{
  "schemaVersion": 4,
  "entityId": "060009",
  "canonicalName": "INTERMOUNTAIN HEALTH LUTHERAN HOSPITAL",
  "status": "corporate_chain",
  "statusLabel": "Major nonprofit health-system accountability warning",
  "summary": "Lutheran Hospital entered the Intermountain Health system through the SCL merger effective April 1, 2022. Colorado regulators identify Intermountain as ultimate parent and CMS records operational control. This is not a PE finding.",
  "lastReviewed": "2026-07-06",
  "review": {
    "reviewer": "Codex targeted Colorado Intermountain / St. Mary's verification pass",
    "evidence_grade": "government-corroborated",
    "confidence": "high",
    "source_count": 14,
    "ownership_source_count": 3,
    "identity_match_method": "Matched by map identity and CMS CCN 060009.",
    "publication_decision": "Publish as major nonprofit system control; preserve pharmacy/insurance pressure as unverified testimony only."
  },
  "firstGlance": {
    "taxOwnershipType": "Nonprofit",
    "operator": "Intermountain Health",
    "operatorType": "Major health system",
    "operatorName": "Intermountain Health",
    "parentSystem": "Intermountain Health",
    "affiliatedSystem": "Intermountain Health",
    "directPeOwnership": "No documented PE ownership in reviewed sources",
    "peRelationship": "PESP snapshot reports Currently PE? = N and no PE firm.",
    "institutionalShareholderContext": "Not applicable to a nonprofit parent.",
    "populationServedEstimate": null,
    "populationServedLabel": "No facility-specific estimate verified in this pass.",
    "careLevel": "Acute Care Hospitals",
    "currentCeo": "Not researched in this ownership correction",
    "previousRelevantCeo": "Not researched",
    "confidence": "High for system control and identity.",
    "evidenceAsOf": "2026-07-06",
    "bottomLine": "Lutheran Hospital should be red for major-system control, not green/independent and not PE-owned."
  },
  "identifiers": {
    "ccn": "060009",
    "enrollmentId": "O20060406000569",
    "npi": "1669461281",
    "address": "12911 W 40TH AVE",
    "city": "WHEAT RIDGE",
    "state": "CO",
    "zip": "80401",
    "county": "JEFFERSON",
    "latitude": 39.772000649117,
    "longitude": -105.145135251618,
    "aliases": [
      {
        "alias": "LUTHERAN MEDICAL CENTER",
        "alias_type": "cms_care_compare_name",
        "source_id": "source-cms-hospital-general-information"
      },
      {
        "alias": "INTERMOUNTAIN HEALTH LUTHERAN HOSPITAL",
        "alias_type": "cms_enrollment_dba",
        "source_id": "source-cms-hospital-enrollments"
      }
    ]
  },
  "ownershipHistory": [
    {
      "relationship_id": "intermountain-control-060009",
      "relationship_type": "controls",
      "effective_date": "2022-04-01",
      "end_date": "",
      "status": "confirmed",
      "source_ids": "source-colorado-ag-scl-intermountain|source-intermountain-scl-merger|source-cms-hospital-all-owners",
      "plain_english_summary": "Intermountain is the ultimate parent/system and CMS records operational/managerial control for CCN 060009."
    },
    {
      "relationship_id": "scl-history-060009",
      "relationship_type": "historical_system_family",
      "effective_date": "before 2022-04-01",
      "end_date": "",
      "status": "confirmed",
      "source_ids": "source-colorado-ag-scl-intermountain|source-intermountain-scl-merger|source-cms-hospital-all-owners",
      "plain_english_summary": "SCL Health/direct nonprofit owner context is retained separately from Intermountain ultimate-parent control."
    },
    {
      "relationship_id": "pe-check-060009",
      "relationship_type": "searched_for_pe_ownership",
      "effective_date": "2026-07-06",
      "end_date": "",
      "status": "searched_not_found",
      "source_ids": "source-pesp-hospital-tracker|source-cms-hospital-all-owners|source-colorado-ag-scl-intermountain",
      "plain_english_summary": "Reviewed government, CMS, official system, and tracker sources do not support a current PE-owned label."
