{ "schemaVersion": 3, "entityId": "161321", "canonicalName": "AVERA MERRILL PIONEER HOSPITAL", "status": "signal", "statusLabel": "Documented investment signal", "summary": "AVERA MERRILL PIONEER 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": "161321", "npi": "1750854956", "historicalCcns": [], "aliases": [ { "alias": "AVERA MCKENNAN", "alias_type": "cms_legal_name", "source_id": "source-cms-hospital-enrollments" }, { "alias": "AVERA MERRILL PIONEER HOSPITAL", "alias_type": "cms_dba", "source_id": "source-cms-hospital-enrollments" } ] }, "ownershipHistory": [ { "relationship_id": "rel-reportedowner-161321", "from_entity_id": "reported owner", "to_entity_id": "161321", "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": "161321-net_patient_revenue-06-30-2024", "entity_id": "161321", "metric_name": "net_patient_revenue", "period_start": "07/01/2023", "period_end": "06/30/2024", "value": "10859728", "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": "161321-net_patient_revenue-06-30-2023", "entity_id": "161321", "metric_name": "net_patient_revenue", "period_start": "07/01/2022", "period_end": "06/30/2023", "value": "9069879", "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": "161321-net_patient_revenue-06-30-2022", "entity_id": "161321", "metric_name": "net_patient_revenue", "period_start": "07/01/2021", "period_end": "06/30/2022", "value": "9137059", "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": "161321-operating_expense-06-30-2024", "entity_id": "161321", "metric_name": "operating_expense", "period_start": "07/01/2023", "period_end": "06/30/2024", "value": "11586044", "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": "161321-operating_expense-06-30-2023", "entity_id": "161321", "metric_name": "operating_expense", "period_start": "07/01/2022", "period_end": "06/30/2023", "value": "9952618", "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": "161321-operating_expense-06-30-2022", "entity_id": "161321", "metric_name": "operating_expense", "period_start": "07/01/2021", "period_end": "06/30/2022", "value": "9724405", "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": "161321-net_income-06-30-2024", "entity_id": "161321", "metric_name": "net_income", "period_start": "07/01/2023", "period_end": "06/30/2024", "value": "242900", "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": "161321-net_income-06-30-2023", "entity_id": "161321", "metric_name": "net_income", "period_start": "07/01/2022", "period_end": "06/30/2023", "value": "-194919", "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": "161321-net_income-06-30-2022", "entity_id": "161321", "metric_name": "net_income", "period_start": "07/01/2021", "period_end": "06/30/2022", "value": "-142961", "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": "161321-total_assets-06-30-2024", "entity_id": "161321", "metric_name": "total_assets", "period_start": "07/01/2023", "period_end": "06/30/2024", "value": "19279945", "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": "161321-total_assets-06-30-2023", "entity_id": "161321", "metric_name": "total_assets", "period_start": "07/01/2022", "period_end": "06/30/2023", "value": "19620181", "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": "161321-total_assets-06-30-2022", "entity_id": "161321", "metric_name": "total_assets", "period_start": "07/01/2021", "period_end": "06/30/2022", "value": "19713545", "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": "161321-total_liabilities-06-30-2024", "entity_id": "161321", "metric_name": "total_liabilities", "period_start": "07/01/2023", "period_end": "06/30/2024", "value": "22079159", "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": "161321-total_liabilities-06-30-2023", "entity_id": "161321", "metric_name": "total_liabilities", "period_start": "07/01/2022", "period_end": "06/30/2023", "value": "22664814", "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": "161321-total_liabilities-06-30-2022", "entity_id": "161321", "metric_name": "total_liabilities", "period_start": "07/01/2021", "period_end": "06/30/2022", "value": "22559014", "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": "161321-fte_employees-06-30-2024", "entity_id": "161321", "metric_name": "fte_employees", "period_start": "07/01/2023", "period_end": "06/30/2024", "value": "41.91", "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": "161321-fte_employees-06-30-2023", "entity_id": "161321", "metric_name": "fte_