{
  "schemaVersion": 3,
  "entityId": "100187",
  "canonicalName": "STEWARD PALMETTO GENERAL HOSPITAL",
  "status": "signal",
  "statusLabel": "Documented investment signal",
  "summary": "STEWARD PALMETTO GENERAL HOSPITAL appears in the source tracker as a venture-backed investment signal. This dossier does not classify that signal as completed private-equity ownership.",
  "lastReviewed": "2026-06-22",
  "review": {
    "reviewer": "Automated CMS/PESP reconciliation with editorial publication gate",
    "evidence_grade": "government-corroborated",
    "confidence": "medium",
    "source_count": 6,
    "ownership_source_count": 2,
    "identity_match_method": "CCN exact match",
    "publication_decision": "Meets the Phase 3 publication standard for its displayed status"
  },
  "identifiers": {
    "ccn": "100187",
    "npi": "1881412740",
    "historicalCcns": [],
    "aliases": [
      {
        "alias": "HSA PGH LLC",
        "alias_type": "cms_legal_name",
        "source_id": "source-cms-hospital-enrollments"
      },
      {
        "alias": "PALMETTO GENERAL HOSPITAL",
        "alias_type": "cms_dba",
        "source_id": "source-cms-hospital-enrollments"
      }
    ]
  },
  "ownershipHistory": [
    {
      "relationship_id": "rel-stewardhealthcare-100187",
      "from_entity_id": "Steward Health Care",
      "to_entity_id": "100187",
      "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": "Steward Health Care is reported as an investment backer; this is not treated as a completed ownership claim.",
      "review_notes": "CMS corroborates the current enrolled ownership chain; the sponsor attribution comes from the research tracker."
    }
  ],
  "acquisitionEvents": [],
  "financialAndUtilizationSeries": [
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      "entity_id": "100187",
      "metric_name": "net_patient_revenue",
      "period_start": "05/01/2023",
      "period_end": "04/30/2024",
      "value": "358325534",
      "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": "100187-net_patient_revenue-04-30-2023",
      "entity_id": "100187",
      "metric_name": "net_patient_revenue",
      "period_start": "05/01/2022",
      "period_end": "04/30/2023",
      "value": "296794207",
      "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": "100187-net_patient_revenue-04-30-2022",
      "entity_id": "100187",
      "metric_name": "net_patient_revenue",
      "period_start": "08/01/2021",
      "period_end": "04/30/2022",
      "value": "241117761",
      "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": "100187-operating_expense-04-30-2024",
      "entity_id": "100187",
      "metric_name": "operating_expense",
      "period_start": "05/01/2023",
      "period_end": "04/30/2024",
      "value": "321134644",
      "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": "100187-operating_expense-04-30-2023",
      "entity_id": "100187",
      "metric_name": "operating_expense",
      "period_start": "05/01/2022",
      "period_end": "04/30/2023",
      "value": "320610868",
      "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": "100187-operating_expense-04-30-2022",
      "entity_id": "100187",
      "metric_name": "operating_expense",
      "period_start": "08/01/2021",
      "period_end": "04/30/2022",
      "value": "257664644",
      "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": "100187-net_income-04-30-2024",
      "entity_id": "100187",
      "metric_name": "net_income",
      "period_start": "05/01/2023",
      "period_end": "04/30/2024",
      "value": "43983942",
      "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": "100187-net_income-04-30-2023",
      "entity_id": "100187",
      "metric_name": "net_income",
      "period_start": "05/01/2022",
      "period_end": "04/30/2023",
      "value": "-10591480",
      "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": "100187-net_income-04-30-2022",
      "entity_id": "100187",
      "metric_name": "net_income",
      "period_start": "08/01/2021",
      "period_end": "04/30/2022",
      "value": "-12703545",
      "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": "100187-total_assets-04-30-2024",
      "entity_id": "100187",
      "metric_name": "total_assets",
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      "period_end": "04/30/2024",
      "value": "440482150",
      "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": "100187-total_assets-04-30-2023",
      "entity_id": "100187",
      "metric_name": "total_assets",
      "period_start": "05/01/2022",
      "period_end": "04/30/2023",
      "value": "380127930",
      "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": "100187-total_assets-04-30-2022",
      "entity_id": "100187",
      "metric_name": "total_assets",
      "period_start": "08/01/2021",
      "period_end": "04/30/2022",
      "value": "366360377",
      "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": "100187-total_liabilities-04-30-2024",
      "entity_id": "100187",
      "metric_name": "total_liabilities",
      "period_start": "05/01/2023",
      "period_end": "04/30/2024",
      "value": "455794041",
      "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": "100187-total_liabilities-04-30-2023",
      "entity_id": "100187",
      "metric_name": "total_liabilities",
      "period_start": "05/01/2022",
      "period_end": "04/30/2023",
      "value": "411936770",