    }
  ],
  "acquisitionEvents": [
    {
      "date": "2022-04-01",
      "title": "SCL Health and Intermountain merger became effective",
      "detail": "Colorado regulators described Intermountain as ultimate parent of the consolidated nonprofit system.",
      "sourceIds": [
        "source-colorado-ag-scl-intermountain",
        "source-intermountain-scl-merger"
      ]
    },
    {
      "date": "2026-07-06",
      "title": "Community message checked",
      "detail": "Ownership/system control was confirmed. Mandatory pharmacy use and Select Health enrollment pressure were not verified from a public employee benefits document.",
      "sourceIds": [
        "source-select-health-about",
        "source-intermountain-scl-merger"
      ]
    }
  ],
  "financialAndUtilizationSeries": [],
  "descriptiveTrends": [],
  "cmsOwnerRecords": [],
  "ownershipChain": {
    "model": "Ultimate nonprofit parent, historical/direct nonprofit owner, health-plan affiliate, and facility are separate evidence layers.",
    "confidence": "high",
    "nodes": [
      {
        "id": "system:intermountain-health",
        "label": "Intermountain Health",
        "kind": "nonprofit_ultimate_parent_health_system",
        "evidence": "Colorado regulator, official merger release, and CMS control records"
      },
      {
        "id": "system:scl-health",
        "label": "SCL Health / Sisters of Charity of Leavenworth Health System",
        "kind": "historical_and_direct_nonprofit_owner_layer",
        "evidence": "Colorado regulator and CMS owner records"
      },
      {
        "id": "affiliate:select-health",
        "label": "Select Health",
        "kind": "health_plan_and_pharmacy_benefit_affiliate",
        "evidence": "Official Intermountain and Select Health pages"
      },
      {
        "id": "facility:060009",
        "label": "Lutheran Hospital",
        "kind": "hospital",
        "evidence": "CMS CCN 060009"
      }
    ],
    "edges": [
      {
        "id": "system:intermountain-health->facility:060009",
        "from": "system:intermountain-health",
        "to": "facility:060009",
        "relationship": "ultimate parent / operational control",
        "confidence": "high",
        "sourceIds": [
          "source-colorado-ag-scl-intermountain",
          "source-cms-hospital-all-owners"
        ],
        "note": "Major-system control, not PE ownership."
      },
      {
        "id": "system:scl-health->facility:060009",
        "from": "system:scl-health",
        "to": "facility:060009",
        "relationship": "historical system / direct nonprofit owner layer",
        "confidence": "high",
        "sourceIds": [
          "source-colorado-ag-scl-intermountain",
          "source-cms-hospital-all-owners"
        ],
        "note": "Preserved separately from ultimate-parent control."
      },
      {
        "id": "system:intermountain-health->affiliate:select-health",
        "from": "system:intermountain-health",
        "to": "affiliate:select-health",
        "relationship": "integrated health-plan affiliate",
        "confidence": "high",
        "sourceIds": [
          "source-intermountain-scl-merger",
          "source-select-health-about"
        ],
        "note": "Does not prove employee coercion or mandatory use."
      }
    ],
    "caveats": [
      "Major nonprofit system control is not private-equity ownership.",
      "Direct owner and ultimate-parent layers remain separate.",
      "Employee pharmacy and insurance-pressure allegations were not independently verified.",
      "The CCN-bearing row had the former 8300 W. 38th Ave. campus. CMS enrollment now uses 12911 W. 40th Ave.; the second current-campus map row is retained."
    ]
  },
  "ownershipConnections": [
    {
      "entityName": "Intermountain Health",
      "entityKind": "Nonprofit ultimate parent and integrated health system",
      "relationship": "ultimate parent / operational control",
      "classification": "Major nonprofit system-control layer",
      "evidenceSourceIds": [
        "source-colorado-ag-scl-intermountain",
        "source-cms-hospital-all-owners"
      ],
      "note": "Reason for the red map status."
    },
    {
      "entityName": "SCL Health / Sisters of Charity of Leavenworth Health System",
      "entityKind": "Historical system and direct nonprofit owner layer",
      "relationship": "pre-merger system/direct-owner context",
      "classification": "Preserved ownership-chain layer",
      "evidenceSourceIds": [
        "source-colorado-ag-scl-intermountain",
        "source-cms-hospital-all-owners"
      ],
      "note": "Not erased by the ultimate-parent update."