employees", "period_start": "07/01/2022", "period_end": "06/30/2023", "value": "41.63", "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": "161321-fte_employees-06-30-2022", "entity_id": "161321", "metric_name": "fte_employees", "period_start": "07/01/2021", "period_end": "06/30/2022", "value": "43.79", "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": "161321-beds-06-30-2024", "entity_id": "161321", "metric_name": "beds", "period_start": "07/01/2023", "period_end": "06/30/2024", "value": "11", "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": "161321-beds-06-30-2023", "entity_id": "161321", "metric_name": "beds", "period_start": "07/01/2022", "period_end": "06/30/2023", "value": "11", "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": "161321-beds-06-30-2022", "entity_id": "161321", "metric_name": "beds", "period_start": "07/01/2021", "period_end": "06/30/2022", "value": "11", "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": "161321-patient_days-06-30-2024", "entity_id": "161321", "metric_name": "patient_days", "period_start": "07/01/2023", "period_end": "06/30/2024", "value": "636", "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": "161321-patient_days-06-30-2023", "entity_id": "161321", "metric_name": "patient_days", "period_start": "07/01/2022", "period_end": "06/30/2023", "value": "597", "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": "161321-patient_days-06-30-2022", "entity_id": "161321", "metric_name": "patient_days", "period_start": "07/01/2021", "period_end": "06/30/2022", "value": "653", "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": "161321-discharges-06-30-2024", "entity_id": "161321", "metric_name": "discharges", "period_start": "07/01/2023", "period_end": "06/30/2024", "value": "64", "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": "161321-discharges-06-30-2023", "entity_id": "161321", "metric_name": "discharges", "period_start": "07/01/2022", "period_end": "06/30/2023", "value": "74", "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": "161321-discharges-06-30-2022", "entity_id": "161321", "metric_name": "discharges", "period_start": "07/01/2021", "period_end": "06/30/2022", "value": "115", "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": "ALISA REINDL", "role": "CORPORATE DIRECTOR", "association_date": "07/01/2021", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "JAMES DOVER", "role": "CORPORATE OFFICER", "association_date": "10/23/2023", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "VAN FISHBACK", "role": "CORPORATE DIRECTOR", "association_date": "05/01/2019", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "CANDYCE CHRYSTAL", "role": "CORPORATE DIRECTOR", "association_date": "07/01/2023", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "CRAIG HOHN", "role": "W-2 MANAGING EMPLOYEE", "association_date": "05/01/2019", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "HARRIET YOCUM", "role": "CORPORATE DIRECTOR", "association_date": "07/01/2021", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "JENNIFER BUNKERS", "role": "CORPORATE DIRECTOR", "association_date": "07/01/2021", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "RANDY KNECHT", "role": "CORPORATE DIRECTOR", "association_date": "05/01/2019", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "JOSEPH BIEGLER", "role": "CORPORATE DIRECTOR", "association_date": "05/01/2019", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "JAWAD NAZIR", "role": "CORPORATE DIRECTOR", "association_date": "07/01/2020", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "LUCILLE WELBIG", "role": "CORPORATE DIRECTOR", "association_date": "05/01/2019", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "JOSEPH COSTELLO", "role": "CORPORATE DIRECTOR", "association_date": "05/01/2019", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "AMANDA SCHUTZ", "role": "CORPORATE OFFICER", "association_date": "06/15/2018", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "LAURIE KNUTSON", "role": "CORPORATE DIRECTOR", "association_date": "05/01/2019", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "BRENDA KALLEMEYN", "role": "CORPORATE DIRECTOR", "association_date": "07/01/2023", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "JENNIFER KIRBY", "role": "CORPORATE DIRECTOR", "association_date": "07/01/2020", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "ALEJANDRO RAMIREZ", "role": "CORPORATE