "0196785350", "metric_name": "total_liabilities", "period_start": "02/01/2022", "period_end": "01/31/2023", "value": "5036192", "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": "0196785350-total_liabilities-01-31-2022", "entity_id": "0196785350", "metric_name": "total_liabilities", "period_start": "02/01/2021", "period_end": "01/31/2022", "value": "4014901", "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": "0196785350-total_liabilities-01-31-2021", "entity_id": "0196785350", "metric_name": "total_liabilities", "period_start": "02/01/2020", "period_end": "01/31/2021", "value": "7724534", "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": "0196785350-fte_employees-01-31-2024", "entity_id": "0196785350", "metric_name": "fte_employees", "period_start": "02/01/2023", "period_end": "01/31/2024", "value": "90.26", "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": "0196785350-fte_employees-01-31-2023", "entity_id": "0196785350", "metric_name": "fte_employees", "period_start": "02/01/2022", "period_end": "01/31/2023", "value": "82.08", "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": "0196785350-fte_employees-01-31-2022", "entity_id": "0196785350", "metric_name": "fte_employees", "period_start": "02/01/2021", "period_end": "01/31/2022", "value": "81.64", "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": "0196785350-fte_employees-01-31-2021", "entity_id": "0196785350", "metric_name": "fte_employees", "period_start": "02/01/2020", "period_end": "01/31/2021", "value": "96.81", "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": "0196785350-beds-01-31-2024", "entity_id": "0196785350", "metric_name": "beds", "period_start": "02/01/2023", "period_end": "01/31/2024", "value": "30", "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": "0196785350-beds-01-31-2023", "entity_id": "0196785350", "metric_name": "beds", "period_start": "02/01/2022", "period_end": "01/31/2023", "value": "30", "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": "0196785350-beds-01-31-2022", "entity_id": "0196785350", "metric_name": "beds", "period_start": "02/01/2021", "period_end": "01/31/2022", "value": "30", "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": "0196785350-beds-01-31-2021", "entity_id": "0196785350", "metric_name": "beds", "period_start": "02/01/2020", "period_end": "01/31/2021", "value": "30", "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": "0196785350-patient_days-01-31-2024", "entity_id": "0196785350", "metric_name": "patient_days", "period_start": "02/01/2023", "period_end": "01/31/2024", "value": "9080", "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": "0196785350-patient_days-01-31-2023", "entity_id": "0196785350", "metric_name": "patient_days", "period_start": "02/01/2022", "period_end": "01/31/2023", "value": "8787", "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": "0196785350-patient_days-01-31-2022", "entity_id": "0196785350", "metric_name": "patient_days", "period_start": "02/01/2021", "period_end": "01/31/2022", "value": "9171", "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": "0196785350-patient_days-01-31-2021", "entity_id": "0196785350", "metric_name": "patient_days", "period_start": "02/01/2020", "period_end": "01/31/2021", "value": "10451", "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": "0196785350-discharges-01-31-2024", "entity_id": "0196785350", "metric_name": "discharges", "period_start": "02/01/2023", "period_end": "01/31/2024", "value": "196", "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": "0196785350-discharges-01-31-2023", "entity_id": "0196785350", "metric_name": "discharges", "period_start": "02/01/2022", "period_end": "01/31/2023", "value": "214", "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": "0196785350-discharges-01-31-2022", "entity_id": "0196785350", "metric_name": "discharges", "period_start": "02/01/2021", "period_end": "01/31/2022", "value": "291", "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": "0196785350-discharges-01-31-2021", "entity_id": "0196785350", "metric_name": "discharges", "period_start": "02/01/2020", "period_end": "01/31/2021", "value": "283", "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