    },
    {
      "entityName": "Select Health",
      "entityKind": "Nonprofit health plan and pharmacy-benefit affiliate",
      "relationship": "integrated with Intermountain Health",
      "classification": "System affiliate, not hospital legal owner",
      "evidenceSourceIds": [
        "source-intermountain-scl-merger",
        "source-select-health-about"
      ],
      "note": "Affiliate connection confirmed; employee pressure claim unverified."
    }
  ],
  "systemConnections": [
    {
      "systemName": "Intermountain Health",
      "relationship": "Colorado former-SCL hospital family",
      "evidenceSourceIds": [
        "source-colorado-ag-scl-intermountain",
        "source-intermountain-scl-merger",
        "source-intermountain-colorado-renaming",
        "source-cms-hospital-enrollments",
        "source-cms-hospital-all-owners"
      ],
      "facilities": [
        {
          "name": "Good Samaritan Hospital",
          "role": "Colorado hospital in the former SCL system family",
          "city": "",
          "state": "CO",
          "recordId": "060116",
          "ccn": "060116",
          "note": "Current Intermountain system control confirmed."
        },
        {
          "name": "Lutheran Hospital",
          "role": "Colorado hospital in the former SCL system family",
          "city": "",
          "state": "CO",
          "recordId": "060009",
          "ccn": "060009",
          "note": "The CCN-bearing row had the former 8300 W. 38th Ave. campus. CMS enrollment now uses 12911 W. 40th Ave.; the second current-campus map row is retained."
        },
        {
          "name": "Lutheran Hospital",
          "role": "Colorado hospital in the former SCL system family",
          "city": "",
          "state": "CO",
          "recordId": "0196785411",
          "ccn": "060009",
          "note": "Current-campus map row connected to CMS CCN 060009. The older CCN-bearing map row is corrected and retained, not deleted."
        },
        {
          "name": "Platte Valley Hospital",
          "role": "Colorado hospital in the former SCL system family",
          "city": "",
          "state": "CO",
          "recordId": "0000280601",
          "ccn": "060004",
          "note": "Current Intermountain system control confirmed."
        },
        {
          "name": "Saint Joseph Hospital",
          "role": "Colorado hospital in the former SCL system family",
          "city": "",
          "state": "CO",
          "recordId": "060028",
          "ccn": "060028",
          "note": "Current Intermountain system control confirmed."
        },
        {
          "name": "St. Mary's Regional Hospital",
          "role": "Colorado hospital in the former SCL system family",
          "city": "Grand Junction",
          "state": "CO",
          "recordId": "0007681502",
          "ccn": "060023",
          "note": "Current Intermountain system control confirmed."
        }
      ],
      "relatedFacilityRecordCount": 5,
      "relatedFacilityDataUrl": "/data/related-facilities.json"
    },
    {
      "systemName": "St. Mary's / Grand Junction verified clinic connections",
      "relationship": "official Intermountain location pages",
      "evidenceSourceIds": [
        "source-intermountain-grand-junction-clinic-1",
        "source-intermountain-grand-junction-clinic-2",
        "source-intermountain-grand-junction-clinic-3",
        "source-intermountain-grand-junction-clinic-4",
        "source-intermountain-grand-junction-clinic-5"
      ],
      "facilities": [
        {
          "name": "Grand Junction Downtown Clinic",
          "role": "Primary care clinic",
          "city": "Grand Junction",
          "state": "CO",
          "recordId": "intermountain-grand-junction-downtown-clinic",
          "note": "This is not a complete clinic roster and does not verify mandatory pharmacy use or employee insurance pressure."
        },
        {
          "name": "St. Mary's Family Medicine Clinic",
          "role": "Family medicine and residency clinic",
          "city": "Grand Junction",
          "state": "CO",
          "recordId": "intermountain-st-marys-family-medicine-clinic",
          "note": "This is not a complete clinic roster and does not verify mandatory pharmacy use or employee insurance pressure."
        },
        {
          "name": "Western Colorado Obesity Management Clinic",
          "role": "Bariatric and obesity medicine clinic",
          "city": "Grand Junction",
          "state": "CO",
          "recordId": "intermountain-western-colorado-obesity-management-clinic",
          "note": "This is not a complete clinic roster and does not verify mandatory pharmacy use or employee insurance pressure."