      "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": "100187-total_liabilities-04-30-2022",
      "entity_id": "100187",
      "metric_name": "total_liabilities",
      "period_start": "08/01/2021",
      "period_end": "04/30/2022",
      "value": "379063922",
      "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": "100187-contract_labor_direct_patient_care-04-30-2023",
      "entity_id": "100187",
      "metric_name": "contract_labor_direct_patient_care",
      "period_start": "05/01/2022",
      "period_end": "04/30/2023",
      "value": "10232314",
      "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": "100187-contract_labor_direct_patient_care-07-31-2021",
      "entity_id": "100187",
      "metric_name": "contract_labor_direct_patient_care",
      "period_start": "01/01/2021",
      "period_end": "07/31/2021",
      "value": "4866602",
      "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": "100187-contract_labor_direct_patient_care-12-31-2020",
      "entity_id": "100187",
      "metric_name": "contract_labor_direct_patient_care",
      "period_start": "01/01/2020",
      "period_end": "12/31/2020",
      "value": "4353961",
      "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": "100187-fte_employees-04-30-2024",
      "entity_id": "100187",
      "metric_name": "fte_employees",
      "period_start": "05/01/2023",
      "period_end": "04/30/2024",
      "value": "1475",
      "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": "100187-fte_employees-04-30-2023",
      "entity_id": "100187",
      "metric_name": "fte_employees",
      "period_start": "05/01/2022",
      "period_end": "04/30/2023",
      "value": "1207.44",
      "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": "100187-fte_employees-04-30-2022",
      "entity_id": "100187",
      "metric_name": "fte_employees",
      "period_start": "08/01/2021",
      "period_end": "04/30/2022",
      "value": "1212.49",
      "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": "100187-beds-04-30-2024",
      "entity_id": "100187",
      "metric_name": "beds",
      "period_start": "05/01/2023",
      "period_end": "04/30/2024",
      "value": "358",
      "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": "100187-beds-04-30-2023",
      "entity_id": "100187",
      "metric_name": "beds",
      "period_start": "05/01/2022",
      "period_end": "04/30/2023",
      "value": "358",
      "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": "100187-beds-04-30-2022",
      "entity_id": "100187",
      "metric_name": "beds",
      "period_start": "08/01/2021",
      "period_end": "04/30/2022",
      "value": "358",
      "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": "100187-patient_days-04-30-2024",
      "entity_id": "100187",
      "metric_name": "patient_days",
      "period_start": "05/01/2023",
      "period_end": "04/30/2024",
      "value": "69388",
      "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": "100187-patient_days-04-30-2023",
      "entity_id": "100187",
      "metric_name": "patient_days",
      "period_start": "05/01/2022",
      "period_end": "04/30/2023",
      "value": "73030",
      "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": "100187-patient_days-04-30-2022",
      "entity_id": "100187",
      "metric_name": "patient_days",
      "period_start": "08/01/2021",
      "period_end": "04/30/2022",
      "value": "55683",
      "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": "100187-discharges-04-30-2024",
      "entity_id": "100187",
      "metric_name": "discharges",
      "period_start": "05/01/2023",
      "period_end": "04/30/2024",
      "value": "15014",
      "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": "100187-discharges-04-30-2023",
      "entity_id": "100187",
      "metric_name": "discharges",
      "period_start": "05/01/2022",
      "period_end": "04/30/2023",
      "value": "17083",
      "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": "100187-discharges-04-30-2022",
      "entity_id": "100187",
      "metric_name": "discharges",
      "period_start": "08/01/2021",
      "period_end": "04/30/2022",
      "value": "13175",
      "unit": "discharges",
      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
      "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.",
      "comparable_to_prior": "review_required"
    }
  ],
  "cmsOwnerRecords": [
    {
      "organization": "HEALTHCARE SYSTEMS OF AMERICA -FLORIDA LLC",
      "role": "5% OR GREATER DIRECT OWNERSHIP INTEREST",
      "association_date": "10/30/2024",
      "percentage_ownership": "100",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "HEALTHCARE SYSTEMS OF AMERICA",
      "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST",
      "association_date": "10/30/2024",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "AIMEE GILL",
      "role": "CONTRACTED MANAGING EMPLOYEE",
      "association_date": "10/30/2024",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "AIMEE GILL",
      "role": "OPERATIONAL/MANAGERIAL CONTROL",
      "association_date": "10/30/2024",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "MIKE SARIAN",
      "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST",
      "association_date": "10/30/2024",
      "percentage_ownership": "100",
      "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: Steward Health Care."