": "0196785350-contract_labor_direct_patient_care-01-31-2024", "entity_id": "0196785350", "metric_name": "contract_labor_direct_patient_care", "period_start": "02/01/2023", "period_end": "01/31/2024", "value": "1183337", "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": "0196785350-contract_labor_direct_patient_care-01-31-2023", "entity_id": "0196785350", "metric_name": "contract_labor_direct_patient_care", "period_start": "02/01/2022", "period_end": "01/31/2023", "value": "2112219", "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": "0196785350-contract_labor_direct_patient_care-01-31-2022", "entity_id": "0196785350", "metric_name": "contract_labor_direct_patient_care", "period_start": "02/01/2021", "period_end": "01/31/2022", "value": "2803724", "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" } ], "cmsOwnerRecords": [ { "organization": "SELECT MEDICAL CORPORATION", "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST", "association_date": "01/01/1998", "percentage_ownership": "100", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "SELECT MEDICAL CORPORATION", "role": "OPERATIONAL/MANAGERIAL CONTROL", "association_date": "01/01/1998", "percentage_ownership": "100", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "THOMAS MULLIN", "role": "CORPORATE OFFICER", "association_date": "09/04/2025", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "INTENSIVA HEALTHCARE CORPORATION", "role": "5% OR GREATER DIRECT OWNERSHIP INTEREST", "association_date": "01/01/2023", "percentage_ownership": "100", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "JOHN SAICH", "role": "CORPORATE OFFICER", "association_date": "09/04/2025", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "SELECT SPECIALTY HOSPITAL - DURHAM, INC.", "role": "5% OR GREATER DIRECT OWNERSHIP INTEREST", "association_date": "05/14/2001", "percentage_ownership": "100", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "ROBERT BREIGHNER", "role": "W-2 MANAGING EMPLOYEE", "association_date": "09/04/2025", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "MICHAEL MALATESTA", "role": "CORPORATE OFFICER", "association_date": "09/04/2025", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "ROBERT KIDO", "role": "CORPORATE OFFICER", "association_date": "09/04/2025", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "BRANDI ROSS", "role": "CORPORATE OFFICER", "association_date": "04/07/2025", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "BRANDI ROSS", "role": "W-2 MANAGING EMPLOYEE", "association_date": "04/07/2025", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "BRANDI ROSS", "role": "OPERATIONAL/MANAGERIAL CONTROL", "association_date": "04/07/2025", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "JOHN DUGGAN", "role": "CORPORATE OFFICER", "association_date": "06/19/2003", "percentage_ownership": "0", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "JOHN DUGGAN", "role": "CORPORATE DIRECTOR", "association_date": "09/04/2025", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false } ], "ownershipChain": { "model": "Facility legal owner, operator, parent company, ultimate controller, PE sponsor, and institutional shareholder context are separate evidence layers.", "confidence": "medium", "nodes": [ { "id": "select-specialty-hospital-durham-inc", "label": "Select Specialty Hospital Durham Inc", "kind": "organization", "evidence": "source-cms-hospital-enrollments|source-cms-hospital-all-owners|source-nc-baseline-queue" }, { "id": "select-specialty-hospital-durham", "label": "SELECT SPECIALTY HOSPITAL - DURHAM", "kind": "hospital", "evidence": "source-cms-hospital-enrollments|source-cms-hospital-all-owners|source-nc-baseline-queue" }, { "id": "select-medical", "label": "Select Medical", "kind": "organization", "evidence": "source-nc-baseline-queue|source-sec-select-medical-proxy-2026" }, { "id": "select-medical-holdings-corporation", "label": "Select Medical Holdings Corporation", "kind": "organization", "evidence": "source-sec-select-medical-proxy-2026|source-nc-baseline-queue" } ], "edges": [ { "id": "rel-legal-owner-0196785350", "from": "select-specialty-hospital-durham-inc", "to": "select-specialty-hospital-durham", "relationship": "controls", "confidence": "high", "sourceIds": [ "source-cms-hospital-enrollments", "source-cms-hospital-all-owners", "source-nc-baseline-queue" ], "note": "SELECT SPECIALTY HOSPITAL - DURHAM, INC. is the best available legal-owner or enrolled-operator layer for SELECT SPECIALTY HOSPITAL - DURHAM." }, { "id": "rel-operator-0196785350", "from": "select-medical", "to": "select-specialty-hospital-durham", "relationship": "operates", "confidence": "medium", "sourceIds": [ "source-nc-baseline-queue", "source-sec-select-medical-proxy-2026" ], "note": "Select Medical is shown as the operator or parent-system layer for this facility." }, { "id": "rel-ultimate-parent-0196785350", "from": "select-medical-holdings-corporation", "to": "select-medical", "relationship": "parent_company_or_controller", "confidence": "medium", "sourceIds": [ "source-sec-select-medical-proxy-2026", "source-nc-baseline-queue" ], "note": "Select Medical Holdings Corporation is the best available ultimate parent, sponsor, or controller context for Select Medical." } ], "caveats": [ "Institutional shareholders such as Vanguard, BlackRock, and State Street are context nodes only; they are not hospital operators unless direct control evidence is found.", "CMS owner rows identify enrolled owner/control roles but may not name every ultimate financial sponsor.", "Sibling/system affiliation does not cause a facility to inherit another hospital’s red status." ] }, "ownershipConnections": [ { "entityName": "SELECT SPECIALTY HOSPITAL - DURHAM, INC.", "entityKind": "Facility legal owner / enrollment layer", "relationship": "legal owner or enrolled operator", "classification": "Legal-owner layer", "evidenceSourceIds": [ "source-cms-hospital-enrollments", "source-cms-hospital-all-owners", "source-nc-baseline-queue" ], "note": "SELECT SPECIALTY HOSPITAL - DURHAM, INC. is shown separately from the parent system and ultimate financial/control context." }, { "entityName": "Select Medical", "entityKind": "Public specialty hospital and post-acute company", "relationship": "corporate owner/operator", "classification": "Operator layer", "evidenceSourceIds": [ "source-nc-baseline-queue", "source-sec-select-medical-proxy-2026" ], "note": "This connection identifies the operating or system layer used for the public map and dossier." }, { "entityName": "Select Medical Holdings Corporation", "entityKind": "Ultimate parent or controller", "relationship": "ultimate parent / controller context", "classification": "Parent-company context", "evidenceSourceIds": [ "source-sec-select-medical-proxy-2026", "source-nc-baseline-queue" ], "note": "Select Medical Holdings Corporation is shown as the upper control or sponsor context, while the facility-level legal-owner layer remains separate." }, { "entityName": "Institutional shareholders / governance context", "entityKind": "Shareholder or governance context", "relationship": "context only, not hospital operation", "classification": "Shareholder context", "evidenceSourceIds": [ "source-sec-select-medical-proxy-2026" ], "note": "Select Medical is public. Its 2026 proxy contains Welsh Carson, Concentra, Vanguard, and BlackRock context. Treat institutional holders as shareholder context unless direct control evidence is found." } ], "importantLinks": [ { "label": "Hospitals RAPT", "url": "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about", "sourceId": "source-hifld-hospitals", "note": "Facility location and identity source; does not establish ownership or control." }, { "label": "North Carolina hospital license data", "url": "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html", "sourceId": "source-nc-dhsr-hospital-license-data", "note": "State-level hospital licensing context for North Carolina facilities." }, { "label": "Hospital Enrollments", "url": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments", "sourceId": "source-cms-hospital-enrollments", "note": "Used for legal name, DBA, CCN, NPI, enrollment identity, and location matching." }, { "label": "Hospital All Owners", "url": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners", "sourceId": "source-cms-hospital-all-owners", "note": "Used for current CMS