        },
        {
          "name": "Wellington OB-GYN Clinic",
          "role": "OB-GYN and midwifery clinic",
          "city": "Grand Junction",
          "state": "CO",
          "recordId": "intermountain-wellington-obgyn-clinic",
          "note": "This is not a complete clinic roster and does not verify mandatory pharmacy use or employee insurance pressure."
        },
        {
          "name": "Cancer Centers of Colorado - St. Mary's Regional Hospital",
          "role": "Hospital-affiliated cancer center",
          "city": "Grand Junction",
          "state": "CO",
          "recordId": "intermountain-st-marys-cancer-center",
          "note": "This is not a complete clinic roster and does not verify mandatory pharmacy use or employee insurance pressure."
        }
      ]
    }
  ],
  "directConnections": [
    "Lutheran Hospital -> Intermountain Health: ultimate-parent and operational-control connection confirmed.",
    "Lutheran Hospital -> SCL Health: historical/direct nonprofit owner layer preserved.",
    "Intermountain Health -> Select Health: integrated health-plan affiliate confirmed.",
    "Employee pharmacy/insurance-pressure allegation -> not independently verified."
  ],
  "communityReportedClaims": [
    {
      "claim": "Employees are made to use Intermountain pharmacies and Select Health is being pushed for employee enrollment.",
      "status": "community_report_not_independently_verified",
      "source_ids": "source-select-health-about|source-intermountain-scl-merger",
      "note": "Public sources confirm the system relationship and pharmacy-benefit activity, but not coercion, mandatory use, or a specific employee-plan term."
    }
  ],
  "actions": [
    "Keep red for major nonprofit health-system control.",
    "Do not label as PE-owned.",
    "Keep SCL/direct-owner and Intermountain ultimate-parent layers separate.",
    "Treat pharmacy/insurance pressure as an open documentary lead."
  ],
  "importantLinks": [
    {
      "label": "Colorado Department of Law SCL Health / Intermountain merger opinion",
      "url": "https://coag.gov/press-releases/3-31-22/",
      "sourceId": "source-colorado-ag-scl-intermountain",
      "note": "Intermountain became the ultimate parent of the consolidated system. The regulator specifically names Lutheran, Good Samaritan, Saint Joseph, and St. Mary's as SCL Colorado hospitals."
    },
    {
      "label": "Intermountain Healthcare and SCL Health Complete Merger",
      "url": "https://news.intermountainhealth.org/intermountain-healthcare-and-scl-health-complete-merger/",
      "sourceId": "source-intermountain-scl-merger",
      "note": "Official merger release says the combined nonprofit system operates hospitals and clinics and identifies SelectHealth as an Intermountain insurance company."
    },
    {
      "label": "SCL Health sites getting new names after merger",
      "url": "https://news.intermountainhealth.org/scl-health-sites-getting-new-names-after-merger/",
      "sourceId": "source-intermountain-colorado-renaming",
      "note": "Official release documents Intermountain names for Good Samaritan, Lutheran, Platte Valley, and Saint Joseph and a broader clinic-signage rollout."
    },
    {
      "label": "St. Mary's Regional Hospital",
      "url": "https://intermountainhealthcare.org/locations/intermountain-health-st-marys-regional-hospital",
      "sourceId": "source-intermountain-st-marys",
      "note": "Current official location page identifies St. Mary's Regional Hospital at 2635 North 7th Street in Grand Junction."
    },
    {
      "label": "CMS Hospital General Information",
      "url": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "sourceId": "source-cms-hospital-general-information",
      "note": "Current hospital identity and CCN source for the five Colorado hospitals."
    },
    {
      "label": "CMS Hospital Enrollments",
      "url": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
      "sourceId": "source-cms-hospital-enrollments",
      "note": "Current Intermountain-branded DBA names for CCNs 060004, 060009, 060023, 060028, and 060116."
    },
    {
      "label": "CMS Hospital All Owners",
      "url": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "sourceId": "source-cms-hospital-all-owners",
      "note": "CMS owner records show Intermountain Health Care, Inc. operational/managerial control for all five CCNs; direct nonprofit-owner layers vary by facility."
    },
    {
      "label": "Private Equity Hospital Tracker",
      "url": "https://pestakeholder.org/private-equity-hospital-tracker/",
      "sourceId": "source-pesp-hospital-tracker",
      "note": "Local imported rows for all five CCNs report Currently PE? = N and no PE firm."
