{
  "schemaVersion": 3,
  "entityId": "140184",
  "canonicalName": "HEARTLAND REGIONAL MEDICAL CENTER",
  "status": "signal",
  "statusLabel": "Documented investment signal",
  "summary": "HEARTLAND REGIONAL MEDICAL CENTER 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": "140184",
    "npi": "1750007266",
    "historicalCcns": [],
    "aliases": [
      {
        "alias": "DEACONESS REGIONAL HEALTHCARE SERVICES ILLINOIS INC",
        "alias_type": "cms_legal_name",
        "source_id": "source-cms-hospital-enrollments"
      },
      {
        "alias": "DEACONESS ILLINOIS MEDICAL CENTER",
        "alias_type": "cms_dba",
        "source_id": "source-cms-hospital-enrollments"
      }
    ]
  },
  "ownershipHistory": [
    {
      "relationship_id": "rel-reportedowner-140184",
      "from_entity_id": "reported owner",
      "to_entity_id": "140184",
      "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": [],
  "financialAndUtilizationSeries": [
    {
      "metric_id": "140184-net_patient_revenue-09-30-2023",
      "entity_id": "140184",
      "metric_name": "net_patient_revenue",
      "period_start": "01/14/2023",
      "period_end": "09/30/2023",
      "value": "75293601",
      "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": "140184-net_patient_revenue-01-13-2023",
      "entity_id": "140184",
      "metric_name": "net_patient_revenue",
      "period_start": "05/01/2022",
      "period_end": "01/13/2023",
      "value": "67755189",
      "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": "140184-net_patient_revenue-04-30-2022",
      "entity_id": "140184",
      "metric_name": "net_patient_revenue",
      "period_start": "05/01/2021",
      "period_end": "04/30/2022",
      "value": "96115237",
      "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": "140184-operating_expense-09-30-2023",
      "entity_id": "140184",
      "metric_name": "operating_expense",
      "period_start": "01/14/2023",
      "period_end": "09/30/2023",
      "value": "70496488",
      "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": "140184-operating_expense-01-13-2023",
      "entity_id": "140184",
      "metric_name": "operating_expense",
      "period_start": "05/01/2022",
      "period_end": "01/13/2023",
      "value": "-23468459",
      "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": "140184-operating_expense-04-30-2022",
      "entity_id": "140184",
      "metric_name": "operating_expense",
      "period_start": "05/01/2021",
      "period_end": "04/30/2022",
      "value": "80312555",
      "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": "140184-net_income-09-30-2023",
      "entity_id": "140184",
      "metric_name": "net_income",
      "period_start": "01/14/2023",
      "period_end": "09/30/2023",
      "value": "6069935",
      "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": "140184-net_income-01-13-2023",
      "entity_id": "140184",
      "metric_name": "net_income",
      "period_start": "05/01/2022",
      "period_end": "01/13/2023",
      "value": "91712273",
      "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": "140184-net_income-04-30-2022",
      "entity_id": "140184",
      "metric_name": "net_income",
      "period_start": "05/01/2021",
      "period_end": "04/30/2022",
      "value": "17689635",
      "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": "140184-total_assets-09-30-2023",
      "entity_id": "140184",
      "metric_name": "total_assets",
      "period_start": "01/14/2023",
      "period_end": "09/30/2023",
      "value": "26500478",
      "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": "140184-total_assets-01-13-2023",
      "entity_id": "140184",
      "metric_name": "total_assets",
      "period_start": "05/01/2022",
      "period_end": "01/13/2023",
      "value": "18486442",
      "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": "140184-total_assets-04-30-2022",
      "entity_id": "140184",
      "metric_name": "total_assets",
      "period_start": "05/01/2021",
      "period_end": "04/30/2022",
      "value": "80893584",
      "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": "140184-total_liabilities-09-30-2023",
      "entity_id": "140184",
      "metric_name": "total_liabilities",
      "period_start": "01/14/2023",
      "period_end": "09/30/2023",
      "value": "6237354",
