{
  "schemaVersion": 3,
  "entityId": "040001",
  "canonicalName": "SILOAM SPRINGS REGIONAL HOSPITAL",
  "status": "signal",
  "statusLabel": "Documented investment signal",
  "summary": "SILOAM SPRINGS REGIONAL 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"
  },
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    "npi": "1902051816",
    "historicalCcns": [],
    "aliases": [
      {
        "alias": "SILOAM SPRINGS ARKANSAS HOSPITAL COMPANY LLC",
        "alias_type": "cms_legal_name",
        "source_id": "source-cms-hospital-enrollments"
      },
      {
        "alias": "SILOAM SPRINGS REGIONAL HOSPITAL",
        "alias_type": "cms_dba",
        "source_id": "source-cms-hospital-enrollments"
      }
    ]
  },
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      "from_entity_id": "reported owner",
      "to_entity_id": "040001",
      "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": [],
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      "unit": "USD",
      "better_when": "context_dependent",
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      "comparable_to_prior": "review_required"
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      "better_when": "context_dependent",
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      "comparable_to_prior": "review_required"
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    },
    {
      "organization": "CHS COMMUNITY HEALTH SYSTEMS INC",
      "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST",
      "association_date": "10/01/2013",
      "percentage_ownership": "100",
      "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",
    "Official facility URL"
  ],
  "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:040001",
        "label": "SILOAM SPRINGS REGIONAL HOSPITAL",
        "kind": "hospital",
        "evidence": "public facility record"
      },
      {
        "id": "organization:community-health-systems",
        "label": "Community Health Systems",
        "kind": "portfolio_company_or_operator",
        "evidence": "research tracker or primary organizational source"
      },
      {
        "id": "cms-owner:kevin-hammons:0",
        "label": "KEVIN HAMMONS",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:kevin-hammons:1",
        "label": "KEVIN HAMMONS",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:nathaniel-summar:2",
        "label": "NATHANIEL SUMMAR",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:justin-pitt:3",
        "label": "JUSTIN PITT",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:justin-pitt:4",
        "label": "JUSTIN PITT",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:william-cash:5",
        "label": "WILLIAM CASH",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:siloam-springs-holdings-llc:6",
        "label": "SILOAM SPRINGS HOLDINGS, LLC",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER DIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:community-health-systems-inc:7",
        "label": "COMMUNITY HEALTH SYSTEMS INC",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:jason-johnson:8",
        "label": "JASON JOHNSON",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:roman-ottinger:9",
        "label": "ROMAN OTTINGER",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:eric-naegler:10",
        "label": "ERIC NAEGLER",
        "kind": "cms_owner_or_controller",
        "evidence": "W-2 MANAGING EMPLOYEE"
      },
      {
        "id": "cms-owner:paula-lalor:11",
        "label": "PAULA LALOR",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:edna-buffington-price:12",
        "label": "EDNA BUFFINGTON-PRICE",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:community-health-investment-company-llc:13",
        "label": "COMMUNITY HEALTH INVESTMENT COMPANY LLC",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:christopher-cobb:14",
        "label": "CHRISTOPHER COBB",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:chs-community-health-systems-inc:15",
        "label": "CHS COMMUNITY HEALTH SYSTEMS INC",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      }
    ],
    "edges": [
      {
        "id": "organization:community-health-systems->facility:040001",
        "from": "organization:community-health-systems",
        "to": "facility:040001",
        "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:kevin-hammons:0->facility:040001",
        "from": "cms-owner:kevin-hammons:0",
        "to": "facility:040001",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 03/01/2022"
      },
      {
        "id": "cms-owner:kevin-hammons:1->facility:040001",
        "from": "cms-owner:kevin-hammons:1",
        "to": "facility:040001",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 03/01/2022"
      },
      {
        "id": "cms-owner:nathaniel-summar:2->facility:040001",
        "from": "cms-owner:nathaniel-summar:2",
        "to": "facility:040001",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 07/14/2017"
      },
      {
        "id": "cms-owner:justin-pitt:3->facility:040001",
        "from": "cms-owner:justin-pitt:3",
        "to": "facility:040001",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 03/01/2022"
      },
      {
        "id": "cms-owner:justin-pitt:4->facility:040001",
        "from": "cms-owner:justin-pitt:4",
        "to": "facility:040001",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 03/01/2022"
      },
      {
        "id": "cms-owner:william-cash:5->facility:040001",
