{
  "schemaVersion": 3,
  "entityId": "030043",
  "canonicalName": "CANYON VISTA MEDICAL CENTER",
  "status": "confirmed_pe",
  "statusLabel": "CMS-corroborated PE ownership record",
  "summary": "CANYON VISTA MEDICAL CENTER is listed in the April 3, 2026 PE hospital tracker and matches current CMS enrollment and owner records for RCHP-SIERRA VISTA 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": "high",
    "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": "030043",
    "npi": "1194766543",
    "historicalCcns": [],
    "aliases": [
      {
        "alias": "RCHP-SIERRA VISTA INC",
        "alias_type": "cms_legal_name",
        "source_id": "source-cms-hospital-enrollments"
      },
      {
        "alias": "CANYON VISTA MEDICAL CENTER",
        "alias_type": "cms_dba",
        "source_id": "source-cms-hospital-enrollments"
      }
    ]
  },
  "ownershipHistory": [
    {
      "relationship_id": "rel-lifepointhealth-030043",
      "from_entity_id": "LifePoint Health",
      "to_entity_id": "030043",
      "relationship_type": "owns",
      "effective_date": "June 2015",
      "end_date": "",
      "announcement_date": "",
      "status": "confirmed",
      "confidence": "high",
      "source_ids": "source-cms-hospital-all-owners|source-pesp-hospital-tracker",
      "plain_english_summary": "The tracker identifies LifePoint Health 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": "June 2015",
      "title": "Acquisition date reported",
      "detail": "Date supplied by the April 3, 2026 PE hospital tracker snapshot.",
      "sourceIds": [
        "source-pesp-hospital-tracker"
      ]
    }
  ],
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      "unit": "USD",
      "better_when": "context_dependent",
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      "comparable_to_prior": "review_required"
    },
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      "unit": "USD",
      "better_when": "context_dependent",
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      "metric_id": "030043-net_patient_revenue-04-30-2022",
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      "better_when": "context_dependent",
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    },
    {
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      "metric_id": "030043-operating_expense-04-30-2023",
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  ],
  "cmsOwnerRecords": [
    {
      "organization": "DSB ACQUISITION LLC",
      "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST",
      "association_date": "12/03/2015",
      "percentage_ownership": "100",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
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      "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST",
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      "percentage_ownership": "100",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "MARCUS POPPELL",
      "role": "CORPORATE OFFICER",
      "association_date": "11/16/2018",
      "percentage_ownership": "0",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
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      "percentage_ownership": "0",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
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    },
    {
      "organization": "WILLIAM ZIESMER",
      "role": "CORPORATE DIRECTOR",
      "association_date": "02/12/2024",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
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    },
    {
      "organization": "RCHP-SIERRA VISTA HOLDING INC",
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      "association_date": "05/01/2013",
      "percentage_ownership": "100",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": true,
      "management_services_company": false,
      "medical_staffing_company": false
    },
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      "organization": "CHARLOTTE LAWRENCE",
      "role": "CORPORATE OFFICER",
      "association_date": "04/04/2022",
      "percentage_ownership": "0",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
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      "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST",
      "association_date": "12/13/2019",
      "percentage_ownership": "100",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "SCOTT AVERY",
      "role": "CONTRACTED MANAGING EMPLOYEE",
      "association_date": "08/17/2025",
      "percentage_ownership": "0",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
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      "medical_staffing_company": false
    },
    {
      "organization": "RCHP LLC",
      "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST",
      "association_date": "12/31/2016",
      "percentage_ownership": "100",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "JOHN GROOMS",
      "role": "CORPORATE OFFICER",
      "association_date": "11/16/2018",
      "percentage_ownership": "0",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
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    {
      "organization": "CHRISTOPHER MONTE",
      "role": "CORPORATE OFFICER",
      "association_date": "11/16/2018",
      "percentage_ownership": "0",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
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    },
    {
      "organization": "JENNIFER ALDERFER",
      "role": "CORPORATE OFFICER",
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      "percentage_ownership": "0",
      "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: LifePoint Health.",
    "Reported investment sponsor: Apollo Global Management."