      "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": "140184-total_liabilities-01-13-2023",
      "entity_id": "140184",
      "metric_name": "total_liabilities",
      "period_start": "05/01/2022",
      "period_end": "01/13/2023",
      "value": "-117824213",
      "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": "140184-total_liabilities-04-30-2022",
      "entity_id": "140184",
      "metric_name": "total_liabilities",
      "period_start": "05/01/2021",
      "period_end": "04/30/2022",
      "value": "36295769",
      "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": "140184-contract_labor_direct_patient_care-09-30-2023",
      "entity_id": "140184",
      "metric_name": "contract_labor_direct_patient_care",
      "period_start": "01/14/2023",
      "period_end": "09/30/2023",
      "value": "878702",
      "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": "140184-contract_labor_direct_patient_care-01-13-2023",
      "entity_id": "140184",
      "metric_name": "contract_labor_direct_patient_care",
      "period_start": "05/01/2022",
      "period_end": "01/13/2023",
      "value": "730660",
      "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": "140184-contract_labor_direct_patient_care-04-30-2022",
      "entity_id": "140184",
      "metric_name": "contract_labor_direct_patient_care",
      "period_start": "05/01/2021",
      "period_end": "04/30/2022",
      "value": "568104",
      "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": "140184-fte_employees-09-30-2023",
      "entity_id": "140184",
      "metric_name": "fte_employees",
      "period_start": "01/14/2023",
      "period_end": "09/30/2023",
      "value": "180.5",
      "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": "140184-fte_employees-01-13-2023",
      "entity_id": "140184",
      "metric_name": "fte_employees",
      "period_start": "05/01/2022",
      "period_end": "01/13/2023",
      "value": "235.43",
      "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": "140184-fte_employees-04-30-2022",
      "entity_id": "140184",
      "metric_name": "fte_employees",
      "period_start": "05/01/2021",
      "period_end": "04/30/2022",
      "value": "235.14",
      "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": "140184-beds-09-30-2023",
      "entity_id": "140184",
      "metric_name": "beds",
      "period_start": "01/14/2023",
      "period_end": "09/30/2023",
      "value": "94",
      "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": "140184-beds-01-13-2023",
      "entity_id": "140184",
      "metric_name": "beds",
      "period_start": "05/01/2022",
      "period_end": "01/13/2023",
      "value": "94",
      "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": "140184-beds-04-30-2022",
      "entity_id": "140184",
      "metric_name": "beds",
      "period_start": "05/01/2021",
      "period_end": "04/30/2022",
      "value": "94",
      "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": "140184-patient_days-09-30-2023",
      "entity_id": "140184",
      "metric_name": "patient_days",
      "period_start": "01/14/2023",
      "period_end": "09/30/2023",
      "value": "5678",
      "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": "140184-patient_days-01-13-2023",
      "entity_id": "140184",
      "metric_name": "patient_days",
      "period_start": "05/01/2022",
      "period_end": "01/13/2023",
      "value": "4331",
      "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": "140184-patient_days-04-30-2022",
      "entity_id": "140184",
      "metric_name": "patient_days",
      "period_start": "05/01/2021",
      "period_end": "04/30/2022",
      "value": "6712",
      "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": "140184-discharges-09-30-2023",
      "entity_id": "140184",
      "metric_name": "discharges",
      "period_start": "01/14/2023",
      "period_end": "09/30/2023",
      "value": "1563",
      "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": "140184-discharges-01-13-2023",
      "entity_id": "140184",
      "metric_name": "discharges",
      "period_start": "05/01/2022",
      "period_end": "01/13/2023",
      "value": "1206",
      "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": "140184-discharges-04-30-2022",
      "entity_id": "140184",
      "metric_name": "discharges",
      "period_start": "05/01/2021",
      "period_end": "04/30/2022",
      "value": "1865",