DIRECTOR", "association_date": "05/01/2019", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "RONALD PLACE", "role": "CORPORATE OFFICER", "association_date": "06/05/2023", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "RONALD PLACE", "role": "OPERATIONAL/MANAGERIAL CONTROL", "association_date": "06/05/2023", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "JULIE LAUTT", "role": "CORPORATE OFFICER", "association_date": "03/01/2020", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "MARY CURRAN", "role": "CORPORATE DIRECTOR", "association_date": "05/01/2019", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "AVERA HEALTH", "role": "5% OR GREATER DIRECT OWNERSHIP INTEREST", "association_date": "05/01/2019", "percentage_ownership": "100", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "ROXANNE SEIFERT", "role": "CORPORATE DIRECTOR", "association_date": "07/01/2022", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "JEFFREY GORDON", "role": "CORPORATE DIRECTOR", "association_date": "07/01/2023", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "CRISTINA HILL JENSEN", "role": "CORPORATE DIRECTOR", "association_date": "05/01/2019", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false }, { "organization": "BENJAMIN SOLOMON", "role": "CORPORATE DIRECTOR", "association_date": "07/01/2022", "percentage_ownership": "", "investment_firm": false, "private_equity_company": false, "holding_company": false, "management_services_company": false, "medical_staffing_company": false } ], "directConnections": [], "actions": [], "contradictions": [], "limitations": [ "CMS corroborates an enrolled ownership chain, but its owner names do not independently reproduce every sponsor or portfolio-company name from the tracker.", "The investment signal does not establish completed private-equity ownership or a pending sale." ], "unavailableFields": [ "Precise acquisition date", "Official facility URL" ], "sources": [ { "source_id": "source-hifld-hospitals", "title": "Hospitals RAPT", "publisher": "Homeland Infrastructure Foundation-Level Data", "publication_date": "current public layer", "retrieved_at": "2026-06-22", "url": "https://hifld-geoplatform.hub.arcgis.com/datasets/geoplatform::hospitals/about", "reliability_tier": "government", "research_note": "Used for facility location and basic identity context; it does not establish private-equity ownership.", "source_type": "public_record" }, { "source_id": "source-pesp-hospital-tracker", "title": "Private Equity Hospital Tracker", "publisher": "Private Equity Stakeholder Project", "publication_date": "2026-04-03 snapshot", "retrieved_at": "2026-06-22", "url": "https://pestakeholder.org/private-equity-hospital-tracker/", "reliability_tier": "research", "research_note": "Discovery and ownership-chain baseline. A red public status also requires independent corroboration in this dossier.", "source_type": "public_record" }, { "source_id": "source-cms-hospital-enrollments", "title": "Hospital Enrollments", "publisher": "Centers for Medicare & Medicaid Services", "publication_date": "2026-05-01", "retrieved_at": "2026-06-22", "url": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments", "reliability_tier": "government", "research_note": "Used to corroborate current enrollment identity, legal name, DBA, CCN, NPI, and location.", "source_type": "public_record" }, { "source_id": "source-cms-hospital-all-owners", "title": "Hospital All Owners", "publisher": "Centers for Medicare & Medicaid Services", "publication_date": "2026-05-01", "retrieved_at": "2026-06-22", "url": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners", "reliability_tier": "government", "research_note": "Used to corroborate direct or indirect ownership, control, holding-company, investment-firm, and security-interest records.", "source_type": "public_record" }, { "source_id": "source-cms-hcris", "title": "Hospital Provider Cost Reports", "publisher": "Centers for Medicare & Medicaid Services", "publication_date": "2015–2024", "retrieved_at": "2026-06-22", "url": "https://data.cms.gov/provider-compliance/cost-reports/hospital-provider-cost-report", "reliability_tier": "government", "research_note": "Financial, staffing, and utilization values. These descriptive measures do not establish causation.", "source_type": "public_record" }, { "source_id": "source-cms-care-compare", "title": "Hospital General Information", "publisher": "Centers for Medicare & Medicaid