  ],
  "actions": [],
  "contradictions": [],
  "limitations": [],
  "unavailableFields": [],
  "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": "high",
    "nodes": [
      {
        "id": "facility:030043",
        "label": "CANYON VISTA MEDICAL CENTER",
        "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": "cms-owner:dsb-acquisition-llc:0",
        "label": "DSB ACQUISITION LLC",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:lifepoint-health-inc:1",
        "label": "LIFEPOINT HEALTH INC",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:marcus-poppell:2",
        "label": "MARCUS POPPELL",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:william-ziesmer:3",
        "label": "WILLIAM ZIESMER",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:william-ziesmer:4",
        "label": "WILLIAM ZIESMER",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:rchp-sierra-vista-holding-inc:5",
        "label": "RCHP-SIERRA VISTA HOLDING INC",
        "kind": "cms_holding_company",
        "evidence": "5% OR GREATER DIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:charlotte-lawrence:6",
        "label": "CHARLOTTE LAWRENCE",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:regionalcare-hospital-partners-llc:7",
        "label": "REGIONALCARE HOSPITAL PARTNERS LLC",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:scott-avery:8",
        "label": "SCOTT AVERY",
        "kind": "cms_owner_or_controller",
        "evidence": "CONTRACTED MANAGING EMPLOYEE"
      },
      {
        "id": "cms-owner:rchp-llc:9",
        "label": "RCHP LLC",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:john-grooms:10",
        "label": "JOHN GROOMS",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:christopher-monte:11",
        "label": "CHRISTOPHER MONTE",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:jennifer-alderfer:12",
        "label": "JENNIFER ALDERFER",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      }
    ],
    "edges": [
      {
        "id": "organization:apollo-global-management->facility:030043",
        "from": "organization:apollo-global-management",
        "to": "facility:030043",
        "relationship": "reported ownership or operating chain",
        "confidence": "high",
        "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:dsb-acquisition-llc:0->facility:030043",
        "from": "cms-owner:dsb-acquisition-llc:0",
        "to": "facility:030043",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 100% reported ownership · associated 12/03/2015"
      },
      {
        "id": "cms-owner:lifepoint-health-inc:1->facility:030043",
        "from": "cms-owner:lifepoint-health-inc:1",
        "to": "facility:030043",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 100% reported ownership · associated 11/16/2018"
      },
      {
        "id": "cms-owner:marcus-poppell:2->facility:030043",
        "from": "cms-owner:marcus-poppell:2",
        "to": "facility:030043",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · 0% reported ownership · associated 11/16/2018"
      },
      {
        "id": "cms-owner:william-ziesmer:3->facility:030043",
        "from": "cms-owner:william-ziesmer:3",
        "to": "facility:030043",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · 0% reported ownership · associated 02/12/2024"
      },
      {
        "id": "cms-owner:william-ziesmer:4->facility:030043",
        "from": "cms-owner:william-ziesmer:4",
        "to": "facility:030043",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 02/12/2024"
      },
      {
        "id": "cms-owner:rchp-sierra-vista-holding-inc:5->facility:030043",
        "from": "cms-owner:rchp-sierra-vista-holding-inc:5",
        "to": "facility:030043",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER DIRECT OWNERSHIP INTEREST · 100% reported ownership · associated 05/01/2013"
      },
      {
        "id": "cms-owner:charlotte-lawrence:6->facility:030043",
        "from": "cms-owner:charlotte-lawrence:6",
        "to": "facility:030043",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · 0% reported ownership · associated 04/04/2022"
      },
      {
        "id": "cms-owner:regionalcare-hospital-partners-llc:7->facility:030043",
        "from": "cms-owner:regionalcare-hospital-partners-llc:7",