        "from": "cms-owner:william-cash:5",
        "to": "facility:040001",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 06/01/2018"
      },
      {
        "id": "cms-owner:siloam-springs-holdings-llc:6->facility:040001",
        "from": "cms-owner:siloam-springs-holdings-llc:6",
        "to": "facility:040001",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER DIRECT OWNERSHIP INTEREST · 100% reported ownership · associated 02/01/2009"
      },
      {
        "id": "cms-owner:community-health-systems-inc:7->facility:040001",
        "from": "cms-owner:community-health-systems-inc:7",
        "to": "facility:040001",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 100% reported ownership · associated 10/01/2013"
      },
      {
        "id": "cms-owner:jason-johnson:8->facility:040001",
        "from": "cms-owner:jason-johnson:8",
        "to": "facility:040001",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 01/06/2020"
      },
      {
        "id": "cms-owner:roman-ottinger:9->facility:040001",
        "from": "cms-owner:roman-ottinger:9",
        "to": "facility:040001",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 01/06/2020"
      },
      {
        "id": "cms-owner:eric-naegler:10->facility:040001",
        "from": "cms-owner:eric-naegler:10",
        "to": "facility:040001",
        "relationship": "is associated with",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "W-2 MANAGING EMPLOYEE · associated 08/14/2023"
      },
      {
        "id": "cms-owner:paula-lalor:11->facility:040001",
        "from": "cms-owner:paula-lalor:11",
        "to": "facility:040001",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 04/01/2017"
      },
      {
        "id": "cms-owner:edna-buffington-price:12->facility:040001",
        "from": "cms-owner:edna-buffington-price:12",
        "to": "facility:040001",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 03/01/2022"
      },
      {
        "id": "cms-owner:community-health-investment-company-llc:13->facility:040001",
        "from": "cms-owner:community-health-investment-company-llc:13",
        "to": "facility:040001",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 100% reported ownership · associated 10/01/2013"
      },
      {
        "id": "cms-owner:christopher-cobb:14->facility:040001",
        "from": "cms-owner:christopher-cobb:14",
        "to": "facility:040001",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 04/01/2017"
      },
      {
        "id": "cms-owner:chs-community-health-systems-inc:15->facility:040001",
        "from": "cms-owner:chs-community-health-systems-inc:15",
        "to": "facility:040001",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 100% reported ownership · associated 10/01/2013"
      }
    ],
    "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": "03/31/2022",
      "latestPeriod": "03/31/2024",
      "earliestValue": 73732544,
      "latestValue": 86985663,
      "absoluteChange": 13253119,
      "percentChange": 17.974585279466282,
      "unit": "USD"
    },
    {
      "metric": "operating_expense",
      "earliestPeriod": "03/31/2022",
      "latestPeriod": "03/31/2024",
      "earliestValue": 64040931,
      "latestValue": 83394039,
      "absoluteChange": 19353108,
      "percentChange": 30.219904204703084,
      "unit": "USD"
    },
    {
      "metric": "net_income",
      "earliestPeriod": "03/31/2022",
      "latestPeriod": "03/31/2024",
      "earliestValue": 13617901,
      "latestValue": 3917969,
      "absoluteChange": -9699932,
      "percentChange": -71.22927388002013,
      "unit": "USD"
    },
    {
      "metric": "total_assets",
      "earliestPeriod": "03/31/2022",
      "latestPeriod": "03/31/2024",
      "earliestValue": 68636085,
      "latestValue": 67707208,
      "absoluteChange": -928877,
      "percentChange": -1.353336222484135,
      "unit": "USD"
    },
    {
      "metric": "total_liabilities",
      "earliestPeriod": "03/31/2022",
      "latestPeriod": "03/31/2024",
      "earliestValue": -10596495,
      "latestValue": 1814879,
      "absoluteChange": 12411374,
      "percentChange": 117.12716327427135,
      "unit": "USD"
    },
    {
      "metric": "contract_labor_direct_patient_care",
      "earliestPeriod": "03/31/2022",
      "latestPeriod": "03/31/2024",
      "earliestValue": 2536109,
      "latestValue": 1911991,
      "absoluteChange": -624118,
      "percentChange": -24.609273497314195,
      "unit": "USD"
    },
    {
      "metric": "fte_employees",
      "earliestPeriod": "03/31/2022",
      "latestPeriod": "03/31/2024",
      "earliestValue": 241.26,
      "latestValue": 287.6,
      "absoluteChange": 46.34000000000003,
      "percentChange": 19.207493989886444,
      "unit": "FTE"
    },
    {
      "metric": "beds",
      "earliestPeriod": "03/31/2022",
      "latestPeriod": "03/31/2024",
      "earliestValue": 64,
      "latestValue": 44,
      "absoluteChange": -20,
      "percentChange": -31.25,
      "unit": "beds"
    },
    {
      "metric": "patient_days",
      "earliestPeriod": "03/31/2022",
      "latestPeriod": "03/31/2024",
      "earliestValue": 6413,
      "latestValue": 4979,
      "absoluteChange": -1434,
      "percentChange": -22.3608295649462,
      "unit": "days"
    },
    {
      "metric": "discharges",
      "earliestPeriod": "03/31/2022",
      "latestPeriod": "03/31/2024",
      "earliestValue": 1533,
      "latestValue": 1534,
      "absoluteChange": 1,
      "percentChange": 0.06523157208088715,
      "unit": "discharges"
    }
  ]
}
