{
  "schemaVersion": 3,
  "entityId": "181334",
  "canonicalName": "KENTUCKY RIVER MEDICAL CENTER",
  "status": "confirmed_pe",
  "statusLabel": "CMS-corroborated PE ownership record",
  "summary": "KENTUCKY RIVER MEDICAL CENTER is listed in the April 3, 2026 PE hospital tracker and matches current CMS enrollment and owner records for JACKSON 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": "high",
    "source_count": 5,
    "ownership_source_count": 2,
    "identity_match_method": "CCN exact match",
    "publication_decision": "Meets the Phase 3 publication standard for its displayed status"
  },
  "identifiers": {
    "ccn": "181334",
    "npi": "1346247962",
    "historicalCcns": [],
    "aliases": [
      {
        "alias": "JACKSON HOSPITAL CORPORATION",
        "alias_type": "cms_legal_name",
        "source_id": "source-cms-hospital-enrollments"
      },
      {
        "alias": "KENTUCKY RIVER MEDICAL CENTER",
        "alias_type": "cms_dba",
        "source_id": "source-cms-hospital-enrollments"
      }
    ]
  },
  "ownershipHistory": [
    {
      "relationship_id": "rel-quorumhealth-181334",
      "from_entity_id": "Quorum Health Corporation",
      "to_entity_id": "181334",
      "relationship_type": "owns",
      "effective_date": "May 2020",
      "end_date": "",
      "announcement_date": "",
      "status": "confirmed",
      "confidence": "high",
      "source_ids": "source-cms-hospital-all-owners|source-pesp-hospital-tracker",
      "plain_english_summary": "The tracker identifies Quorum Health Corporation in the PE ownership chain, and CMS supplies current enrolled-owner records for the facility.",
      "review_notes": "CMS explicitly identifies at least one owner as an investment firm or private-equity company."
    }
  ],
  "acquisitionEvents": [
    {
      "date": "May 2020",
      "title": "Acquisition date reported",
      "detail": "Date supplied by the April 3, 2026 PE hospital tracker snapshot.",
      "sourceIds": [
        "source-pesp-hospital-tracker"
      ]
    }
  ],
  "financialAndUtilizationSeries": [],
  "cmsOwnerRecords": [
    {
      "organization": "HENRY KUNATH",
      "role": "CORPORATE OFFICER",
      "association_date": "09/06/2023",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "HENRY KUNATH",
      "role": "CORPORATE DIRECTOR",
      "association_date": "09/06/2023",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "CHRISTOPHER HARRISON",
      "role": "CORPORATE OFFICER",
      "association_date": "04/01/2025",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "CHRISTOPHER HARRISON",
      "role": "CORPORATE DIRECTOR",
      "association_date": "04/01/2025",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "QUORUM HEALTH CORPORATION",
      "role": "5% OR GREATER DIRECT OWNERSHIP INTEREST",
      "association_date": "04/29/2016",
      "percentage_ownership": "100",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "GTAM ONSHORE BLOCKER 2 LLC",
      "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST",
      "association_date": "12/20/2023",
      "percentage_ownership": "19.34",
      "investment_firm": true,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "GOLDENTREE DISTRESSED ONSHORE MASTER FUND III LP",
      "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST",
      "association_date": "08/05/2020",
      "percentage_ownership": "13.07",
      "investment_firm": true,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "LAURA FEY",
      "role": "CORPORATE DIRECTOR",
      "association_date": "08/27/2018",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "GOLDENTREE SELECT OFFSHORE INTERMEDIATE FUND LP",
      "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST",
      "association_date": "07/07/2020",
      "percentage_ownership": "82.37",
      "investment_firm": true,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "GOLDENTREE DISTRESSED MASTER FUND III LTD",
      "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST",
      "association_date": "07/07/2020",
      "percentage_ownership": "100",
      "investment_firm": true,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "QUINCY HEALTH LLC",
      "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST",
      "association_date": "07/07/2020",
      "percentage_ownership": "100",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "STEVEN FRANTZ",
      "role": "CORPORATE DIRECTOR",
      "association_date": "08/10/2022",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "WANDA MORGAN",
      "role": "W-2 MANAGING EMPLOYEE",
      "association_date": "02/22/2019",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "DONALD ESPOSITO",
      "role": "CORPORATE OFFICER",
      "association_date": "09/16/2021",
      "percentage_ownership": "",
      "investment_firm": false,
      "private_equity_company": false,
      "holding_company": false,
      "management_services_company": false,
      "medical_staffing_company": false
    },
    {
      "organization": "DONALD ESPOSITO",
      "role": "CORPORATE DIRECTOR",
      "association_date": "09/16/2021",
      "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: Quorum Health Corporation.",
    "Reported investment sponsor: GoldenTree Asset Management, Davidson Kempner."