    },
    {
      "label": "About Select Health",
      "url": "https://selecthealth.org/who-we-are/about-us",
      "sourceId": "source-select-health-about",
      "note": "Select Health describes a nonprofit health plan, pharmacy benefit management, and integration with Intermountain Health. It does not document employee coercion or mandatory use."
    },
    {
      "label": "Grand Junction Downtown Clinic",
      "url": "https://intermountainhealthcare.org/locations/grand-junction-downtown-clinic",
      "sourceId": "source-intermountain-grand-junction-clinic-1",
      "note": "Official Intermountain location page for Grand Junction Downtown Clinic in Grand Junction."
    },
    {
      "label": "St. Mary's Family Medicine Clinic",
      "url": "https://intermountainhealthcare.org/locations/intermountain-health-st-marys-family-medicine-clinic",
      "sourceId": "source-intermountain-grand-junction-clinic-2",
      "note": "Official Intermountain location page for St. Mary's Family Medicine Clinic in Grand Junction."
    },
    {
      "label": "Western Colorado Obesity Management Clinic",
      "url": "https://intermountainhealthcare.org/locations/western-colorado-obesity-management-clinic",
      "sourceId": "source-intermountain-grand-junction-clinic-3",
      "note": "Official Intermountain location page for Western Colorado Obesity Management Clinic in Grand Junction."
    },
    {
      "label": "Wellington OB-GYN Clinic",
      "url": "https://intermountainhealthcare.org/locations/wellington-obgyn-clinic",
      "sourceId": "source-intermountain-grand-junction-clinic-4",
      "note": "Official Intermountain location page for Wellington OB-GYN Clinic in Grand Junction."
    },
    {
      "label": "Cancer Centers of Colorado - St. Mary's Regional Hospital",
      "url": "https://intermountainhealthcare.org/locations/st-marys-medical-center-cancer-centers-of-colorado",
      "sourceId": "source-intermountain-grand-junction-clinic-5",
      "note": "Official Intermountain location page for Cancer Centers of Colorado - St. Mary's Regional Hospital in Grand Junction."
    }
  ],
  "sources": [
    {
      "source_id": "source-colorado-ag-scl-intermountain",
      "title": "Colorado Department of Law SCL Health / Intermountain merger opinion",
      "publisher": "Colorado Department of Law",
      "publication_date": "2022-03-31",
      "retrieved_at": "2026-07-06",
      "url": "https://coag.gov/press-releases/3-31-22/",
      "reliability_tier": "government",
      "research_note": "Intermountain became the ultimate parent of the consolidated system. The regulator specifically names Lutheran, Good Samaritan, Saint Joseph, and St. Mary's as SCL Colorado hospitals.",
      "source_type": "government",
      "what_this_source_proves": "Intermountain became the ultimate parent of the consolidated system. The regulator specifically names Lutheran, Good Samaritan, Saint Joseph, and St. Mary's as SCL Colorado hospitals.",
      "what_this_source_does_not_prove": "It does not by itself prove PE ownership or facility-specific harm."
    },
    {
      "source_id": "source-intermountain-scl-merger",
      "title": "Intermountain Healthcare and SCL Health Complete Merger",
      "publisher": "Intermountain Health",
      "publication_date": "2022-04-05",
      "retrieved_at": "2026-07-06",
      "url": "https://news.intermountainhealth.org/intermountain-healthcare-and-scl-health-complete-merger/",
      "reliability_tier": "primary",
      "research_note": "Official merger release says the combined nonprofit system operates hospitals and clinics and identifies SelectHealth as an Intermountain insurance company.",
      "source_type": "primary",
      "what_this_source_proves": "Official merger release says the combined nonprofit system operates hospitals and clinics and identifies SelectHealth as an Intermountain insurance company.",
      "what_this_source_does_not_prove": "It does not by itself prove PE ownership or facility-specific harm."
    },
    {
      "source_id": "source-intermountain-colorado-renaming",
      "title": "SCL Health sites getting new names after merger",
      "publisher": "Intermountain Health",
      "publication_date": "2023-08-17",
      "retrieved_at": "2026-07-06",
      "url": "https://news.intermountainhealth.org/scl-health-sites-getting-new-names-after-merger/",
      "reliability_tier": "primary",
      "research_note": "Official release documents Intermountain names for Good Samaritan, Lutheran, Platte Valley, and Saint Joseph and a broader clinic-signage rollout.",
      "source_type": "primary",
      "what_this_source_proves": "Official release documents Intermountain names for Good Samaritan, Lutheran, Platte Valley, and Saint Joseph and a broader clinic-signage rollout.",
      "what_this_source_does_not_prove": "It does not by itself prove PE ownership or facility-specific harm."