      "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": "JASON HINKLE",
      "role": "CORPORATE DIRECTOR",
      "association_date": "11/01/2025",
      "percentage_ownership": "20",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "ANTHONY WIELT",
      "role": "CORPORATE OFFICER",
      "association_date": "08/01/2023",
      "percentage_ownership": "100",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "ANTHONY WIELT",
      "role": "CORPORATE DIRECTOR",
      "association_date": "08/01/2023",
      "percentage_ownership": "20",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "MARC FLORENCE",
      "role": "CORPORATE DIRECTOR",
      "association_date": "10/03/2022",
      "percentage_ownership": "20",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "CLIFFORD MORRIS",
      "role": "CORPORATE OFFICER",
      "association_date": "08/01/2023",
      "percentage_ownership": "100",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "CLIFFORD MORRIS",
      "role": "CORPORATE DIRECTOR",
      "association_date": "12/12/2022",
      "percentage_ownership": "20",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "WILLIAM DAVIS",
      "role": "CORPORATE OFFICER",
      "association_date": "12/01/2023",
      "percentage_ownership": "100",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "DEACONESS HEALTH SYSTEM INC",
      "role": "OTHER",
      "association_date": "01/14/2023",
      "percentage_ownership": "100",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "AMBER LIPE",
      "role": "CONTRACTED MANAGING EMPLOYEE",
      "association_date": "08/01/2023",
      "percentage_ownership": "100",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "AMBER LIPE",
      "role": "CORPORATE OFFICER",
      "association_date": "08/01/2023",
      "percentage_ownership": "100",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "AMBER LIPE",
      "role": "OPERATIONAL/MANAGERIAL CONTROL",
      "association_date": "08/01/2023",
      "percentage_ownership": "100",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "LYNN LINGAFELTER",
      "role": "CORPORATE DIRECTOR",
      "association_date": "07/31/2023",
      "percentage_ownership": "20",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "JEFFREY JUSTICE",
      "role": "CORPORATE DIRECTOR",
      "association_date": "12/12/2022",
      "percentage_ownership": "20",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "STEPHEN TITZER",
      "role": "CORPORATE OFFICER",
      "association_date": "08/01/2023",
      "percentage_ownership": "100",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "STEPHEN TITZER",
      "role": "CORPORATE DIRECTOR",
      "association_date": "12/12/2022",
      "percentage_ownership": "20",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "SHAWN MCCOY",
      "role": "OTHER",
      "association_date": "01/14/2023",
      "percentage_ownership": "100",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "HAROLD CLARIDA",
      "role": "CORPORATE OFFICER",
      "association_date": "08/01/2023",
      "percentage_ownership": "100",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "HAROLD CLARIDA",
      "role": "CORPORATE DIRECTOR",
      "association_date": "12/12/2022",
      "percentage_ownership": "20",
      "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"
  ],
  "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:140184",
        "label": "HEARTLAND REGIONAL MEDICAL CENTER",
        "kind": "hospital",
        "evidence": "public facility record"
      },
      {
        "id": "organization:deaconess-regional-healthcare-services-illinois-inc",
        "label": "DEACONESS REGIONAL HEALTHCARE SERVICES ILLINOIS INC",
        "kind": "portfolio_company_or_operator",
        "evidence": "research tracker or primary organizational source"
      },
      {
        "id": "cms-owner:jason-hinkle:0",
        "label": "JASON HINKLE",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:anthony-wielt:1",
        "label": "ANTHONY WIELT",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:anthony-wielt:2",
        "label": "ANTHONY WIELT",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:marc-florence:3",
        "label": "MARC FLORENCE",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:clifford-morris:4",
        "label": "CLIFFORD MORRIS",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:clifford-morris:5",
