{
  "schemaVersion": 3,
  "entityId": "170074",
  "canonicalName": "STORMONT VAIL HEALTH  FLINT HILLS",
  "status": "signal",
  "statusLabel": "Documented investment signal",
  "summary": "STORMONT VAIL HEALTH  FLINT HILLS 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": "170074",
    "npi": "1679280192",
    "historicalCcns": [],
    "aliases": [
      {
        "alias": "STORMONT VAIL HEALTH FLINT HILLS LLC",
        "alias_type": "cms_legal_name",
        "source_id": "source-cms-hospital-enrollments"
      }
    ]
  },
  "ownershipHistory": [
    {
      "relationship_id": "rel-reportedowner-170074",
      "from_entity_id": "reported owner",
      "to_entity_id": "170074",
      "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": [
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      "metric_id": "170074-net_patient_revenue-09-30-2023",
      "entity_id": "170074",
      "metric_name": "net_patient_revenue",
      "period_start": "01/01/2023",
      "period_end": "09/30/2023",
      "value": "23872133",
      "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": "170074-net_patient_revenue-12-31-2022",
      "entity_id": "170074",
      "metric_name": "net_patient_revenue",
      "period_start": "05/01/2022",
      "period_end": "12/31/2022",
      "value": "19514133",
      "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": "170074-net_patient_revenue-04-30-2022",
      "entity_id": "170074",
      "metric_name": "net_patient_revenue",
      "period_start": "05/01/2021",
      "period_end": "04/30/2022",
      "value": "35265060",
      "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": "170074-operating_expense-09-30-2023",
      "entity_id": "170074",
      "metric_name": "operating_expense",
      "period_start": "01/01/2023",
      "period_end": "09/30/2023",
      "value": "30654423",
      "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": "170074-operating_expense-12-31-2022",
      "entity_id": "170074",
      "metric_name": "operating_expense",
      "period_start": "05/01/2022",
      "period_end": "12/31/2022",
      "value": "28203536",
      "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": "170074-operating_expense-04-30-2022",
      "entity_id": "170074",
      "metric_name": "operating_expense",
      "period_start": "05/01/2021",
      "period_end": "04/30/2022",
      "value": "45166234",
      "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": "170074-net_income-09-30-2023",
      "entity_id": "170074",
      "metric_name": "net_income",
      "period_start": "01/01/2023",
      "period_end": "09/30/2023",
      "value": "3297262",
      "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": "170074-net_income-12-31-2022",
      "entity_id": "170074",
      "metric_name": "net_income",
      "period_start": "05/01/2022",
      "period_end": "12/31/2022",
      "value": "4374045",
      "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": "170074-net_income-04-30-2022",
      "entity_id": "170074",
      "metric_name": "net_income",
      "period_start": "05/01/2021",
      "period_end": "04/30/2022",
      "value": "4078601",
      "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": "170074-total_assets-09-30-2023",
      "entity_id": "170074",
      "metric_name": "total_assets",
      "period_start": "01/01/2023",
      "period_end": "09/30/2023",
      "value": "22943584",
      "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": "170074-total_assets-12-31-2022",
      "entity_id": "170074",
      "metric_name": "total_assets",
      "period_start": "05/01/2022",
      "period_end": "12/31/2022",
      "value": "37449157",
      "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": "170074-total_assets-04-30-2022",
      "entity_id": "170074",
      "metric_name": "total_assets",
      "period_start": "05/01/2021",
      "period_end": "04/30/2022",
      "value": "40043386",
      "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": "170074-total_liabilities-09-30-2023",
      "entity_id": "170074",
      "metric_name": "total_liabilities",
      "period_start": "01/01/2023",
      "period_end": "09/30/2023",
      "value": "19646322",
      "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": "170074-total_liabilities-12-31-2022",
      "entity_id": "170074",
      "metric_name": "total_liabilities",
      "period_start": "05/01/2022",
      "period_end": "12/31/2022",
      "value": "17796627",
      "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": "170074-total_liabilities-04-30-2022",
      "entity_id": "170074",
      "metric_name": "total_liabilities",
      "period_start": "05/01/2021",
      "period_end": "04/30/2022",
      "value": "23425258",
      "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": "170074-contract_labor_direct_patient_care-09-30-2023",
      "entity_id": "170074",
      "metric_name": "contract_labor_direct_patient_care",
      "period_start": "01/01/2023",
      "period_end": "09/30/2023",
      "value": "1137665",
      "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": "170074-contract_labor_direct_patient_care-12-31-2022",
      "entity_id": "170074",
      "metric_name": "contract_labor_direct_patient_care",
      "period_start": "05/01/2022",
      "period_end": "12/31/2022",
      "value": "2071457",