    },
    {
      "source_id": "source-intermountain-st-marys",
      "title": "St. Mary's Regional Hospital",
      "publisher": "Intermountain Health",
      "publication_date": "",
      "retrieved_at": "2026-07-06",
      "url": "https://intermountainhealthcare.org/locations/intermountain-health-st-marys-regional-hospital",
      "reliability_tier": "primary",
      "research_note": "Current official location page identifies St. Mary's Regional Hospital at 2635 North 7th Street in Grand Junction.",
      "source_type": "primary",
      "what_this_source_proves": "Current official location page identifies St. Mary's Regional Hospital at 2635 North 7th Street in Grand Junction.",
      "what_this_source_does_not_prove": "It does not by itself prove PE ownership or facility-specific harm."
    },
    {
      "source_id": "source-cms-hospital-general-information",
      "title": "CMS Hospital General Information",
      "publisher": "Centers for Medicare and Medicaid Services",
      "publication_date": "",
      "retrieved_at": "2026-06-24",
      "url": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "reliability_tier": "government",
      "research_note": "Current hospital identity and CCN source for the five Colorado hospitals.",
      "source_type": "government",
      "what_this_source_proves": "Current hospital identity and CCN source for the five Colorado hospitals.",
      "what_this_source_does_not_prove": "It does not by itself prove PE ownership or facility-specific harm."
    },
    {
      "source_id": "source-cms-hospital-enrollments",
      "title": "CMS Hospital Enrollments",
      "publisher": "Centers for Medicare and Medicaid Services",
      "publication_date": "",
      "retrieved_at": "2026-06-24",
      "url": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
      "reliability_tier": "government",
      "research_note": "Current Intermountain-branded DBA names for CCNs 060004, 060009, 060023, 060028, and 060116.",
      "source_type": "government",
      "what_this_source_proves": "Current Intermountain-branded DBA names for CCNs 060004, 060009, 060023, 060028, and 060116.",
      "what_this_source_does_not_prove": "It does not by itself prove PE ownership or facility-specific harm."
    },
    {
      "source_id": "source-cms-hospital-all-owners",
      "title": "CMS Hospital All Owners",
      "publisher": "Centers for Medicare and Medicaid Services",
      "publication_date": "",
      "retrieved_at": "2026-06-24",
      "url": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "reliability_tier": "government",
      "research_note": "CMS owner records show Intermountain Health Care, Inc. operational/managerial control for all five CCNs; direct nonprofit-owner layers vary by facility.",
      "source_type": "government",
      "what_this_source_proves": "CMS owner records show Intermountain Health Care, Inc. operational/managerial control for all five CCNs; direct nonprofit-owner layers vary by facility.",
      "what_this_source_does_not_prove": "It does not by itself prove PE ownership or facility-specific harm."
    },
    {
      "source_id": "source-pesp-hospital-tracker",
      "title": "Private Equity Hospital Tracker",
      "publisher": "Private Equity Stakeholder Project",
      "publication_date": "2026-04-03 snapshot",
      "retrieved_at": "2026-07-06",
      "url": "https://pestakeholder.org/private-equity-hospital-tracker/",
      "reliability_tier": "research",
      "research_note": "Local imported rows for all five CCNs report Currently PE? = N and no PE firm.",
      "source_type": "research",
      "what_this_source_proves": "Local imported rows for all five CCNs report Currently PE? = N and no PE firm.",
      "what_this_source_does_not_prove": "It does not by itself prove PE ownership or facility-specific harm."
    },
    {
      "source_id": "source-select-health-about",
      "title": "About Select Health",
      "publisher": "Select Health",
      "publication_date": "",
      "retrieved_at": "2026-07-06",
      "url": "https://selecthealth.org/who-we-are/about-us",
      "reliability_tier": "primary",
      "research_note": "Select Health describes a nonprofit health plan, pharmacy benefit management, and integration with Intermountain Health. It does not document employee coercion or mandatory use.",
      "source_type": "primary",
      "what_this_source_proves": "Select Health describes a nonprofit health plan, pharmacy benefit management, and integration with Intermountain Health. It does not document employee coercion or mandatory use.",
      "what_this_source_does_not_prove": "It does not prove employee coercion, mandatory pharmacy use, or a particular benefit-plan term."