Services", "publication_date": "2026", "retrieved_at": "2026-06-22", "url": "https://data.cms.gov/provider-data/dataset/xubh-q36u", "reliability_tier": "government", "research_note": "Used for current facility identity, hospital type, ownership category, and overall rating when available.", "source_type": "public_record" } ], "ownershipChain": { "model": "Sponsor, operator, CMS legal-owner/control records, and facility are shown as separate evidence layers.", "confidence": "medium", "nodes": [ { "id": "facility:161321", "label": "AVERA MERRILL PIONEER HOSPITAL", "kind": "hospital", "evidence": "public facility record" }, { "id": "organization:avera-health", "label": "AVERA HEALTH", "kind": "portfolio_company_or_operator", "evidence": "research tracker or primary organizational source" }, { "id": "cms-owner:alisa-reindl:0", "label": "ALISA REINDL", "kind": "cms_owner_or_controller", "evidence": "CORPORATE DIRECTOR" }, { "id": "cms-owner:james-dover:1", "label": "JAMES DOVER", "kind": "cms_owner_or_controller", "evidence": "CORPORATE OFFICER" }, { "id": "cms-owner:van-fishback:2", "label": "VAN FISHBACK", "kind": "cms_owner_or_controller", "evidence": "CORPORATE DIRECTOR" }, { "id": "cms-owner:candyce-chrystal:3", "label": "CANDYCE CHRYSTAL", "kind": "cms_owner_or_controller", "evidence": "CORPORATE DIRECTOR" }, { "id": "cms-owner:craig-hohn:4", "label": "CRAIG HOHN", "kind": "cms_owner_or_controller", "evidence": "W-2 MANAGING EMPLOYEE" }, { "id": "cms-owner:harriet-yocum:5", "label": "HARRIET YOCUM", "kind": "cms_owner_or_controller", "evidence": "CORPORATE DIRECTOR" }, { "id": "cms-owner:jennifer-bunkers:6", "label": "JENNIFER BUNKERS", "kind": "cms_owner_or_controller", "evidence": "CORPORATE DIRECTOR" }, { "id": "cms-owner:randy-knecht:7", "label": "RANDY KNECHT", "kind": "cms_owner_or_controller", "evidence": "CORPORATE DIRECTOR" }, { "id": "cms-owner:joseph-biegler:8", "label": "JOSEPH BIEGLER", "kind": "cms_owner_or_controller", "evidence": "CORPORATE DIRECTOR" }, { "id": "cms-owner:jawad-nazir:9", "label": "JAWAD NAZIR", "kind": "cms_owner_or_controller", "evidence": "CORPORATE DIRECTOR" }, { "id": "cms-owner:lucille-welbig:10", "label": "LUCILLE WELBIG", "kind": "cms_owner_or_controller", "evidence": "CORPORATE DIRECTOR" }, { "id": "cms-owner:joseph-costello:11", "label": "JOSEPH COSTELLO", "kind": "cms_owner_or_controller", "evidence": "CORPORATE DIRECTOR" }, { "id": "cms-owner:amanda-schutz:12", "label": "AMANDA SCHUTZ", "kind": "cms_owner_or_controller", "evidence": "CORPORATE OFFICER" }, { "id": "cms-owner:laurie-knutson:13", "label": "LAURIE KNUTSON", "kind": "cms_owner_or_controller", "evidence": "CORPORATE DIRECTOR" }, { "id": "cms-owner:brenda-kallemeyn:14", "label": "BRENDA KALLEMEYN", "kind": "cms_owner_or_controller", "evidence": "CORPORATE DIRECTOR" }, { "id": "cms-owner:jennifer-kirby:15", "label": "JENNIFER KIRBY", "kind": "cms_owner_or_controller", "evidence": "CORPORATE DIRECTOR" } ], "edges": [ { "id": "organization:avera-health->facility:161321", "from": "organization:avera-health", "to": "facility:161321", "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:alisa-reindl:0->facility:161321", "from": "cms-owner:alisa-reindl:0", "to": "facility:161321", "relationship": "governs", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "CORPORATE DIRECTOR · associated 07/01/2021" }, { "id": "cms-owner:james-dover:1->facility:161321", "from": "cms-owner:james-dover:1", "to": "facility:161321", "relationship": "governs", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "CORPORATE OFFICER · associated 10/23/2023" }, { "id": "cms-owner:van-fishback:2->facility:161321", "from": "cms-owner:van-fishback:2", "to": "facility:161321", "relationship": "governs", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "CORPORATE DIRECTOR · associated 05/01/2019" }, { "id": "cms-owner:candyce-chrystal:3->facility:161321", "from": "cms-owner:candyce-chrystal:3", "to": "facility:161321", "relationship": "governs", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "CORPORATE DIRECTOR · associated 07/01/2023" }, { "id": "cms-owner:craig-hohn:4->facility:161321", "from": "cms-owner:craig-hohn:4", "to": "facility:161321", "relationship": "is associated with", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "W-2 MANAGING EMPLOYEE · associated 05/01/2019" }, { "id": "cms-owner:harriet-yocum:5->facility:161321", "from": "cms-owner:harriet-yocum:5", "to": "facility:161321", "relationship": "governs", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "CORPORATE