{
  "schemaVersion": 3,
  "entityId": "180066",
  "canonicalName": "THE MEDICAL CENTER AT RUSSELLVILLE",
  "status": "confirmed_pe",
  "statusLabel": "CMS-corroborated PE ownership record",
  "summary": "THE MEDICAL CENTER AT RUSSELLVILLE is listed in the April 3, 2026 PE hospital tracker and matches current CMS enrollment and owner records for BOWLING GREEN-WARREN COUNTY COMMUNITY HOSPITAL CORPORATION. The dossier distinguishes the enrolled legal owner from the broader sponsor and portfolio-company chain.",
  "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": "180066",
    "npi": "1124868963",
    "historicalCcns": [],
    "aliases": [
      {
        "alias": "BOWLING GREEN-WARREN COUNTY COMMUNITY HOSPITAL CORPORATION",
        "alias_type": "cms_legal_name",
        "source_id": "source-cms-hospital-enrollments"
      },
      {
        "alias": "THE MEDICAL CENTER AT RUSSELLVILLE",
        "alias_type": "cms_dba",
        "source_id": "source-cms-hospital-enrollments"
      }
    ]
  },
  "ownershipHistory": [
    {
      "relationship_id": "rel-scionhealth-180066",
      "from_entity_id": "ScionHealth",
      "to_entity_id": "180066",
      "relationship_type": "owns",
      "effective_date": "November 2018",
      "end_date": "",
      "announcement_date": "",
      "status": "confirmed",
      "confidence": "medium",
      "source_ids": "source-cms-hospital-all-owners|source-pesp-hospital-tracker",
      "plain_english_summary": "The tracker identifies ScionHealth in the PE ownership chain, and CMS supplies current enrolled-owner records for the facility.",
      "review_notes": "CMS corroborates the current enrolled ownership chain; the sponsor attribution comes from the research tracker."
    }
  ],
  "acquisitionEvents": [
    {
      "date": "November 2018",
      "title": "Acquisition date reported",
      "detail": "Date supplied by the April 3, 2026 PE hospital tracker snapshot.",
      "sourceIds": [
        "source-pesp-hospital-tracker"
      ]
    }
  ],
  "financialAndUtilizationSeries": [
    {
      "metric_id": "180066-net_patient_revenue-02-29-2024",
      "entity_id": "180066",
      "metric_name": "net_patient_revenue",
      "period_start": "03/01/2023",
      "period_end": "02/29/2024",
      "value": "29049281",
      "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": "180066-net_patient_revenue-02-28-2023",
      "entity_id": "180066",
      "metric_name": "net_patient_revenue",
      "period_start": "03/01/2022",
      "period_end": "02/28/2023",
      "value": "22088748",
      "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": "180066-net_patient_revenue-02-28-2022",
      "entity_id": "180066",
      "metric_name": "net_patient_revenue",
      "period_start": "03/01/2021",
      "period_end": "02/28/2022",
      "value": "22362634",
      "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": "180066-operating_expense-02-29-2024",
      "entity_id": "180066",
      "metric_name": "operating_expense",
      "period_start": "03/01/2023",
      "period_end": "02/29/2024",
      "value": "34878123",
      "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": "180066-operating_expense-02-28-2023",
      "entity_id": "180066",
      "metric_name": "operating_expense",
      "period_start": "03/01/2022",
      "period_end": "02/28/2023",
      "value": "22053122",
      "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": "180066-operating_expense-02-28-2022",
      "entity_id": "180066",
      "metric_name": "operating_expense",
      "period_start": "03/01/2021",
      "period_end": "02/28/2022",
      "value": "25269705",
      "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": "180066-net_income-02-29-2024",
      "entity_id": "180066",
      "metric_name": "net_income",
      "period_start": "03/01/2023",
      "period_end": "02/29/2024",
      "value": "-5521590",
      "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": "180066-net_income-02-28-2023",
      "entity_id": "180066",
      "metric_name": "net_income",
      "period_start": "03/01/2022",
      "period_end": "02/28/2023",
      "value": "258778",
      "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": "180066-net_income-02-28-2022",
      "entity_id": "180066",
      "metric_name": "net_income",
      "period_start": "03/01/2021",
      "period_end": "02/28/2022",
      "value": "-2195793",
      "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": "180066-total_assets-02-29-2024",
      "entity_id": "180066",
      "metric_name": "total_assets",
      "period_start": "03/01/2023",
      "period_end": "02/29/2024",
      "value": "15374404",
      "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": "180066-total_assets-02-28-2023",