owner, officer, managerial, holding-company, investment-firm, and security-interest rows." }, { "label": "Hospital Provider Cost Reports", "url": "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report", "sourceId": "source-cms-hcris", "note": "Financial, staffing, and utilization values; descriptive only and not causal evidence." }, { "label": "Select Medical Holdings 2026 proxy statement", "url": "https://www.sec.gov/Archives/edgar/data/1320414/000110465926023205/tm261416-3_def14a.htm", "sourceId": "source-sec-select-medical-proxy-2026", "note": "Public-company governance, Concentra, Welsh Carson, and institutional-shareholder context." } ], "systemConnections": [ { "systemName": "Select Medical", "relationship": "shared North Carolina system / branch family", "evidenceSourceIds": [ "source-nc-baseline-queue" ], "facilities": [ { "name": "SELECT SPECIALTY HOSPITAL - DURHAM", "role": "current record", "city": "DURHAM", "state": "NC", "recordId": "0196785350", "note": "This facility is the center of the dossier." }, { "name": "SELECT SPECIALTY HOSPITAL - GREENSBORO", "role": "connected NC facility", "city": "GREENSBORO", "state": "NC", "recordId": "0015127401", "note": "Connected by shared parent/operator/system field; status remains facility-specific." } ] } ], "directConnections": [ "Legal/enrollment layer: SELECT SPECIALTY HOSPITAL - DURHAM, INC..", "Operator layer: Select Medical.", "Ultimate parent/controller context: Select Medical Holdings Corporation.", "Shareholder/governance context: Select Medical is public. Its 2026 proxy contains Welsh Carson, Concentra, Vanguard, and BlackRock context. Treat institutional holders as shareholder context unless direct control evidence is found.", "Operator/owner context: Select Medical." ], "actions": [], "contradictions": [], "limitations": [ "No matching CMS Care Compare general-information row was found.", "This automated NC pass searched mandatory official/source systems and records missing items; it does not claim the entire internet was exhausted.", "This five-state template completion pass used official cached CMS/HIFLD/PESP/HCRIS sources and records missing items; it does not claim the entire internet was exhausted." ], "unavailableFields": [ "official CEO image URL", "current CMS overall rating", "source-backed local CEO/current leader", "facility-level CEO compensation amount" ], "sources": [ { "source_id": "source-hifld-hospitals", "title": "Hospitals RAPT", "publisher": "Homeland Infrastructure Foundation-Level Data", "publication_date": "current public layer", "retrieved_at": "2026-07-02", "url": "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about", "reliability_tier": "government", "research_note": "Facility location and identity source; does not establish ownership or control.", "source_type": "public_record" }, { "source_id": "source-nc-baseline-queue", "title": "North Carolina baseline classification queue", "publisher": "PE Healthcare Watch", "publication_date": "2026-06-24", "retrieved_at": "2026-06-26", "url": "/data/releases/release-2026-06-24-nc-baseline.json", "reliability_tier": "research", "research_note": "Internal queue used to ensure every current NC map record receives a dossier package.", "source_type": "public_record" }, { "source_id": "source-nc-dhsr-hospital-license-data", "title": "North Carolina hospital license data", "publisher": "North Carolina Division of Health Service Regulation", "publication_date": "current public listing", "retrieved_at": "2026-06-26", "url": "https://info.ncdhhs.gov/dhsr/mfp/data/hospital.html", "reliability_tier": "government", "research_note": "State-level hospital licensing context for North Carolina facilities.", "source_type": "public_record" }, { "source_id": "source-cms-hospital-enrollments", "title": "Hospital Enrollments", "publisher": "Centers for Medicare & Medicaid Services", "publication_date": "current cached official file", "retrieved_at": "2026-07-02", "url": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments", "reliability_tier": "government", "research_note": "Used for legal name, DBA, CCN, NPI, enrollment identity, and location matching.", "source_type": "public_record" }, { "source_id": "source-cms-hospital-all-owners", "title": "Hospital