DIRECTOR · associated 07/01/2021" }, { "id": "cms-owner:jennifer-bunkers:6->facility:161321", "from": "cms-owner:jennifer-bunkers:6", "to": "facility:161321", "relationship": "governs", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "CORPORATE DIRECTOR · associated 07/01/2021" }, { "id": "cms-owner:randy-knecht:7->facility:161321", "from": "cms-owner:randy-knecht:7", "to": "facility:161321", "relationship": "governs", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "CORPORATE DIRECTOR · associated 05/01/2019" }, { "id": "cms-owner:joseph-biegler:8->facility:161321", "from": "cms-owner:joseph-biegler:8", "to": "facility:161321", "relationship": "governs", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "CORPORATE DIRECTOR · associated 05/01/2019" }, { "id": "cms-owner:jawad-nazir:9->facility:161321", "from": "cms-owner:jawad-nazir:9", "to": "facility:161321", "relationship": "governs", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "CORPORATE DIRECTOR · associated 07/01/2020" }, { "id": "cms-owner:lucille-welbig:10->facility:161321", "from": "cms-owner:lucille-welbig:10", "to": "facility:161321", "relationship": "governs", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "CORPORATE DIRECTOR · associated 05/01/2019" }, { "id": "cms-owner:joseph-costello:11->facility:161321", "from": "cms-owner:joseph-costello:11", "to": "facility:161321", "relationship": "governs", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "CORPORATE DIRECTOR · associated 05/01/2019" }, { "id": "cms-owner:amanda-schutz:12->facility:161321", "from": "cms-owner:amanda-schutz:12", "to": "facility:161321", "relationship": "governs", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "CORPORATE OFFICER · associated 06/15/2018" }, { "id": "cms-owner:laurie-knutson:13->facility:161321", "from": "cms-owner:laurie-knutson:13", "to": "facility:161321", "relationship": "governs", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "CORPORATE DIRECTOR · associated 05/01/2019" }, { "id": "cms-owner:brenda-kallemeyn:14->facility:161321", "from": "cms-owner:brenda-kallemeyn:14", "to": "facility:161321", "relationship": "governs", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "CORPORATE DIRECTOR · associated 07/01/2023" }, { "id": "cms-owner:jennifer-kirby:15->facility:161321", "from": "cms-owner:jennifer-kirby:15", "to": "facility:161321", "relationship": "governs", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners" ], "note": "CORPORATE DIRECTOR · associated 07/01/2020" } ], "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": "06/30/2022", "latestPeriod": "06/30/2024", "earliestValue": 9137059, "latestValue": 10859728, "absoluteChange": 1722669, "percentChange": 18.853648641209386, "unit": "USD" }, { "metric": "operating_expense", "earliestPeriod": "06/30/2022", "latestPeriod": "06/30/2024", "earliestValue": 9724405, "latestValue": 11586044, "absoluteChange": 1861639, "percentChange": 19.14398875818109, "unit": "USD" }, { "metric": "net_income", "earliestPeriod": "06/30/2022", "latestPeriod": "06/30/2024", "earliestValue": -142961, "latestValue": 242900, "absoluteChange": 385861, "percentChange": 269.9064779905009, "unit": "USD" }, { "metric": "total_assets", "earliestPeriod": "06/30/2022", "latestPeriod": "06/30/2024", "earliestValue": 19713545, "latestValue": 19279945, "absoluteChange": -433600, "percentChange": -2.1995029305992406, "unit": "USD" }, { "metric": "total_liabilities", "earliestPeriod": "06/30/2022", "latestPeriod": "06/30/2024", "earliestValue": 22559014, "latestValue": 22079159, "absoluteChange": -479855, "percentChange": -2.1271098107390687, "unit": "USD" }, { "metric": "fte_employees", "earliestPeriod": "06/30/2022", "latestPeriod": "06/30/2024", "earliestValue": 43.79, "latestValue": 41.91, "absoluteChange": -1.8800000000000026, "percentChange": -4.293217629595804, "unit": "FTE" }, { "metric": "beds", "earliestPeriod": "06/30/2022", "latestPeriod": "06/30/2024", "earliestValue": 11, "latestValue": 11, "absoluteChange": 0, "percentChange": 0, "unit": "beds" }, { "metric": "patient_days", "earliestPeriod": "06/30/2022", "latestPeriod": "06/30/2024", "earliestValue": 653, "latestValue": 636, "absoluteChange": -17, "percentChange": -2.6033690658499236, "unit": "days" }, { "metric": "discharges", "earliestPeriod": "06/30/2022", "latestPeriod": "06/30/2024", "earliestValue": 115, "latestValue": 64, "absoluteChange": -51, "percentChange": -44.34782608695652, "unit": "discharges" } ] }