      "entity_id": "180066",
      "metric_name": "total_assets",
      "period_start": "03/01/2022",
      "period_end": "02/28/2023",
      "value": "14150427",
      "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": "180066-total_assets-02-28-2022",
      "entity_id": "180066",
      "metric_name": "total_assets",
      "period_start": "03/01/2021",
      "period_end": "02/28/2022",
      "value": "11474501",
      "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": "180066-total_liabilities-02-29-2024",
      "entity_id": "180066",
      "metric_name": "total_liabilities",
      "period_start": "03/01/2023",
      "period_end": "02/29/2024",
      "value": "-54564651",
      "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": "180066-total_liabilities-02-28-2023",
      "entity_id": "180066",
      "metric_name": "total_liabilities",
      "period_start": "03/01/2022",
      "period_end": "02/28/2023",
      "value": "-30132200",
      "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": "180066-total_liabilities-02-28-2022",
      "entity_id": "180066",
      "metric_name": "total_liabilities",
      "period_start": "03/01/2021",
      "period_end": "02/28/2022",
      "value": "-32480211",
      "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": "180066-contract_labor_direct_patient_care-02-29-2024",
      "entity_id": "180066",
      "metric_name": "contract_labor_direct_patient_care",
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      "period_end": "02/29/2024",
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      "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": "180066-contract_labor_direct_patient_care-02-28-2023",
      "entity_id": "180066",
      "metric_name": "contract_labor_direct_patient_care",
      "period_start": "03/01/2022",
      "period_end": "02/28/2023",
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      "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": "180066-contract_labor_direct_patient_care-02-28-2022",
      "entity_id": "180066",
      "metric_name": "contract_labor_direct_patient_care",
      "period_start": "03/01/2021",
      "period_end": "02/28/2022",
      "value": "532125",
      "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": "180066-fte_employees-02-29-2024",
      "entity_id": "180066",
      "metric_name": "fte_employees",
      "period_start": "03/01/2023",
      "period_end": "02/29/2024",
      "value": "156.28",
      "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": "180066-fte_employees-02-28-2023",
      "entity_id": "180066",
      "metric_name": "fte_employees",
      "period_start": "03/01/2022",
      "period_end": "02/28/2023",
      "value": "124.53",
      "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": "180066-fte_employees-02-28-2022",
      "entity_id": "180066",
      "metric_name": "fte_employees",
      "period_start": "03/01/2021",
      "period_end": "02/28/2022",
      "value": "141.44",
      "unit": "FTE",
      "better_when": "context_dependent",
      "source_id": "source-cms-hcris",
      "methodology_note": "Hospital Provider Cost Report value. Compare only like fields and compatible fiscal periods; no causal inference is implied.",
      "comparable_to_prior": "review_required"
    },
    {
      "metric_id": "180066-beds-02-29-2024",
      "entity_id": "180066",
      "metric_name": "beds",
      "period_start": "03/01/2023",
      "period_end": "02/29/2024",
      "value": "37",
      "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": "180066-beds-02-28-2023",
      "entity_id": "180066",
      "metric_name": "beds",
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      "period_end": "02/28/2023",
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      "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": "180066-beds-02-28-2022",
      "entity_id": "180066",
      "metric_name": "beds",
      "period_start": "03/01/2021",
      "period_end": "02/28/2022",
      "value": "75",
      "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": "180066-patient_days-02-29-2024",
      "entity_id": "180066",
      "metric_name": "patient_days",
      "period_start": "03/01/2023",
      "period_end": "02/29/2024",
      "value": "2008",
      "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": "180066-patient_days-02-28-2023",
      "entity_id": "180066",
      "metric_name": "patient_days",
      "period_start": "03/01/2022",
      "period_end": "02/28/2023",
      "value": "1736",
      "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": "180066-patient_days-02-28-2022",
      "entity_id": "180066",
      "metric_name": "patient_days",
      "period_start": "03/01/2021",
      "period_end": "02/28/2022",