        "to": "facility:030043",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 100% reported ownership · associated 12/13/2019"
      },
      {
        "id": "cms-owner:scott-avery:8->facility:030043",
        "from": "cms-owner:scott-avery:8",
        "to": "facility:030043",
        "relationship": "is associated with",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CONTRACTED MANAGING EMPLOYEE · 0% reported ownership · associated 08/17/2025"
      },
      {
        "id": "cms-owner:rchp-llc:9->facility:030043",
        "from": "cms-owner:rchp-llc:9",
        "to": "facility:030043",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 100% reported ownership · associated 12/31/2016"
      },
      {
        "id": "cms-owner:john-grooms:10->facility:030043",
        "from": "cms-owner:john-grooms:10",
        "to": "facility:030043",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · 0% reported ownership · associated 11/16/2018"
      },
      {
        "id": "cms-owner:christopher-monte:11->facility:030043",
        "from": "cms-owner:christopher-monte:11",
        "to": "facility:030043",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · 0% reported ownership · associated 11/16/2018"
      },
      {
        "id": "cms-owner:jennifer-alderfer:12->facility:030043",
        "from": "cms-owner:jennifer-alderfer:12",
        "to": "facility:030043",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · 0% reported ownership · associated 10/30/2023"
      }
    ],
    "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": "04/30/2022",
      "latestPeriod": "04/30/2024",
      "earliestValue": 134608194,
      "latestValue": 151399288,
      "absoluteChange": 16791094,
      "percentChange": 12.474050428163386,
      "unit": "USD"
    },
    {
      "metric": "operating_expense",
      "earliestPeriod": "04/30/2022",
      "latestPeriod": "04/30/2024",
      "earliestValue": 129606613,
      "latestValue": 146763103,
      "absoluteChange": 17156490,
      "percentChange": 13.237356954926366,
      "unit": "USD"
    },
    {
      "metric": "net_income",
      "earliestPeriod": "04/30/2022",
      "latestPeriod": "04/30/2024",
      "earliestValue": 5365317,
      "latestValue": 5026864,
      "absoluteChange": -338453,
      "percentChange": -6.308164084247025,
      "unit": "USD"
    },
    {
      "metric": "total_assets",
      "earliestPeriod": "04/30/2022",
      "latestPeriod": "04/30/2024",
      "earliestValue": 100542485,
      "latestValue": 112965118,
      "absoluteChange": 12422633,
      "percentChange": 12.355605692459262,
      "unit": "USD"
    },
    {
      "metric": "total_liabilities",
      "earliestPeriod": "04/30/2022",
      "latestPeriod": "04/30/2024",
      "earliestValue": 111405373,
      "latestValue": 112836478,
      "absoluteChange": 1431105,
      "percentChange": 1.284592440617743,
      "unit": "USD"
    },
    {
      "metric": "contract_labor_direct_patient_care",
      "earliestPeriod": "04/30/2022",
      "latestPeriod": "04/30/2024",
      "earliestValue": 2325849,
      "latestValue": 3369907,
      "absoluteChange": 1044058,
      "percentChange": 44.88932858495973,
      "unit": "USD"
    },
    {
      "metric": "fte_employees",
      "earliestPeriod": "04/30/2022",
      "latestPeriod": "04/30/2024",
      "earliestValue": 468.71,
      "latestValue": 520.83,
      "absoluteChange": 52.12000000000006,
      "percentChange": 11.119882229950303,
      "unit": "FTE"
    },
    {
      "metric": "beds",
      "earliestPeriod": "04/30/2022",
      "latestPeriod": "04/30/2024",
      "earliestValue": 74,
      "latestValue": 74,
      "absoluteChange": 0,
      "percentChange": 0,
      "unit": "beds"
    },
    {
      "metric": "patient_days",
      "earliestPeriod": "04/30/2022",
      "latestPeriod": "04/30/2024",
      "earliestValue": 15679,
      "latestValue": 16189,
      "absoluteChange": 510,
      "percentChange": 3.25275846673895,
      "unit": "days"
    },
    {
      "metric": "discharges",
      "earliestPeriod": "04/30/2022",
      "latestPeriod": "04/30/2024",
      "earliestValue": 4012,
      "latestValue": 4486,
      "absoluteChange": 474,
      "percentChange": 11.814556331006978,
      "unit": "discharges"
    }
  ]
}