  ],
  "actions": [],
  "contradictions": [],
  "limitations": [
    "No compatible HCRIS cost-report rows were matched to the resolved CCN."
  ],
  "unavailableFields": [],
  "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-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": "high",
    "nodes": [
      {
        "id": "facility:181334",
        "label": "KENTUCKY RIVER MEDICAL CENTER",
        "kind": "hospital",
        "evidence": "public facility record"
      },
      {
        "id": "organization:goldentree-asset-management-davidson-kempner",
        "label": "GoldenTree Asset Management, Davidson Kempner",
        "kind": "pe_sponsor",
        "evidence": "research tracker or primary portfolio source"
      },
      {
        "id": "organization:goldentree-distressed-master-fund-iii-ltd",
        "label": "GOLDENTREE DISTRESSED MASTER FUND III LTD",
        "kind": "portfolio_company_or_operator",
        "evidence": "research tracker or primary organizational source"
      },
      {
        "id": "cms-owner:henry-kunath:0",
        "label": "HENRY KUNATH",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:henry-kunath:1",
        "label": "HENRY KUNATH",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:christopher-harrison:2",
        "label": "CHRISTOPHER HARRISON",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:christopher-harrison:3",
        "label": "CHRISTOPHER HARRISON",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:quorum-health-corporation:4",
        "label": "QUORUM HEALTH CORPORATION",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER DIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:gtam-onshore-blocker-2-llc:5",
        "label": "GTAM ONSHORE BLOCKER 2 LLC",
        "kind": "cms_investment_firm",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:goldentree-distressed-onshore-master-fund-iii-lp:6",
        "label": "GOLDENTREE DISTRESSED ONSHORE MASTER FUND III LP",
        "kind": "cms_investment_firm",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:laura-fey:7",
        "label": "LAURA FEY",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:goldentree-select-offshore-intermediate-fund-lp:8",
        "label": "GOLDENTREE SELECT OFFSHORE INTERMEDIATE FUND LP",
        "kind": "cms_investment_firm",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:goldentree-distressed-master-fund-iii-ltd:9",
        "label": "GOLDENTREE DISTRESSED MASTER FUND III LTD",
        "kind": "cms_investment_firm",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:quincy-health-llc:10",
        "label": "QUINCY HEALTH LLC",
        "kind": "cms_owner_or_controller",
        "evidence": "5% OR GREATER INDIRECT OWNERSHIP INTEREST"
      },
      {
        "id": "cms-owner:steven-frantz:11",
        "label": "STEVEN FRANTZ",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      },
      {
        "id": "cms-owner:wanda-morgan:12",
        "label": "WANDA MORGAN",
        "kind": "cms_owner_or_controller",
        "evidence": "W-2 MANAGING EMPLOYEE"
      },
      {
        "id": "cms-owner:donald-esposito:13",
        "label": "DONALD ESPOSITO",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE OFFICER"
      },
      {
        "id": "cms-owner:donald-esposito:14",
        "label": "DONALD ESPOSITO",
        "kind": "cms_owner_or_controller",
        "evidence": "CORPORATE DIRECTOR"
      }
    ],
    "edges": [
      {
        "id": "organization:goldentree-asset-management-davidson-kempner->organization:goldentree-distressed-master-fund-iii-ltd",
        "from": "organization:goldentree-asset-management-davidson-kempner",
        "to": "organization:goldentree-distressed-master-fund-iii-ltd",
        "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:goldentree-distressed-master-fund-iii-ltd->facility:181334",
        "from": "organization:goldentree-distressed-master-fund-iii-ltd",
        "to": "facility:181334",
        "relationship": "reported ownership or operating chain",
        "confidence": "high",
        "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:henry-kunath:0->facility:181334",