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      "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"
    },
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      "entity_id": "180066",
      "metric_name": "discharges",
      "period_start": "03/01/2023",
      "period_end": "02/29/2024",
      "value": "398",
      "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": "180066-discharges-02-28-2023",
      "entity_id": "180066",
      "metric_name": "discharges",
      "period_start": "03/01/2022",
      "period_end": "02/28/2023",
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      "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"
    },
    {
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      "entity_id": "180066",
      "metric_name": "discharges",
      "period_start": "03/01/2021",
      "period_end": "02/28/2022",
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      "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": "ELI JACKSON",
      "role": "CORPORATE DIRECTOR",
      "association_date": "07/01/2024",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
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      "association_date": "07/01/2024",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
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      "role": "W-2 MANAGING EMPLOYEE",
      "association_date": "07/01/2024",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
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      "role": "CORPORATE DIRECTOR",
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      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
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      "association_date": "07/01/2024",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
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      "role": "CORPORATE DIRECTOR",
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      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
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      "medical_staffing_company": false
    },
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      "association_date": "07/01/2024",
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    },
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      "investment_firm": false,
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    },
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      "association_date": "07/01/2024",
      "percentage_ownership": "",
      "investment_firm": false,
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      "holding_company": false,
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      "medical_staffing_company": false
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      "percentage_ownership": "",
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      "investment_firm": false,
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      "investment_firm": false,
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    {
      "organization": "CONNIE SMITH",
      "role": "CORPORATE OFFICER",
      "association_date": "07/01/2024",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "CONNIE SMITH",
      "role": "W-2 MANAGING EMPLOYEE",
      "association_date": "07/01/2024",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "JACKIE POPE-TARRENCE",
      "role": "CORPORATE DIRECTOR",
      "association_date": "07/01/2024",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "MICHAEL THURMOND",
      "role": "CORPORATE DIRECTOR",
      "association_date": "07/01/2024",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "KATRINA WOOD",
      "role": "CORPORATE OFFICER",
      "association_date": "07/01/2024",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "KATRINA WOOD",
      "role": "W-2 MANAGING EMPLOYEE",
      "association_date": "07/01/2024",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "WILLIAM MOSS",
      "role": "CORPORATE DIRECTOR",
      "association_date": "07/01/2024",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "MOHAMMED KAZIMUDDIN",
      "role": "CORPORATE DIRECTOR",
      "association_date": "07/01/2024",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "DAVID GRAY",
      "role": "CORPORATE OFFICER",
      "association_date": "07/01/2024",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "DAVID GRAY",
      "role": "W-2 MANAGING EMPLOYEE",
      "association_date": "07/01/2024",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    }
  ],
  "directConnections": [
    "Reported parent system or portfolio company: ScionHealth.",
    "Reported investment sponsor: Apollo Global Management."
  ],
  "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."