  ],
  "actions": [],
  "contradictions": [],
  "limitations": [
    "CMS corroborates an enrolled ownership chain, but its owner names do not independently reproduce every sponsor or portfolio-company name from the tracker.",
    "The investment signal does not establish completed private-equity ownership or a pending sale."
  ],
  "unavailableFields": [
    "Precise acquisition date"
  ],
  "sources": [
    {
      "source_id": "source-hifld-hospitals",
      "title": "Hospitals RAPT",
      "publisher": "Homeland Infrastructure Foundation-Level Data",
      "publication_date": "current public layer",
      "retrieved_at": "2026-06-22",
      "url": "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about",
      "reliability_tier": "government",
      "research_note": "Used for facility location and basic identity context; it does not establish private-equity ownership.",
      "source_type": "public_record"
    },
    {
      "source_id": "source-pesp-hospital-tracker",
      "title": "Private Equity Hospital Tracker",
      "publisher": "Private Equity Stakeholder Project",
      "publication_date": "2026-04-03 snapshot",
      "retrieved_at": "2026-06-22",
      "url": "https://pestakeholder.org/private-equity-hospital-tracker/",
      "reliability_tier": "research",
      "research_note": "Discovery and ownership-chain baseline. A red public status also requires independent corroboration in this dossier.",
      "source_type": "public_record"
    },
    {
      "source_id": "source-cms-hospital-enrollments",
      "title": "Hospital Enrollments",
      "publisher": "Centers for Medicare & Medicaid Services",
      "publication_date": "2026-05-01",
      "retrieved_at": "2026-06-22",
      "url": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments",
      "reliability_tier": "government",
      "research_note": "Used to corroborate current enrollment identity, legal name, DBA, CCN, NPI, and location.",
      "source_type": "public_record"
    },
    {
      "source_id": "source-cms-hospital-all-owners",
      "title": "Hospital All Owners",
      "publisher": "Centers for Medicare & Medicaid Services",
      "publication_date": "2026-05-01",
      "retrieved_at": "2026-06-22",
      "url": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners",
      "reliability_tier": "government",
      "research_note": "Used to corroborate direct or indirect ownership, control, holding-company, investment-firm, and security-interest records.",
      "source_type": "public_record"
    },
    {
      "source_id": "source-cms-hcris",
      "title": "Hospital Provider Cost Reports",
      "publisher": "Centers for Medicare & Medicaid Services",
      "publication_date": "2015–2024",
      "retrieved_at": "2026-06-22",
      "url": "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report",
      "reliability_tier": "government",
      "research_note": "Financial, staffing, and utilization values. These descriptive measures do not establish causation.",
      "source_type": "public_record"
    },
    {
      "source_id": "source-cms-care-compare",
      "title": "Hospital General Information",
      "publisher": "Centers for Medicare & Medicaid Services",
      "publication_date": "2026",
      "retrieved_at": "2026-06-22",
      "url": "https://data.cms.gov/provider-data/dataset/xubh-q36u",
      "reliability_tier": "government",
      "research_note": "Used for current facility identity, hospital type, ownership category, and overall rating when available.",
      "source_type": "public_record"
    }
  ],
  "ownershipChain": {
    "model": "Sponsor, operator, CMS legal-owner/control records, and facility are shown as separate evidence layers.",
    "confidence": "medium",
    "nodes": [
      {
        "id": "facility:100187",
        "label": "STEWARD PALMETTO GENERAL HOSPITAL",
        "kind": "hospital",
        "evidence": "public facility record"
      },
      {
        "id": "organization:healthcare-systems-of-america",
        "label": "Healthcare Systems of America",
        "kind": "portfolio_company_or_operator",
        "evidence": "research tracker or primary organizational source"
      },
      {
        "id": "cms-owner:healthcare-systems-of-america-florida-llc:0",
        "label": "HEALTHCARE SYSTEMS OF AMERICA -FLORIDA LLC",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER DIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:healthcare-systems-of-america:1",
        "label": "HEALTHCARE SYSTEMS OF AMERICA",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:aimee-gill:2",
        "label": "AIMEE GILL",
        "kind": "cms_owner_or_controller",
        "evidence": "CONTRACTED MANAGING EMPLOYEE"
      },
      {
        "id": "cms-owner:aimee-gill:3",