      "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": "170074-contract_labor_direct_patient_care-04-30-2022",
      "entity_id": "170074",
      "metric_name": "contract_labor_direct_patient_care",
      "period_start": "05/01/2021",
      "period_end": "04/30/2022",
      "value": "3117272",
      "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": "170074-fte_employees-09-30-2023",
      "entity_id": "170074",
      "metric_name": "fte_employees",
      "period_start": "01/01/2023",
      "period_end": "09/30/2023",
      "value": "135.19",
      "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": "170074-fte_employees-12-31-2022",
      "entity_id": "170074",
      "metric_name": "fte_employees",
      "period_start": "05/01/2022",
      "period_end": "12/31/2022",
      "value": "118.04",
      "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": "170074-fte_employees-04-30-2022",
      "entity_id": "170074",
      "metric_name": "fte_employees",
      "period_start": "05/01/2021",
      "period_end": "04/30/2022",
      "value": "196",
      "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": "170074-beds-09-30-2023",
      "entity_id": "170074",
      "metric_name": "beds",
      "period_start": "01/01/2023",
      "period_end": "09/30/2023",
      "value": "43",
      "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": "170074-beds-12-31-2022",
      "entity_id": "170074",
      "metric_name": "beds",
      "period_start": "05/01/2022",
      "period_end": "12/31/2022",
      "value": "43",
      "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": "170074-beds-04-30-2022",
      "entity_id": "170074",
      "metric_name": "beds",
      "period_start": "05/01/2021",
      "period_end": "04/30/2022",
      "value": "49",
      "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": "170074-patient_days-09-30-2023",
      "entity_id": "170074",
      "metric_name": "patient_days",
      "period_start": "01/01/2023",
      "period_end": "09/30/2023",
      "value": "1707",
      "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": "170074-patient_days-12-31-2022",
      "entity_id": "170074",
      "metric_name": "patient_days",
      "period_start": "05/01/2022",
      "period_end": "12/31/2022",
      "value": "1319",
      "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": "170074-patient_days-04-30-2022",
      "entity_id": "170074",
      "metric_name": "patient_days",
      "period_start": "05/01/2021",
      "period_end": "04/30/2022",
      "value": "3450",
      "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": "170074-discharges-09-30-2023",
      "entity_id": "170074",
      "metric_name": "discharges",
      "period_start": "01/01/2023",
      "period_end": "09/30/2023",
      "value": "525",
      "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": "170074-discharges-12-31-2022",
      "entity_id": "170074",
      "metric_name": "discharges",
      "period_start": "05/01/2022",
      "period_end": "12/31/2022",
      "value": "412",
      "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": "170074-discharges-04-30-2022",
      "entity_id": "170074",
      "metric_name": "discharges",
      "period_start": "05/01/2021",
      "period_end": "04/30/2022",
      "value": "769",
      "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": "STORMONT-VAIL HEALTHCARE INC",
      "role": "5% OR GREATER DIRECT OWNERSHIP INTEREST",
      "association_date": "01/01/2023",
      "percentage_ownership": "100",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "TIMOTHY SHULTZ",
      "role": "CORPORATE DIRECTOR",
      "association_date": "01/01/2021",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "TIMOTHY SHULTZ",
      "role": "W-2 MANAGING EMPLOYEE",
      "association_date": "01/01/2023",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "MARK SLYTER",
      "role": "CORPORATE OFFICER",
      "association_date": "05/15/2025",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "MARK SLYTER",
      "role": "W-2 MANAGING EMPLOYEE",
      "association_date": "05/15/2025",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "TODD LUTZ",
      "role": "CORPORATE DIRECTOR",
      "association_date": "07/27/2023",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "TODD LUTZ",
      "role": "W-2 MANAGING EMPLOYEE",
      "association_date": "07/27/2023",
      "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"
  ],
  "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:170074",
        "label": "STORMONT VAIL HEALTH  FLINT HILLS",
        "kind": "hospital",
        "evidence": "public facility record"
      },
      {
        "id": "organization:stormont-vail-healthcare-inc",
        "label": "STORMONT-VAIL HEALTHCARE INC",
        "kind": "portfolio_company_or_operator",
        "evidence": "research tracker or primary organizational source"
      },
      {
        "id": "cms-owner:stormont-vail-healthcare-inc:0",
        "label": "STORMONT-VAIL HEALTHCARE INC",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER DIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:timothy-shultz:1",
        "label": "TIMOTHY SHULTZ",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:timothy-shultz:2",
        "label": "TIMOTHY SHULTZ",
        "kind": "cms_owner_or_controller",
        "evidence": "W-2 MANAGING EMPLOYEE"