  ],
  "unavailableFields": [
    "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:180066",
        "label": "THE MEDICAL CENTER AT RUSSELLVILLE",
        "kind": "hospital",
        "evidence": "public facility record"
      },
      {
        "id": "organization:apollo-global-management",
        "label": "Apollo Global Management",
        "kind": "pe_sponsor",
        "evidence": "research tracker or primary portfolio source"
      },
      {
        "id": "organization:commonwealth-health-corporation-inc",
        "label": "COMMONWEALTH HEALTH CORPORATION, INC.",
        "kind": "portfolio_company_or_operator",
        "evidence": "research tracker or primary organizational source"
      },
      {
        "id": "cms-owner:eli-jackson:0",
        "label": "ELI JACKSON",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:wade-stone:1",
        "label": "WADE STONE",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:wade-stone:2",
        "label": "WADE STONE",
        "kind": "cms_owner_or_controller",
        "evidence": "W-2 MANAGING EMPLOYEE"
      },
      {
        "id": "cms-owner:paul-cook:3",
        "label": "PAUL COOK",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:janet-johnson:4",
        "label": "JANET JOHNSON",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:joe-natcher:5",
        "label": "JOE NATCHER",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:commonwealth-health-corporation-inc:6",
        "label": "COMMONWEALTH HEALTH CORPORATION, INC.",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER DIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:william-borders:7",
        "label": "WILLIAM BORDERS",
        "kind": "cms_owner_or_controller",
        "evidence": "W-2 MANAGING EMPLOYEE"
      },
      {
        "id": "cms-owner:douglas-thomson:8",
        "label": "DOUGLAS THOMSON",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:cathy-bishop:9",
        "label": "CATHY BISHOP",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:donna-blackburn:10",
        "label": "DONNA BLACKBURN",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:michele-lawless:11",
        "label": "MICHELE LAWLESS",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:michele-lawless:12",
        "label": "MICHELE LAWLESS",
        "kind": "cms_owner_or_controller",
        "evidence": "W-2 MANAGING EMPLOYEE"
      },
      {
        "id": "cms-owner:thomas-loving:13",
        "label": "THOMAS LOVING",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:connie-smith:14",
        "label": "CONNIE SMITH",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      }
    ],
    "edges": [
      {
        "id": "organization:apollo-global-management->organization:commonwealth-health-corporation-inc",
        "from": "organization:apollo-global-management",
        "to": "organization:commonwealth-health-corporation-inc",
        "relationship": "sponsors",
        "confidence": "medium",
        "sourceIds": [
          "source-cms-hospital-all-owners",
          "source-pesp-hospital-tracker"
        ],
        "note": "The tracker supplies the sponsor-to-platform attribution; CMS does not independently reproduce every sponsor name."
      },
      {
        "id": "organization:commonwealth-health-corporation-inc->facility:180066",
        "from": "organization:commonwealth-health-corporation-inc",
        "to": "facility:180066",
        "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:eli-jackson:0->facility:180066",
        "from": "cms-owner:eli-jackson:0",
        "to": "facility:180066",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 07/01/2024"
      },
      {
        "id": "cms-owner:wade-stone:1->facility:180066",
        "from": "cms-owner:wade-stone:1",
        "to": "facility:180066",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 07/01/2024"
      },
      {
        "id": "cms-owner:wade-stone:2->facility:180066",
        "from": "cms-owner:wade-stone:2",
        "to": "facility:180066",
        "relationship": "is associated with",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "W-2 MANAGING EMPLOYEE · associated 07/01/2024"
      },
      {
        "id": "cms-owner:paul-cook:3->facility:180066",
        "from": "cms-owner:paul-cook:3",
        "to": "facility:180066",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 07/01/2024"
      },
      {
        "id": "cms-owner:janet-johnson:4->facility:180066",
        "from": "cms-owner:janet-johnson:4",
        "to": "facility:180066",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 07/01/2024"
      },
      {
        "id": "cms-owner:joe-natcher:5->facility:180066",
        "from": "cms-owner:joe-natcher:5",
        "to": "facility:180066",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 07/01/2024"
      },
      {
        "id": "cms-owner:commonwealth-health-corporation-inc:6->facility:180066",
        "from": "cms-owner:commonwealth-health-corporation-inc:6",
        "to": "facility:180066",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER DIRECT OWNERSHIP INTEREST · 100% reported ownership · associated 07/01/2024"
      },
      {
        "id": "cms-owner:william-borders:7->facility:180066",
        "from": "cms-owner:william-borders:7",
        "to": "facility:180066",
        "relationship": "is associated with",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "W-2 MANAGING EMPLOYEE · associated 07/01/2024"
      },
      {
        "id": "cms-owner:douglas-thomson:8->facility:180066",
        "from": "cms-owner:douglas-thomson:8",
        "to": "facility:180066",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 07/01/2024"
      },
      {
        "id": "cms-owner:cathy-bishop:9->facility:180066",
        "from": "cms-owner:cathy-bishop:9",
        "to": "facility:180066",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 07/01/2024"
      },
      {
        "id": "cms-owner:donna-blackburn:10->facility:180066",
        "from": "cms-owner:donna-blackburn:10",
        "to": "facility:180066",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 07/01/2024"
      },
      {
        "id": "cms-owner:michele-lawless:11->facility:180066",
        "from": "cms-owner:michele-lawless:11",
        "to": "facility:180066",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 07/01/2024"
      },
      {
        "id": "cms-owner:michele-lawless:12->facility:180066",
        "from": "cms-owner:michele-lawless:12",
        "to": "facility:180066",
        "relationship": "is associated with",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "W-2 MANAGING EMPLOYEE · associated 07/01/2024"
      },
      {
        "id": "cms-owner:thomas-loving:13->facility:180066",
        "from": "cms-owner:thomas-loving:13",
        "to": "facility:180066",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 07/01/2024"
      },
      {
        "id": "cms-owner:connie-smith:14->facility:180066",
        "from": "cms-owner:connie-smith:14",
        "to": "facility:180066",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 07/01/2024"
      }
    ],
    "caveats": [
      "CMS owner rows establish enrolled legal ownership or control roles; they do not always name the ultimate financial sponsor.",
      "Sponsor and portfolio-company labels come from the cited tracker or primary portfolio evidence."