        "label": "AIMEE GILL",
        "kind": "cms_owner_or_controller",
        "evidence": "OPERATIONAL/MANAGERIAL CONTROL"
      },
      {
        "id": "cms-owner:mike-sarian:4",
        "label": "MIKE SARIAN",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      }
    ],
    "edges": [
      {
        "id": "organization:healthcare-systems-of-america->facility:100187",
        "from": "organization:healthcare-systems-of-america",
        "to": "facility:100187",
        "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:healthcare-systems-of-america-florida-llc:0->facility:100187",
        "from": "cms-owner:healthcare-systems-of-america-florida-llc:0",
        "to": "facility:100187",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER DIRECT OWNERSHIP INTEREST · 100% reported ownership · associated 10/30/2024"
      },
      {
        "id": "cms-owner:healthcare-systems-of-america:1->facility:100187",
        "from": "cms-owner:healthcare-systems-of-america:1",
        "to": "facility:100187",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · associated 10/30/2024"
      },
      {
        "id": "cms-owner:aimee-gill:2->facility:100187",
        "from": "cms-owner:aimee-gill:2",
        "to": "facility:100187",
        "relationship": "is associated with",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CONTRACTED MANAGING EMPLOYEE · associated 10/30/2024"
      },
      {
        "id": "cms-owner:aimee-gill:3->facility:100187",
        "from": "cms-owner:aimee-gill:3",
        "to": "facility:100187",
        "relationship": "controls or manages",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "OPERATIONAL/MANAGERIAL CONTROL · associated 10/30/2024"
      },
      {
        "id": "cms-owner:mike-sarian:4->facility:100187",
        "from": "cms-owner:mike-sarian:4",
        "to": "facility:100187",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 100% reported ownership · associated 10/30/2024"
      }
    ],
    "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": "04/30/2022",
      "latestPeriod": "04/30/2024",
      "earliestValue": 241117761,
      "latestValue": 358325534,
      "absoluteChange": 117207773,
      "percentChange": 48.61017807808857,
      "unit": "USD"
    },
    {
      "metric": "operating_expense",
      "earliestPeriod": "04/30/2022",
      "latestPeriod": "04/30/2024",
      "earliestValue": 257664644,
      "latestValue": 321134644,
      "absoluteChange": 63470000,
      "percentChange": 24.63279362456884,
      "unit": "USD"
    },
    {
      "metric": "net_income",
      "earliestPeriod": "04/30/2022",
      "latestPeriod": "04/30/2024",
      "earliestValue": -12703545,
      "latestValue": 43983942,
      "absoluteChange": 56687487,
      "percentChange": 446.23360644607465,
      "unit": "USD"
    },
    {
      "metric": "total_assets",
      "earliestPeriod": "04/30/2022",
      "latestPeriod": "04/30/2024",
      "earliestValue": 366360377,
      "latestValue": 440482150,
      "absoluteChange": 74121773,
      "percentChange": 20.231929447981763,
      "unit": "USD"
    },
    {
      "metric": "total_liabilities",
      "earliestPeriod": "04/30/2022",
      "latestPeriod": "04/30/2024",
      "earliestValue": 379063922,
      "latestValue": 455794041,
      "absoluteChange": 76730119,
      "percentChange": 20.24199997593018,
      "unit": "USD"
    },
    {
      "metric": "contract_labor_direct_patient_care",
      "earliestPeriod": "12/31/2020",
      "latestPeriod": "04/30/2023",
      "earliestValue": 4353961,
      "latestValue": 10232314,
      "absoluteChange": 5878353,
      "percentChange": 135.0116135629143,
      "unit": "USD"
    },
    {
      "metric": "fte_employees",
      "earliestPeriod": "04/30/2022",
      "latestPeriod": "04/30/2024",
      "earliestValue": 1212.49,
      "latestValue": 1475,
      "absoluteChange": 262.51,
      "percentChange": 21.650487839074962,
      "unit": "FTE"
    },
    {
      "metric": "beds",
      "earliestPeriod": "04/30/2022",
      "latestPeriod": "04/30/2024",
      "earliestValue": 358,
      "latestValue": 358,
      "absoluteChange": 0,
      "percentChange": 0,
      "unit": "beds"
    },
    {
      "metric": "patient_days",
      "earliestPeriod": "04/30/2022",
      "latestPeriod": "04/30/2024",
      "earliestValue": 55683,
      "latestValue": 69388,
      "absoluteChange": 13705,
      "percentChange": 24.61253883591042,
      "unit": "days"
    },
    {
      "metric": "discharges",
      "earliestPeriod": "04/30/2022",
      "latestPeriod": "04/30/2024",
      "earliestValue": 13175,
      "latestValue": 15014,
      "absoluteChange": 1839,
      "percentChange": 13.958254269449716,
      "unit": "discharges"
    }
  ]
}