        "label": "CLIFFORD MORRIS",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:william-davis:6",
        "label": "WILLIAM DAVIS",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:deaconess-health-system-inc:7",
        "label": "DEACONESS HEALTH SYSTEM INC",
        "kind": "cms_owner_or_controller",
        "evidence": "OTHER"
      },
      {
        "id": "cms-owner:amber-lipe:8",
        "label": "AMBER LIPE",
        "kind": "cms_owner_or_controller",
        "evidence": "CONTRACTED MANAGING EMPLOYEE"
      },
      {
        "id": "cms-owner:amber-lipe:9",
        "label": "AMBER LIPE",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:amber-lipe:10",
        "label": "AMBER LIPE",
        "kind": "cms_owner_or_controller",
        "evidence": "OPERATIONAL/MANAGERIAL CONTROL"
      },
      {
        "id": "cms-owner:lynn-lingafelter:11",
        "label": "LYNN LINGAFELTER",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:jeffrey-justice:12",
        "label": "JEFFREY JUSTICE",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:stephen-titzer:13",
        "label": "STEPHEN TITZER",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:stephen-titzer:14",
        "label": "STEPHEN TITZER",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:shawn-mccoy:15",
        "label": "SHAWN MCCOY",
        "kind": "cms_owner_or_controller",
        "evidence": "OTHER"
      }
    ],
    "edges": [
      {
        "id": "organization:deaconess-regional-healthcare-services-illinois-inc->facility:140184",
        "from": "organization:deaconess-regional-healthcare-services-illinois-inc",
        "to": "facility:140184",
        "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:jason-hinkle:0->facility:140184",
        "from": "cms-owner:jason-hinkle:0",
        "to": "facility:140184",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · 20% reported ownership · associated 11/01/2025"
      },
      {
        "id": "cms-owner:anthony-wielt:1->facility:140184",
        "from": "cms-owner:anthony-wielt:1",
        "to": "facility:140184",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · 100% reported ownership · associated 08/01/2023"
      },
      {
        "id": "cms-owner:anthony-wielt:2->facility:140184",
        "from": "cms-owner:anthony-wielt:2",
        "to": "facility:140184",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · 20% reported ownership · associated 08/01/2023"
      },
      {
        "id": "cms-owner:marc-florence:3->facility:140184",
        "from": "cms-owner:marc-florence:3",
        "to": "facility:140184",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · 20% reported ownership · associated 10/03/2022"
      },
      {
        "id": "cms-owner:clifford-morris:4->facility:140184",
        "from": "cms-owner:clifford-morris:4",
        "to": "facility:140184",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · 100% reported ownership · associated 08/01/2023"
      },
      {
        "id": "cms-owner:clifford-morris:5->facility:140184",
        "from": "cms-owner:clifford-morris:5",
        "to": "facility:140184",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · 20% reported ownership · associated 12/12/2022"
      },
      {
        "id": "cms-owner:william-davis:6->facility:140184",
        "from": "cms-owner:william-davis:6",
        "to": "facility:140184",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · 100% reported ownership · associated 12/01/2023"
      },
      {
        "id": "cms-owner:deaconess-health-system-inc:7->facility:140184",
        "from": "cms-owner:deaconess-health-system-inc:7",
        "to": "facility:140184",
        "relationship": "is associated with",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "OTHER · 100% reported ownership · associated 01/14/2023"
      },
      {
        "id": "cms-owner:amber-lipe:8->facility:140184",
        "from": "cms-owner:amber-lipe:8",
        "to": "facility:140184",
        "relationship": "is associated with",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CONTRACTED MANAGING EMPLOYEE · 100% reported ownership · associated 08/01/2023"
      },
      {
        "id": "cms-owner:amber-lipe:9->facility:140184",
        "from": "cms-owner:amber-lipe:9",
        "to": "facility:140184",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · 100% reported ownership · associated 08/01/2023"
      },
      {