      },
      {
        "id": "cms-owner:mark-slyter:3",
        "label": "MARK SLYTER",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:mark-slyter:4",
        "label": "MARK SLYTER",
        "kind": "cms_owner_or_controller",
        "evidence": "W-2 MANAGING EMPLOYEE"
      },
      {
        "id": "cms-owner:todd-lutz:5",
        "label": "TODD LUTZ",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:todd-lutz:6",
        "label": "TODD LUTZ",
        "kind": "cms_owner_or_controller",
        "evidence": "W-2 MANAGING EMPLOYEE"
      }
    ],
    "edges": [
      {
        "id": "organization:stormont-vail-healthcare-inc->facility:170074",
        "from": "organization:stormont-vail-healthcare-inc",
        "to": "facility:170074",
        "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:stormont-vail-healthcare-inc:0->facility:170074",
        "from": "cms-owner:stormont-vail-healthcare-inc:0",
        "to": "facility:170074",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER DIRECT OWNERSHIP INTEREST · 100% reported ownership · associated 01/01/2023"
      },
      {
        "id": "cms-owner:timothy-shultz:1->facility:170074",
        "from": "cms-owner:timothy-shultz:1",
        "to": "facility:170074",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 01/01/2021"
      },
      {
        "id": "cms-owner:timothy-shultz:2->facility:170074",
        "from": "cms-owner:timothy-shultz:2",
        "to": "facility:170074",
        "relationship": "is associated with",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "W-2 MANAGING EMPLOYEE · associated 01/01/2023"
      },
      {
        "id": "cms-owner:mark-slyter:3->facility:170074",
        "from": "cms-owner:mark-slyter:3",
        "to": "facility:170074",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 05/15/2025"
      },
      {
        "id": "cms-owner:mark-slyter:4->facility:170074",
        "from": "cms-owner:mark-slyter:4",
        "to": "facility:170074",
        "relationship": "is associated with",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "W-2 MANAGING EMPLOYEE · associated 05/15/2025"
      },
      {
        "id": "cms-owner:todd-lutz:5->facility:170074",
        "from": "cms-owner:todd-lutz:5",
        "to": "facility:170074",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 07/27/2023"
      },
      {
        "id": "cms-owner:todd-lutz:6->facility:170074",
        "from": "cms-owner:todd-lutz:6",
        "to": "facility:170074",
        "relationship": "is associated with",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "W-2 MANAGING EMPLOYEE · associated 07/27/2023"
      }
    ],
    "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": 35265060,
      "latestValue": 23872133,
      "absoluteChange": -11392927,
      "percentChange": -32.306557822388505,
      "unit": "USD"
    },
    {
      "metric": "operating_expense",
      "earliestPeriod": "04/30/2022",
      "latestPeriod": "09/30/2023",
      "earliestValue": 45166234,
      "latestValue": 30654423,
      "absoluteChange": -14511811,
      "percentChange": -32.12977863064695,
      "unit": "USD"
    },
    {
      "metric": "net_income",
      "earliestPeriod": "04/30/2022",
      "latestPeriod": "09/30/2023",
      "earliestValue": 4078601,
      "latestValue": 3297262,
      "absoluteChange": -781339,
      "percentChange": -19.15703448314753,
      "unit": "USD"
    },
    {
      "metric": "total_assets",
      "earliestPeriod": "04/30/2022",
      "latestPeriod": "09/30/2023",
      "earliestValue": 40043386,
      "latestValue": 22943584,
      "absoluteChange": -17099802,
      "percentChange": -42.70318698823321,
      "unit": "USD"
    },
    {
      "metric": "total_liabilities",
      "earliestPeriod": "04/30/2022",
      "latestPeriod": "09/30/2023",
      "earliestValue": 23425258,
      "latestValue": 19646322,
      "absoluteChange": -3778936,
      "percentChange": -16.131886359586733,
      "unit": "USD"
    },
    {
      "metric": "contract_labor_direct_patient_care",
      "earliestPeriod": "04/30/2022",
      "latestPeriod": "09/30/2023",
      "earliestValue": 3117272,
      "latestValue": 1137665,
      "absoluteChange": -1979607,
      "percentChange": -63.50446800920805,
      "unit": "USD"
    },
    {
      "metric": "fte_employees",
      "earliestPeriod": "04/30/2022",
      "latestPeriod": "09/30/2023",
      "earliestValue": 196,
      "latestValue": 135.19,
      "absoluteChange": -60.81,
      "percentChange": -31.025510204081634,
      "unit": "FTE"
    },
    {
      "metric": "beds",
      "earliestPeriod": "04/30/2022",
      "latestPeriod": "09/30/2023",
      "earliestValue": 49,
      "latestValue": 43,
      "absoluteChange": -6,
      "percentChange": -12.244897959183673,
      "unit": "beds"
    },
    {
      "metric": "patient_days",
      "earliestPeriod": "04/30/2022",
      "latestPeriod": "09/30/2023",
      "earliestValue": 3450,
      "latestValue": 1707,
      "absoluteChange": -1743,
      "percentChange": -50.52173913043478,
      "unit": "days"
    },
    {
      "metric": "discharges",
      "earliestPeriod": "04/30/2022",
      "latestPeriod": "09/30/2023",
      "earliestValue": 769,
      "latestValue": 525,
      "absoluteChange": -244,
      "percentChange": -31.729518855656696,
      "unit": "discharges"
    }
  ]
}