    ]
  },
  "descriptiveTrends": [
    {
      "metric": "net_patient_revenue",
      "earliestPeriod": "02/28/2022",
      "latestPeriod": "02/29/2024",
      "earliestValue": 22362634,
      "latestValue": 29049281,
      "absoluteChange": 6686647,
      "percentChange": 29.900981252923962,
      "unit": "USD"
    },
    {
      "metric": "operating_expense",
      "earliestPeriod": "02/28/2022",
      "latestPeriod": "02/29/2024",
      "earliestValue": 25269705,
      "latestValue": 34878123,
      "absoluteChange": 9608418,
      "percentChange": 38.023467230820465,
      "unit": "USD"
    },
    {
      "metric": "net_income",
      "earliestPeriod": "02/28/2022",
      "latestPeriod": "02/29/2024",
      "earliestValue": -2195793,
      "latestValue": -5521590,
      "absoluteChange": -3325797,
      "percentChange": -151.46222799690133,
      "unit": "USD"
    },
    {
      "metric": "total_assets",
      "earliestPeriod": "02/28/2022",
      "latestPeriod": "02/29/2024",
      "earliestValue": 11474501,
      "latestValue": 15374404,
      "absoluteChange": 3899903,
      "percentChange": 33.98756076625903,
      "unit": "USD"
    },
    {
      "metric": "total_liabilities",
      "earliestPeriod": "02/28/2022",
      "latestPeriod": "02/29/2024",
      "earliestValue": -32480211,
      "latestValue": -54564651,
      "absoluteChange": -22084440,
      "percentChange": -67.9935238105442,
      "unit": "USD"
    },
    {
      "metric": "contract_labor_direct_patient_care",
      "earliestPeriod": "02/28/2022",
      "latestPeriod": "02/29/2024",
      "earliestValue": 532125,
      "latestValue": 44621,
      "absoluteChange": -487504,
      "percentChange": -91.61456424712239,
      "unit": "USD"
    },
    {
      "metric": "fte_employees",
      "earliestPeriod": "02/28/2022",
      "latestPeriod": "02/29/2024",
      "earliestValue": 141.44,
      "latestValue": 156.28,
      "absoluteChange": 14.840000000000003,
      "percentChange": 10.492081447963804,
      "unit": "FTE"
    },
    {
      "metric": "beds",
      "earliestPeriod": "02/28/2022",
      "latestPeriod": "02/29/2024",
      "earliestValue": 75,
      "latestValue": 37,
      "absoluteChange": -38,
      "percentChange": -50.66666666666667,
      "unit": "beds"
    },
    {
      "metric": "patient_days",
      "earliestPeriod": "02/28/2022",
      "latestPeriod": "02/29/2024",
      "earliestValue": 2445,
      "latestValue": 2008,
      "absoluteChange": -437,
      "percentChange": -17.873210633946833,
      "unit": "days"
    },
    {
      "metric": "discharges",
      "earliestPeriod": "02/28/2022",
      "latestPeriod": "02/29/2024",
      "earliestValue": 482,
      "latestValue": 398,
      "absoluteChange": -84,
      "percentChange": -17.42738589211618,
      "unit": "discharges"
    }
  ]
}