        "id": "cms-owner:amber-lipe:10->facility:140184",
        "from": "cms-owner:amber-lipe:10",
        "to": "facility:140184",
        "relationship": "controls or manages",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "OPERATIONAL/MANAGERIAL CONTROL · 100% reported ownership · associated 08/01/2023"
      },
      {
        "id": "cms-owner:lynn-lingafelter:11->facility:140184",
        "from": "cms-owner:lynn-lingafelter:11",
        "to": "facility:140184",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · 20% reported ownership · associated 07/31/2023"
      },
      {
        "id": "cms-owner:jeffrey-justice:12->facility:140184",
        "from": "cms-owner:jeffrey-justice:12",
        "to": "facility:140184",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · 20% reported ownership · associated 12/12/2022"
      },
      {
        "id": "cms-owner:stephen-titzer:13->facility:140184",
        "from": "cms-owner:stephen-titzer:13",
        "to": "facility:140184",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · 100% reported ownership · associated 08/01/2023"
      },
      {
        "id": "cms-owner:stephen-titzer:14->facility:140184",
        "from": "cms-owner:stephen-titzer:14",
        "to": "facility:140184",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · 20% reported ownership · associated 12/12/2022"
      },
      {
        "id": "cms-owner:shawn-mccoy:15->facility:140184",
        "from": "cms-owner:shawn-mccoy:15",
        "to": "facility:140184",
        "relationship": "is associated with",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "OTHER · 100% reported ownership · associated 01/14/2023"
      }
    ],
    "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": "09/30/2023",
      "earliestValue": 96115237,
      "latestValue": 75293601,
      "absoluteChange": -20821636,
      "percentChange": -21.66319997733554,
      "unit": "USD"
    },
    {
      "metric": "operating_expense",
      "earliestPeriod": "04/30/2022",
      "latestPeriod": "09/30/2023",
      "earliestValue": 80312555,
      "latestValue": 70496488,
      "absoluteChange": -9816067,
      "percentChange": -12.222331863305806,
      "unit": "USD"
    },
    {
      "metric": "net_income",
      "earliestPeriod": "04/30/2022",
      "latestPeriod": "09/30/2023",
      "earliestValue": 17689635,
      "latestValue": 6069935,
      "absoluteChange": -11619700,
      "percentChange": -65.68648816100502,
      "unit": "USD"
    },
    {
      "metric": "total_assets",
      "earliestPeriod": "04/30/2022",
      "latestPeriod": "09/30/2023",
      "earliestValue": 80893584,
      "latestValue": 26500478,
      "absoluteChange": -54393106,
      "percentChange": -67.24032155628066,
      "unit": "USD"
    },
    {
      "metric": "total_liabilities",
      "earliestPeriod": "04/30/2022",
      "latestPeriod": "09/30/2023",
      "earliestValue": 36295769,
      "latestValue": 6237354,
      "absoluteChange": -30058415,
      "percentChange": -82.81520361229983,
      "unit": "USD"
    },
    {
      "metric": "contract_labor_direct_patient_care",
      "earliestPeriod": "04/30/2022",
      "latestPeriod": "09/30/2023",
      "earliestValue": 568104,
      "latestValue": 878702,
      "absoluteChange": 310598,
      "percentChange": 54.67273597791954,
      "unit": "USD"
    },
    {
      "metric": "fte_employees",
      "earliestPeriod": "04/30/2022",
      "latestPeriod": "09/30/2023",
      "earliestValue": 235.14,
      "latestValue": 180.5,
      "absoluteChange": -54.639999999999986,
      "percentChange": -23.237220379348468,
      "unit": "FTE"
    },
    {
      "metric": "beds",
      "earliestPeriod": "04/30/2022",
      "latestPeriod": "09/30/2023",
      "earliestValue": 94,
      "latestValue": 94,
      "absoluteChange": 0,
      "percentChange": 0,
      "unit": "beds"
    },
    {
      "metric": "patient_days",
      "earliestPeriod": "04/30/2022",
      "latestPeriod": "09/30/2023",
      "earliestValue": 6712,
      "latestValue": 5678,
      "absoluteChange": -1034,
      "percentChange": -15.40524433849821,
      "unit": "days"
    },
    {
      "metric": "discharges",
      "earliestPeriod": "04/30/2022",
      "latestPeriod": "09/30/2023",
      "earliestValue": 1865,
      "latestValue": 1563,
      "absoluteChange": -302,
      "percentChange": -16.193029490616624,
      "unit": "discharges"
    }
  ]
}