    },
    {
      "source_id": "source-intermountain-grand-junction-clinic-1",
      "title": "Grand Junction Downtown Clinic",
      "publisher": "Intermountain Health",
      "publication_date": "",
      "retrieved_at": "2026-07-06",
      "url": "https://intermountainhealthcare.org/locations/grand-junction-downtown-clinic",
      "reliability_tier": "primary",
      "research_note": "Official Intermountain location page for Grand Junction Downtown Clinic in Grand Junction.",
      "source_type": "primary",
      "what_this_source_proves": "Official Intermountain location page for Grand Junction Downtown Clinic in Grand Junction.",
      "what_this_source_does_not_prove": "It does not by itself prove PE ownership or facility-specific harm."
    },
    {
      "source_id": "source-intermountain-grand-junction-clinic-2",
      "title": "St. Mary's Family Medicine Clinic",
      "publisher": "Intermountain Health",
      "publication_date": "",
      "retrieved_at": "2026-07-06",
      "url": "https://intermountainhealthcare.org/locations/intermountain-health-st-marys-family-medicine-clinic",
      "reliability_tier": "primary",
      "research_note": "Official Intermountain location page for St. Mary's Family Medicine Clinic in Grand Junction.",
      "source_type": "primary",
      "what_this_source_proves": "Official Intermountain location page for St. Mary's Family Medicine Clinic in Grand Junction.",
      "what_this_source_does_not_prove": "It does not by itself prove PE ownership or facility-specific harm."
    },
    {
      "source_id": "source-intermountain-grand-junction-clinic-3",
      "title": "Western Colorado Obesity Management Clinic",
      "publisher": "Intermountain Health",
      "publication_date": "",
      "retrieved_at": "2026-07-06",
      "url": "https://intermountainhealthcare.org/locations/western-colorado-obesity-management-clinic",
      "reliability_tier": "primary",
      "research_note": "Official Intermountain location page for Western Colorado Obesity Management Clinic in Grand Junction.",
      "source_type": "primary",
      "what_this_source_proves": "Official Intermountain location page for Western Colorado Obesity Management Clinic in Grand Junction.",
      "what_this_source_does_not_prove": "It does not by itself prove PE ownership or facility-specific harm."
    },
    {
      "source_id": "source-intermountain-grand-junction-clinic-4",
      "title": "Wellington OB-GYN Clinic",
      "publisher": "Intermountain Health",
      "publication_date": "",
      "retrieved_at": "2026-07-06",
      "url": "https://intermountainhealthcare.org/locations/wellington-obgyn-clinic",
      "reliability_tier": "primary",
      "research_note": "Official Intermountain location page for Wellington OB-GYN Clinic in Grand Junction.",
      "source_type": "primary",
      "what_this_source_proves": "Official Intermountain location page for Wellington OB-GYN Clinic in Grand Junction.",
      "what_this_source_does_not_prove": "It does not by itself prove PE ownership or facility-specific harm."
    },
    {
      "source_id": "source-intermountain-grand-junction-clinic-5",
      "title": "Cancer Centers of Colorado - St. Mary's Regional Hospital",
      "publisher": "Intermountain Health",
      "publication_date": "",
      "retrieved_at": "2026-07-06",
      "url": "https://intermountainhealthcare.org/locations/st-marys-medical-center-cancer-centers-of-colorado",
      "reliability_tier": "primary",
      "research_note": "Official Intermountain location page for Cancer Centers of Colorado - St. Mary's Regional Hospital in Grand Junction.",
      "source_type": "primary",
      "what_this_source_proves": "Official Intermountain location page for Cancer Centers of Colorado - St. Mary's Regional Hospital in Grand Junction.",
      "what_this_source_does_not_prove": "It does not by itself prove PE ownership or facility-specific harm."
    }
  ],
  "limitations": [
    "Selected clinics were individually verified; this is not a complete clinic-directory scrape.",
    "Employee benefit terms require an actual plan document, policy, or contract."
  ]
}