        "from": "cms-owner:henry-kunath:0",
        "to": "facility:181334",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 09/06/2023"
      },
      {
        "id": "cms-owner:henry-kunath:1->facility:181334",
        "from": "cms-owner:henry-kunath:1",
        "to": "facility:181334",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 09/06/2023"
      },
      {
        "id": "cms-owner:christopher-harrison:2->facility:181334",
        "from": "cms-owner:christopher-harrison:2",
        "to": "facility:181334",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 04/01/2025"
      },
      {
        "id": "cms-owner:christopher-harrison:3->facility:181334",
        "from": "cms-owner:christopher-harrison:3",
        "to": "facility:181334",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 04/01/2025"
      },
      {
        "id": "cms-owner:quorum-health-corporation:4->facility:181334",
        "from": "cms-owner:quorum-health-corporation:4",
        "to": "facility:181334",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER DIRECT OWNERSHIP INTEREST · 100% reported ownership · associated 04/29/2016"
      },
      {
        "id": "cms-owner:gtam-onshore-blocker-2-llc:5->facility:181334",
        "from": "cms-owner:gtam-onshore-blocker-2-llc:5",
        "to": "facility:181334",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 19.34% reported ownership · associated 12/20/2023"
      },
      {
        "id": "cms-owner:goldentree-distressed-onshore-master-fund-iii-lp:6->facility:181334",
        "from": "cms-owner:goldentree-distressed-onshore-master-fund-iii-lp:6",
        "to": "facility:181334",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 13.07% reported ownership · associated 08/05/2020"
      },
      {
        "id": "cms-owner:laura-fey:7->facility:181334",
        "from": "cms-owner:laura-fey:7",
        "to": "facility:181334",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 08/27/2018"
      },
      {
        "id": "cms-owner:goldentree-select-offshore-intermediate-fund-lp:8->facility:181334",
        "from": "cms-owner:goldentree-select-offshore-intermediate-fund-lp:8",
        "to": "facility:181334",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 82.37% reported ownership · associated 07/07/2020"
      },
      {
        "id": "cms-owner:goldentree-distressed-master-fund-iii-ltd:9->facility:181334",
        "from": "cms-owner:goldentree-distressed-master-fund-iii-ltd:9",
        "to": "facility:181334",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 100% reported ownership · associated 07/07/2020"
      },
      {
        "id": "cms-owner:quincy-health-llc:10->facility:181334",
        "from": "cms-owner:quincy-health-llc:10",
        "to": "facility:181334",
        "relationship": "owns an interest in",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "5% OR GREATER INDIRECT OWNERSHIP INTEREST · 100% reported ownership · associated 07/07/2020"
      },
      {
        "id": "cms-owner:steven-frantz:11->facility:181334",
        "from": "cms-owner:steven-frantz:11",
        "to": "facility:181334",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 08/10/2022"
      },
      {
        "id": "cms-owner:wanda-morgan:12->facility:181334",
        "from": "cms-owner:wanda-morgan:12",
        "to": "facility:181334",
        "relationship": "is associated with",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "W-2 MANAGING EMPLOYEE · associated 02/22/2019"
      },
      {
        "id": "cms-owner:donald-esposito:13->facility:181334",
        "from": "cms-owner:donald-esposito:13",
        "to": "facility:181334",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE OFFICER · associated 09/16/2021"
      },
      {
        "id": "cms-owner:donald-esposito:14->facility:181334",
        "from": "cms-owner:donald-esposito:14",
        "to": "facility:181334",
        "relationship": "governs",
        "confidence": "high",
        "sourceIds": [
          "source-cms-hospital-all-owners"
        ],
        "note": "CORPORATE DIRECTOR · associated 09/16/2021"
      }
    ],
    "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": []
}