All Owners", "publisher": "Centers for Medicare & Medicaid Services", "publication_date": "current cached official file", "retrieved_at": "2026-07-02", "url": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners", "reliability_tier": "government", "research_note": "Used for current CMS owner, officer, managerial, holding-company, investment-firm, and security-interest rows.", "source_type": "public_record" }, { "source_id": "source-cms-hcris", "title": "Hospital Provider Cost Reports", "publisher": "Centers for Medicare & Medicaid Services", "publication_date": "2015-2024 cached official files", "retrieved_at": "2026-07-02", "url": "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report", "reliability_tier": "government", "research_note": "Financial, staffing, and utilization values; descriptive only and not causal evidence.", "source_type": "public_record" }, { "source_id": "source-sec-select-medical-proxy-2026", "title": "Select Medical Holdings 2026 proxy statement", "publisher": "Securities and Exchange Commission", "publication_date": "2026-03-04", "retrieved_at": "2026-06-26", "url": "https://www.sec.gov/Archives/edgar/data/1320414/000110465926023205/tm261416-3_def14a.htm", "reliability_tier": "primary", "research_note": "Public-company governance, Concentra, Welsh Carson, and institutional-shareholder context.", "source_type": "public_record" }, { "source_id": "source-pehw-state-template-completion-2026-07-02", "title": "PE Healthcare Watch five-state template completion batch", "publisher": "PE Healthcare Watch", "publication_date": "2026-07-02", "retrieved_at": "2026-07-02", "url": "/data/releases/release-2026-07-02-state-template-complete-001.json", "reliability_tier": "research", "research_note": "Internal public release marker for the five-state template completion. It documents scope and limitations; it is not independent ownership evidence.", "source_type": "public_record" } ], "descriptiveTrends": [ { "metric": "net_patient_revenue", "earliestPeriod": "01/31/2021", "latestPeriod": "01/31/2024", "earliestValue": 19532872, "latestValue": 18334043, "absoluteChange": -1198829, "percentChange": -6.13749478315324, "unit": "USD" }, { "metric": "operating_expense", "earliestPeriod": "01/31/2021", "latestPeriod": "01/31/2024", "earliestValue": 20027548, "latestValue": 18304008, "absoluteChange": -1723540, "percentChange": -8.60584630729633, "unit": "USD" }, { "metric": "net_income", "earliestPeriod": "01/31/2021", "latestPeriod": "01/31/2024", "earliestValue": 2776541, "latestValue": -380442, "absoluteChange": -3156983, "percentChange": -113.70201268412747, "unit": "USD" }, { "metric": "total_assets", "earliestPeriod": "01/31/2021", "latestPeriod": "01/31/2024", "earliestValue": 5647912, "latestValue": 129111, "absoluteChange": -5518801, "percentChange": -97.71400475078224, "unit": "USD" }, { "metric": "total_liabilities", "earliestPeriod": "01/31/2021", "latestPeriod": "01/31/2024", "earliestValue": 7724534, "latestValue": 4944921, "absoluteChange": -2779613, "percentChange": -35.984216005781064, "unit": "USD" }, { "metric": "contract_labor_direct_patient_care", "earliestPeriod": "01/31/2022", "latestPeriod": "01/31/2024", "earliestValue": 2803724, "latestValue": 1183337, "absoluteChange": -1620387, "percentChange": -57.794098135194474, "unit": "USD" }, { "metric": "fte_employees", "earliestPeriod": "01/31/2021", "latestPeriod": "01/31/2024", "earliestValue": 96.81, "latestValue": 90.26, "absoluteChange": -6.549999999999997, "percentChange": -6.76582997624212, "unit": "FTE" }, { "metric": "beds", "earliestPeriod": "01/31/2021", "latestPeriod": "01/31/2024", "earliestValue": 30, "latestValue": 30, "absoluteChange": 0, "percentChange": 0, "unit": "beds" }, { "metric": "patient_days", "earliestPeriod": "01/31/2021", "latestPeriod": "01/31/2024", "earliestValue": 10451, "latestValue": 9080, "absoluteChange": -1371, "percentChange": -13.118361879246004, "unit": "days" }, { "metric": "discharges", "earliestPeriod": "01/31/2021", "latestPeriod": "01/31/2024", "earliestValue": 283, "latestValue": 196, "absoluteChange": -87, "percentChange": -30.742049469964666, "unit": "discharges" } ] }